Guest guest Posted February 14, 2011 Report Share Posted February 14, 2011 I got this article from a friend of mine (DC) who's also a med-evac trauma surgical assistant of approx 20 yrs with the air national guard. He works for a company that is currently supplying the 'PRP' for various places around the country. It's really an interesting procedure. The patient's own blood products are taken from their body, spun down to use only the PRP portion and then re-injected into the injured site. Evidently the PRP acts like stem cells and initiates massive tissue repair. So far, still investigational and no insurance is paying. However, if you have patients who can afford to pay out of pocket, they should ask their surgeon about this prior to some types of repair. It looks best for tendon and muslce injury. No idea how it is for bone/disc. Minga Guerrero DC News 1 new result for platelet rich plasma LaRon Landry had surgery to repair dislocated wrist Washington Post 24, and now he is receiving Platelet Rich Plasma (PRP) treatments to heal micro-tears in his Achilles' tendon. A newer procedure, PRP treatment is intended ... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 14, 2011 Report Share Posted February 14, 2011 There is an ND (I think) in the PDX area who does these treatments. One of my patients had this procedure---after months of prolotherapy that wasn't very effective--and she did get some mild relief, but not as much as the treatments I provided. IMHO. AND it is quite expensive. Ann DC Stem cell treatment I got this article from a friend of mine (DC) who's also a med-evac trauma surgical assistant of approx 20 yrs with the air national guard. He works for a company that is currently supplying the 'PRP' for various places around the country. It's really an interesting procedure. The patient's own blood products are taken from their body, spun down to use only the PRP portion and then re-injected into the injured site. Evidently the PRP acts like stem cells and initiates massive tissue repair. So far, still investigational and no insurance is paying. However, if you have patients who can afford to pay out of pocket, they should ask their surgeon about this prior to some types of repair. It looks best for tendon and muslce injury. No idea how it is for bone/disc. Minga Guerrero DC News 1 new result for platelet rich plasma LaRon Landry had surgery to repair dislocated wrist Washington Post 24, and now he is receiving Platelet Rich Plasma (PRP) treatments to heal micro-tears in his Achilles' tendon. A newer procedure, PRP treatment is intended ... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 14, 2011 Report Share Posted February 14, 2011 Also check out Centeno's site at Regenexx.com for info about autologous mesenchymal stem cell therapies. Dr. Centeno was co-author of the whiplash/trigger point paper that Dr. Freeman recently posted here.Expert Opin Biol Ther. 2011 Feb 1. [Epub ahead of print]Platelet rich plasma therapies for sports muscle injuries: any evidence behind clinical practice?Andia I, Sánchez M, Maffulli N.Research Department, Osakidetza Basque Health Service, B Arteaga 107, 48170 Zamudio, Spain.AbstractIntroduction: At present, no drugs are available to hasten restoration of muscle function after injury. Platelet-rich plasma (PRP) therapies may help athletes by promoting muscle regeneration. Areas covered: This is a systematic review assessing the evidence base for PRP therapies in the management of muscle injuries. A computerized literature search, citation tracking and hand searching for original studies assessing the effect of PRP therapies on skeletal muscle cell biology, skeletal muscle repair, or regeneration in animals or humans was performed. No randomized trials have studied the merits of PRP injections for muscle healing. Clinical studies indicated that PRP therapies may enhance muscle repair after strain or contusion, and laboratory data indicated that they can enhance diverse aspects of myogenesis. However muscle injuries present a complicated picture that includes many components other than muscle cells, such as blood vessels, connective tissue and neural components. Expert opinion: The field is relevant but under-researched. No PRP formulation has yet displayed proven solid evidence for the stimulation of healing and recovery after sports muscle injuries. Therefore, major issues, including