Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market 2020 Strategically Analysis of Each Submarket With Respect To Individual Growth…

Latest Report On Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market including Market Landscape, and Market size, Revenues by players, Revenues by regions, Average prices, Competitive landscape, market Dynamics and industry trends and developments during the forecast period.

The global Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies market is broadly analyzed in this report that sheds light on critical aspects such as the vendor landscape, competitive strategies, market dynamics, and regional analysis. The report helps readers to clearly understand the current and future status of the global Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies market. The research study comes out as a compilation of useful guidelines for players to secure a position of strength in the global market. The authors of the report profile leading companies of the global Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies market, Also the details about important activities of leading players in the competitive landscape.

Key companies operating in the global Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies market include: , Orange County Hair Restoration Center, Hair Sciences Center of Colorado, Anderson Center for Hair, Evolution Hair Loss Institute, Savola Aesthetic Dermatology Center, Virginia Surgical Center, Hair Transplant Institute of Miami, Colorado Surgical Center & Hair Institute

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The report predicts the size of the global Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies market in terms of value and volume for the forecast period 2020-2026. As per the analysis provided in the report, the global Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies market is expected to rise at a CAGR of xx % between 2020 and 2026 to reach a valuation of US$ xx million/billion by the end of 2026. In 2020, the global Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies market attained a valuation of US$ XX million/billion. The market researchers deeply analyze the global Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies industry landscape and the future prospects it is anticipated to create

Segmental Analysis

The report has classified the global Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies industry into segments including product type and application. Every segment is evaluated based on growth rate and share. Besides, the analysts have studied the potential regions that may prove rewarding for the Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies manufacturers in the coming years. The regional analysis includes reliable predictions on value and volume, thereby helping market players to gain deep insights into the overall Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies industry.

Global Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market Segment By Type:

Platelet Rich Plasma Injections, Stem Cell Therapy

Global Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market Segment By Application:

Dermatology Clinics, Hospitals

Competitive Landscape

It is important for every market participant to be familiar with the competitive scenario in the global Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies industry. In order to fulfill the requirements, the industry analysts have evaluated the strategic activities of the competitors to help the key players strengthen their foothold in the market and increase their competitiveness.

Key companies operating in the global Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies market include: , Orange County Hair Restoration Center, Hair Sciences Center of Colorado, Anderson Center for Hair, Evolution Hair Loss Institute, Savola Aesthetic Dermatology Center, Virginia Surgical Center, Hair Transplant Institute of Miami, Colorado Surgical Center & Hair Institute

Key questions answered in the report:

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TOC

Table of Contents Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market Report by Company, Regions, Types and Applications, Global Status and Forecast to 2025 1 Industry Overview of Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies1.1 Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market Overview1.1.1 Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Product Scope1.1.2 Market Status and Outlook1.2 Global Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market Size and Analysis by Regions1.2.1 North America1.2.2 Europe1.2.3 China1.2.4 Rest of Asia Pacific1.2.5 Central & South America1.2.6 Middle East & Africa1.3 Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market by Type1.3.1 Global Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Revenue (Million US$) and Growth Comparison by Type (2014-2025)1.3.2 Global Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Revenue Market Share by Type in 20181.3.3 Platelet Rich Plasma Injections1.3.4 Stem Cell Therapy1.4 Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market by End Users/Application1.4.1 Dermatology Clinics1.4.2 Hospitals 2 Global Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Competition Analysis by Players2.1 Global Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market Size (Million US$) by Players (2014-2019)2.2 Competitive Status2.2.1 Market Concentration Rate2.2.2 Product/Service Differences2.2.3 Mergers & Acquisitions, Expansion Plans 3 Company (Top Players) Profiles and Key Data3.1 Orange County Hair Restoration Center3.1.1 Company Profile3.1.2 Main Business/Business Overview3.1.3 Products, Services and Solutions3.1.4 Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Revenue (Value) (2014-2019)3.1.5 Recent Developments3.2 Hair Sciences Center of Colorado3.2.1 Company Profile3.2.2 Main Business/Business Overview3.2.3 Products, Services and Solutions3.2.4 Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Revenue (Value) (2014-2019)3.2.5 Recent Developments3.3 Anderson Center for Hair3.3.1 Company Profile3.3.2 Main Business/Business Overview3.3.3 Products, Services and Solutions3.3.4 Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Revenue (Value) (2014-2019)3.3.5 Recent Developments3.4 Evolution Hair Loss Institute3.4.1 Company Profile3.4.2 Main Business/Business Overview3.4.3 Products, Services and Solutions3.4.4 Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Revenue (Value) (2014-2019)3.4.5 Recent Developments3.5 Savola Aesthetic Dermatology Center3.5.1 Company Profile3.5.2 Main Business/Business Overview3.5.3 Products, Services and Solutions3.5.4 Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Revenue (Value) (2014-2019)3.5.5 Recent Developments3.6 Virginia Surgical Center3.6.1 Company Profile3.6.2 Main Business/Business Overview3.6.3 Products, Services and Solutions3.6.4 Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Revenue (Value) (2014-2019)3.6.5 Recent Developments3.7 Hair Transplant Institute of Miami3.7.1 Company Profile3.7.2 Main Business/Business Overview3.7.3 Products, Services and Solutions3.7.4 Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Revenue (Value) (2014-2019)3.7.5 Recent Developments3.8 Colorado Surgical Center & Hair Institute3.8.1 Company Profile3.8.2 Main Business/Business Overview3.8.3 Products, Services and Solutions3.8.4 Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Revenue (Value) (2014-2019)3.8.5 Recent Developments 4 Global Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market Size by Type and Application (2014-2019)4.1 Global Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market Size by Type (2014-2019)4.2 Global Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market Size by Application (2014-2019)4.3 Potential Application of Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies in Future4.4 Top Consumer/End Users of Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies 5 North America Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Development Status and Outlook5.1 North America Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market Size (2014-2019)5.2 North America Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market Size and Market Share by Players (2014-2019)5.3 North America Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market Size by Application (2014-2019) 6 Europe Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Development Status and Outlook6.1 Europe Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market Size (2014-2019)6.2 Europe Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market Size and Market Share by Players (2014-2019)6.3 Europe Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market Size by Application (2014-2019) 7 China Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Development Status and Outlook7.1 China Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market Size (2014-2019)7.2 China Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market Size and Market Share by Players (2014-2019)7.3 China Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market Size by Application (2014-2019) 8 Rest of Asia Pacific Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Development Status and Outlook8.1 Rest of Asia Pacific Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market Size (2014-2019)8.2 Rest of Asia Pacific Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market Size and Market Share by Players (2014-2019)8.3 Rest of Asia Pacific Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market Size by Application (2014-2019) 9 Central & South America Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Development Status and Outlook9.1 Central & South America Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market Size (2014-2019)9.2 Central & South America Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market Size and Market Share by Players (2014-2019)9.3 Central & South America Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market Size by Application (2014-2019) 10 Middle East & Africa Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Development Status and Outlook10.1 Middle East & Africa Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market Size (2014-2019)10.2 Middle East & Africa Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market Size and Market Share by Players (2014-2019)10.3 Middle East & Africa Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market Size by Application (2014-2019) 11 Market Forecast by Regions and Application (2019-2025)11.1 Global Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market Size by Regions (2019-2025)11.1.1 North America Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Revenue and Growth Rate (2019-2025)11.1.2 Europe Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Revenue and Growth Rate (2019-2025)11.1.3 China Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Revenue and Growth Rate (2019-2025)11.1.4 Rest of Asia Pacific Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Revenue and Growth Rate (2019-2025)11.1.5 Central & South America Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Revenue and Growth Rate (2019-2025)11.1.6 Middle East & Africa Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Revenue and Growth Rate (2019-2025)11.2 Global Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market Size by Application (2019-2025)11.3 The Market Drivers in Future 12 Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market Dynamics12.1 Industry Trends12.2 Market Drivers12.3 Market Challenges12.4 Porters Five Forces Analysis 13 Research Finding /Conclusion 14 Methodology and Data Source14.1 Methodology/Research Approach14.1.1 Research Programs/Design14.1.2 Market Size Estimation14.1.3 Market Breakdown and Data Triangulation14.2 Data Source14.2.1 Secondary Sources14.2.2 Primary Sources14.3 Disclaimer14.4 Author List

