Category Archives: Platelet Rich Plasma Injections

Extracorporeal Shock Wave Therapy Combined With Platelet-Rich Plasma Injection to Treat the Nonunion of a Stress … – Cureus

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Extracorporeal Shock Wave Therapy Combined With Platelet-Rich Plasma Injection to Treat the Nonunion of a Stress ... - Cureus

Pediatric Hemophilic Arthropathy of the Knee: Treatment With Circular External Fixator and Intra-articular Injection of … – Cureus

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Pediatric Hemophilic Arthropathy of the Knee: Treatment With Circular External Fixator and Intra-articular Injection of ... - Cureus

Bradish latest pitcher to try ‘low risk’ PRP for UCL sprain – Baltimore Sun

SARASOTA, Fla. As the number of elbow injuries for MLB pitchers has risen over the last few decades, so has the urgency in the medical community to find ways to hasten the recovery process and allow hurlers to return to form without undergoing reconstructive surgery. Leading the way in the field of biologics is the platelet-rich plasma (PRP) injection, a nonsurgical method Orioles pitcher Kyle Bradish opted for this offseason to heal a sprain of his ulnar collateral ligament (UCL).

Bradish, 27, suffered the injury in January when he began ramping up for the 2024 season. The right-hander was coming off a breakout season for Baltimore and the sprain, an injury that can require Tommy John elbow reconstruction, was a significant blow for an Orioles team with World Series aspirations. However, Bradishs decision to try PRP injections left open the possibility of him returning to the mound without enduring the lengthy rehab process of surgery.

Our plans are to get him pitching in 2024, Orioles executive vice president and general manager Mike Elias said at the clubs spring training complex ahead of spring training.

Pitching is a dangerous business nowadays. You never like to hear anybody have elbow or shoulder or wrist injuries or what have you. There are a lot of people who have [PRP injections] and never get surgery, and rest and other treatments do the trick. So, hopefully, thats where were at with this one.

The UCL is a ligament that runs along the inside of the elbow supporting both the stability and movement of the joint. When repaired with Tommy John surgery, the surgeon removes a healthy tendon from another part of the patients body and threads it through holes drilled into the bones on either side of the elbow. The typical recovery timeline for an MLB pitcher is anywhere between 12 and 18 months, often forcing them to miss entire seasons.

PRP injections gained popularity in 2009, when star athletes including Pittsburgh Steelers wide receiver Hines Ward and PGA golfer Tiger Woods received them to assist with their recoveries from knee injuries. Los Angeles Dodgers pitcher Takashi Saito, the first documented MLB player to receive the injections, returned to the field without pain two months after a doctor administered them and pitched for three more seasons. He never required Tommy John surgery.

Among the most famous cases of successful PRP treatments is that of Masahiro Tanaka, who received the injections on his elbow as a rookie in 2014 and went on to have a successful seven-year career with the New York Yankees. Philadelphia Phillies starter Aaron Nola decided to try PRP in August 2016 and he was ready for opening day the following season. Yet there are plenty of cases that dont work out as well. Two-way phenom Shohei Ohtani twice tried to avoid Tommy John using PRP injections and twice had to go under the knife anyway. Former Orioles pitcher Dylan Bundy was forced to undergo the surgery as a prospect two months after opting for PRP.

Thats just what the Orioles doctors and some other doctors we talked to said would be the best starting point based off of imaging and stuff and the amount of time we still had, Bradish said. There wasnt much research on my part or a thought process behind it besides just listening to the doctors.

The treatment, which renowned orthopedic surgeon Dr. James Andrews called the next major revelation in sports medicine, uses a patients blood to accelerate the healing process. The blood is drawn and spun down a centrifuge to separate the components. A doctor then removes the red blood cells and injects the remaining solution into the site of the injury, introducing the healing elements of platelets to areas that would not have been exposed to them otherwise.

Dr. Natalie Leong is an associate professor of orthopedic surgery at the University of Maryland School of Medicine who runs a research lab that studies regenerative medicine and biologic solutions to tendon and ligament injuries. Leong, who previously worked on the Chicago White Soxs medical staff, describes the injections as low risk for patients with ligament sprains, though she cautions against using them to heal full UCL tears.

Its interesting that we dont know exactly how PRP works, because its a fairly blunt instrument with many different growth factors, Leong said. The general idea is that theres a lot of growth factors in your blood that can affect healing and the PRP is a concentrated amount of growth factors that youre injecting into the area to help promote a healing response.

So, with a UCL injury, if you have a minor sprain, it can help heal that sprain. If its a complete tear of the UCL and its disconnected, there are some studies that have shown that sometimes it works but its much less likely to work.

