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 […]
Newest updates first Update 2020 To see lots more information about PRP go here. There are a number of recent PRP studies that challenge the accepted dogma that corticosteroid injections are the first choice when conservative management fails. One such from Jane Fitzpatrick and colleagues (an Australian study -see here) showed that patients with chronic […]
Görmeli, G., Görmeli, C. A., Ataoglu, B., Çolak, C., Aslantürk, O., & Ertem, K. (2017). Multiple PRP injections are more effective than single injections and hyaluronic acid in knees with early osteoarthritis: a randomized, double-blind, placebo-controlled trial. Knee Surgery, Sports Traumatology, Arthroscopy, 25(3), 958–965. https://doi.org/10.1007/s00167-015-3705-6 Di Martino A, Di Matteo B, Papio T, et al. […]
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 […]
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 […]
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 […]
Iain Duncan 2018 We have now successfully undertaken a series of platelet rich plasma (PRP) and hyaluronic acid injections for OA knee and many have had more advanced disease than is ideal (the best responders have the least radiological changes), but ~80% have had longer and better responses to PRP or viscosupplementation than earlier intra-articulator […]
Background Definition: Lateral epicondylitis is a common, painful condition characterized by pain at the lateral side of the elbow, that increases during gripping or squeezing. Though sometimes referred to as “tennis elbow” it occurs mostly in middle aged adults regardless of sporting activity. Light microscopy reveals both an excess of fibroblasts and blood vessels that […]
