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PRP Injection For Plantar Fasciitis

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Why Doctors Are Now Ditching Steroid Injections For PRP

The use of immunosuppressive biologics, non-steroidal drugs (NSAIDs) and corticosteroids, collectively known as Anti-Inflammatory Therapeutics (AIT), has been rebuked by many, including well-known MDs. But there are, still, a good majority of family doctors, pain-management specialists, and orthopedic surgeons who routinely prescribe them for arthritis, tendonitis, and bursitis because apparently, there’s no other better alternative. This is evident in the ballooning anti-inflammatory therapeutics market which is projected to reach a valuation of $100 Billion by 2020. But according to researchers, there already exists a better alternative and that is Platelet-Rich Plasma and scores of physicians are now prescribing it as a first line treatment instead of AITs.

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Why Anti-Inflammatory Therapeutics?

One of the reasons why AITs are popular is the belief that most musculoskeletal diseases are due to inflammation. It is believed that inflammation is the cause of injuries and pain. But over the years, numerous studies have shown, rather persuasively, that inflammation is a signaling process used by the body to recruit growth factors and cytokines to the tissue microenvironment. While suppressing the inflammation with drugs interrupts this natural process and provides short term relief to the symptoms, in the long run, it prevents structural healing.

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But the argument among pro-AIT physicians is that they provide the best short term relief. They claim that a short or two of AITs keeps the situation under control and is not a big deal in the larger scheme of things.

Not true. They have pain-relieving properties but not as dramatic as we may think.

First, corticosteroids are not as the ultimate pain-killers and there are other methods far superior.

Second, neither can NSAIDs be considered the most effective pain-killers and that’s a fact.

Third, the immunosuppressive biologics like DMARDS, cytokine-blockers and TNF-blockers are not effective pain-killers anyway.

But they all have one thing in common. And that is, a long-list of side effects.

The Debilitating Effects of AITs

It would have been acceptable if we could just temporarily harness the whatever little pain-relief that AITs offered while we’re looking for a favorable course of action. But that isn’t the case. Studies show that even a single dose of these AITs can lead to unwanted complications. Let’s take a deeper look.

1. Steroids
Steroids are evidently the most destructive ones. Physicians know that they must prescribe steroids very cautiously. But the problem is once they work, patients may prefer them again and again. Especially athletes who just want to get back in the arena for that final game. After all, who wants to sit on the sidelines when life passes by? Just one more time, they’ll say.

But the long term effects are disastrous. Not only are they hard to get off of, the steroids have the ability to kill mesenchymal stem cells, lead to cartilage loss, and are one of the most common causes of secondary osteoporosis. Scores of athletes and weekend warriors have used steroids to temporarily push away pain only to end up in the surgery table a few years later.

2. NSAIDS

NSAIDs are a totally different beast. Medscape reports that more than 70 million of them are prescribed to patients each year in the United States alone. This is in spite of the warning issued by the Arthritis, Rheumatism, and Aging Medical Information System (ARAMIS) against NSAID use.

To the patient, it sounds like a decent proposal – use non-steroidal drug to temporarily alleviate pain. However, the consequences are enormous. In this comprehensively researched article on the Journal of Prolotherapy, the writer calls for a total ban on the use of NSAIDs for joints owing to its potential for degenerating cartilage. This is alarming considering that majority of the NSAIDs are prescribed for joint conditions like arthritis. In another study, use of NSAIDs was shown to have tripled the progression of Knee Osteoarthritis.

Furthermore, even in the 1980s researchers have found that NSAIDs can disrupt intestinal integrity.

3. Biologics

Anti-inflammatory biologics include drugs that block pro-inflammatory cytokines like tumor necrosis factor alpha (TNF) and interlukin-6 (IL-6) as well as conventional disease-modifying antirheumatic drugs (DMARDs). The problem with these drugs is that they suppress the biologic entities responsible for the natural immunity of the body. Applying them to a joint for example, doesn’t limit its effect to that area. Instead, it suppresses these biologic entities THROUGHOUT the body including liver, colon, small intestine, bones, skin and even neurons.