standardization of formulations and application procedures, need to be addressed to inform clinical studies before recommending best practice guidelines.Clin J Sport Med. 2011 Jan;21(1):37-45.Platelet-rich plasma treatment for ligament and tendon injuries.Paoloni J, De Vos RJ, Hamilton B, Murrell GA, Orchard J.Sports Medicine Department, ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar. justin.paoloni@...AbstractPlatelet-rich plasma (PRP) is derived from centrifuging whole blood, has a platelet concentration higher than that of the whole blood, is the cellular component of plasma that settles after centrifugation, and contains numerous growth factors. There is increasing interest in the sports medicine and athletic community about providing endogenous growth factors directly to the injury site, using autologous blood products such as PRP, to potentially facilitate healing and earlier return to sport after musculoskeletal injury. Despite this interest, and apparent widespread use, there is a lack of high-level evidence regarding randomized clinical trials assessing the efficacy of PRP in treating ligament and tendon injuries. Basic science and animal studies and small case series reports on PRP injections for ligament or tendon injuries, but few randomized controlled clinical trials have assessed the efficacy of PRP injections and none have demonstrated scientific evidence of efficacy. Scientific studies should be performed to assess clinical indications, efficacy, and safety of PRP, and this will require appropriately powered randomized controlled trials with adequate and validated clinical and functional outcome measures and sound statistical analysis. Other aspects of PRP use that need to be determined are (1) volume of injection/application, (2) most effective preparation, (3) buffering/activation, (4) injection technique (1 depot vs multiple depots), (5) timing of injection to injury, (6) single application versus series of injections, and (7) the most effective rehabilitation protocol to use after PRP injection. With all proposed treatments, the doctor and the patient should weigh up potential benefits of treatment, potential risks, and costs. Based on the limited publications to date and theoretical considerations, the potential risks involved with PRP are fortunately very low. However, benefits remain unproven to date, particularly when comparing PRP with other injections for ligament and tendon injuries. W. Snell, D.C. Director, Solutions Sports & Spine, Inc at Hawthorne Wellness Center 3942 SE Hawthorne Blvd. Portland, OR 97214 Ph. 503-235-5484 Fax 503-235-3956 www.fixyourownback.comMember, American College of Sports MedicineMember, International Society of Clinical Rehabilitation Specialists From: twogems@...Date: Mon, 14 Feb 2011 19:27:03 -0800Subject: Re: Stem cell treatment Minga: My office manager went to an N.D. there in PDX and had that done to her foot. Was treated here in Salem by a podiatrist and orthopod without relief, wore walking cast, etc. Finally heard about an N.D. in PDX who did this and went to him. He drew her blood, spun it down, then re-injected it into her foot. Fixed her right up! Lyndon McGill, D.C. Salem, Oregon www.SalemSpineClinic.com www.EvolvingDaily.com On 2/14/2011 6:48 PM, AboWoman@... wrote: I got this article from a friend of mine (DC) who's also a med-evac trauma surgical assistant of approx 20 yrs with the air national guard. He works for a company that is currently supplying the 'PRP' for various places around the country. It's really an interesting procedure. The patient's own blood products are taken from their body, spun down to use only the PRP portion and then re-injected into the injured site. Evidently the PRP acts like stem cells and initiates massive tissue repair. So far, still investigational and no insurance is paying. However, if you have patients who can afford to pay out of pocket, they should ask their surgeon about this prior to some types of repair. It looks best for tendon and muslce injury. No idea how it is for bone/disc. Minga Guerrero DC News 1 new result for platelet rich plasma LaRon Landry had surgery to repair dislocated wrist Washington Post 24, and now he is receiving Platelet Rich Plasma (PRP) treatments to heal micro-tears in his Achilles' tendon. A newer procedure, PRP treatment is intended ... