PRP

Discussion in 'Pain Medicine' started by normalforce, 05.20.14.

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  1. normalforce

    normalforce 10+ Year Member

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    I am using Biomet for PRP and I think their costs are on the high side....

    I am looking for other companies to trial.

    Who do you recommend.....

    Thanks.
     
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  3. PMR2008

    PMR2008 PM&R 7+ Year Member

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    posted in the private forum
     
    Last edited: 05.20.14
  4. lobelsteve

    lobelsteve SDN Lifetime Donor Lifetime Donor 10+ Year Member

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    June 26, 2014
    Platelet-Rich Plasma Injections Don't Aid Muscular Injuries
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    Platelet-Rich Plasma Injections Don't Aid Muscular Injuries
    (HealthDay News) — Intramuscular platelet-rich plasma (PRP) injections do not provide clinical benefit for acute hamstring injuries, according to a correspondence piece published June 26 in theNew England Journal of Medicine.

    Gustaaf Reurink, MD, from Erasmus Medical Center in the Netherlands, and colleagues randomized 80 competitive and recreational athletes with acute hamstring muscle injuries (confirmed on magnetic resonance imaging) to receive intramuscular injections of PRP (two 3ml injections via a sterile ultrasonography-guided technique, with the first injection within five days after the injury and the second five to seven days later) or isotonic saline as a placebo. All patients performed an identical, daily, progressively phased, criteria-based rehabilitation program.

    The researchers found that the median time to resumption of sports activity was 42 days in both groups (hazard ratio in the PRP group, 0.96; 95% confidence interval [CI], 0.61–1.51; P=0.66). In the PRP group, the reinjury rate was 16% vs. 14% in the placebo group (odds ratio, 1.17; 95% CI, 0.33–4.18; P=0.81). There were no serious adverse events.

    "Although the 95% confidence interval still allows for a small chance that there was a clinically relevant between-group difference, our study demonstrated no benefit for intramuscular PRP injections, as compared with placebo injections, in patients with acute hamstring injuries," the authors write.

    The study was funded in part by Arthrex Medizinische Instrumente.
     
  5. Gauss

    Gauss Damnit Jim! 10+ Year Member

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    "Arthrex ACP double-syringe system"
    inferior concentration system with the lowest, impurest PRP amounts around

    This is one of the strangest inclusion criteria for a tenotomy and/or PRP. Acute strains are not a reason for PRP, they heal fine without intervention.

    "Clinical diagnosis of an acute hamstring injury, defined as
    History of acute onset of post erior thigh pain, and
    Localized pain on palpation, and
    Localized pain on passive stretch of the hamstring, and
    Increasing pain on isometric contraction.
    Hamstring lesion on MRI, defined as increased signal intensity on STIR and/or T2 weighted images,limited to one location in the muscle."
     
  6. bedrock

    bedrock Member 10+ Year Member

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    crap study. mediocre PRP use f0r a bad indication.

    Decent PRP for chronic hamstring tendinopathy would be a much better study.
     

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