That’s why they have been linked to neurological diseases, and other diseases.

Blocking pro-inflammatory cytokines are definitely a bad idea. For example, the cytokine IL-6, one of the main cytokines targeted by the new generation of Arthritis drugs is a major component of the central nervous system. So is anti-TNF drugs. Blocking these can only lead to adverse events in the long term elsewhere in the body.

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Can PRP Disrupt The Anti-Inflammatory Therapeutics Market?

Although not immediately evident, the trend for these Anti-inflammatory Therapeutics are actually going down. As researchers discover more serious side effects, the market will start shifting to more natural solutions like Platelet-Rich Plasma. In fact, it’s already happening as we speak. Even without the support of insurance companies, more and more people are opting for PRP instead of AITs. That means people are willing to pay out-of-pocket for PRP instead of accepting free drugs. In other words, the downward trend for AITs has begun.

Patients and physicians are learning the hard way that SUPPRESSION OF INFLAMMATION DOES NOT EQUAL TO HEALING.

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On the other hand, the trend for Platelet-Rich Plasma is climbing organically.

Here’s Allen Mishra’s tweet about PRP’s Google trends. Alan is the founder of the Biologic Orthopedic Society that has over 6,500 members in Linkedin.

Independent research is also catching up with Platelet-Rich Plasma. It has proved so far that PRP is far superior for:

1. Chronic low back pain

The study shows that sacroiliac joint (SIJ) injection of Platelet-Rich Plasma has a longer-lasting effect on pain than steroids. And the difference is HUGE. While efficacy of steroids was only 25% at 3 months, it was 90% for PRP.

2. Tennis Elbow

In this study, the steroids were only able to suppress symptoms for recalcitrant lateral epicondylitis, while PRP was able to biologically heal the lesion. Furthermore, the steroids caused further tendon degeneration. Another study proved that patients who had PRP shows better pain and functional improvements than patients who had corticosteroid injection.

3. Plantar fasciitis

This randomized, blinded study concluded that PRP delivered at least the same pain-relief results as steroids. Other researchers have concluded that PRP is actually more effective than steroid injection in terms of pain and functional results. Another study also proved that PRP was more effective and durable than cortisone for plantar fasciitis. Yet another British study also pointed out that PRP injections are superior to corticosteroid injections.

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4. Knee Osteoarthritis

The study above showed that intra-articular PRP injections are better than HA, ozone, and corticosteroids. Another study recently proved that PRP injections are better than Hyaluronic Acid for knee osteoarthritis.

5. Rotator Cuff Tears

This study proved that Platelet-Rich Plasma injections show benefit earlier than cortisone injections for rotator cuff tears. Another similar study also found that a single dose of PRP is better than steroid for Shoulder impingement syndrome.

Why PRP Is Actually Good For Both Patient And Physician

As you can see, the reason why more and more physicians and patients favor Platelet-Rich Plasma over Anti-inflammatory Therapeutics is that PRP not only eliminates the symptoms (pain and function) but it actually heals biologically. Yes, of course, the manufacturers of the conventional drugs would love you to believe that their billion-dollar-research-backed miracle drug is VASTLY superior to the autologous Platelet-Rich Plasma that can be produced within 10-20 minutes in a small clinic. But what we’ve seen is quite the opposite.

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One of the early pioneers of Platelet-Rich Plasma, an orthopedic surgeon Dr. Allan Mishra, M.D., says, that soon this biologic tool would be “safe, simple to use, inexpensive, and available immediately at the point of care.”

And that requires a tipping point in its adoption by physicians. It’s already accelerating at a good pace.

Dr. Mishra goes on to say that, “chronic tendinopathy is the most common indication for applying PRP in my practice. I have used the treatment for tennis elbow, patellar tendinosis, partial Achilles tendon tears and occasionally partial rotator cuff tears as a stand-alone treatment. I also now routinely augment all of my Achilles and patellar tendon repairs with PRP. And I am considering augmenting my arthroscopic rotator cuff repairs as well with PRP. For nonunions or difficult fractures, I combine PRP with bone grafting.”