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 14, 2011 Report Share Posted February 14, 2011 Siker radiology center in Portland does something like this. I have a PIP with low back pain who had it twice from them. I don't think it helped much. Ann Stem cell treatment I got this article from a friend of mine (DC) who's also a med-evac trauma surgical assistant of approx 20 yrs with the air national guard. He works for a company that is currently supplying the 'PRP' for various places around the country. It's really an interesting procedure. The patient's own blood products are taken from their body, spun down to use only the PRP portion and then re-injected into the injured site. Evidently the PRP acts like stem cells and initiates massive tissue repair. So far, still investigational and no insurance is paying. However, if you have patients who can afford to pay out of pocket, they should ask their surgeon about this prior to some types of repair. It looks best for tendon and muslce injury. No idea how it is for bone/disc. Minga Guerrero DC News 1 new result for platelet rich plasma LaRon Landry had surgery to repair dislocated wristWashington Post24, and now he is receiving Platelet Rich Plasma (PRP) treatments to heal micro-tears in his Achilles' tendon. A newer procedure, PRP treatment is intended ... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 15, 2011 Report Share Posted February 15, 2011 I had the procedure done on a tennis elbow that would not respond to conservative care. The procedure was quite effective although I needed two seperate injections. Jimmy Herbert @ Meridian is the man to see. Danno Stem cell treatment I got this article from a friend of mine (DC) who's also a med-evac trauma surgical assistant of approx 20 yrs with the air national guard. He works for a company that is currently supplying the 'PRP' for various places around the country. It's really an interesting procedure. The patient's own blood products are taken from their body, spun down to use only the PRP portion and then re-injected into the injured site. Evidently the PRP acts like stem cells and initiates massive tissue repair. So far, still investigational and no insurance is paying. However, if you have patients who can afford to pay out of pocket, they should ask their surgeon about this prior to some types of repair. It looks best for tendon and muslce injury. No idea how it is for bone/disc. Minga Guerrero DC News 1 new result for platelet rich plasma LaRon Landry had surgery to repair dislocated wristWashington Post24, and now he is receiving Platelet Rich Plasma (PRP) treatments to heal micro-tears in his Achilles' tendon. A newer procedure, PRP treatment is intended ... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 15, 2011 Report Share Posted February 15, 2011 Ok news to me. Is this effective for DJD of spine or extremeties?ElliottSent via BlackBerry by AT&TFrom: " D Beebe, D.C." <daniel.beebe@...>Sender: Date: Tue, 15 Feb 2011 07:17:13 -0800< >; Ann Goldeen<anngoldeen@...>Subject: Re: Stem cell treatment I had the procedure done on a tennis elbow that would not respond to conservative care. The procedure was quite effective although I needed two seperate injections. Jimmy Herbert @ Meridian is the man to see. Danno Stem cell treatment I got this article from a friend of mine (DC) who's also a med-evac trauma surgical assistant of approx 20 yrs with the air national guard. He works for a company that is currently supplying the 'PRP' for various places around the country. It's really an interesting procedure. The patient's own blood products are taken from their body, spun down to use only the PRP portion and then re-injected into the injured site. Evidently the PRP acts like stem cells and initiates massive tissue repair. So far, still investigational and no insurance is paying. However, if you have patients who can afford to pay out of pocket, they should ask their surgeon about this prior to some types of repair. It looks best for tendon and muslce injury. No idea how it is for bone/disc. Minga Guerrero DC News1 new result for platelet rich plasma LaRon Landry had surgery to repair dislocated wristWashington Post24, and now he is receiving Platelet Rich Plasma (PRP) treatments to heal micro-tears in his Achilles' tendon. A newer procedure, PRP treatment is intended ... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 15, 2011 Report Share Posted February 15, 2011 Steering this stem cell talk into "stem cells gone bad", I read this article this morning: http://www.the-scientist.com/news/display/57987/ Seitz, DC Tuality Physicians 730-D SE Oak St Hillsboro, OR 97123 (503)640-3724daniel.beebe@...; ; anngoldeen@...From: commongroundchiropractic@...Date: Tue, 15 Feb 2011 18:00:37 +0000Subject: Re: Stem cell treatment Ok news to me. Is this effective for DJD of spine or extremeties?ElliottSent via BlackBerry by AT & TFrom: " D Beebe, D.C." <daniel.beebe@...> Sender: Date: Tue, 15 Feb 2011 07:17:13 -0800< >; Ann Goldeen<anngoldeen@...>Subject: Re: Stem cell treatment I had the procedure done on a tennis elbow that would not respond to conservative care. The procedure was quite effective although I needed two seperate injections. Jimmy Herbert @ Meridian is the man to see. Danno Stem cell treatment I got this article from a friend of mine (DC) who's also a med-evac trauma surgical assistant of approx 20 yrs with the air national guard. He works for a company that is currently supplying the 'PRP' for various places around the country. It's really an interesting procedure. The patient's own blood products are taken from their body, spun down to use only the PRP portion and then re-injected into the injured site. Evidently the PRP acts like stem cells and initiates massive tissue repair. So far, still investigational and no insurance is paying. However, if you have patients who can afford to pay out of pocket, they should ask their surgeon about this prior to some types of repair. It looks best for tendon and muslce injury. No idea how it is for bone/disc. Minga Guerrero DC News 1 new result for platelet rich plasma LaRon Landry had surgery to repair dislocated wristWashington Post24, and now he is receiving Platelet Rich Plasma (PRP) treatments to heal micro-tears in his Achilles' tendon. A newer procedure, PRP treatment is intended ... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 17, 2011 Report Share Posted February 17, 2011 I went out to the Centeno clinic, good docs, was considering autologous mesenchymal stem cell therapies. for my own torn disc, what they are doing is fascinating taking the person's own mesenchymal stem cells from bone marrow growing it out, and reinjecting into damaged joints, they have some promising results, esp knees, hips Freeman and Centeno have authored many papers together, for peer reviewed journals the concept is great, enhance the body's ability to heal itself, rather than replacing joints Marc Marc Heller, DC mheller@... www.MarcHellerDC.com On 2/14/2011 7:35 PM, Snell wrote: > > Also check out Centeno's site at Regenexx.com > <http://www.regenexx.com> for info about autologous mesenchymal stem > cell therapies. Dr. Centeno was co-author of the whiplash/trigger > point paper that Dr. Freeman recently posted here. > > > > Expert Opin Biol Ther. 2011 Feb 1. [Epub ahead of print] > > > Platelet rich plasma therapies for sports muscle injuries: any > evidence behind clinical practice? > > Andia I > <http://www.ncbi.nlm.nih.gov.ezproxy.uws.edu/pubmed?term=%22Andia%20I%22%5BAutho\ r%5D>, > Sánchez M > <http://www.ncbi.nlm.nih.gov.ezproxy.uws.edu/pubmed?term=%22S%C3%A1nchez%20M%22%\ 5BAuthor%5D>, > Maffulli N > <http://www.ncbi.nlm.nih.gov.ezproxy.uws.edu/pubmed?term=%22Maffulli%20N%22%5BAu\ thor%5D>. > > Research Department, Osakidetza Basque Health Service, B Arteaga 107, > 48170 Zamudio, Spain. > > > Abstract > > Introduction: At present, no drugs are available to hasten restoration > of muscle function after injury. Platelet-rich plasma (PRP) therapies > may help athletes by promoting muscle regeneration. Areas covered: > This is a systematic review assessing the evidence base for PRP > therapies in the management of muscle injuries. A computerized > literature search, citation tracking and hand searching for original > studies assessing the effect of PRP therapies on skeletal muscle cell > biology, skeletal muscle repair, or regeneration in animals or humans > was performed. No randomized trials have studied the merits of PRP > injections for muscle healing. Clinical studies indicated that PRP > therapies may enhance muscle repair after strain or contusion, and > laboratory data indicated that they can enhance diverse aspects of > myogenesis. However muscle injuries present a complicated picture that > includes many components other than muscle cells, such as blood > vessels, connective