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Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market 2020 Strategically Analysis of Each Submarket With Respect To Individual Growth...

10 Things You Should Know About Dermal Fillers Before Getting Them Our Interview With Dr Nicholas Toscano On Juvederm – CelebMix

Dermal fillers are a popular choice for obtaining perfect lips or smoother skin, and we find out everything you need to know about them.

By Vicky Sidler

If youre looking for smoother skin, fuller cheeks, or plumper lips, youve likely read about dermal fillers quick, injectable treatments that can restore lost volume to your lips and cheeks. These minimally invasive procedures are designed to be long-lasting while looking completely natural, and they can have a rejuvenating effect on your appearance.

The procedure is also very low-risk, provided you go to a reputable doctor. As such, we spoke to Dr. Nicholas Toscano to find out everything you need to know about dermal fillers, from what to expect during the procedure to how to choose someone reliable to administer the fillers.

Dr. Toscano is responsible for some of the most beautiful lips in the modeling world, which he creates utilizing Juvderm lip fillers and platelet-rich plasma/platelet-rich fibrin know as the Dracula injection. He is currently the official dentist for roughly 20 modeling agencies in New York City, including The Lions, Wilhelmina, One Model Management, Heroes, Muse, Marilyn, Storm, Major models, Fusion, System, State, and others.

Juvderm fillers differ from Botox in that its not a neurotoxin. Instead, dermal fillers use hyaluronic acid, which is naturally found in the skin and gives you a radiant, hydrated appearance. Hyaluronic acid production decreases as you age, so these injections work well to restore lost volume to key parts of your face, such as your lips.

The procedure shouldnt be painful if it is carried out by a skilled doctor. The fillers contain a local anesthetic, and so no additional anesthetic is required during a basic dermal filler procedure. The simple, straight-forward takes between 15 and 30 minutes and involves only a few tiny injections directly into the skin. Youre able to apply makeup straight after the procedure and go back to work right away.

Youll be able to see the results of the procedure immediately. For best results, though, you will need to maintain your fillers over time through regular, repeated treatments.

A single treatment can make your lips plumper and your skin smoother for up to six months. Typically, results last between three to six months before a touch up is needed so you can expect to visit your doctor two or three times a year to maintain your look. If youre only looking to try fillers out once or twice, you can skip the maintenance without experiencing any long-term risks. The effects will fade away entirely and safely.

Fillers dont only need to be used to treat existing lines. They offer protection against developing lines as well, so dermal fillers can be used as a preventative measure against wrinkles. Research suggests that injectable hyaluronic acid-based dermal fillers can stimulate your skins collagen production, helping you to look younger for longer.

While the procedure is safe, its not a good idea to have the injections if you are pregnant or breastfeeding. Nor should you go if you have a sinus infection or are about to undergo a dental treatment since the pressure and stretching of the face could cause the fillers to become misplaced. Instead, wait a week or so before undergoing the procedure.

If you dont like the way your filler looks or if you want them adjusted, in most cases, it wont be a problem at all. Your doctor may inject additional filler to achieve the desired effect, or theres an enzyme for hyaluronic acid fillers that can be used to dissolve the filler completely and safely.

The last thing you want is to look like you had work done. Dermal fillers should look completely natural they should emphasize your beauty in a way thats impossible to pinpoint. The goal is for it to be imperceptible. Imagine that your face is a canvas and that you are looking for an artist whose work you like. Be sure to ask for before-and-after photos of real patients to get a good idea of the doctors style. Also, be sure to ask about their techniques, levels of experience, and your specific needs.

One of the biggest mistakes you can make is to get lured in by a price that seems too good to be true because it probably is. Treatments range between $650 to $2,000 depending on the amount of filler needed. Anything under that should cause you to ask questions. A syringe of filler costs doctors between $250 and $350, so no treatment should ever be priced at around that mark or lower. Counterfeit and diluted fillers are also a problem in the industry, so its essential that you find a reputable doctor (as explained in the point above). If you have any concerns at all, it might be a good idea to ask to see the box and ensure that it has a safety seal intact.