For the patients, Platelet-Rich Plasma has been helping them avoid surgery for years now. See the videos below for actual testimonials from real patients.

Here’s another patient’s story of how PRP helped avoid surgery.

“When I tore my rotator cuff in 2008, I had conventional laparoscopic surgery to repair it. The outcome was excellent, but the recovery was long and horrible. The orthopedist wouldn’t let me drive for six weeks, or run, swim or lift weights for three months. I suffered through weeks of torturous physical therapy. It was nearly six months before I felt normal again.”

And the patient vowed to never go through that ever again.

Unfortunately, the patient suffered another injury in 2014.

But this time decided to try Platelet-Rich Plasma instead.

The patient said, “I had the first PRP injection on Oct. 23. It was painful, and the aching persisted for about 36 hours. I had one bad night, followed by an uncomfortable day. After that, the pain stopped. Still, my doctor advised me to baby the shoulder — to use my other arm when holding a dog leash and to skip swimming and weights for two weeks. Running was fine. He also recommended physical therapy after two weeks.”

The patient reported that by February 2015, the shoulder was 80% healed. The doctor advised the patient to have a second PRP injection to heal the remaining 20%.

Here’s what the patient said:

“I had [the second injection] on March 4. When I returned to see [the doctor] on April 12, I was feeling pretty good. No pain, no problems. He rolled in the ultrasound machine, and I was not surprised by the results.”

Watch this second video for another excellent patient story.

Get Started On Platelet-Rich Plasma Now

The best way to start making a big difference in your patients, especially if you’re an orthopedic surgeon, rheumatologist or any kind of pain management specialist, is to get going with Platelet-Rich Plasma. Don’t just have it as a back up treatment that you can try when things don’t go well. Instead, it can be used as a standard first-line treatment for musculoskeletal issues.

Give it a serious consideration.

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We can guarantee that once you start offering Platelet-Rich Plasma, you’ll end up prescribing less and less Anti-Inflammatory Therapeutics and more and more Platelet-Rich Plasma. And it will have a tremendous impact on the lives of your patients. We want to see a world where the “replacement surgeries” are a thing of the past.

And Platelet-Rich Plasma can make it happen.

Give us a call if you need more information. We can be reached at (844) 377-7787 or email via hello@drprpusa.com. Or you can order a Platelet-Rich Plasma kit online and try it in your practice.

Together, let’s welcome the Anabolic Era of Medicine.

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Foot And Ankle Surgeon’s Guide To Platelet-Rich Plasma

Some believe that Platelet-Rich Plasma is nothing but a new-age medical nonsense that preys on the gullible. And let me the first to admit that there are some carefully controlled studies out there showing that PRP Injections work no better than a placebo. But there are also thousands of doctors who swear by the efficacy of Platelet-Rich Plasma which seems to do a better job at healing patients, and at a much lower cost, than traditional medicine.

This trend is only growing.

What does these doctors see that escapes medical establishments’ eyes?

One branch of medicine where it is particularly evident is Podiatry. We believe that Platelet-Rich Plasma is not as widely accepted in Podiatry as it should have. Making it the first line treatment for pain in the foot and ankle treatments will help orthopedic surgeons to reduce complication rates, achieve favorable clinical outcomes faster, and improve patient satisfaction.

Here are some of the cases where a Foot and Ankle Surgeon might use PRP or PRFM (Platelet-Rich Fibrin Matrix).

1. Plantar fasciitis/fasciosis

It’s widely accepted that Platelet-Rich Plasma Injection has become a very common treatment for Plantar Fasciitis. Studies like this prove it’s efficacy. In the words of Dr. Daniel Kassicieh, D.O., FAAN, FACN, of Sarasota Neurology, PRP seems to be “one of the most effective treatments for Plantar fasciitis to actually cure it permanently.” He says many of his patients have avoided surgery with a single Platelet-Rich Plasma injection – no rehab, no down time, and certainly no unwanted consequences of surgery to deal with. That explains why Plantar Fasciitis has been the 5th popular musculoskeletal condition (the first four are knee meniscus, shoulder, shoulder rotator cuff and tennis elbow in that order) treated by Platelet-Rich Plasma. Part of the reason is that over 3 million people are diagnosed with this condition and we haven’t found a viable treatment for it yet.

