Outcomes of local injections of platelet rich plasma in various chronic tendinopathies
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
Abstract
Introduction: Tendinopathy is a repetitive strain injury caused by repetitive overuse of the muscles of the body. It causes pain and functional impairment in daily activities. The treatment of this condition includes conservative therapy and surgical interventions. The effectiveness of oral nonsteroidal anti-inflammatory agents, topical and injectable medications including corticosteroids and botulinum toxins, splinting, physical therapy, and iontophoresis has been evaluated in many studies. Platelet-rich plasma (PRP) therapy has been utilized for nearly two decades to treat degenerative joint disease and speed recovery from soft tissue injuries to tendons, muscles and ligaments. Aim: The present study aims at evaluating the results of PRP treatment in chronic tendinopathy and assessment of joint function and functional abilities of patients in follow up studies. Materials and Methods: This study was a prospective, comparative, single blind study, carried out in 30 patient. The patients were assessed pre procedure and post procedure in form of range of movements, pain, tenderness, joint stiffness and early mobilization. Quantity of PRP given was 2 ml in < 6 month chronicity and 3ml in > 6 month chronicity. The functional outcome of PRP treatment was evaluated with visual analogue score. Results and Discussion: The functional outcome i.e. pain improvement in our study was evaluated using VAS (Visual analogue Score). About 64% patients in our study attained excellent VAS scores. Our results were comparable to the results obtained by Mishra and his colleagues8, in 2006, where patients who had received PRP treatment showed 60% improvement in their VAAS pain score. Conclusion: Our study had shown good to excellent symptom improvement in 90% of patient. Almost all patient treated with PRP had good range of motion and pain relief at the end of the study and most of patients were able to do their routine or previous work and activities without any difficulty. Being newer techniques, PRP treatment requires further evaluation and there is a steep learning curve
Authors and Affiliations
Dr. Prerak Yadav, Dr. Vatsal Parmar
Keywords
Related Articles
- EP ID EP502369
- DOI 10.22271/ortho.2017.v3.i2i.84
- Views 87
- Downloads 0
A case of combined posterolateral corner (PLC) injury and anterior cruciate ligament (ACL) injury treated by arthroscopic reconstruction
The combined injuries involving anterior cruciate ligament and posterolateral corner are the rarest among knee injuries with an incidence of about 9.1% and there is a paucity of literature focussing on its management. He...
Radiological and functional assessment of the tibial pilon fractures treated by Ilizarov external fixation
Background & Objectives: The tibial pilon fractures are one of the challenging fractures in Orthopaedics because of limited soft tissue coverage and vicinity to the articular surface. Open reduction methods breach the so...
Functional outcome of intertrochanteric fractures treated with dynamic hip screw and influence of tad over it - A prospective study
Fractures of proximal femur are amongst the most often encountered fractures by orthopedic surgeons. Many treatment techniques are described in literature, but internal fixation with Dynamic Hip Screw (DHS) is the gold s...
Snapping hip disabling: About an observation and review of the literature
The snapping hip is a common pathology in sports. Of diverse etiology, we report a case of postoperative disabling hip dislocation in a 25-year-old patient. The problem posed by the management of this pathology was that...
Comparison of the functional outcome of DHS versus cannulated cancellous screws in pauwels type II and III fracture neck femur in young adults
Fracture neck of femur remains the unsolved fracture even in modern orthopaedics. It is an enigma to orthopaedic surgeons and curse for an individual with complications like avascular necrosis and nonunion. No clear diff...