Dr. Nicholas Toscano is an extremely accomplished and highly respected dental surgeon with a rich career of experience. He spent 13 years with the United States Navy, where he completed a 4-year surgical residency at the prestigious Walter Reed National Military Medical Center, The Presidents Hospital in Bethesda, MD.

During his time in the Navy, he received two Navy and Marine Corps Commendation Medals, three Navy and Marine Corps Achievement Medals, a National Defense Service Medal, and Global War on Terrorism Medal. He acquired one of his Navy and Marine Corps Commendation Medal for definitive life-saving treatment of a patient.

He is also a diplomate of the American Board of Periodontology and the International Congress of Implantologists, and he has written over 30 papers published in peer-reviewed scientific journals on the subject of surgical therapy, cosmetic, and reconstruction of the mouth.

His long and established career, along with his glamorous list of happy customers, makes him the dentist of choice in New York City. His client list display the kinds of smiles that will have you doing a double-take, including the gorgeous Victorias Secret models, such as Candice Swanepoel, Helena Christensen, Jasmine Tookes, Romee Strijd, Josephine Skriver, Georgia Fowler, Frida Aasen, Vittoria Ceretti, Megan Williams, Lais Ribeiro, Daniela Braga, and Blanca Padilla. To make an appointment with Dr. Nicholas Toscano to discuss the option of dental implants or any other services, visit Instagram @drtoscanodds or his website http://www.manhattanperiodontist.com.

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10 Things You Should Know About Dermal Fillers Before Getting Them Our Interview With Dr Nicholas Toscano On Juvederm - CelebMix

Joint Pain Injections Market In Depth Research with Industry Driving Factors and Forecast – 2028 | Anika… – Azizsalon News

This detailed market study covers joint pain injections market growth potentials which can assist the stake holders to understand key trends and prospects in joint pain injections market identifying the growth opportunities and competitive scenarios. The report also focuses on data from different primary and secondary sources, and is analyzed using various tools. It helps to gain insights into the markets growth potential, which can help investors identify scope and opportunities. The analysis also provides details of each segment in the global joint pain injections market.

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According to the report, the joint pain injections market report points out national and global business prospects and competitive conditions for joint pain injections. Market size estimation and forecasts were given based on a detailed research methodology tailored to the conditions of the demand for joint pain injections. The joint pain injections market has been segmented by type of injection (steroid joint injections, hyaluronic acid injections, platelet-rich plasma (prp) injections, placental tissue matrix (ptm) injections), by application (shoulder & elbow, knee & ankle, spinal joints, hip joint). Historical background for the demand of joint pain injections has been studied according to organic and inorganic innovations in order to provide accurate estimates of the market size. Primary factors influencing the growth of the demand joint pain injections have also been established with potential gravity.

Regional segmentation and analysis to understand growth patterns:The market has been segmented in major regions to understand the global development and demand patterns of this market.

North America, Western Europe, and Asia Pacific by region are estimated to dominate the joint pain injections market during the forecast period. These regions have been market leaders for the overall healthcare sector in terms of technological developments and advanced medical treatments. Moreover, the government policies have been favourable for the growth of the healthcare infrastructure in these regions. North America and Western Europe have an established healthcare infrastructure for product innovations and early adaptations. This is expected to drive the demand for joint pain injections market during the forecast period.

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The US, Germany, France, UK, Canada, and Spain have been some the major markets in the region. Asia Pacific is estimated to register one of highest CAGR for joint pain injections market during the forecast period. This region has witnessed strategic investments by global companies to cater the growing demand in the recent years. China, Japan, India, South Korea, and Australia are amongst some of the key countries for joint pain injections market in the region. Other regions including Middle East, Eastern Europe, and Rest of the World (South America and Africa) are estimated to be emerging markets for joint pain injections market during the forecast period.

This report provides:1) An overview of the global market for joint pain injections market and related technologies.2) Analysis of global market trends, yearly estimates and annual growth rate projections for compounds (CAGRs).

3) Identification of new market opportunities and targeted consumer marketing strategies for global joint pain injections market .4) Analysis of R&D and demand for new technologies and new applications5) Extensive company profiles of key players in industry.

The researchers have studied the market in depth and have developed important segments such as product type, application and region. Each and every segment and its sub-segments are analyzed based on their market share, growth prospects and CAGR. Each market segment offers in-depth, both qualitative and quantitative information on market outlook.

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Major Companies:1. Anika Therapeutics, Inc.2.Bioventus, Ferring Pharmaceuticals Inc.3.Sanofi4. Zimmer Biomet.

Market Segmentation:By Type of Injection:o Steroid Joint Injectionso Hyaluronic Acid Injectionso Platelet-rich Plasma (PRP) Injectionso Placental Tissue Matrix (PTM) Injections

By Application:o Shoulder & Elbowo Knee & Ankleo Spinal Jointso Hip Joint

By Region:North America Joint Pain Injections Marketo North America, by Countryo USo Canadao Mexicoo North America, by Type of Injectiono North America, by Application

Europe Joint Pain Injections Marketo Europe, by Countryo Germanyo Russiao UKo Franceo Italyo Spaino The Netherlandso Rest of Europeo Europe, by Type of Injectiono Europe, by Application

Asia Pacific Joint Pain Injections Marketo Asia Pacific, by Countryo Chinao Indiao Japano South Koreao Australiao Indonesiao Rest of Asia Pacifico Asia Pacific, by Type of Injectiono Asia Pacific, by Application

Middle East & Africa Joint Pain Injections Marketo Middle East & Africa, by Countryo UAEo Saudi Arabiao Qataro South Africao Rest of Middle East & Africao Middle East & Africa, by Type of Injectiono Middle East & Africa, by Application

South America Joint Pain Injections Marketo South America, by Countryo Brazilo Argentinao Colombiao Rest of South Americao South America, by Type of Injectiono South America, by Application

Years Covered in the Study:Historic Year: 2017-2018Base Year: 2019Estimated Year: 2020Forecast Year: 2028

Objectives of this report:o To estimate market size for joint pain injections market on regional and global basis.o To identify major segments in joint pain injections market and evaluate their market shares and demand.

o To provide a competitive scenario for the joint pain injections market with major developments observed by key companies in the historic years.o To evaluate key factors governing the dynamics of joint pain injections market with their potential gravity during the forecast period.

