The platelets contain growth factors that
will stimulate the immune system to bring cells to the area that will
grow back new tissue, stabilize the area, and eliminate painMuch like Prolotherapy, PRP
can be used anywhere in ligaments, tendons, muscles, joints from the
head to the toe.I use ultrasound guidance to insure that the maximum
number of platelets are delivered to the exact injury area. Ultrasound
is very safe in guiding the needle to the exact area where the solution
is needed.
A medical assistant is withdrawing blood from a patient’s arm, you
can see the syring that the blood is being withdrawn into – here the
blood is placed into the PRP kit and it is going to be centrafused, the
platelets are going to be spun down, The platelet poor solution is
removed and a small portion is mixed with the platelets to create a
platelet rich plasma solution.
You are looking at me injecting this patient’s hip under ultrasound
guidance, you can see the needle coming into the area of the joint, I
have turned on the dopler to look for blood vessels which indicates that
there is a nerve nearby, that is the fermoral artery that is pulsating
in red.
Ultrasound is very safe in guiding needles to the exact area the solution is needed.
This patient is a 31 one year old female who has a preexisting
history of juvenile rheumatoid arthritis, she has been in remission for
several years but as a result she has severe osteoarthritis of both
hips, what we call bone on bone arthritis, she is an excellent candidate
for PRP because of her condition.
Hip pain and PRP
One of the most commonly used joints in the human body sits in the
seat of your pants. The hip is a “ball and socket” joint, meaning it’s
formed by the pelvic bone: acetabulum (the socket) and the end of the
femur bone (the ball or head of the femur). Both bones are covered with a
smooth layer of slippery cartilage.
This anatomic design allows for incredible movement, form, and
function, but it also allows for wear and tear, which can result in
incredible pain. Many people think that the hip bones are just those
bones that jut out on either side of the body below and around the
abdomen; however, the hip actually extends from your thigh and into the
groin. Meaning an injury in this area can have a far-reaching affect.
Hip pain is common, and its causes are many, although not all come from the joint but can masquerade as joint pain.
Arthritis: One of the most frequent causes of hip pain is caused by loss of cartilage from wear and tear, inflammation, or injury.
Pyriformis Syndrome: This syndrome may cause pain in
the buttocks, lower back, or down the leg. Your hip has some very
powerful muscles. Among them is the piriformis, which is in the back of
the hip and helps rotate the leg outwards. The sciatic nerve is just
underneath it; in some people, the nerve is impinged under the
piriformis muscle. When the muscle contracts, it acts like a pincer on
the nerve, which causes the discomfort.
Lumbar Pain: Many back or spine issues can radiate to areas around the hips. Most common are herniated discs and sciatica.
Greater trochanteric Bursitis & Ischial bursitis: The hip joint and the large muscles that cover it are protected by several bursal sacs.
There is also a small amount of fluid contained in the hip joint. Each
bursa produces lubricating fluid and functions to reduce pressure and
friction around the joint. These bursa sacs can become irritated from
injury, excessive pressure, and overuse. Inflammation of a bursa is
called bursitis.
Hip tendonitis or tears: Tendinitis occurs when a
muscle is overused and pulls on the tendon that attaches it to the bone.
In your hip, tendons perform an important role by keeping strong
muscles attached to the femur (thigh bone) as your legs move. One kind
of tendinitis that occurs as a result of overuse is called iliacus
tendinitis or iliopsoas tendinitis. The iliac muscle, which starts at
your hip bone, and the psoas muscle, which starts in your lower spine,
are used when lifting the leg toward the chest to keep you stable. They
come together in a tendon at the top of the femur, and that is the point
where tendinitis occurs.
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