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Here’s a video of the procedure done by Los Angeles Foot and Ankle Specialist Dr. Baravarian.

2. Achilles tendonitis/tendinosis

Achilles tendinopathy is a another difficult to treat condition which is progressive and often results in tendon rupture. Surgical approaches, either tendon debridement or tendon transfer, are risky and does not end up with predictable results. Patients are usually given corticosteroid injections to reduce pain. But studies like this have shown that Platelet-Rich Plasma is a much more helpful treatment than corticosteroids. Another study released by European Foot and Ankle Society revealed that a single PRP injection can be a safe and attractive alternative for the treatment of non-insertional CRATs than anything else available today.

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3. Diabetic Foot Ulcers

Non-healing diabetic foot ulcers are a major problem for diabetics and in the US, there are over 2.5 million people affected. Eleven percent of them may go on to have lower extremity amputation. That’s not pretty. But according to this study, just a single injection and a bi-weekly topical application of Platelet-Rich Plasma turned around the chronic non-healing ulcers of 24 patients in just 8.2 weeks. In another study, the effects of topical application of Platelet-Rich Plasma was compared with Anti-septic creams for clean diabetic foot ulcers and PRP was proved to be more effective.

Platelet-Rich Fibrin Matrix, derived from Platelet-Rich Plasma, is also another excellent candidate (as demonstrated in this study) for diabetic foot ulcer.

4. Bone regeneration

Foot and ankle is one of the most common areas where bone regeneration is needed. Though nothing trumps mechanical stabilization, researchers are now surprised by the role of Platelet-Rich Plasma.

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PRP assists bone and soft-tissue healing by providing platelets and thus growth factors at the site of damage. The phenomenon was studied recently, where they conducted a systematic review of all the 64 independent articles that discussed PRP’s role in bone tissue regeneration. This study calls for further optimization of the PRP treatment.

Nevertheless, the science for using Platelet-Rich Plasma for bone regeneration is solid. In order for bone or tissue to form, three key components are required at the surgical site. These three components are:

  • A scaffold for cellular growth and attachment
  • Biological stimulants that provide signaling proteins to recruit cells
  • Undifferentiated stem cells that provide osteogenic potential

The combination and synergy of these three key components is critical to bone formation. Platelet-Rich Plasma can provide two of three of these components — a scaffold and a biological stimulant. Hence there is no reason why we should not use it for assisting bone regeneration.

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5. Ankle Sprains

This is a fairly common condition among both professional athletes and weekend warriors. An ankle sprain can be a stretch, tear or a complete rupture of the ligaments in the ankle. In any of these cases, Platelet-Rich Plasma can be very effective in accelerating the healing process. In one of the randomized controlled studies, researchers analyzed the effect of Ultrasound-guided Platelet-Rich Plasma injections on athletes with Syndesmotic or high-ankle sprains. Platelet-rich plasma was injected into the injured antero-inferior tibio-fibular ligaments (AITFL) and their Return to Play (RTP) time was measured. Not only was the Platelet-Rich Plasma group saved 20 days of healing time, they also experienced significantly less residual pain. Expert physicians tell us that Platelet-Rich Plasma can cut down the normal 6-week recovery period for a torn ligament from an ankle sprain to just 2-3 weeks. That’s a 50% reduction in healing time.

Immobilization The Key In Successful Platelet-Rich Plasma Treatments?

One of the missing pieces when it comes to Foot and Ankle related injuries, is Rest and Rehabilitation. With or without Platelet-Rich Plasma, there is no avoidance of Rehab. And we found that some of the studies that disprove Platelet-Rich Plasma for Foot and Ankle Injuries were done without Rest and Rehabilitation – meaning they were testing whether Platelet-Rich Plasma is a stand-alone “magic pill.”