tissue and neural components. Expert opinion: The > field is relevant but under-researched. No PRP formulation has yet > displayed proven solid evidence for the stimulation of healing and > recovery after sports muscle injuries. Therefore, major issues, > including standardization of formulations and application procedures, > need to be addressed to inform clinical studies before recommending > best practice guidelines. > > > Clin J Sport Med. 2011 Jan;21(1):37-45. > > > Platelet-rich plasma treatment for ligament and tendon injuries. > > Paoloni J > <http://www.ncbi.nlm.nih.gov.ezproxy.uws.edu/pubmed?term=%22Paoloni%20J%22%5BAut\ hor%5D>, > De Vos RJ > <http://www.ncbi.nlm.nih.gov.ezproxy.uws.edu/pubmed?term=%22De%20Vos%20RJ%22%5BA\ uthor%5D>, > Hamilton B > <http://www.ncbi.nlm.nih.gov.ezproxy.uws.edu/pubmed?term=%22Hamilton%20B%22%5BAu\ thor%5D>, > Murrell GA > <http://www.ncbi.nlm.nih.gov.ezproxy.uws.edu/pubmed?term=%22Murrell%20GA%22%5BAu\ thor%5D>, > Orchard J > <http://www.ncbi.nlm.nih.gov.ezproxy.uws.edu/pubmed?term=%22Orchard%20J%22%5BAut\ hor%5D>. > > Sports Medicine Department, ASPETAR, Qatar Orthopaedic and Sports > Medicine Hospital, Doha, Qatar. justin.paoloni@... > > > Abstract > > Platelet-rich plasma (PRP) is derived from centrifuging whole blood, > has a platelet concentration higher than that of the whole blood, is > the cellular component of plasma that settles after centrifugation, > and contains numerous growth factors. There is increasing interest in > the sports medicine and athletic community about providing endogenous > growth factors directly to the injury site, using autologous blood > products such as PRP, to potentially facilitate healing and earlier > return to sport after musculoskeletal injury. Despite this interest, > and apparent widespread use, there is a lack of high-level evidence > regarding randomized clinical trials assessing the efficacy of PRP in > treating ligament and tendon injuries. Basic science and animal > studies and small case series reports on PRP injections for ligament > or tendon injuries, but few randomized controlled clinical trials have > assessed the efficacy of PRP injections and none have demonstrated > scientific evidence of efficacy. Scientific studies should be > performed to assess clinical indications, efficacy, and safety of PRP, > and this will require appropriately powered randomized controlled > trials with adequate and validated clinical and functional outcome > measures and sound statistical analysis. Other aspects of PRP use that > need to be determined are (1) volume of injection/application, (2) > most effective preparation, (3) buffering/activation, (4) injection > technique (1 depot vs multiple depots), (5) timing of injection to > injury, (6) single application versus series of injections, and (7) > the most effective rehabilitation protocol to use after PRP injection. > With all proposed treatments, the doctor and the patient should weigh > up potential benefits of treatment, potential risks, and costs. Based > on the limited publications to date and theoretical considerations, > the potential risks involved with PRP are fortunately very low. > However, benefits remain unproven to date, particularly when comparing > PRP with other injections for ligament and tendon injuries. > > > W. Snell, D.C. > Director, Solutions Sports & Spine, Inc > at Hawthorne Wellness Center > 3942 SE Hawthorne Blvd. > Portland, OR 97214 > Ph. 503-235-5484 > Fax 503-235-3956 > www.fixyourownback.com <http://www.fixyourownback.com/> > > Member, American College of Sports Medicine > Member, International Society of Clinical Rehabilitation Specialists > > > > ------------------------------------------------------------------------ > > From: twogems@... > Date: Mon, 14 Feb 2011 19:27:03 -0800 > Subject: Re: Stem cell treatment > > Minga: > > My office manager went to an N.D. there in PDX and had that done to > her foot. Was treated here in Salem by a podiatrist and orthopod > without relief, wore walking cast, etc. Finally heard about an N.D. in > PDX who did this and went to him. He drew her blood, spun it down, > then re-injected it into her foot. Fixed her right up! > > Lyndon McGill, D.C. > Salem, Oregon > www.SalemSpineClinic.com <http://www.SalemSpineClinic.com> > www.EvolvingDaily.com <http://www.EvolvingDaily.com> > > > > > On 2/14/2011 6:48 PM, AboWoman@... <mailto:AboWoman@...