Reasons to Buy This Report:o Provides niche insights for decision about every possible segment helping in strategic decision making process.o Market size estimation of the joint pain injections market on a regional and global basis.o A unique research design for market size estimation and forecast.o Identification of major companies operating in the market with related developmentso Exhaustive scope to cover all the possible segments helping every stakeholder in the joint pain injections

Customization:This study is customized to meet your specific requirements:o By Segmento By Sub-segmento By Region/Countryo Product Specific Competitive Analysis

Contact:Quince Market InsightsAjay D. (Knowledge Partner)Office No- A109Pune, Maharashtra 411028Phone: +91 706 672 4848 +1 208 405 2835 / +44 121 364 6144 /Email: sales@quincemarketinsights.comWeb:www.quincemarketinsights.com

ABOUT US:QMI has the most comprehensive collection of market research products and services available on the web. We deliver reports from virtually all major publications and refresh our list regularly to provide you with immediate online access to the worlds most extensive and up-to-date archive of professional insights into global markets, companies, goods, and patterns.

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Joint Pain Injections Market In Depth Research with Industry Driving Factors and Forecast - 2028 | Anika... - Azizsalon News

Ultrasound-Guided Lumbar Intradiscal Injection for Discogenic Pain: Te | JPR – Dove Medical Press

Tsung-Ju Wu,1,2 Chen-Yu Hung,3 Chih-Wei Lee,4 Stanley Lam,5 Thomas B Clark,6 Ke-Vin Chang3

1Graduate Institute of Basic Medical Science, China Medical University, Taichung, Taiwan; 2Department of Physical Medicine and Rehabilitation, Yuanlin Christian Hospital, Changhua, Taiwan; 3Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch, Taipei, Taiwan; 4Department of Medical Imaging, Changhua Christian Hospital, Changhua, Taiwan; 5Department of Family Medicine, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong; 6Private Practice Ultrasonographic Training, Vista, CA, USA

Correspondence: Chen-Yu HungDepartment of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch, Taipei, TaiwanEmail chenyu810@gmail.com

Abstract: We described two cases and the techniques for using the ultrasound (US) to guide lumbar intradiscal injection with platelet-rich plasma (PRP). The two cases suffered from chronic low back pain. Magnetic resonance imaging revealed posterior annular tear of the L5/S1 intervertebral disc (IVD) in the first case and L4/5 and L5/S1 IVDs in the second case. For the US-guided lumbar intradiscal injection, the patient was placed in a prone position. By placing the transducer in the axial plane at the interlaminar space, the needle was directed toward the center of the aimed IVD. The needle tip was ensured inside the IVD by using the end-feel of sudden reduction of resistance and the poking technique with the transducer oriented in the paramedian sagittal oblique plane. At the follow-up, both patients had significant improvement after the intradiscal PRP injections (visual analogue scale from 7.5 to 1.5 on average). The report indicated US-guided lumbar intradiscal PRP injection to be a feasible approach for treatments of low back pain. Familiarization of the anatomy and sonoanatomy of the lumbar spine is fundamental to achieve the success of intradiscal injection.

Keywords: low back pain, lumbar spine, ultrasound, platelet-rich plasma, intervertebral disc

This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License.By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

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Ultrasound-Guided Lumbar Intradiscal Injection for Discogenic Pain: Te | JPR - Dove Medical Press

Platelet-rich plasma: Does the cure for hair loss lie within our blood? – Harvard Health Blog – Harvard Health

Platelet-rich plasma, or PRP, is derived from the bloodstream and has been used for years to treat musculoskeletal conditions, and more recently, skin conditions. Colloquially termed vampire treatments, PRP injected into the skin or used after microneedling (a technique that uses small needles to create microscopic skin wounds) may help to improve skin texture and appearance. Recently, PRP has garnered attention as a promising solution for one of the most challenging problems in dermatology: hair loss.

Platelets are one of four primary components of blood (the other three are red blood cells, white blood cells, and plasma). Platelets promote cell growth and regeneration. As the term platelet-rich plasma suggests, platelets are generally about five times more concentrated in PRP than in regular blood. This concentration of platelets is useful, because platelets secrete growth factors than are thought to assist in wound healing and tissue regrowth.

When it comes to hair loss, the theory is that platelets, injected deep into the scalp to reach the bottom of the hair follicle, may stimulate a specialized population of cells named dermal papilla cells, which play a critical role in hair growth.

The process of obtaining PRP involves a blood draw and a centrifuge. To yield PRP, blood is drawn from your arm, then spun down in a centrifuge (a machine that spins at high speeds to help separate blood components). After centrifuging, the plasma rises to the top, and the lower part of the plasma is the PRP. Sometimes, a second spin is performed to increase the platelet concentration of the plasma.

Your own PRP is collected, then injected into multiple areas of hair loss across your scalp. The usual treatment plan involves three sessions, approximately one month apart, followed by maintenance sessions every three to six months to keep up the results.

Most research on PRP for hair loss has focused on its use to treat androgenetic alopecia (AGA). Also known as hormone-related baldness, this is a condition that can affect both men and women. In men with AGA, hair loss typically occurs on the top and front of the head. In women, thinning occurs on the top and crown of the head and often begins with the center hair part growing wider. The evidence suggests that PRP may work best when it is combined with other treatments for AGA, such as topical minoxidil (Rogaine) or oral finasteride (Propecia), which is an anti-androgenic drug.

There is not enough evidence to make conclusions about the effectiveness of PRP for other types of hair loss, like telogen effluvium (stress-related hair loss), alopecia areata (autoimmune-related non-scarring hair loss), or forms of scarring hair loss.

PRP injections are not suitable for everyone. These injections can be painful, for both your scalp and your wallet. One session can cost around $1,000, with a series of three treatments needed before improvement may be seen. These treatments are generally not covered by insurance.