A 2021 study published in the Orthopaedic Journal of Sports Medicine by six doctors, including Andrews, found that 61.5% of monitored athletes with Type I and II (partial) UCL tears who received PRP injections returned to the field without undergoing surgery. Those with Type III and IV (complete) tears saw a success rate of only 36.4%.

Whether a full recovery using PRP injections might still result in a pitcher eventually undergoing Tommy John surgery is a subject of debate among sports medicine professionals. Leong attests that the stress pitchers put on their elbow already puts them at high risk of tearing their UCL because of the repetitive nature of throwing. The unnatural overhand throwing motion used by pitchers puts a much larger strain on the UCL compared with the average person.

Most people, if we did not have an ulnar collateral ligament or if it was completely torn, we wouldnt even notice in activities of daily living, Leong said. But a pitcher will absolutely notice because of so much more force on the elbow, and not just the fact that its a lot of force, its that its a repetitive motion.

According to former FanGraphs analyst Jon Roegeles public Tommy John surgery database, the average number of MLB pitchers to undergo the procedure so far this decade is 28.8 per year. In the 2010s, that number was 21.3. The decade before, it was 15.6. Elbow injuries have become an epidemic among pitchers, and PRP is perhaps the most prominent method at their disposal with a track record of accelerating the recovery time for UCL sprains.

Elias did not elaborate on what grade of UCL sprain Bradish has, but the Orioles starter is hoping this still-emerging practice of biologics can help him make an impact in 2024. Though he has yet to progress to throwing on a mound, Bradish said the follow-up MRIs conducted by team doctors have shown accelerated healing and he has not felt any pain while playing catch on flat ground.

I think right now our hopes and focuses are on getting this behind him and getting him up and running for 2024, and we want to do it carefully and safely, Elias said. For that reason, Im not ready to slap a timeline on it.

Baltimore Sun reporter Jacob Calvin Meyer contributed to this article.

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Bradish latest pitcher to try 'low risk' PRP for UCL sprain - Baltimore Sun

Revolutionizing Back Pain Management: Is Epidural Platelet-Rich Plasma the Superior Choice Over Steroids? – Cureus

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Revolutionizing Back Pain Management: Is Epidural Platelet-Rich Plasma the Superior Choice Over Steroids? - Cureus

Vampire Breast Lift 101: Everything to Know About the Trending Treatment – NewBeauty Magazine

By now you must have heard of the Vampire Facial which was first popularized in 2013 when Kim Kardashian took a now infamous bloody selfie. Just like the Vampire Facial, the Vampire Breast Lift utilizes platelet-rich plasma (PRP) derived from a persons own blood. The Vampire Breast Lift involves injections of PRP in the breasts to enhance fullness and lift for a quick cleavage boost.

Developed by Fairhope, AL, dermatologist Charles Runels, MD, the procedure involves drawing blood, isolating platelets containing growth factors, and combining them with hyaluronic acid fillers. Injecting this cocktail directly into the breasts can address concerns like inverted nipples, sagging, stretch marks and lack of perkiness.

Huntington Beach, CA, plastic surgeonPeter Newen, MD says that PRP injections may improve skin quality, but dont expect a lift. PRP injections may achieve some skin improvement but claims such as increased fatty tissue volume and lifting will not be observable, says Dr. Newen.

Although patients may see a temporary improvement, the results do not compare to a traditional breast lift. This should not be compared with a surgical breast lift or augmentation, in which there is a clear, long-lasting improvement.Adding PRP to the breasts can improve theskin, but it wont make a noticeable difference in breast volume or perkiness, he adds.

Dr. Runels claims that the effects of the Vampire Breast Lift may last one to two years, although these assertions lack independent verification. Grand Rapids, MI, plastic surgeonBradley Bengtson, MDexpresses concerns about the lack of data and clinical studies supporting the procedures safety and efficacy. Candidates for the Vampire Breast Lift should consult with a qualified medical professional to assess suitability and potential risks. The concerns I have with this procedureare that it tends to be performed by non-core physicians and nonsurgical doctors. There is absolutely no data about it yet, nor have there been any studies or findings on either the benefits or clinical risks associated with it, says Dr. Bengtson.

The procedure, which reportedly takes just 15 minutes, typically ranges in cost from $1,500 to $2,000. However, the exact price may vary depending on factors such as practice location and the expertise of the administering physician.

There are minimal risks, including potential bruising and swelling that typically resolve within a few days. It is essential for individuals considering this treatment to consult with board-certified providers.