> wrote: > > > I got this article from a friend of mine (DC) who's also a > med-evac trauma surgical assistant of approx 20 yrs with the air > national guard. He works for a company that is currently supplying > the 'PRP' for various places around the country. It's really an > interesting procedure. The patient's own blood products are taken > from their body, spun down to use only the PRP portion and then > re-injected into the injured site. Evidently the PRP acts like > stem cells and initiates massive tissue repair. So far, still > investigational and no insurance is paying. However, if you have > patients who can afford to pay out of pocket, they should ask > their surgeon about this prior to some types of repair. It looks > best for tendon and muslce injury. No idea how it is for bone/disc. > Minga Guerrero DC > > *News* *1* new result for *platelet rich plasma* > > LaRon Landry had surgery to repair dislocated wrist > <http://www.google.com/url?sa=X & q=http://voices.washingtonpost.com/redskinsinsid\ er/laron-landry/laron-landry-had-surgery-to-re.html & ct=ga & cad=CAEQAhgAIAAoATAAOA\ BA_Ivl6gRIAVgBYgJlbg & cd=p0D7GCJiCRE & usg=AFQjCNFGFt8lLLEUzRtpzcJJ84sva5YOyg> > Washington Post > 24, and now he is receiving *Platelet Rich Plasma* (PRP) > treatments to heal micro-tears in his Achilles' tendon. A newer > procedure, PRP treatment is intended *...* > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 17, 2011 Report Share Posted February 17, 2011 I went out to the Centeno clinic, good docs, was considering autologous mesenchymal stem cell therapies. for my own torn disc, what they are doing is fascinating taking the person's own mesenchymal stem cells from bone marrow growing it out, and reinjecting into damaged joints, they have some promising results, esp knees, hips Freeman and Centeno have authored many papers together, for peer reviewed journals the concept is great, enhance the body's ability to heal itself, rather than replacing joints Marc Marc Heller, DC mheller@... www.MarcHellerDC.com On 2/14/2011 7:35 PM, Snell wrote: > > Also check out Centeno's site at Regenexx.com > <http://www.regenexx.com> for info about autologous mesenchymal stem > cell therapies. Dr. Centeno was co-author of the whiplash/trigger > point paper that Dr. Freeman recently posted here. > > > > Expert Opin Biol Ther. 2011 Feb 1. [Epub ahead of print] > > > Platelet rich plasma therapies for sports muscle injuries: any > evidence behind clinical practice? > > Andia I > <http://www.ncbi.nlm.nih.gov.ezproxy.uws.edu/pubmed?term=%22Andia%20I%22%5BAutho\ r%5D>, > Sánchez M > <http://www.ncbi.nlm.nih.gov.ezproxy.uws.edu/pubmed?term=%22S%C3%A1nchez%20M%22%\ 5BAuthor%5D>, > Maffulli N > <http://www.ncbi.nlm.nih.gov.ezproxy.uws.edu/pubmed?term=%22Maffulli%20N%22%5BAu\ thor%5D>. > > Research Department, Osakidetza Basque Health Service, B Arteaga 107, > 48170 Zamudio, Spain. > > > Abstract > > Introduction: At present, no drugs are available to hasten restoration > of muscle function after injury. Platelet-rich plasma (PRP) therapies > may help athletes by promoting muscle regeneration. Areas covered: > This is a systematic review assessing the evidence base for PRP > therapies in the management of muscle injuries. A computerized > literature search, citation tracking and hand searching for original > studies assessing the effect of PRP therapies on skeletal muscle cell > biology, skeletal muscle repair, or regeneration in animals or humans > was performed. No randomized trials have studied the merits of PRP > injections for muscle healing. Clinical studies indicated that PRP > therapies may enhance muscle repair after strain or contusion, and > laboratory data indicated that they can enhance diverse aspects of > myogenesis. However muscle injuries present a complicated picture that > includes many components other than muscle cells, such as blood > vessels, connective tissue and neural components. Expert opinion: The > field is relevant but under-researched. No PRP formulation has yet > displayed proven solid evidence for the stimulation of healing and > recovery after sports muscle injuries. Therefore, major issues, > including standardization of formulations and application procedures, > need to be addressed to inform clinical studies before recommending > best practice guidelines. > > > Clin J Sport Med. 2011 Jan;21(1):37-45. > > > Platelet-rich