Σελίδες

Πέμπτη 31 Οκτωβρίου 2013

The Running Doc discusses the differences between PRP and Orthokine treatment to help speed healing


Dear Running Doc:
I read last week that Kobe Bryant has again (for the second time) travelled to Germany to get a "PRP" procedure. Upon further reading, they called it an Orthokine procedure.
I checked around with some major sports medicine groups and can't seem to find someone doing this procedure in America.
Is it the same as PRP? If not, why Germany? Is something fishy? Is Kobe getting a "free pass" from the press, fans, and the NBA?

Τετάρτη 30 Οκτωβρίου 2013

Does Platelet-Rich Plasma Treatment Work?

On his latest trip to Germany, Kobe Bryant made national news when he checked in to get a Platelet-Rich Plasma (PRP) treatment, a controversial therapy that processes the patient's blood to speed up the healing process. But it wasn't his first time undergoing this rehab method, nor was he the first athlete to try it. Like Tiger Woods, who used the treatment in 2010 to overcome knee troubles, the aging Laker has used the injections to help heal ankle and knee injuries suffered last season. But just how effective is the treatment?

Τρίτη 29 Οκτωβρίου 2013

Autologous blood derived signaling proteins (sp) for tendon and muscle therapy in sports medicine. Higher concentration of growth factors (gf) and cytokines in orthokine vs in acp.

Source

Bonn-Rhein-Sieg University of Applied Sciences, Department of Natural Sciences, Von-Liebig-Straße 20, 53359 Rheinbach, Germany.

Abstract

Regenerative SP in blood preparations are popular for tendon and muscle injuries [Wehling et al. Biodrugs 2007;21(5):323-332, Nguyen et al. PM&R 2011;(3):226-250, Schippinger et al. JSSM 2011;10:439-444]. They are used for local injection treatment. There is inconsistency in platelet-rich plasma (PRP) preparations (3x-7x platelets, variable other cells content).

Δευτέρα 28 Οκτωβρίου 2013

Platelet-rich plasma prevents blood loss and pain and enhances early functional outcome after total knee arthroplasty: a prospective randomised controlled study.

Source

Department of Orthopaedic Surgery, Post graduate Institute of Medical Education & Research, #123-C, Old Type V, Sector 24A, Chandigarh, India, agg_adityadoc@yahoo.co.in.

Abstract

PURPOSE:

The purpose of this study was to determine whether platelet-rich plasma (PRP) might prevent blood loss and postoperative pain and expedite wound healing following total knee arthroplasty (TKA).

Κυριακή 27 Οκτωβρίου 2013

Sacroiliitis – A Common Cause of Back Pain & Sciatica - ιερολαγονιτίδα


The sacroiliac joint is formed at the borders of the sacrum and the hip (pelvic) bones – the iliac crests. This is a long vertical joint, about the length of the side of your hand. This joint is held together by multiple ligaments, with many nerve pain fibers contained in these ligaments. The sacrum is at the base of the spine and is subject to a great deal of stress. When the sacroiliac joint becomes inflamed a condition known as Sacroiliitis develops. Sacroiliitis can be caused by heavy lifting, straining your back or trauma, such as falling. The pain is quite unique but can mimic low back pain or sciatica. One has to be looking for Sacroiliitis as the incorrect diagnosis of sciatica can be made. Patients do not understand why they have leg pain and yet normal MRI lumbar spine scans and EMG studies. The pain is coming from inflammation of the pain structures within the joint itself.

