Posts Tagged ‘natural healing’

January 08′ Platelet Rich Plasma Enhances Tendon Healing

Monday, January 14th, 2008

cellphysiologyA new article from the Journal of Cellular Physiology presented some new insights into the role of PRP in tendon healing. After injecting PRP into mice patellar tendons, accelerated healing was demonstrated. The PRP had an 8.8 times platelet concentration above baseline versus whole blood.

Circulation derived cells play a key role in tendon healing. Blood flow is very important in connective tissue regeneration. Tendons typically have a poor blood supply (only 1/3 of the amount found in muscles). This study showed increased quantity of these healing cells in the early phase of tendon repair. Unfortunately, these helpful cells normally disappear with time. Therefore prolonging their presence is advantageous. Also increased type I & III collagen and macrophages were increased; supporting that PRP promotes tendon healing

http://www3.interscience.wiley.com/cgi-bin/abstract/117880365/ABSTRACT?CRETRY=1&SRETRY=0

Platelet Rich Plasma Patient Education Brochure

Monday, October 15th, 2007

www.smog-ortho.com/prpguide.pdf

Doctor Heal Thyself or How I Treated My Own Tendon Injury

Sunday, August 19th, 2007

After moving to California recently, I decided to take surfing lessons. However, I wasn’t aware that I was about to receive a PRP injection myself after spraining my MCL on the first day! I felt a pop in my knee and subsequently had an MRI that showed bruising of my tibia & swelling/fluid at my MCL. Shortly afterwards, I received a PRP injection to my knee.

This experience let me understand the healing process & better communicate the recovery process with patients. Most importantly I have appreciated the necessary role of Physical therapy post injection. We are in the process of developing Physical therapy protcols to maximize positive outcomes & improve pain tolerance. Being a typical doctor, and not properly taking care of myself, I worked the day after my injection rather than resting as I recommend to others. This resulted in increased pain which was later relieved with a device I received called “game Ready” which provides cooling & compression with ice. Now, I describe the process as similar to experiencing a new injury. Although there isn’t a second injury, we are releasing potent proteins/growth factors that normally accumulate when there is an acute injury.

I tell patients that they may feel a different pain which gradually subsides in 2-7 days. For some reason patient tolerance of the injection varies. Some describe significant brief discomfort, while others are completely fine.

Platelet Rich Plasma Introduction

Sunday, August 19th, 2007

This blog site was created to establish a non-competitive forum for physicians performing PRP treatments & for patients interested in learning more about this emerging treatment. I was introduced to this treatment by my colleagues, Dr Bert Mandelbaum & Dr Michael Gerhardt; who are premiere orthopaedists responsible for treating numerous soccer athletes from all over the world. PRP is being used by many European professional soccer clubs, and is now making it’s way to the U.S.

Initially we injected a few professional soccer athletes for MCL tears/sprains and noted accelerated recovery & earlier than expected return to play. Click link to see article:
http://www.mlsnet.com/news/team_news.jsp?ymd=20070417&content_id=89302&vkey=news_cdc&fext=.jsp&team=t120

Shortly afterwards we began treating weekend warriors with chronic non-healing tendon injuries including tennis/golfers elbow, achilles tendonosis, patellar tendonosis (jumpers knee). After a favorable response from patients and following discussions with other leaders in the community on PRP, we are now injecting PRP for other non-healing injuries including knee arthritis & hip bursitis.

PRP provides a safe and natural alternative to surgery using the body’s natural ability to heal itself.