plasma treatment for ligament and tendon injuries. > > Paoloni J > <http://www.ncbi.nlm.nih.gov.ezproxy.uws.edu/pubmed?term=%22Paoloni%20J%22%5BAut\ hor%5D>, > De Vos RJ > <http://www.ncbi.nlm.nih.gov.ezproxy.uws.edu/pubmed?term=%22De%20Vos%20RJ%22%5BA\ uthor%5D>, > Hamilton B > <http://www.ncbi.nlm.nih.gov.ezproxy.uws.edu/pubmed?term=%22Hamilton%20B%22%5BAu\ thor%5D>, > Murrell GA > <http://www.ncbi.nlm.nih.gov.ezproxy.uws.edu/pubmed?term=%22Murrell%20GA%22%5BAu\ thor%5D>, > Orchard J > <http://www.ncbi.nlm.nih.gov.ezproxy.uws.edu/pubmed?term=%22Orchard%20J%22%5BAut\ hor%5D>. > > Sports Medicine Department, ASPETAR, Qatar Orthopaedic and Sports > Medicine Hospital, Doha, Qatar. justin.paoloni@... > > > Abstract > > Platelet-rich plasma (PRP) is derived from centrifuging whole blood, > has a platelet concentration higher than that of the whole blood, is > the cellular component of plasma that settles after centrifugation, > and contains numerous growth factors. There is increasing interest in > the sports medicine and athletic community about providing endogenous > growth factors directly to the injury site, using autologous blood > products such as PRP, to potentially facilitate healing and earlier > return to sport after musculoskeletal injury. Despite this interest, > and apparent widespread use, there is a lack of high-level evidence > regarding randomized clinical trials assessing the efficacy of PRP in > treating ligament and tendon injuries. Basic science and animal > studies and small case series reports on PRP injections for ligament > or tendon injuries, but few randomized controlled clinical trials have > assessed the efficacy of PRP injections and none have demonstrated > scientific evidence of efficacy. Scientific studies should be > performed to assess clinical indications, efficacy, and safety of PRP, > and this will require appropriately powered randomized controlled > trials with adequate and validated clinical and functional outcome > measures and sound statistical analysis. Other aspects of PRP use that > need to be determined are (1) volume of injection/application, (2) > most effective preparation, (3) buffering/activation, (4) injection > technique (1 depot vs multiple depots), (5) timing of injection to > injury, (6) single application versus series of injections, and (7) > the most effective rehabilitation protocol to use after PRP injection. > With all proposed treatments, the doctor and the patient should weigh > up potential benefits of treatment, potential risks, and costs. Based > on the limited publications to date and theoretical considerations, > the potential risks involved with PRP are fortunately very low. > However, benefits remain unproven to date, particularly when comparing > PRP with other injections for ligament and tendon injuries. > > > W. Snell, D.C. > Director, Solutions Sports & Spine, Inc > at Hawthorne Wellness Center > 3942 SE Hawthorne Blvd. > Portland, OR 97214 > Ph. 503-235-5484 > Fax 503-235-3956 > www.fixyourownback.com <http://www.fixyourownback.com/> > > Member, American College of Sports Medicine > Member, International Society of Clinical Rehabilitation Specialists > > > > ------------------------------------------------------------------------ > > From: twogems@... > Date: Mon, 14 Feb 2011 19:27:03 -0800 > Subject: Re: Stem cell treatment > > Minga: > > My office manager went to an N.D. there in PDX and had that done to > her foot. Was treated here in Salem by a podiatrist and orthopod > without relief, wore walking cast, etc. Finally heard about an N.D. in > PDX who did this and went to him. He drew her blood, spun it down, > then re-injected it into her foot. Fixed her right up! > > Lyndon McGill, D.C. > Salem, Oregon > www.SalemSpineClinic.com <http://www.SalemSpineClinic.com> > www.EvolvingDaily.com <http://www.EvolvingDaily.com> > > > > > On 2/14/2011 6:48 PM, AboWoman@... <mailto:AboWoman@...