PRP therapy in the lanb

Platelet-Rich Plasma Injection Therapy for Refractory Coccydynia: A Case Series

Fergie-Ross Montero-Cruz, DO, and Steve M. Aydin, DO. Source: Interventional Pain Management 2018;183-188. Link: https://www.ipmreportsjournal.com/current/pdf?article=MjE0&journal=11 BACKGROUND: Coccydynia is pain in the coccyx region. The most common cause of coccydynia is trauma, either from a direct axial force such as during a fall onto the coccyx or from cumulative trauma as a result of poor sitting […]

Osteoarthritis knee

Meta-analysis Comparing Platelet-Rich Plasma vs Hyaluronic Acid Injection in Patients with Knee Osteoarthritis

Yanhong Han, MD, Hetao Huang, PhD, Jianke Pan, PhD, Jiongtong Lin, MD, Lingfeng Zeng, PhD, Guihong Liang, MD, Weiyi Yang, PhD, Jun Liu, PhDAuthor Notes Source document: Pain Medicine, Volume 20, Issue 7, July 2019, Pages 1418–1429, link: https://doi.org/10.1093/pm/pnz011 Purpose The purpose of this meta-analysis was to compare platelet-rich plasma (PRP) and hyaluronic acid (HA) in patients with knee osteoarthritis (KOA). Methods Randomized […]

Muscle Injury Classification

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+ […]

Shearwave elastography selection box

Liver SW Elastography 2019

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 […]

hip osteoarthritis

Prognostic Factors for Progression of Osteoarthritis of the Hip

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 […]

INJECTION SHOULDER

PRP and Visco-supplementation for rotator-cuff tears

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 […]

Dr Iain Duncan

Recent News and Updates

Dr Iain Duncan June 2024 I am taking leave for an extended period and I apologise to those that may be affected. At this stage I cannot give a date for a return but will post an update when the situation changes. May 2024 The year marches on. I was pleased to see an article […]

injection therapy

Osteoporosis screening

LINKS Editorial JAMA, June 26, 2018: Screening for Osteoporosis. Jane A. Cauley, DrPHJAMA. 2018;319(24):2483-2485. doi:10.1001/jama.2018.5722 Screening to Prevent Osteoporotic Fractures: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force 2018.JAMA. 2018;319(24):2532-2551. doi:10.1001/jama.2018.6537 ToolsFracture Risk Assessment Tool Osteoporosis Risk SCORE (Simple Calculated Osteoporosis Risk Estimation)