I have been involved in recent discussions with patients and clinicians who were under the impression that there are stem cells in circulating blood and therefore also in platelet rich plasma. They have this impression from well known podcasts, from some doctor and chiropractic clinics, and in one case from a company still in the midst of a class action lawsuit whose business model was selling PRP as a stem cell treatment for severe pulmonary diseases (The Lung Institute).
Shoulder Pain? Come to where the research is done! Click the slide for our most recent rotator cuff study.
Don Buford, MD will be presenting this research study next at the 2021 ARMI Spring Conference. In the study, patients with shoulder pain from rotator cuff tears were treating with cellular therapy (bone marrow concentrate) in a single in office injection. 2 years later, patients still had 80% pain reduction and were 84% better (SANE score) by their own report.
A recently published article concluded that LR-PRP was better than LP-PRP or HA for knee arthritis in a cohort study with 3 treatment groups of 30 patients each. Interesting because many of us believe that LP-PRP is the better choice for intra-articular applications because of less inflammatory reaction and less potential activation of the catabolic cascade.
Based on Level 1 evidence in orthopedics, how much should a clinic charge for a PRP injection for knee osteoarthritis? We already know that PRP has been shown to work better and last longer than steroid or hyaluronic acid injections….that is a fact based on over 25 level 1 studies from around the world.
The FDA maintains a public website of their letters sent to companies in the orthobiologic field. Every company on this slide has received some form of FDA inquiry. Some of the offenses are more egregious than others with patients blinded or given tainted product resulting in septicemia and life threatening illnesses.
Data proves that Platelet Rich Plasma (PRP) is the best choice for knee arthritis pain, swelling, stiffness, etc.!
The level 1 evidence for using PRP for knee arthritis symptoms is overwhelming at this point. There are over 30 level 1 studies showing that PRP is better than a steroid injection, hyaluronic acid, and placebo with benefits that last at least out to 1 year! Why insurance companies will pay for steroid injections and hyaluronic acid injections but NOT PRP that works better and comes from your own body and lasts longer is anyone’s guess!
The Las Vegas MSK Ultrasound And Orthobiologics Training Course has announced a new partnership with Interventional Orthobiologics Foundation. On August 1, 2021, the day after our 3 day MSK Ultrasound and Orthobiologics Course, IOF is sponsoring a 1 day lecture and cadaver course in Las Vegas called Foundations in Orthobiologics. Tuition is $1000 for the course or only $500 if attending our MSK Ultrasound and Orthobiologics Course.
The video shows another example of the merging of orthobiologics and orthopedic surgery. Here I repair a troubling lateral meniscal tear with circumferential sutures and then augment the repair with platelet rich plasma injected at the menisco-capsular junction.
Another study showing bone marrow concentrate equal to or better than a surgical procedure …this time for aneurysmal bone cyst….
Here is a recent article showing another application of bone marrow concentrate in orthopedics…this time for treating aneurysmal bone cysts. Percutaneous injection of BMC and DBM and PRF was equivalent to the the more invasive standard of care of curettage and bone grafting. 80% healed after a single percutaneous injection versus 74% healed after a more invasive surgical curettage and bone grafting.