Effects of Platelet-Rich Plasma PRP injection treatment in Tear Size Reduction in of the Shoulder Rotator Cuff Tendon Compared to Corticosteroids Injection.
A recent study was performed and published in January 2023 to look at the comparison between Prp and Jack Gym treatment and corticosteroid injection treatment for rotator cuff tears. Corticosteroid injection, or cortisone for short, is commonly used in partial-thickness rotator cuff tears to decrease pain. However, this can result in unwanted side effects, such as tendon rupture. This is due to the nature of steroid weakening tissue. Alternatively, platelet-rich plasma (PRP) injection is now becoming far more frequently used to treat tendon issues because it facilitates healing and repair. This study aimed to compare the differences in rotator cuff tendon tear size and functional scores between PRP and cortisone injections.
Patients with symptomatic shoulder rotator cuff tears of the supraspinatus tendon who underwent conservative treatment for over 3 months with limited success were enrolled in the study. All patients underwent MRI scanning to confirm the diagnosis. Tears were measured in both planes. The patients underwent another MRI scan 6 months after the injection treatment, then a comparison was made between the two. For further assessment purposes, theAmerican Shoulder and Elbow Surgeons Shoulder score (ASES) and Constant-Murley score (CMS) were also used.
At baseline, scores were similar between the groups. Functional scores improved 6 months after injection in both groups, but PRP showed better functional scores than steroid. In conclusion, it was reported that PRP injection can reduce the tear size in partial-thickness tears of the shoulder rotator cuff supraspinatus tendon. Whereas shoulder steroid injection did not significantly positively affect the tear size. PRP injection treatment resulted in better improvement 6 months post-injection. furthermore, PRP injection treatment was shown to be safe and have better regenerative properties of the tendon.
Study can be found here.
Our opinion:
We carry out both of the above treatment and think far more beneficial affects short and long-term with PRP therapy over steroid. We are finding steroids to be short, lived and problematic long-term. In the area of regenerative practice, we are very proud to say we are the UK’s leading provider of advanced PRP treatment and have been providing this fantastic treatment with ongoing success for almost 10 years, providing over 13,000 treatments. We are hugely proud of the significant help and success this has provided to many people, literally changing lives.
Our Clinic Director and Clinical Scientist Mr Adam Whatley is continuing in ongoing clinical research in this fascinating area of platelets and stem cells, and to offer the best level of clinical practice to all patients. PRP treatment has been ongoingly praised for its huge safety profile and effectiveness for various different conditions of very different areas of clinical medicine. Risks and adverse complications associated with PRP treatment is practically non-existent.
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