Dr Iain Duncan
PRP tendon research updates

PRP Therapy Ongoing Updates

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 […]

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 […]

References

References for PRP therapy

Migliorini, F., Driessen, A., Quack, V., Sippel, N., Cooper, B., Yasser, ·, Mansy, E., Tingart, M., & Eschweiler, J. (2021). Comparison between intra-articular infiltrations of placebo, steroids, hyaluronic and PRP for knee osteoarthritis: a Bayesian network meta-analysis. 141, 1473–1490. https://doi.org/10.1007/s00402-020-03551-y D, Z., JK, P., WY, Y., YH, H., LF, Z., GH, L., & J, L. […]

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…  October 2021 I have written a new PRP update which highlights the increasing evidence for LP-PRP (leucocyte poor platelet rich plasma) therapy as being the best intra-articular option for knee osteoarthritis in a network meta analysis which compared it with  intra-articular hyaluronic acid, leukocyte-rich platelet-rich plasma (LR-PRP), bone marrow mesenchymal stem […]

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 […]