PRP injections are considered safe when performed by a trained medical provider. Mild risks include pain, redness, headaches, and temporary hair shedding. PRP may not be appropriate for those with a history of bleeding disorders or autoimmune disease.

Providers currently use a variety of PRP harvesting and administration techniques. More research is needed to understand the best process for obtaining and injecting PRP. Further, more information is needed to understand how PRP helps regrow hair, and how useful it may be for less common types of hair loss.

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Platelet-rich plasma: Does the cure for hair loss lie within our blood? - Harvard Health Blog - Harvard Health

Don’t feel bad about your neck a dermatologist urges the importance of protecting ‘the forgotten skin’ – image.ie

According to my dermatologist, the neck starts to go at forty-three, and that's that..." writes Nora Ephron in I Feel Bad About My Neck. "The neck is a dead giveaway. Our faces are lies and our necks are the truth. You have to cut open a redwood tree to see how old it is, but you wouldn't have to if it had a neck. Here, Dr Rosemary Coleman, consultant dermatologist at Centre for Restorative Dermatology in Blackrock Clinic, Dublin, writes about the importance of protecting what she calls 'the forgotten skin'

From a very early age, we become conscious of our face yet neglect important other regions of skin until many decades later. If we paid them the same attention as our face, theyd remain in far better and more youthful condition. We can get away with it in the winter but not in the spring or summer, or in evening wear when theres a lovely, clear, plump-skinned face and pigmented, crinkly chest and neck to go with it.

Around mid-forties, we suddenly realise we have a neck and that its becoming somewhat crepey, pigmented or blotchy red. It takes another decade to suddenly observe, usually when trying on a summer or evening dress, that the chest skin has now become thinner, more translucent, has mottled pigmentation and broken blood vessels or developed crusty pre-cancerous lesions (actinic keratoses), soon to be skin cancers if not treated.

As for the hands, they are steadily losing their volume from our mid-40s, becoming crepey, developing liver spots and again pre-cancerous crusty areas. As we age further, they show the bruising of very thin old skin, Batemans purpura. Theres a reason why Madonna, Karl Largerfeld and many other celebrities never reveal their hands in public!

Finally, the lower legs are amongst the most common sites for skin cancers as we age. The skin here is very prone to drying out, getting crusty and pigmented and even developing leg ulcers if not cared for. People often forget SPF all the way down there, especially women wearing skirts.

Fret not, help is at hand using appropriate preventative/corrective skincare and restorative skin treatments. Heres how you can protect the forgotten skin.

The skin on these forgotten areas are highly environmentally exposed sites which get significantly sun-damaged and aged.

As with all anti-ageing approaches, prevention is better than cure. There is nothing cheaper and more effective than sun avoidance and protection from as early an age as possible. Society has become very aware of the importance of applying SPF to our face on a daily basis (and remember it should be 365 days a year) but it amazes me why people stop the application at their jawline! I believe that the face begins at the hairline and ends at the cleavage as far as SPF and skincare products are concerned. Even mens necks benefit from daily SPF rather than developing the blotchy red or brown discolouration we so frequently see.

To prevent pigment change and ageing on the neck, avoiding directly applying perfumes and aftershaves here. They interact with daylight and cause unsightly red-brown pigmentation, which can be extremely difficult to remove, so-called Berloque Dermatitis. Im amazed how many women have never heard of this and end up with discolouration on the sides of their necks below their ears.

Remember that 80% of ageing is photo-ageing and not just the passage of time. Clothes offer the best photoprotection for the forgotten skin, complemented of course by SPF underneath. Try wearing light summer scarves for the neck and chest, long skirts and sun protection gloves for driving and rash vests like the ones we put on our children to stop them burning in the swimming pool to protect the upper body while in the pool/sporting activities.

I often ask women if they put rash vests on their children on holidays in the sun and of course, they all do. However, when I ask if they wear them themselves they invariably say no, so I question at what age they decided they didnt need to protect their chest and shoulder skin anymore! Women also forget that if they are wearing a light, wispy fabric that they can see sun rays through, it can penetrate it and damage their skin.

Surprisingly, the skin of the neck and chest can be far less tolerant to stronger anti-ageing ingredients such as retinol and glycolic acid, than the face. However, it can usually tolerate vitamin C, peptides and resveratrol without a problem. If the skin here is pigmented, consider skincare products containing anti-pigment agents such as Skinceuticals Discolouration Defense, Skinceuticals Advanced Pigment Corrector and CE Ferulic Serum, Biologique Recherche Crme PIGM 400 and Lotion P50 PIGM 400, and products containing ingredients such as Kojic acid, Azelaic acid, Tranexamic acid and vitamin C.

Severe pigmentation disorders such as melasma will require prescription-grade products from your dermatologist.

For the hands, SPF is very hard to keep in place because of exposure and frequent hand washing, so consider protective gloves for activities such as golf, or if you do a lot of driving, flesh-coloured fingerless gloves are unnoticeable and easy to buy online. When applying retinol to the face, rub into the backs of the hands also. For lower legs, rich moisturisers containing urea and ceramides are particularly hydrating here, like Eucerin with urea and Cerave.

The face can tolerate stronger, active treatments than the neck or chest which are far more prone to keloid scarring and must be treated very cautiously when it comes to invasive treatments.

For the neck, combination treatments work best.In the early days when the jawline is softening, tightening treatments such as Ulthera will work well and tone everything back up for a few more years. If there is a pronounced double chin, CoolSculpt fat reduction by cryolipolysis might be beneficial in selected patients.

Fat-dissolving injections, not yet licensed in Ireland, can also tweak small fat bulges under the chin. Botulinum toxin injections can dramatically improve longitudinal platysmal bands, soften horizontal Venus lines, sharpen a slightly soft jawline and even improve the crepey appearance of the skin. For severe laxity, all of the above will be a complete waste of money and a little neck lift can be amazing, once you have thoroughly researched your surgeon.

With the hands, volume loss is a major issue for ageing hands. Radiesse, calcium hydroxyapatite, is the ideal volumiser here and results can last up to 2 years, after two 30 minute treatments a month apart.