> wrote: > > > I got this article from a friend of mine (DC) who's also a > med-evac trauma surgical assistant of approx 20 yrs with the air > national guard. He works for a company that is currently supplying > the 'PRP' for various places around the country. It's really an > interesting procedure. The patient's own blood products are taken > from their body, spun down to use only the PRP portion and then > re-injected into the injured site. Evidently the PRP acts like > stem cells and initiates massive tissue repair. So far, still > investigational and no insurance is paying. However, if you have > patients who can afford to pay out of pocket, they should ask > their surgeon about this prior to some types of repair. It looks > best for tendon and muslce injury. No idea how it is for bone/disc. > Minga Guerrero DC > > *News* *1* new result for *platelet rich plasma* > > LaRon Landry had surgery to repair dislocated wrist > <http://www.google.com/url?sa=X & q=http://voices.washingtonpost.com/redskinsinsid\ er/laron-landry/laron-landry-had-surgery-to-re.html & ct=ga & cad=CAEQAhgAIAAoATAAOA\ BA_Ivl6gRIAVgBYgJlbg & cd=p0D7GCJiCRE & usg=AFQjCNFGFt8lLLEUzRtpzcJJ84sva5YOyg> > Washington Post > 24, and now he is receiving *Platelet Rich Plasma* (PRP) > treatments to heal micro-tears in his Achilles' tendon. A newer > procedure, PRP treatment is intended *...* > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 17, 2011 Report Share Posted February 17, 2011 The naturopath in our office, Minarik does both PRP and prolotherapy. The responses have been quite interesting. I am starting to see athletes with Actovegan and Traumeel injections from out of Toronto and Munich. As I understand, Actovegan is like a PRP from calves blood. Still not sure how it works. Ted Forcum, DC, DACBSP Back In Motion Sports Injuries Clinic, LLC ACA Sports Council, Past President '08 US Olympic Sports Medicine Team Member 11385 SW Scholls Ferry Road Beaverton, Oregon 97008 503.524.9040 www.bimsportsinjuries.com The information contained in this electronic message may contain protected health information confidential under applicable law, and is intended only for the use of the individual or entity named above. If the recipient of this message is not the intended recipient, you are hereby notified that any dissemination, copy or disclosure of this communication is strictly prohibited. If you have received this communication in error, please notify Back In Motion Sports Injuries Clinic, LLC at 11385 SW Scholls Ferry Road, Beaverton, OR-97008. and purge the communication immediately without making any copy or distribution. Re: Stem cell treatment > > Minga: > > My office manager went to an N.D. there in PDX and had that done to > her foot. Was treated here in Salem by a podiatrist and orthopod > without relief, wore walking cast, etc. Finally heard about an N.D. in > PDX who did this and went to him. He drew her blood, spun it down, > then re-injected it into her foot. Fixed her right up! > > Lyndon McGill, D.C. > Salem, Oregon > www.SalemSpineClinic.com <http://www.SalemSpineClinic.com> > www.EvolvingDaily.com <http://www.EvolvingDaily.com> > > > > > On 2/14/2011 6:48 PM, AboWoman@... <mailto:AboWoman@...> wrote: > > > I got this article from a friend of mine (DC) who's also a > med-evac trauma surgical assistant of approx 20 yrs with the air > national guard. He works for a company that is currently supplying > the 'PRP' for various places around the country. It's really an > interesting procedure. The patient's own blood products are taken > from their body, spun down to use only the PRP portion and then > re-injected into the injured site. Evidently the PRP acts like > stem cells and initiates massive tissue repair. So far, still > investigational and no insurance is paying. However, if you have > patients who can afford to pay out of pocket, they should ask > their surgeon about this prior to some types of repair. It looks > best for tendon and muslce injury. No idea how it is for bone/disc. > Minga Guerrero DC > > *News* *1* new result for *platelet rich plasma* > > LaRon Landry had surgery to repair dislocated wrist > <http://www.google.com/url?sa=X & q=http://voices.washingtonpost.com/redskinsinsid\ er/laron-landry/laron-landry-had-surgery-to-re.html & ct=ga & cad=CAEQAhgAIAAoATAAOA\ BA_Ivl6gRIAVgBYgJlbg & cd=p0D7GCJiCRE & usg=AFQjCNFGFt8lLLEUzRtpzcJJ84sva5YOyg> > Washington Post > 24, and now he is receiving *Platelet Rich Plasma* (PRP) > treatments to heal micro-tears in his Achilles' tendon. A newer > procedure, PRP treatment is intended *...* > > > > > ------------------------------------ All posts must adhere to OregonDCs rules located on homepage at: / Tell a colleague about OregonDCs! (must be licensed Oregon DC) Links Quote Link to comment Share on other sites More sharing options...
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