54 patients were treated with hip/buttock pain requiring a diagnosis of gluteal tendinosis (a chronic tendon injury rather than an acute injury tendinitis). The study from the American Journal of Roentgenology demonstrated seventy percent of patients were satisfied with the results of the intervention which included a ultrasound guided cortisone injection. Typically these injections are done blind without image guidance. However the physician may miss the target site and may simply be injecting fatty tissue or the incorrect muscle or tendon causing further damage or discomfort by hitting painful structures like bone or nerve. If patients have great relief from this guided cortisone injection, the proper disgnosis is determined & the patient may be a candidate for other injectables which may be less damaging like PRP or Traumeel etc.
Posts Tagged ‘tendonopathy’
New Study from Canada suggests ultrasound guided hip injections are effective
Friday, March 26th, 2010New research comparing platelet rich plasma to steroid injection for tennis elbow
Saturday, June 6th, 2009
Data was released from Krakow Poland at the International Meeting on the use of Autologous Growth Factors in Orthopaedics and Sports Medicine: “State of the Art” – Krakow, Poland – 24 April 2009. The study found that patients receiving cortisone showed a 40% improvement compared to PRP 75% at 12 months. This is the first head to head study. Cortisone is well known to carry a risk of weakening & rupturing a tendon & is often discouraged.
http://www.shoulderdoc.co.uk/article.asp?article=1323
We are conducting a multicenter FDA approved trial on tennis elbow beginning Mid June 2009.
www.orthohealing.com
Dr Steven Sampson selected as a principal investigator for FDA Approved multi-center platelet rich plasma tennis elbow study
Sunday, February 8th, 2009
Dr Steven Sampson was selected as a principal investigator for an FDA approved study for Recover® Kit for Chronic Elbow Tendinosis using platelet rich plasma (PRP). This study includes up to 10 centers across the country and will hopefully pave the way for FDA approval and widespread use. Stay tuned for further info regarding this and other studies Dr Sampson is involved with in 2009.
www.orthohealing.com
http://www.biomet.com/patients/clinical_recruitment_recover.cfm
January 08′ Platelet Rich Plasma Enhances Tendon Healing
Monday, January 14th, 2008
A 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, 2007Platelet Rich Plasma Introduction
Sunday, August 19th, 2007This 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.
tendon
PRP Seperation
Inactive Platelet
Cartilage Cells, "chondrocytes"
Tennis Elbow Injection