The efficacy of platelet-rich plasma in the treatment of symptomatic knee osteoarthritis- Οστεοαρθρίτιδα γόνατος.

Arthroscopy. 2013 Dec;29(12):2037-48. doi: 10.1016/j.arthro.2013.09.006.

Khoshbin A, Leroux T, Wasserstein D, Marks P, Theodoropoulos J, Ogilvie-Harris D, Gandhi R, Takhar K, Lum G, Chahal J.

University of Toronto Orthopaedic Sports Medicine Program, Women's College Hospital, Toronto, Ontario, Canada; The Hospital for Sick Children, Toronto, Ontario, Canada.

The purpose of this systematic review was to synthesize the available Level I and Level II literature on platelet-rich plasma (PRP) as a therapeutic intervention in the management of symptomatic knee osteoarthritis (OA).
A systematic review of Medline, Embase, Cochrane Central Register of Controlled Trials, PubMed, and www.clinicaltrials.gov was performed to identify all randomized controlled trials and prospective cohort studies that evaluated the clinical efficacy of PRP versus a control injection for knee OA.

Platelet-Rich Plasma for the Treatment of Chronic Plantar Fasciopathy in Adults - Άκανθα πτέρνης

Foot Ankle Spec. 2013 Nov 27. [Epub ahead of print]

Wilson JJ, Lee KS, Miller AT, Wang S.

School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin.

Plantar fasciopathy (PF) is a common source of pain and disability that is often refractory to conservative management. There are no uniformly effective standard-of-care treatments for chronic recalcitrant PF. Corticosteroid injection is considered a viable treatment option when traditional therapies fail, but is limited by suboptimal long-term efficacy and potential adverse effects. Platelet-rich plasma (PRP)

Jared Dudley has platelet-rich-plasma injection in knee

This really isn't a big deal but with all the talk about Derrick Rose's most recent knee injury and with the mystery surrounding Kobe Bryant's medical trips to Germany I thought it was interesting to see that Jared Dudley had platelet-rich-plasma injected into his sore knee. (As a disclaimer, I'm not a doctor, not an orthopedist, everything I know is from stuff readily available on the web.)

Injection Therapy for Hamstring Injuries - θλάση των ιγνυακών

Hamstring injuries seem to be a plague for NFL wide receivers this season, especially for the Cowboy’s wide receiver Miles Austin.  Dallas Cowboys wide receiver Miles Austin didn’t practice on Wednesday according to a report by ESPN's Todd Archer, due to a hamstring injury he has been battling this season.

Successful Use of Platelet-Rich Plasma for Chronic Plantar Fasciitis - Πελματιαία απονευρωσιτιδά - Άκανθα πτέρνης

Martin J. O'Malley, MD

Associate Attending Orthopaedic Surgeon, Hospital for Special Surgery
Assistant Professor of Orthopedic Surgery, Weill Cornell Medical College

J. Turner Vosseller, MDColumbia University College of Physicians and Surgeons, New York

Yang Gu, BSGeorgetown School of Medicine, Washington DC

Abstract

Background:

There are limited data on the use of platelet-rich plasma (PRP) for treating chronic plantar fasciitis.

Questions/Purposes:

The purpose of this study was to document the clinical outcomes of patients who were treated with PRP injections for plantar fasciitis to determine the degree to which injections were able to decrease the visual analogue scale (VAS) pain scores and improve patient reported functional scores.

The healing power of blood: Platelet-rich plasma therapy enhances recovery times

Tiger Woods and Kobe Bryant supposedly used it to get their stellar bodies back in action. Angelina Jolie is said to have depended on it to erase fine lines threatening her stellar face.
These superstars depended on platelet-rich plasma therapy, also known as protein-rich plasma or PRP, still considered experimental, but not for want of success in the fields of orthopedics, dentistry and even aesthetic treatments.

Should Your Lateral Meniscus Tear Recovery Include Surgery? Lateral Meniscus Tears don’t Cause Arthritis, but Surgery Might. Ρήξη μηνίσκου

Article by Regenexx

When patients get a knee MRI and see they have a lateral meniscus tear, it rocks their world. Often the first thing they think of is surgery. After all, doesn’t surgery fix the tear? So why wouldn’t your lateral meniscus tear recovery plans include surgery? Because the research doesn’t support that surgery will help you, but instead may hurt you. Let me explain.

Platelet-rich plasma: An option for tendinopathy

By Ricardo E. Colberg, MD, and Kenneth Mautner, MD
About 40% of all sports-related injuries involve tendons.¹ Patellar tendon injuries, for example, are the most common knee injury in jumping sports.² Achilles tendon injuries occur 10 times more frequently in runners than in age-matched nonrunners.³ However, sedentary people are also at risk of developing tendon injuries.^1,4 Up to one third of Achilles tendinitis cases have been reported in patients who do not perform vigorous physical activity.⁵
Lower extremity tendon injuries frequently progress to chronic tendinopathies.

Platelet Rich Plasma: The Ace that Started Nadal’s Epic Comeback!

Rafael Nadal has been characterized as one of the most skilled, explosive, and athletic tennis players the game has ever seen. But such a dynamic style of play had caused the Spanish phenom to be sidelined for 7 months with potentially career-ending knee tendinitis.  Many fans and tennis analysts believed that it was physically impossible for the aging 27 year old to combat his body’s breakdown and return to even a shadow of his former self. 

