PAIN / ORTHOPAEDICS & SPORTS MEDICINE
Muscle & Joint Pain
JOINT PAIN & SPORTS INJURY TREATMENT
Whether you are suffering from a joint injury or suffering a ligament, or tendon injury - it can be a painfully long process, but here at Dynamic Regenerative Medicine in Birmingham and Solihull recovery can be made easier. In addition, manual therapy and physical rehabilitation therapy we have many different treatment options available to facilitate and speed up your injury recovery.
Have you tried many other treatments like physiotherapy or chiropractic but not completely achieved the full recovery you want? Here at Dynamic Regenerative Medicine, we may have just the solution for you.
Dynamic Regenerative Medicine has a fantastic reputation within the treatment of pain and sports injuries in Solihull & Birmingham and has gained this reputation from helping many patients from all over the UK get back on their feet.
Here at our sports injury clinic in Solihull, we are offering and providing state-of-the-art specialist non-surgical treatments including treatments used in regenerative medicine. It is our aim here at Dynamic Regenerative Medicine to get you back to full fitness.
WHAT TREATMENTS DO WE OFFER FOR JOINT PAIN & SPORTS INJURIES?
Here at Dynamic Regenerative Medicine, we can provide specialist regenerative injection treatments in Pure-PRP (platelet-rich plasma), high-quality hyaluronic acid (HA), and cell micro-graft transfer, alongside common anti-inflammatory injections if required. These popular regenerative treatments are used for joint or tissue injuries and conditions to speed up recovery and to restore the normal balance of biological tissue. The effects of the P-PRP and hyaluronic acid injections means that we can aim to decrease pain and stiffness and improve functional strength lost from injury.
Our philosophy is on joint preservation and joint health, not waiting until it is too late and then having to settle for surgery. Dynamic Regenerative Medicine is a member of the IACR (International Association of Cartilage Restoration and Repair) & the BKS (Biological Knee Society) and here we believe in catching joint problems early.
Today PRP and HA treatments are safe and clinically accepted treatment for a wide range of pain sports medicine patients, with good evidenced-based scientific backing. Like any treatment, successful outcomes are based on many different factors, from an accurate diagnosis to current health status to all predisposing factors. In addition to this, correctly adopted injury rehabilitation.
The use of platelet-rich plasma (PRP) injections in the treatment of musculoskeletal conditions has become more prevalent in recent years. Current literature has demonstrated that PRP injections are safe and can have the potential to accelerate the soft tissue healing process.
Musculoskeletal Medicine & Injuries
Within musculoskeletal medicine, there are many different types of injuries and problems that can develop for many different reasons. When we appreciate that the majority of cases that are not progressive and degenerative can be fortunately self-remitting and treated simply via good conservative management. However, in some cases, pain and injury may need additional support via specialist treatments.
Platelet-rich plasma (PRP) injections can be used in the treatment of many musculoskeletal injuries including that of tendinitis, muscles injuries and joint injury. Typically 2 or more injections may be required, separated by 4 weeks apart. This may vary depending on your injury.
What is PRP injection treatment?
PRP is blood plasma with a higher concentration of platelets than is generally found in the blood. These platelets contain bioactive proteins that initiate the healing of connective tissues such as bone, tendons, and ligaments.
What is PRP treatment used for?
Here at Dynamic Regenerative Medicine we fully understand how valuable PRP treatment is in Sports Medicine. We, therefore, use the technique of PRP injections to help relieve pain, reduce inflammation and most important speed up recovery in many musculoskeletal conditions and sports injuries - including tennis elbow, knee injuries, shoulder tendinitis, and other damaged tendons or ligaments. Many see significant improvements immediately after PRP treatment when paired with a rehabilitation program, but to speed up things, even more, we integrate the two.
How does Platelet Rich Plasma PRP Work?
Clinical Update: Why PRP Should Be Your First Choice for Injection Therapy in Treating Osteoarthritis
If you are a candidate for PRP, a clinician will draw a small sample of your blood and simply extract your platelets on site
While platelets are best known for clotting blood, they also contain hundreds of proteins called growth factors that are important in healing injuries
Dynamic Regenerative Medicine will create a plasma containing a higher concentration of platelets, including growth factor proteins than typically found in your blood
The resulting PRP plasma, made up of your own platelets and proteins, is then injected into the site of the injury – typically the same day your blood is drawn.
WHICH CONDITIONS BENEFIT MOST FROM PRP?
PRP treatment works most effectively for chronic ligament and tendon sprains/strains that have failed other conservative treatment, including:
Rotator cuff injuries, including partial-thickness
Shoulder pain and instability
Tennis and golfer’s elbow
Hamstring and hip strains
Knee sprains and instability
Knee: patellar tendonitis
Achilles tendonitis & plantar fasciitis
Knee, hip, and other joint osteoarthritis
Additionally, PRP can be effective for many cases of osteoarthritis by stimulating the healing of cartilage and reducing pain and disability. This includes:
Hip joint arthritis
Preview video of a PRP injection performed by Dynamic Regenerative Medicine for knee tendinitis.
NOTE: minor discomfort is felt during this procedure. Downtime is minimal.
PLATELET RICH PLASMA (PRP) INJECTIONS FOR TENDON INJURIES
Structure of a tendon
Tendons are made of cells called tenocytes, water, and fibrous collagen protein. These proteins weave together to make a strong durable structure that naturally anchors to the bone.
How do tendons become injured?