For the chest, I often find that I cant convince women to mind the skin of their chests until they get their first skin cancer and then it takes a lot of work to try to restore it. Avoid filler injections here as volume loss is not the problem and lumps are almost inevitable.

With tone and texture, having firmer skin in all of these areas will still not look much better unless the tone and texture are also improved. They are all suitable for treatments such as Fractionated lasers, Intense Pulsed Light therapy, Yag laser, Platelet Rich Plasma injections, Sunekos, Profhilo, mesotherapy, micro-needling and skin peels.

These treatments stimulate collagen and elastic tissue production to thicken skin and many can also improve pigmentation and redness. The specific treatment needed must be chosen for the particular needs of the skin of the individual and be bespoke.

Finally, keratoses pre-cancerous lesions need to be treated by liquid nitrogen or chemotherapy creams from your dermatologist.

Dr Rosemary Coleman is a consultant dermatologist at Centre for Restorative Dermatology in Blackrock Clinic, Dublin.

Photography by Jason Lloyd Evans.

Read more:'Everyone should use a topical retinol' Dr Rosemary Coleman on the essential skincare routine

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Don't feel bad about your neck a dermatologist urges the importance of protecting 'the forgotten skin' - image.ie

The Dermatologist Whos Obsessed With Sun Damage – The Cut

Photo: Courtesy of the Laser & Skin Surgery Center of New York

Dermatologist Robert Anolik treats some of New Yorks most discerning faces his clients include Stephanie Seymour and Kelly Ripa but that doesnt stop him from worrying about fictional characters, too. Over the past few weeks, he, his wife, and their 7- and 5-year-old kids have been watching The Singing Detective, an 80s-era BBC show about a hospitalized mystery writer.

It has great music in it, but my kids keep asking me all these questions about the main character, whos covered in psoriasis and has psoriatic arthritis, says Anolik, a dermatologist at the Laser & Skin Surgery Center of New York. All I can think about is how that patient could be helped dramatically today with the approach of medical dermatology.

Anolik was a protege of the late Dr. Fredric Brandt, who was well-known in the beauty world for popularizing Botox. But what initially drew him to cosmetic dermatology wasnt injections or chemical peels, but DNA, RNA, and proteins. As a molecular biology major at Princeton, he spent one summer at the Institute for Genomic Research, studying the science of sequencing the human genome. In medical school, I saw how protein sequence analysis touched every field in medicine, but particularly skin and aging, he says. I approach skin with that kind of molecular framework to make it healthy and beautiful.

During his dermatological training at NYU, Anolik landed a fellowship with famed dermatologist Roy Geronemus, director of the Laser & Skin Surgery Center. Brandt was also part of the practice, and when he wanted to divide his time more evenly between his Miami and New York practices, Anolik became his official associate.

He wanted someone who also had laser expertise, which he knew I had, says Anolik. Even though we looked like total opposites, our personalities clicked.

Five years later, tragedy struck and Brandt took his own life. Anolik seamlessly took over, with high-profile clients now trusting their complexions to him.

These days, until he can see those patients again, hes been volunteering at Bellevue Medical Center, tending to patients with post-op wounds and other surgery-related issues. Stuff that needs attention by a physician, he says. Theyre all so overwhelmed, so hopefully I can help decrease the burden.

Anolik spoke with the Cut about the calming presence of Angela Lansbury, his complicated relationship with fruit, and why now is the perfect time to exfoliate.

Whats your definition of beauty? The Keats line beauty is truth; truth beauty is a chestnut for a reason. When I look at a face, my goal is to reveal its truth, that is to let its beauty become manifest, which is why I work very hard to eliminate distortions, both external (e.g., sun damage) and internal (e.g., psychological negativity).

What do you think of when you hear the term clean beauty? I get wary when I hear it. I believe in the sentiment that drives the clean beauty concept. As a scientist, however, I also believe in rigorous study over intuition and guesswork. Just because something grows on a tree doesnt mean its safe and/or effective. And even the cleanest ingredients in too high a quantity can be dangerous. For example, drinking too much water will kill us. And, conversely, an ingredient that sounds strange or worrisomely artificial can, in fact, be beneficial. A word of caution for those experimenting with only clean or alternative therapies: If you believe something is strong enough to help you, its likely strong enough to hurt you as well. So dont overdo it! And be sure to consult with a board-certified dermatologist about safe strategies.

Where, if anywhere, in your beauty (or life) routine are you not quitethat clean, green, or sustainable? I drink diet soda. Its dumb and I know better, but I do it anyway.

Please fill in the blank as it pertains to beauty or wellness: I think about ______a lot. SUN DAMAGE.

What is the opposite of beautiful? An artificial appearance. Lips that are too big or faces that are frozen are not beautiful. And believe me, I cringe more than you do when its obvious someone has had work done. Just because we can do something in cosmetic dermatology, doesnt mean we should.

What is your morning skin-care routine? Alastin Gentle Cleanser or Neutrogena Ultra Gentle Cleanser, shave, sulfacetamide wash to reduce shave irritation, LaRoche-Posay Anthelios Melt-In Sunscreen Milk SPF 60, SkinMedica HA5 Rejuvenating Hydrator.

Whats the last product you use every night? A prescription retinoid, then moisturizer. Usually Alastin Ultra-Nourishing Moisturizer or Cerave Cream.

Who cuts your hair? Garren. Asking Garren to cut my hair is like asking van Gogh to paint on a milk carton. But hes my friend; he pretends not to mind.

Toothbrush of choice: My wife bought me a Sonicare but I still use the freebie from the dentist.

Razor of choice: Gilette Fusion 5.

Shaving cream of choice: Gillette Fusion Hydra Shave Gel Ultra-Sensitive.

Hand wash of choice: Dove Foaming Hand Wash.

Hand sanitizer of choice: Purell.

Fragrance of choice: Hermes Eau dorange verte Eau de cologne.

Bath or shower: Shower, with Olay Ultra Moisture Body Wash with Shea Butter, R&Co. Television Shampoo, Television Conditioner, and Acid Wash.