Platelet-Rich Plasma in the Management of Articular Cartilage Pathology: A Systematic Review.

 Clin J Sport Med. 2013 Nov 13. [Epub ahead of print]

Dold AP, Zywiel MG, Taylor DW, Dwyer T, Theodoropoulos J.

Source

*Division of Orthopaedic Surgery; and †Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada; and ‡Women's College and Toronto Western Hospital; and §Women's College and Mount Sinai Hospital, University of Toronto Orthopaedic Sports Medicine, Toronto, Ontario, Canada.

Abstract

OBJECTIVE::

Using systematic review methodology, we endeavored to answer the following questions concerning the treatment of osteochondral pathology: (1) what pathologies have been treated in vivo with the use of platelet-rich plasma (PRP); (2) what methods of PRP preparation and delivery have been reported; (3) what assessment tools and comparison group have been used to assess its effectiveness; and (4) what are the clinical outcomes of its use.

The Blood Injections That Might Transform Orthopedics

Chris Waddell has been an élite athlete for more than two decades. He has won twelve medals in downhill skiing, including five golds, in four Paralympic Games events; he was a world-record-holding wheelchair track sprinter; and, in 2009, he became the first paraplegic to climb Mt. Kilimanjaro,

Is Platelet-Rich Plasma an Effective Healing Therapy?

Athletes such as Tiger Woods and the Pittsburgh Steelers's Hines Ward have undergone platelet-rich plasma therapy, but is there evidence that the treatment really speeds the healing of injuries?

By Carina Storrs

Torn tendons, muscles and ligaments plague athletes in many types of sports. In attempts to help heal the wounded tissue, some athletes, both amateur and professional, have turned to platelet-rich plasma (PRP) therapy.

Photoactivated platelet-rich plasma therapy for a traumatic knee chondral lesion.

BMJ Case Rep. 2012 Dec 17;2012. pii: bcr2012006858. doi: 10.1136/bcr-2012-006858.

Freitag J, Barnard A, Rotstein A.

Source

Lifecare Prahran Sports Medicine Centre, Melbourne, Victoria, Australia. julien.freitag@me.com

Abstract

To evaluate the effect of combining photoactivation therapy with platelet-rich plasma injections in the treatment of a traumatic chondral lesion of the knee. A 38-year-old man presented with left-knee pain and swelling following a basketball injury. MRI demonstrated a full-thickness lateral tibial plateau chondral flap with subchondral cyst formation and marrow oedema. The patient underwent a course of photoactivated platelet-rich plasma (PAPRP) injections.

What is Prolotherapy with Platelet Rich Plasma

Platelet Rich Plasma – Prolotherapy using your own growth factors

The appropriate amount of blood is drawn from the patient.

At Caring Medical, we specialize in proliferative injection therapies, known as Prolotherapy. While these regenerative medicine treatments have been around for many decades, one of the exciting additions, in recent years, is Platelet Rich Plasma (PRP). PRP works great for a number of conditions, particularly labral tears of the hip and shoulder, as well as degenerated meniscus and meniscus tears.

Platelet-Rich-Plasma Injections | Ottawa Senators Player Milan Michalek Credited Therapy For Recovery From Knee Injury

Veteran NHL player Milan Michalek faced a decision after last season ended: surgery to repair his injured knee, or an innovative, non-invasive treatment known as platelet-rich plasma therapy. Following the examples set by superstar athletes like Tiger Woods, Kobe Bryant and A-Rod, Michalek chose the latter, traveling to Germany to receive treatment for a week. By September, Michalek told journalists he was “100% and ready to go,” and he has played thus far this season without reporting pain or re-injury.

Platelet-Rich-Plasma (P.R.P.) Shots | Bill Nye the Science Guy Got PRP Therapy for “Dancing With The Stars” Injury

After suffering a leg injury during a fall on “Dancing With the Stars,” Bill Nye the Science Guy received an innovative treatment known as platelet-rich plasma therapy (PRP) in the hope of returning to the stage in the subsequent week. Return he did, and he brought with him a layman’s explanation of PRP, the kind of science-made-simple description his legions of fans know him for.

Carpal Tunnel Surgery Recovery: Does Cutting the Ligament Have Consequences? (Σύνδρομο καρπιαίου σωλήνα)

Carpal tunnel surgery has become a standard surgical treatment for carpal tunnel syndrome, a problem that occurs when the median nerve gets chronically pinched at the wrist. The surgery is simple, cut the ligament that normally covers the carpal tunnel to give the nerve more breathing room. However, does cutting the transverse carpal ligament (TCL) impact carpal tunnel surgery recovery? Does it have other long term consequences? Is the ligament there for a reason? Regrettably, taking the quick fix approach by cutting the ligament may have issues.

The Regenexx procedure used to treat disc bulges. (Δισκοπάθεια)

Regenexx PL-(Platelet Lysate)-Platelets slowly release their growth factors in a timed release fashion to help healing. However, there are times when the physician wants all of the growth factors contained in platelets immediately available to the area to prompt healing. In addition, there are areas of the body where using Platelet Rich Plasma (PRP) may cause too much inflammation. As a result, our physicians create Regenexx-PL by cracking open the platelets to allow all of the growth factors to be immediately available to your body.http://www.regenexx.com/wp-content/uploads/2012/10/Regenexx-PL-Infographic-Steroid-Epidurals-vs.-Regenexx-PL-Disc.pdf