While the procedure is generally deemed safe, Dr. Bengtson highlights the lack of conclusive evidence regarding long-term safety, particularly in relation to its potential impact on breast health. The breast is a cancer-prone organ, and with one in eight women in the U.S. developing breast cancer, you must wonder, what effect do these injections have on an established cancer? We dont have an answer to that yet, he cautions.

As of now, there is no FDA approval specifically for this procedure. Patients considering this treatment should thoroughly discuss potential side effects and concerns with their healthcare provider before proceeding.

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Vampire Breast Lift 101: Everything to Know About the Trending Treatment - NewBeauty Magazine

Platelet-Rich Plasma in the Management of Temporomandibular Joint Pain in Young Adults With Temporomandibular … – Cureus

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Platelet-Rich Plasma in the Management of Temporomandibular Joint Pain in Young Adults With Temporomandibular ... - Cureus

Dr. Tsambarlis on platelet-rich plasma and shock wave therapy for erectile dysfunction – Urology Times

In this video, Peter N. Tsambarlis, MD, discusses regenerative therapies for erectile dysfunction. Tsambarlis is a urologist with Northwestern Medicine in Chicago, Illinois.

The 2 main regenerative therapies are platelet-rich plasma [PRP] and shock wave therapy. But regenerative therapies is a much bigger group than that; it includes things like stem cell therapy, there are some studies with amniotics, but the 2 that are getting the most energy and the most momentum are PRP and shock wave therapy.

These are extremely popular. Obviously, we practice in Chicago, which is a really big city, and you have a subset of people who do a ton of research, by the looser definition, certainly, and want to know more about these therapies. They usually come in with a specific goal, in my experience. "I want to know about shock wave." "I want to know about PRP and if it's good for me." I try to cater the response to who it is. For example, I don't think there's anyone for whom we have good data that PRP is efficacious. But we know it's safe. But those are 2 important but very different things. Just because something is safe doesn't mean it's the best treatment option. There are just no good data that say that this is going to work for erectile dysfunction. I think that's what we want to focus on here. But certainly, there are wonderful data for PRP in the orthopedic literature. But we're not seeing it in erectile dysfunction, and even less so in things like Peyronie disease, which fall under the sexual health umbrella, but in reality are not what people are coming in for on a regular basis in my clinic. Now, the shock wave, on the other hand is really different. Shock wave has some emerging data that are getting stronger and stronger. It may not be a perfect therapy right now for everybody. And as we start to cater, who are the best candidates? What are the appropriate settings? What are the best machines? We're finding out that there are a subset of ED patients who are benefiting from shock wave, and it is more of a call to research. How do we identify the proper protocol? How do we optimize patient selection to get these things to work? But since we don't exactly know, I don't think it's wrong to offer it in patients for whom you have a reasonable expectation of success, but you have to be really transparent about it. You can't promise the world if you don't have the world to give.

PRP is not ready to be utilized as a treatment. It can be utilized as an experimental, but do it in the setting of an experiment, of a trial, something that's controlled. Shock wave is way further down the road, in my opinion. I think it's a reasonable option, as long as you're transparent about it. But you still have to make sure as a patient that you're getting that therapy from somewhere that has, for example, focal shock waves. A lot of these outside clinics are using radial waves, and we have excellent trade of them that is not useful. Not all shock wave is created equal, and it underscores the importance of going somewhere that you can trust. I think even if this is offered as a therapy, which maybe is associated with some sort of reimbursement, it needs to be somewhere where the data can be tracked. I think there's kind of a gray area - are we at the point where this is ready for primetime and this can be offered? "I'm not sure," is the answer. But there are enough encouraging data that say it is definitely safe and might be efficacious, that I think at least if we're tracking the data, we can provide benefit to some people and then utilize what we learn to help a larger portion.

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Dr. Tsambarlis on platelet-rich plasma and shock wave therapy for erectile dysfunction - Urology Times

Combination Therapy With Platelet-Rich Plasma (PRP) and Granulocyte Colony-Stimulating Factor (G-CSF) for Thin … – Cureus

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Combination Therapy With Platelet-Rich Plasma (PRP) and Granulocyte Colony-Stimulating Factor (G-CSF) for Thin ... - Cureus

A Comprehensive Review of Platelet-Rich Plasma and Its Emerging Role in Accelerating Bone Healing – Cureus

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A Comprehensive Review of Platelet-Rich Plasma and Its Emerging Role in Accelerating Bone Healing - Cureus

Comparison of the Efficacy Between Regional Nerve Block and Ring Block as Local Anesthetic Techniques for Platelet … – Cureus

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Comparison of the Efficacy Between Regional Nerve Block and Ring Block as Local Anesthetic Techniques for Platelet ... - Cureus