Tendons can transmit great forces and thus can be injured if they are overused or overexerted. If this occurs, micro-tears start to form in the collagen.
How do tendons heal after an injury?
Injured tendons heal by scarring — this affects their strength and hence increases the risk of re-injury. Also, because tendons do not have a good blood supply, they tend to heal slower than other soft tissues.
Why is my tendon injury not healing?
As tendons have a poor blood supply, there is only a minimal inflammatory response. Without inflammation, the tendon repair system is limited and an abnormal response occurs called angiofibroblastic degeneration. This degenerative response to the micro-tears in collagen is the essence of tendinopathy or tendinosis. Often pain, localized tenderness, swelling, and impaired performance occurs.
How have tendons been treated traditionally?
Traditional therapies do not address the inherently poor healing properties of tendons. Corticosteroid is sometimes injected but adverse effects such as atrophy and permanent structural damage to tendons can occur. Non-steroidal anti-inflammatory medications (NSAIDs) can provide some benefit, but are not addressing the problem and can cause gastrointestinal upset.
How is PRP different?
PRP injections aim to stimulate the inflammatory process which in turn will encourage the healing process. PRP focuses on restoring normal tissue composition while avoiding further degeneration.
PRP has been shown to accelerate muscle healing and reduce injury time. The early blood clot can be substituted by PRP with its physiological concentration of growth factors which stimulates the healing process.
PLATELET RICH PLASMA (PRP) INJECTIONS FOR OSTEOARTHRITIS
There is ongoing medical research into the use of PRP regarding its fantastic potential to treat other musculoskeletal injuries including - bursitis, knee injuries and of course osteoarthritis.
Over the past several years, much has been written and established about platelet-rich plasma (PRP), which is a biological treatment involving a high concentration of platelets. Platelets are specialised blood cells that contain bioactive proteins that help us with the healing and recovery process. It has been found that injecting areas of tissue damage and inflammation with high concentrations of platelets can encourage healing processes and speed up recovery from injury including joint arthritis.
Because the injection contains a high concentration of platelets, which can be from 5 – 10 times more than the untreated blood, it is well documented that these platelets can reduce inflammation in joint arthritis and even have regenerative properties. More and more people now are turning towards PRP therapy as opposed to cortisone injections. This is why it is commonly used within sports medicine too. Looking at all the literature and current clinical practice evidence – we can see that cortisone injections appeared to be good short-term for pain relief, but not so good long-term. On the contrary, PRP treatment although in some cases does not work straight away has more beneficial properties long term. Better still, we understand that PRP treatment is completely natural and has no side-effects, whereas cortisone is chondro-toxic, meaning, that it can be damaging to cartilage and soft tissue long-term. So this begs the question, why are we having cortisone, If there is a potential for tissues becoming worse off long term?
Ongoing positive results have been observed by various researchers and in clinical practice for platelet-rich plasma (PRP) treatment in mild to moderate osteoarthritis in the past few years. PRP has clearly demonstrated its supremacy in comparison to hyaluronic acid (HA) and placebo in various clinical trials and is undoubtedly the best option available for symptomatic treatment in OA. However, together PRP/HA is showing excellent clinical outcomes. The release of bioactive protein growth factors from PRP occurs immediately and lasts for around three weeks and the clinical effect tends to allow for better functional mobility. Prolonged and sustained release of growth factors from platelets have been shown to help in much better biological healing and sustained clinical effects. PRP in combination with biocompatible carriers could be one way of achieving this.
There have been numerous research and peer reviewed papers published about platelet rich plasma (PRP) therapy. Below is a selection of some recently published papers for musculoskeletal medicine.
Patel S, Dhillon MS, Aggarwal S, Marwaha N, Jain A. Treatment with platelet-rich plasma is more effective than placebo for knee osteoarthritis: a prospective, double-blind, randomized trial. Am J Sports Med. 2013 Feb;41(2):356-64.
Filardo G, Kon E, Buda R, Timoncini A, Di Martino A, Cenacchi A, Fornasari PM, Giannini S, Marcacci M. Platelet-rich plasma intra-articular knee injections for the treatment of degenerative cartilage lesions and osteoarthritis. Knee Surg Sports Traumatol Arthrosc. 2011 Apr;19(4):528-35. Epub 2010 Aug 26.
- Kon E, Mandelbaum B, Buda R, Filardo G, Delcogliano M, Timoncini A, Fornasari PM, Giannini S, Marcacci M. Arthroscopy. Platelet-rich plasma intra-articular injection versus hyaluronic acid viscosupplementation as treatments for cartilage pathology: from early degeneration to osteoarthritis. 2011 Nov;27(11):1490-501. Epub 2011 Aug 10.
Gosens T, Peerbooms JC, van Laar W, den Oudsten BL. Ongoing Positive Effect of Platelet-Rich Plasma Versus Corticosteroid Injection in Lateral Epicondylitis: A Double-Blind Randomized Controlled Trial With 2-year Follow-up. Am J Sports Med. 2011 Jun;39(6):1200-8.
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.
Peerbooms, J. C., Sluimer, J., Bruijn, D. J., Gosens, T. Positive Effect of an Autologous Platelet Concentrate in Lateral Epicondylitis in a Double-Blind Randomized Controlled Trial: Platelet-Rich Plasma Versus Corticosteroid Injection With a 1-Year Follow-up. Am J Sports Med. 2010 Feb;38(2):255-62