What was your first grooming product obsession? In third grade, I discovered mousse. Id blow-dry my hair with it. Maybe I watched St. Elmos Fire a few too many times.

Daily carry-all of choice: Prada nylon shoulder bag. A gift from Dr. Brandt. Prada was a favorite brand of his.

What do you splurge on? My wifes very particular about our sons footwear. Lots of tiny pairs of Air Jordans, Converse, Vans, and Adidas Gazelles by our front door.

What is your classic uniform (under your lab coat)? Black or navy Brooks Brothers pants and black or navy Ralph Lauren crew neck sweater.

Whose shoes are you usually wearing? Greats Royale sneakers.

What do you own too many of? Medical journals. I know at this point that the past issues are all online where I read the new ones, but theres something enjoyable about referencing them with your handwritten notes. At some point, theyll find their way to the recycling bin.

Any secret talent or skill you possess? I can juggle.

What is your own personal definition of misery? Fruit of any kind in my desserts. I love cake but Im crushed when it turns out to be carrot, and I cannot get enough ice cream but I pout when the flavor turns out to be strawberry.

What is your own personal definition of glee? Getting my cholesterol tested. I dont eat all that well, and Im not great about exercising, but my cholesterol is always low. I find that so gratifying.

Favorite way or place to spend a weekend? Nantucket. My wifes family has a house there, and they make fun of me when I wear my aqua socks to the beach.

What do you most often disagree with others about? People who insist they need to get a base tan before a tropical vacation. This is nuts. You should avoid getting a tan before your tropical vacation and during your tropical vacation and after your tropical vacation. Heres what you should get instead: sunscreen and sun-protective clothing.

What must you adjust or fix when you see it done incorrectly? Bad Botox on someone who comes in for a first-time consultation.

Favorite CBD product: Ridgway Hemp Love Balms.

What calms you down? Seinfeld reruns on Netflix. And when Im really feeling stressed: Murder, She Wrote reruns on Amazon Prime (dont judge).

Comfort food: Oreos and milk.

Vice snack: Chili-roasted pistachios and Empire Bakery house-made Twinkies.

What do you foresee as the top beauty and wellness trends for 2020? Combination therapy, specifically more one-day treatments that combine multiple lasers and injections. We have been developing this for years and are now presenting safety data on the subject.Also, laser-assisted drug therapy, such as resurfacing lasers followed by topical applications of skin-brightener serums and platelet-rich plasma. Heres what I hope is the top beauty/wellness trend in 2020: a public repudiation of non-board-certified dermatologists performing cosmetic dermatology procedures on people.

What treatment at your practice is misunderstood and should be morepopular? Laser resurfacing. Granted, this is already a very popular treatment in our office, but I believe it should be even more popular. Somepatients come in with misinformation that laser resurfacing thins theskin. Nothing could be further from the truth. In fact, it does theopposite. It targets collagen-producing cells in the dermis andgenerates a stronger, more resilient skin.

What treatment is currently your favorite (understanding that thiscould change all the time)? Botox. And it has been for years. Precise treatment avoids artificial outcomes and allows for a refined, rejuvenated, lifted, rested appearance.

What activity do you do when the stress becomes too much these days?Cook. Ive been spending a lot of time with my cast-iron skillet. My cast-iron pizza is a favorite.

What have you been binge-watching? Ozark season three for suspense how good is Tom Pelphrey as Laura Linneys brother? And Cheers for laughs.

What has been an upside to this crazy time for you? My time with my wife and young sons, except during the screaming. And the homeschooling. And the cleaning.

Whats a good beauty treatment for someone whos stuck at home? Exfoliation. A downside of exfoliation is it can sometimes leave the skin dry and flaky, but if youre staying home, thats okay!

Conversely, what in your own grooming routine are you less on top of these days?Shaving, although my wife prefers a cleaner look, so early signs of a beard appear only now and then.

When this is all over, what are the first three to five things youll do or places youll go? The office will be my first stop! I miss my amazing patients! I expect Ill be there in overtime mode for a while getting everyone in. Id love a flat white at Laughing Man in Tribeca, maybe a burger at Odeon. Also we watched King Kong with the kids during quarantine, so my oldest wants me to take him to the top of the Empire State Building. He thinks King Kongs going to be there. I havent had the heart to set him straight.

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The Dermatologist Whos Obsessed With Sun Damage - The Cut

Baby Hair or Breakage: How to Tell the Difference – Allure

Christine Shaver, a dermatologist at Bernstein Medical Center for Hair Loss in New York City reminds us that "it's important to differentiate genetic 'baby hair' from broken hair and miniaturized hair as they all can look similar. If hair is broken, then styling practices need to be reassessed as heat, chemical, and over-styling can cause more brittleness and cracking," she says. "Miniaturization is the shrinking of hair in genetic hair loss and can occur in both men and women." Thankfully, this can be reversed to some extent with medications liketopical 5 percent minoxidil ( a.k.a Rogaine). In contrast to baby hairs, which are stable, the amount of miniaturized hair on a persons head will tend to increase over time.

Additionally, Shaver adds that platelet-rich plasma (PRP) scalp injections can help women reverse miniaturizing hairs. "Both these therapies need to be maintained for their benefit to continue as the hair is always growing and cycling," she shares. "While Rogaine can be applied at home, PRP injections require periodic in-office treatments with your dermatologist."

Also watch for changes in texture, Hill notes. "The changes in the texture around the hairline are individual and impacted by your genetic makeup, hair type, texture, and hairstyling habits. Extensive tension, overuse of heat and styling tools, as well styling products can impact the texture as well as cause those finer hairs to grow in coarser and thicker."

Pregnancy can create baby (-looking) hairs temporarily. "Following pregnancy, there is often a large shed period of hair as the plentiful pregnancy hormones decrease in the body," explains Shaver. "Following this shed, hair initially grows back more wispy and fine and then over time strengthens, darkens, and returns to normal."

Ah, the golden question: Do you actually have baby hair or just breakage? Emmanuel weighs in: "If it is breakage, the hair along the edge of your hairline will feel dry, it will also be uneven in length and brittle. You will also notice split, frayed hairs," she says.

