PRP for bone on bone knees
In new research arthroscopic surgeons are told that:
- PRP injections offers better symptomatic relief to patients with early knee degenerative changes, and its use should be considered in patients with knee osteoarthritis.1
Doctors at military hospitals are told:
- Intraarticular PRP injection is safe and effective method in the conservative treatment of internal knee derangements.2
Past research suggested:
- Preliminary results indicate that the treatment with PRP injections is safe and has the potential to reduce pain and improve knee function and quality of life in younger patients with low degree of articular degeneration.” 3
- Preliminary findings support the application of PRP as an effective and safe method in the treatment of the initial stages of knee osteoarthritis… (in the treatment of degenerative lesions of articular cartilage of the knee)”4
PRP as non-surgical alternative
The articular cartilage is the tough tissue that covers the ends of bones. In the knees, lesions or tears are very common. If the lesions go all the way through to the bone it is called a full-thickness lesion.
The typical method of repairing this injury is surgery. However articular cartilage lesions, despite the surgical recommendations, represent one of the major unsolved problems in the orthopaedic surgery.5
Recently researchers in China said PRP, Platelet rich Plasma Therapy can present a successful option. 6
PRP for the knee deterioration
The body’s first response to soft tissue injury is to deliver platelets. Platelets carry cells, proteins, and other growth and healing factors that initiate repair and attract the critical assistance of stem cells. PRP therapy’s natural healing process intensifies the body’s efforts by delivering a higher concentration of platelets.
To create PRP therapy, a small sample of your blood is drawn (similar to a lab test sample) and placed in a centrifuge that spins the blood at high speeds, separating the platelets from the other components. The concentrated platelet rich plasma (PRP) is then injected into and around the point of injury, jump-starting and significantly strengthening the body’s natural healing signal. Because your own blood is used, there is no risk of a transmissible infection and a very low risk of allergic reaction.
Relieves pain without the risks of surgery or general anesthesia.
No hospital stay is required. The procedure is performed safely in a medical office and takes approximately one to two hours. And that’s including preparation and recovery time. In fact, most people return to their jobs or usual activities right after the procedure.
Because the goal of PRP therapy is to resolve pain through healing, it could prove to have lasting results. Initial improvement may be seen within a few weeks, gradually increasing as the healing progresses.
Research studies and clinical practice have shown PRP therapy to be very effective at relieving pain and returning patients to their normal lives. Both ultrasound and MRI images have shown definitive tissue repair after PRP therapy, confirming the healing process. The need for surgery can also be greatly reduced by treating injured tissues before the damage progresses and the condition is irreversible.
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1. Campbell KA, Saltzman BM, Mascarenhas R, Khair MM, Verma NN, Bach BR Jr, Cole BJ. A Systematic Review of Overlapping Meta-analyses. Arthroscopy. 2015 Nov;31(11):2213-21. doi: 10.1016/j.arthro.2015.03.041. Epub 2015 May 29.
2. Razaq S, Ejaz A, Rao SE, Yasmeen R, Arshad MA. The Role of Intraarticular Platelet Rich Plasma (PRP) Injection in Patients with Internal Knee Derangements. J Coll Physicians Surg Pak. 2015 Sep;25(9):699-701. doi: 09.2015/JCPSP.699701.
3. Kon E, Buda R, Filardo G, Di Martino A, Timoncini A, Cenacchi A, Fornasari PM, Giannini S, Marcacci M. Platelet-rich plasma: intra-articular knee injections produced favorable results on degenerative cartilage lesions. Knee Surg Sports Traumatol Arthrosc. 2010 Apr;18(4):472-9. Epub 2009 Oct 17.
4. Spaková T, Rosocha J, Lacko M, et al. Treatment of knee joint osteoarthritis with autologous platelet-rich plasma in comparison with hyaluronic acid. Am J Phys Med Rehabil. 2012 May;91(5):411-7
5. Peretti GM, Pozzi A, Ballis R, Deponti D, Pellacci F. Current surgical options for articular cartilage repair.Acta Neurochir Suppl. 2011;108:213-9.
6. Li M, Zhang C, Ai Z, Yuan T, Feng Y, Jia W. [Therapeutic effectiveness of intra-knee-articular injection of platelet-rich plasma on knee articular cartilage degeneration]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2011 Oct;25(10):1192-6.