We can assure you that Platelet-Rich Plasma is not a magic pill. And that there is no avoidance of Rest and Rehabilitation. The Platelet-Rich Plasma injection must be followed by a standardized rehabilitation protocol – which, depending on the severity, can include full weight-bearing in a splint, pneumatic boot, or cast for a 2-3 weeks.

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What’s Feeding The Resistance For PRP Adoption?

We believe the biggest hindrance is the current system of healthcare. The big-pharma-dominated healthcare in the US would be more than happy to spend almost $2 trillion for chronic diseases than educate doctors on the advantages of alternative, autologous and integrative interventions such as Platelet-Rich Plasma. Studies after studies have shown that the earlier you introduce Platelet-Rich Plasma, the more results the patients end up getting. Yet, we’re in a system that encourages all kinds of short-term-results-oriented treatments before considering Platelet-Rich Plasma because it’s “expensive” and not reimbursed by insurance companies.

How Foot And Ankle Surgeons Can Benefit

The use of PRP in the foot and ankle is here to stay. So get involved with Platelet-Rich Plasma as soon as possible. Try it out with your patients. Play with the Platelet-Rich Fibrin Matrix. And before prescribing conventional drugs and surgeries, give your patients an opportunity to try Platelet-Rich Plasma at a low cost. We know how thankful your patients are going to be.

For more info on various protocols for PRP Injections, reach out to us at (844) 377-7787.

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Rheumatologits' Guide To Platelet-Rich Plasma2a
The Rheumatologist’s Guide To Platelet-Rich Plasma

Shelly (not the real name) had been suffering from Achilles Tendonitis for a while now. She has rheumatoid arthritis and celiac disease. Plus she had a minor surgery on one of her toes and it had gone a tad bit bad. She was determined to find a solution and started with all the usual treatments. When it became obvious that the solution she’s looking for is not so straightforward, she began flirting with alternate treatments. Someone suggested Platelet-Rich Plasma. And so began a love-affair.

I got my first PRP for my Achilles Tendonitis and the doctor told me to get a shot each for 8 straight weeks,” Shelly said. A bit doubtful, she stopped after the second treatment. By the third week, the Tendonitis showed more progress than all of the previous months trying so many conventional treatments. She says, ” just three simple shots and my foot was probably 75% better.”

This is what Rheumatologists can expect when they introduce Platelet-Rich Plasma to their patients.

Rheumatology Had Found A Winner

Rheumatology is one of the fields of medicine that has immensely benefited from the advances of Platelet-Rich Plasma. Because it turns out that Platelet-Rich Plasma Injection is one of the most simplest treatments for musculoskeletal diseases – those that affect the joints, muscles, and bones, swelling, and deformity.

However, they have not been pushing the limits of this novel treatment, as well as the dermatologists.

Rheumatologits' Guide To Platelet-Rich Plasma

Are you a rheumatologist?

If you are, I’m pretty sure you have tried Platelet-Rich Plasma for your patients.

And if you did, you may have saved a few of your patients from going under the knife. But not every Rheumatologist have bought into the idea of Platelet-Rich Plasma. This is unfortunate since just in the osteoarthritis segment alone there are over 27 million U.S. adults who’d be much happier if their rheumatologist had suggested Platelet-Rich Plasma Injections.

Like Kenneth (not the real name), who was part of an experimental group at a local university and got PRP Injection for his torn hip ligament. Prior to this, he was told that he’d need surgery. But three (!) years later, the pain has never really returned and he’s had no surgery.

Another patient, Desiree (not real name), said she and her husband are firm believers of the treatment. It shoved her plantar fasciitis into oblivion and gave her husband’s shoulder joints and knees a big boost.

Cases like these are not rare.

Not All Treatments Of Platelet-Rich Plasma Are Successful

We’d be the first to admit that we’ve seen quite a number of cases where Platelet-Rich Plasma failed to show improvements. Sometimes, we’ve seen cases where the same patient can have mixed results. Like Lynda (not real name) whose PRP treatment for her severely sprained right ankle worked like a charm whereas the one for her similarly compromised left big toe turned out to be a dud.