"If it is hair loss, you may notice a smooth, shiny surface with little or no hair this may be due to traction, pulling your hair too tight, or overusing hot tools really close to the scalp. The scalp may look red and inflamed as well," Emmanuel clarifies.

So what to do if your baby hairs are really breakage hairs? First, cut back on heat styling. "These hair-care practices weaken the strength of bonding among hairs and can create brittle nodes which lead to premature cracking and breakage," Shaver explains. But if you absolutely cannot help yourself, "You should always try to use the lowest temperature possible when styling hair to avoid additional trauma."

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Baby Hair or Breakage: How to Tell the Difference - Allure

The Best Face and Body Skin-Care Products for 2020 – Shape Magazine

When our panelists were asked which innovation showed the best results, scalp injections of platelet-rich plasma (PRP) for hair growth was at the top of many lists. You get significant benefits with very little downside, Dr. Schultz says. First, your blood is drawn and spun in a centrifuge to separate the PRP, which is then injected all over your scalp. Using your bloods growth factors to stimulate collagen and follicles lets your own body work its magic, says dermatologist Mona Gohara, M.D.

Another new option is a laser called Lutronic KeraLase ($750 to $1,000 per treatment), which is paired with a synthetic growth factor serum. The device stamps across your scalp, stimulating the area and creating tiny channels in the follicles, where the serum is then applied. It delivers active ingredients where theyre needed, says dermatologist Jeanine Downie, M.D. The serum can contain even more growth factors than a persons own PRP, plus stem cells to help hair growth, she says. Nutrafol for Women (Buy It, $79 $88 for 1 month, nutrafol.com), a supplement brand for hair loss, also garnered multiple mentions from our panel. Ive seen promising results, especially in conjunction with the above treatments, Dr. Downie says.

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The Best Face and Body Skin-Care Products for 2020 - Shape Magazine

Twins Daily: How would a shortened season impact MLB injuries? – Bring Me The News

Andy Witchger / Bring Me The News

When major league baseball will resume is anybodys guess. But assuming baseball does have some semblance of a season during the 2020 calendar year, how will it impact the health of MLBers, however stunted it may be?

When major league baseball will resume is anybodys guess. But assuming baseball does have some semblance of a season during the 2020 calendar year, how will it impact the health of MLBers, however stunted it may be?

In many ways this is an impossible question to answer with any sort of confidence at this time. For instance, we dont know when the season will begin, when it will end, the amount of doubleheaders it will contain, if roster sizes will extend and for how long, nor to what extent will there be an extended Spring Training, among other factors that may be in play during the upcoming season.

It seems intuitive that injury rates may increase during the upcoming season as athletes and teams will assuredly have less time to prepare physically compared to a typical season with a typical Spring Training; during the strike-shortened 1995 season, MLB had a three-week Spring Training prior to beginning the regular season on April 25th, which may serve as precedent for how MLB will handle the upcoming season.

While athletes around the league are doing their best to remain in game-shape, each week without access to live pitching and batting practice at game speed decreases the likelihood that the athletes will remain ready for action.

There is some debate, however, regarding the role that Spring Training plays in athlete injury prevention. Spring Training likely decreases injury rates as many musculoskeletal injuries - among athletes as well as the lay population - occur after a sharp increase in activity which was preceded by relatively less activity, however, to what extent is unknown and likely impossible to study with a high-degree of accuracy.

Injury rates are usually highest among MLB athletes during the early portions of the season. A study conducted in 2011 found that injury rates during the 2002-2008 seasons were highest during April (5.73 injuries per 1,000 athlete exposures) and steadily decreased throughout the rest of the season, bottoming out at an injury rate of 0.54 during September.

Later studies published in 2019 and 2020 found that lower body and upper body injuries, respectively, suffered during the 2010-2016 seasons had the highest occurrence during the month of April (24% of all upper extremity and 21% of all lower extremity injuries suffered over the six year timeframe); these same studies found, perhaps unsurprisingly, that pitchers were more likely to suffer upper extremity injuries, whereas position players were more likely to suffer lower extremity injuries.

This is a guess, but it would not surprise me to see an increase in the rate of lower extremity soft tissue injuries - i.e. muscle strains - during the first month or two of the 2020 regular season compared to other seasons, particularly among position players, due in large part to the likely shortened Spring Training interval.

However, as long as pitchers are stretched out and brought along at an appropriate pace - such as capping pitch counts and limiting innings - I could see upper extremity injuries maintaining similar rates compared to previous seasons.

In all reality, it will be impossible to know how the shortened season impacts MLB athlete injury occurrence until after the 2020 season has been completed, and even then how late the season extends into the calendar year as well as the percentage of games that are played as doubleheaders will likely influence the overall rates of injury. We may never truly know the answer as to how MLB athlete health was impacted during the 2020 season.

Blaine Hardy Undergoes Tommy John SurgeryPhil Miller of the Star Tribune dropped a surprising nugget Saturday afternoon when he reported that reliever Blaine Hardy underwent Tommy John surgery recently to address a torn UCL and damaged flexor-pronator mass in his left elbow. Hardy was signed to a minor league contract by the Twins during the offseason.

Hardy dealt with left elbow pain during his 2019 campaign with the Detroit Tigers - spending time on the injured list twice, including a 60-day stint - and received a PRP injection in August to address his pain under the recommendation of famed orthopedic surgeon Dr. James Andrews.

PRP injections involve removing blood from the athlete, separating the plasma from the red blood cells, and injecting the plasma into the injured tissue; PRP is shorthand for platelet-rich plasma as the injected plasma is composed primarily of platelets and water. Platelets, which are small cells primarily involved with clotting, also release healing factors such as hormones.

The increased density of platelets within the injected plasma theoretically spurs the tissue to recover at an higher-rate, however, the true efficacy of PRP injections is debated.

The typical timeframe of return-to-play after Tommy John surgery is 12-18 months.

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This story first appeared at Twins Daily and was re-shared through a collaboration with Bring Me The News.

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Twins Daily: How would a shortened season impact MLB injuries? - Bring Me The News