Dr Iain Duncan

PRP therapy for tendinopathies and tendon tears

Iain Duncan October 2015 PRP (platelet-rich plasma) therapies have been used for over a decade for a whole number of clinical problems (see PRP wikipedia entry). PRP is blood plasma that has been enriched with platelets and contains (and releases through degranulation) several different growth factors and other cytokines that stimulate healing of bone and soft tissue. […]


STRESS FRACTURE GRADING GRADE XRAY SPECT-CT BONE SCAN MRI 1 normal mild /diffuse increase in tracer uptake. CT normal Increased periosteal T2 signal. Normal marrow signal. 2 normal moderately intense tracer uptake, mild sclerosis or thickening, but no fracture line plus changes on STIR and T2 sequences 3 Visible line intense (linear) focal tracer uptake with definite […]


0 incomplete additional imaging evaluation needed 1 negative 2 benign likelihood of malignancy ~0%. Routine screening recommended 3 probably benign 0-2% likelihood of malignancy. Follow-up in ~6 months 4 suspicious likelihood of malignancy 2-95% 5 highly suspicious >95% risk of malignancy. Requires tissue diagnosis 6 proven malignancy biopsy positive. Surgical excision recommended