Sacroiliitis Diagnosis is made by a careful history and complete neurological exam. Patients with Sacroiliitis can be diagnosed by having a normal neurological exam with an abnormal musculoskeletal exam. Palpation over the sacroiliac joint almost always reproduces the patient’s pain exactly. The neurological exam fails to show any evidence of nerve root compression, “pinched nerve.” The sacroiliac joint is frequently inflamed on both sides, perhaps fifty percent of the time.
Typical symptoms include pain and stiffness in the lower back, frequently worse on getting out of bed in the morning. Walking exacerbates the pain. The pain can radiate into the hip, lower back or down the back of the leg. A limping gait is not uncommon. With a normal neurological exam, diagnostic studies are frequently not needed.
Treatment consists of various ways of relieving inflammation. Anti-inflammatory agents can be helpful in some cases. Physical therapy can help relieve the lower back and buttocks spasm that can be associated with Sacroiliitis. Many cases are severe enough to require and cortisone nerve block. In our practice, Sarasota Neurology, this nerve block is effective about 80% of the time. In patients who has persistent sacroiliitis pain, platelet rich plasma (PRP) is ideal therapy. PRP is injected directly into the sacroiliac joint. The graft adheres to the injured tissues inside the joint. The standard response of inflammation, proliferation and remodeling occur over a 6 week period, usually with excellent results and pain relief. Long lasting pain relief can be expected. This treatment is very safe with an extraordinarily low complication rate. Ask your doctor if you may be a candidate for PRP therapy.

Σάββατο 26 Οκτωβρίου 2013

Platelet Rich Plasma Prolotherapy as First-line Treatment for Meniscal Pathology (ρήξη μηνισκού)

Animal research together with five patient case reports demonstrate that platelet rich plasma prolotherapy (PRPP) is effective in the treatment of MRI-documented meniscal tears.
Meniscus injuries are a common cause of knee pain, accounting for a large number of surgeries in the U.S. annually. While surgical treatments range from total to partial meniscectomy, meniscal repair and even meniscus transplantation, all have a high long-term failure rate with the recurrence of symptoms. The most serious of the long-term post-surgical consequences is an acceleration of joint degeneration.

Παρασκευή 25 Οκτωβρίου 2013

Gov. Dayton will undergo a medical procedure at Mayo to help his ailing hip

Gov. Mark Dayton will have a medical procedure Wednesday at the Mayo Clinic in Rochester to help speed recovery of a torn hip muscle.
The governor's office said the procedure, a Platelet Rich Plasma (PRP) Injection, will take one hour, after which he'll return by car to the governor's residence in St. Paul.

Πέμπτη 24 Οκτωβρίου 2013

Gov. Dayton openly discusses PRP injection to treat hip muscle Read more: Gov. Dayton openly discusses PRP injection to treat hip muscle

Gov. Mark Dayton is scheduled to receive a Platelet Rich Plasma (PRP) Injection on Wednesday at the Mayo Clinic designed to promote healing of a torn muscle in his left hip area.
On Tuesday, Dayton held a wide-ranging press briefing in which he openly discussed the procedure, which lasts about one hour and is done under local anesthesia.

Κυριακή 20 Οκτωβρίου 2013

A look at PRP Treatment for Epicondylitis


Epicondylitis: this is a misnomer, as there is no inflammation! First some basic anatomy. Tendons that move the wrist and fingers attach at the elbow into the ‘epicondyle’ of the arm bone (humerus). This is the anchor point for wrist movement. In other words the reason you have elbow pain from epicondylitis is because of wrist

Σάββατο 19 Οκτωβρίου 2013

Can PRP Injection (Platelet-Rich Plasma) Effectively Treat Chronic Running Injuries?

 Guest blog by John Davis (RunnersConnect)

In the past decade, several emerging treatments for chronic overuse injuries have been getting a lot of attention in the running community.  Chief among these is platelet-rich plasma injections or PRP, a procedure that attempts to use cells from your own blood to restart the healing process.

Τρίτη 15 Οκτωβρίου 2013

Platelet-Rich Plasma Injection Is More Effective than Hyaluronic Acid in the Treatment of Knee Osteoarthritis.



 Acta Chir Orthop Traumatol Cech. 2013;80(4):278-283.

Source

Department of Orthopaedics and Traumatology, Faculty of Medicine, Ondokuz Mayýs University, Samsun, Turkey.