Rheumatologits' Guide To Platelet-Rich Plasma

But we can improve the chances of success dramatically by adhering to a standard for the following.

1. Concentration

By definition, PRP must contain a higher concentration of platelets than baseline. This can vary as the baseline, which is the platelet concentration in the patient’s blood, varies. But the use of a good PRP kit like this can result in a concentration that’s 5X-8X times the baseline concentration. This kit can also be used to get a downgraded sample with 2.5X – 3X times the baseline concentration, which may sometimes be required based on the treatment performed. Therefore, getting a PRP kit that only produces lower grade PRP is not advised.

2. White Blood Cells (Leucocytes)

PRP containing white blood cells have a different biologic effects than the ones without. The most popular form of PRP is L-PRP which contains Leucocytes. The DrPRP Kit which provides higher concentration of platelets delivers an end product that’s classified into three fractions: the Red Blood Cells (RBC) without platelets, the Platelet Serum in which the platelets are suspended and the Buffy Coat which contains both the platelets and white blood cells (WBCs). This makes it possible to adjust the end product to include some White Blood Cells. Because, the macrophages (circulating monocytes) present in WBC can remove debris and ingest harmful foreign particles, bacteria, and dead or dying cells to speed up the healing process.

3. The Use Of ACD

The standard protocol for Platelet-Rich Plasma requires the addition of an Anti-Coagulant (ACD) to prevent the blood clotting. The addition of ACD makes the blood more acidic than normal. This can have a negative effect on the half-life of growth factors. So in certain cases, we recommend buffering the PRP back to a physiologic range prior to injection.

Rheumatologits' Guide To Platelet-Rich Plasma

The Growth Factors In Platelet-Rich Plasma

The Platelet-Rich Plasma owes it’s healing prowess to the growth factors found in platelets. They are made accessible to the tissues and ligaments when the platelets are activated. The exact roles of these growth factors remain a bit vague at this time but from what researchers have been telling us it is evident that they support a wide range of processes in all three of the healing stages – inflammation, proliferation and remodeling.

Here’s a nice little infographic that lists out the functions of the primary growth factors in Platelet-Rich Plasma.

GROWTH FACTORS IN Platelet-rich Plasma

Clinical Evidence

1. Platelet Rich Plasma and Subacromial Tendonitis

In recent years, Platelet-Rich Plasma has proven to be effective for Subacromal tendonitis. In a study conducted by Dr. Turlough O’Donnell, MD, and Aamir H. Shaikh, MSc, MRCSEd, MCh, of UPMC Beacon Hospital in Dublin, Ireland, 102 patients were treated with PRP injections administered directly into the suprasimatos tendon (shoulder) and 102 patients were treated with treated with 20 mL solution of 0.05 percent bupivacaine and 80 mgs of methylprednisolone.

“At 12-month follow-up, patients who received a series of PRP injections were 16 times less likely to have undergone surgical intervention than patients who received corticosteroid injections,” the authors reported.

Another study by Michael Carpone DO et al, which concluded that “a single ultrasound-guided, intralesional injection of PRP resulted in safe, significant, sustained improvement of pain, function, and MRI outcomes in participants with refractory Rotator Cuff Tendonitis.”

2. Platelet Rich Plasma and Epicondylitis

Epicondylitis is often a chronic case of tendinopathy and a healing response is usually hard to obtain. Platelet-Rich Plasma’s role in this started in 2006, when in a Pilot study by Allan Mishra, 19 patients with refractory epicondylitis who were prescribed surgery, was given a single Platelet-Rich Plasma injection. After 8 weeks, patients reported 60% improvement which rose to 93% and after just two years.

In another controlled clinical study, the effect of PRP was compared with corticosteroids, in a randomized, double-blind manner with 100 patients who had chronic epicondylitis. After one year, the authors concluded that PRP significantly exceeded the clinical benefit obtained by corticosteroids.

