{"id":389,"date":"2009-10-30T07:55:16","date_gmt":"2009-10-30T14:55:16","guid":{"rendered":"https:\/\/blog.brianschiff.com\/?p=389"},"modified":"2009-10-30T07:55:16","modified_gmt":"2009-10-30T14:55:16","slug":"chronic-elbow-tendinitis-and-platelet-rich-plasma","status":"publish","type":"post","link":"https:\/\/blog.brianschiff.com\/?p=389","title":{"rendered":"Chronic Elbow Tendinitis and Platelet Rich Plasma"},"content":{"rendered":"<p>So, I recently blogged on platelet rich plasma (PRP).\u00a0 I wanted to provide you with the latest up to date info on this procedure in regard to chronic tendinitis.\u00a0 Many people suffer from lateral epicondylitis (tennis elbow).\u00a0 This is a condition that affects the extensor tendons in the elbow.\u00a0 Most experts link tendon injuries\u00a0to hypovascularity (not enough blood flow) and repetitive micro-trauma thereby resulting in localized weakness and degeneration over time.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-full wp-image-391\" title=\"tenniselbow1\" src=\"https:\/\/blog.brianschiff.com\/wp-content\/uploads\/2009\/10\/tenniselbow1.jpg\" alt=\"tenniselbow1\" width=\"460\" height=\"300\" srcset=\"https:\/\/blog.brianschiff.com\/wp-content\/uploads\/2009\/10\/tenniselbow1.jpg 460w, https:\/\/blog.brianschiff.com\/wp-content\/uploads\/2009\/10\/tenniselbow1-300x195.jpg 300w\" sizes=\"auto, (max-width: 460px) 100vw, 460px\" \/><\/p>\n<p>This may lead to eventual rupture but no one can predict that for sure.\u00a0 Using PRP would hypothetically reverse the effects of chronic tendinopathy while stimulating healing at a microscopic level by initiating revascularization.\u00a0 The info and data for this post was in large part taken from the <em>American Journal of Sports Medicine<\/em> (Nov. 09).<\/p>\n<p>It is important to keep in mind if you are dealing with tennis elbow to understand the difference between acute injury and chronic pain.\u00a0 Physiologically, healing enters the chronic phase in 22 days post injury.\u00a0 However, from a clinical perspective, a physician may not consider elbow tendinitis chronic until after 3 months or more in some cases.\u00a0 While PRP has shown positive results in several small case studies, the abundance of solid research is still lacking or too small to draw finite conclusions as to its efficacy.<\/p>\n<p>With that said, let me share some data for people who were treated for tennis elbow with PRP:<\/p>\n<ul>\n<li>Mishra &amp; Pavelko treated 20 patients out of a sample of 140 with elbow pain who met their inclusion criteria.\u00a0 Of those 20, 15 were given PRP and 5 served as controls receiving only local anesthetic injections.\u00a0 The PRP group noted a 60% improvement at\u00a08 weeks, 81% at 6 months and 93% at the final follow-up (range b\/w 12 and 38 months).\u00a0 However, 3 of the 5 controls withdrew from the study early to seek other treatment which means the data can only be drawn from the PRP group.\u00a0 Although flawed with a small group and attrition in the control group, this study was prospective and did include a control group.<\/li>\n<\/ul>\n<p>What does this mean?\u00a0 Well, if you have ever suffered from lateral\u00a0epicondylitis or worked with those that have, you know how difficult this condition can be to resolve.\u00a0 I know several people that opted for surgery to end the pain.\u00a0 Conservative treatment often consists of ice, rest, stretching. strengthening and cross fiber massage.\u00a0 Some use a Band-it brace and acupuncture as well.\u00a0 In the end, it can be down right debilitating.<\/p>\n<p>PRP may provide a better answer, but more research and larger trials are needed to confirm the overall efficacy of it.\u00a0 If you are a chronic sufferer though, you may want to seek out an orthopedist who is proficient in this and take a look.\u00a0 Aside from tendinitis, the effects on muscle strain, ligament tears and bone are also being studied.\u00a0 High level athletes are using PRP to get back to play faster as\u00a0one unpublished study with professional soccer players suffering grade II MCL injuries\u00a0reports a 27% faster return to play after injury compared to controls when injected with PRP within 72 hours\u00a0of\u00a0the injury.<\/p>\n<p>In the end, the optimal dosage and use of PRP has yet to be defined.\u00a0 But it may certainly signal a new era of treatment of soft tissue injuries and speed the recovery from such injuries.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>So, I recently blogged on platelet rich plasma (PRP).\u00a0 I wanted to provide you with the latest up to date info on this procedure in regard to chronic tendinitis.\u00a0 Many people suffer from lateral epicondylitis (tennis elbow).\u00a0 This is a condition that affects the extensor tendons in the elbow.\u00a0 Most experts link tendon injuries\u00a0to hypovascularity [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[39,4,28],"tags":[],"class_list":["post-389","post","type-post","status-publish","format-standard","hentry","category-elbow","category-health","category-medicine"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.10 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Chronic Elbow Tendinitis and Platelet Rich Plasma - Brian Schiff&#039;s Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blog.brianschiff.com\/?p=389\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Chronic Elbow Tendinitis and Platelet Rich Plasma - Brian Schiff&#039;s Blog\" 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