Purpose of the study There is increasing use of platelet-rich plasma (PRP) in orthopaedics as it is a simple, cheap and minimally invasive technique. This study aimed to compare the effects of the use of PRP and hyaluronic acid (HA) injections in the knee of patients diagnosed with and being followed-up for degenerative arthritis. Materials and Methods This prospective study included 90 patients with complaints of knee pain with findings

Σάββατο 12 Οκτωβρίου 2013

Dr. Bill Releford | P.R.P. Injection | Shin Splint Treatment

Shin splints can literally become an athlete’s Achilles heel. This very common symptom, suffered mainly by athletes, can be triggered be several conditions. No matter precisely what the reason, the outcome can be unbearable pain and in most cases extended months of recovery and rest. Using a revolutionary new Platelet-Rich Plasma (PRP) therapy, Dr. Bill J. Releford can substantially reduce the painful manifestations of shin splints, speed the therapeutic process, and get athletes on their feet once again – rapidly.
“An athlete came to see me after suffering from painful shin splints for more than a year. He spent several months on the sidelines, unable to enter in competition,” said Dr. Releford. “After just one series of PRP injections, the sprinter was back on the track, without any pain, and put in a solid performance.”
A doctor of podiatric medicine, Dr. Releford is the medical director and founder of The Releford Foot and Ankle Institute and Beverly Hills PRP. He finds PRP injections beneficial in his practice and uses them to treat sports-related and orthopedic injuries, and many other conditions.
PRP therapy is non-surgical. By injecting a small, concentrated amount of a patient’s own blood into injured tissue, PRP therapy “supercharges” the healing process and reduces or even eliminates pain.
About Platelet-Rich Plasma Therapy
PRP therapy is an innovative, non-surgical approach that uses healing components derived from a small, concentrated amount of a patient’s own blood. Injected into damaged tissue, PRP therapy has the potential to “supercharge” the healing process. PRP has been successfully used in orthopedics and sports medicine to treat joint and tendon pain, ankle sprains, heel pain, non-healing wounds, plantar fasciitis, poor circulation, diabetic neuropathy, and many other conditions, as cited in the Journal of Orthopaedic Research (Jan. 2006). Recently, PRP therapy has made headlines due to its successful use by professional athletes like Tiger Woods, Kobe Bryant, Alex Rodriguez, and Rafael Nadal.http://www.prweb.com/releases/2013/10/prweb11201532.htm

What’s the secret to Rafael Nadal’s rapid recovery from his knee injury?

SHANGHAI — There’s no doubt that Rafael Nadal’s 2013 season has been incredible; he’s reached the final in 13 of 14 tournaments, and he reclaimed the No. 1 ranking this week for the first time since June 2011. However, everyone is searching for answers as to how the Spaniard has been able to play at such a high level so soon after returning from a seven-month injury layoff, which started after he lost in the second round at Wimbledon in 2012.

Σάββατο 5 Οκτωβρίου 2013

Platelet-rich plasma for managing pain and inflammation in osteoarthritis.

Nat Rev Rheumatol. 2013 Oct 1. doi: 10.1038/nrrheum.2013.141. [Epub ahead of print]

Source

Regenerative Medicine Laboratory, BioCruces Health Research Institute, Cruces University Hospital, Plaza Cruces S/N, 48903 Barakaldo, Spain.

Abstract

Osteoarthritis (OA) is a common disease involving joint damage, an inadequate healing response and progressive deterioration of the joint architecture. Autologous blood-derived products, such as platelet-rich plasma (PRP), are key sources of molecules involved in tissue repair and regeneration. These products can deliver a collection of bioactive molecules that have important roles in fundamental processes, including inflammation, angiogenesis, cell migration and metabolism in pathological conditions, such as OA.

Kobe Bryant has left Lakers camp for Germany to get more platelet-rich plasma therapy on knee

Kobe Bryant was not at Lakers training camp Thursday because he was back in Germany getting more platelet-rich plasma therapy on his right knee, reports Adrian Wojnarowski of Yahoo Sports.
The Lakers would only confirm Thursday at practice that he had gone overseas for a mystery medical procedure