3. Platelet Rich Plasma and Plantar Fasciitis

Plantar fasciitis is one of the bigger fields in rheumatology – and the standard procedure for rheumatologists has been to mask the symptoms using corticosteroid injections. However, in this study, platelet-rich plasma injection was found to better than corticosteroid injections at the three-month follow up.

4. Platelet Rich Plasma and Knee Osteoarthritis

There are multiple studies in the past 3 years, both controlled and open, which highlight the efficacy of Platelet-Rich Plasma for Knee Osteoarthritis. In the largest of these studies, researchers in Taiwan, conducted 8 single-arm studies, 3 quasi-experimental studies, and 5 randomized controlled trials with 1543 participants to validate that Platelet-Rich Plasma does improves outcomes for patients with knee joint cartilage degenerative pathology. And does that better than Hyaluronic Acid.

However, recent research suggests that a combination of HA+PRP may be even more effective.

Platelet-Rich Plasma Knowledge Mandatory For Rheumatologists?

There is no doubt that Platelet-Rich Plasma is here to stay. And it can be the biggest item in the rheumatologist’s therapeutic rolodex. The safety, efficacy and simplicity is something that no other treatments can rival. However, as I mentioned before rheumatologists have not been taking advantage of it as much as others. Perhaps they are waiting for more conclusive evidence or insurance acceptance of the procedure, but considering that this procedure carries virtually no risk, it’s the somewhat of duty of every rheumatologist to give it a try. And come to new discoveries of their own.

You can try this at a relatively inexpensive way – with this kit and a standard lab centrifuge like this.

The medical community need more rheumatologists’ acceptance of Platelet-Rich Plasma to formalize the frequency, volume and etiquette for this life-saving procedure. After all, there are 27 million Americans at stake here.

Plus, the Platelet-Rich Plasma industry is undergoing rapid changes. New innovations are added every month. Getting in the game in these early stages will make you one of the pioneers in the field.

Here’s a recent interview with Dr. Lance Johansen who says we might see Platelet-Rich Plasma being combined with genetics like Bone morphogenetic proteins (BMPs) and DNAs to help grow new cartilage.

Prp Injections For Plantar Fasciitis
PRP Injection For Plantar Fasciitis: The Ultimate Guide [Infographic]

Plantar Fasciitis, also known as jogger’s heel, affects about 3 million people in the US every year. It’s one of the most common causes for foot pain and affects the plantar fascia — the thick band of tissue that connects the bottom of your heel to your toes.

Runners are the most affected. It can put a complete stop to your running practice but the more you restrict your movement by avoiding running and walking in a certain way, the faster it seems to worsen. Instead, treating the source of the pain at the earliest is the wise choice.

Precaution: One of the best precautions runners can take to avoid plantar fasciitis is to always use shoes that offer adequate support for the arch of your feet. So you don’t put too much strain on the plantar fascia.

A variety of treatments are available and most of the time patients are able to self-treat it in their home. Stretching, medications to reduce pain and inflammation like NSAIDS, massages, cortisone injections and even ultrasonic cleansing are popular treatments.

But what’s showing particularly effective is PRP Treatments.

PRP Injection For Plantar Fasciitis

PRP treatment is straight-forward, simple and effective. Plus the effects are found to be lasting for more than a year according to preliminary studies. And as it involves using your own blood for healing, there’s no risk of side effects. The reason why it works well for plantar fasciitis is that ligaments like the plantar fascia usually only have a limited amount of blood supply at their disposal. So when you inject PRP into the ligament, it gets a month’s worth of “blood nutrient” supply in a day. And that causes fast healing.

Here’s the procedure: PRP Injection for Plantar Fasciitis

1. Draw blood from your arm just like a regular blood test and spin it in a centrifuge (there’s a set protocol to follow) to extract PRP.

2. Once you’ve got the PRP, it can be directly injected into the plantar fascia with the help of Ultrasonic imagery.

3. Final step is to practice limited movements for two weeks. This can be done using CAM (Controlled Ankle Movement) shoes.

Many patients are pure surprised by the relief they experience after PRP Injection. It’s so amazing.

Here’s a quick infographic with all the details that you can download.

PRP Injection for Plantar Fasciitis

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