Latest updates first Update Late 2021 The PRP literature expands constantly, which is good because we all need more precise data. An important paper published in Arthroscopy July 2021 did a network meta analysis. Zhao et al. from Guangzhou University of Chinese Medicine included 43 randomized controlled trials in patients with knee osteoarthritis (level II evidence […]
Order of updates is newest to oldest Iain Duncan Update July 2020 Based on a number of studies and our own experience there are benefits from doing repeated or cycling PRP injections for osteoarthritis of the knee. One such study showed PRP injections led to a significant reduction in pain and improvement in function after […]
There are extensive recommendations from the American Academy of Orthopaedic Surgeons about Management of Rotator Cuff Injuries Clinical Practice Guidelines, Published in March 2019. Some strong and moderate recommendations are listed below. Weaker recommendations have not been listed. STRONG = Evidence from two or more “High” quality studies with consistent findings for recommending for or […]
This is the muscle injury classification that I generally refer to with expected return to sporting activity: GRADE DESCRIPTION RETURN TO SPORT 0 Oedema/fluid around tendon/epimysium <2 weeks 1 Myofibril disruption without epimysial or myofascial changes 1-4 weeks 2 plus epimysial/myofascial interuption or delamination 3-6 weeks 3 intramusculat tendon or epimysial failure/tear 6+ […]
Liver SW elastography has become increasingly available and more frequently performed over the last 5 years. We were one of the first and all GMI sonographers and I have gained significant experience performing and interpreting the test. Having a good relationship and getting valuable feedback from our local hepatologists has been very helpful. The test/scan […]
C. H. Teirlinck; D. M. J. Dorleijn; P. K. Bos; J. B. M. Rijkels-Otters; S. M. A. Bierma-Zeinstra; P. A. J. Luijsterburg Arthritis Res Ther. 2019;21(192) [Open Access] Background: Predicting which patients with hip osteoarthritis are more likely to show disease progression is important for healthcare professionals. Therefore, the aim of this review was to assess which factors […]
I am seeing a growing interest and noting more research in both PRP (platelet rich plasma) and hyaluronate/viscosupplementation therapies for the treatment of both arthritis and tendon pathologies. In many of the earlier studies there was no control patients, but this has been improved in several recent studies. In particular I draw your attention to […]
Chao Zeng, Jie Wei2, Monica S M Persson et al.View post Objectives To compare the efficacy and safety of topical non-steroidal anti-inflammatory drugs (NSAIDs), including salicylate, for the treatment of osteoarthritis (OA). Methods PubMed, Embase, Cochrane Library and Web of Science were searched from 1966 to January 2017. Randomised controlled trials (RCTs) comparing topical NSAIDs […]
