Dr Iain Duncan
PRP for osteaoarthritis

Updates on PRP (platelet rich plasma) injections for osteoarthritis

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 […]

PRP tendon research updates

PRP therapy for tendinopathies and tendon tears

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 […]

References

References for PRP therapy

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. […]

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+ […]

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 Diagnostic Imaging Updates

from Dr Iain Duncan…  August 2020 August was our busiest month ever but… July 2020 Life goes on (despite Covid-19). Fortunately, my work life is little affected, though like many my out-work-life is now quite “confined”, but the upside is I’m saving $ not eating out, and when I do its a (very) special occasion. […]

The Thyroid Gland

Thyroid Disease in Australia At least 2% of Australian have known disorders of thyroid gland (500,000 people). The true number is almost certainly higher and is more prevalent in certain regions, depending often on iodine intake. The number of older Australian that suffer from a clinically relevant thyroid disorder is much higher at 14% with […]