MUSCULOSKELETAL PAIN & INJURY
PRP KNEE INJECTION BIRMINGHAM
Platelet Rich Plasma (PRP) Injections for Knee Osteoarthritis
Here at Dynamic Regenerative Medicine we have been providing the exciting service of PRP treatment for over several years and we are continuing to see fantastic success for our patients, in terms of reduced pain, restored mobility and functional capacity, and delayed surgery. Furthermore, now we are beginning to see more and more high quality studies supporting the use, efficacy and safety of PRP for knee joint injection for various conditions, especially knee osteoarthritis.
With our vast experience in musculoskeletal injection therapy and many years of clinical experience assessing and treating patients, we are always looking to provide the best course of treatment for the presenting conditions of our patients.
Although PRP treatment for knee osteoarthritis is the most commonly performed treatment with the largest amount of supporting evidence, we are also treating a wide variety of other knee pain conditions and injuries, like meniscus injuries and ligamentous injuries. It is also extremley important to acknowledge and appreciated that the more severe the damage or arthritis, the more difficult it is to treat. In cases like these and where there may be structural deformity, surgical intervention may be more appropriate.
Osteoarthritis is one of the most common causes of pain and disability and affects millions of people worldwide. Osteoarthritis ('osteo' meaning bone and 'arthritis' meaning inflammation of the joint) is the name given to joints that become subject to pain, stiffness and inflammation. It is a progressive degenerative disease of the cartilage and bone, often affecting the lower limb joints more so such as hips and knees as they are ‘weight bearing’ joints. Osteoarthritis is a process of normal ageing, but can also be accelerated by many factors such as - trauma, repetition, injury of surgery to the joint. Osteoarthritis of the knee is extremely common and is one of the biggest issues we see here at the Dynamic Clinic in Birmingham.
The knee joint itself is very complex, and is often subject to twisting stress. Knees are very prone to over use and factors which can accelerate wear and tear, one being previous injury that has led to tissue damage. Examples - meniscus, ACL injury and reconstructive surgery or other previous knee surgery. Patients are then often in a process of pain, muscles weakness, poor stability and increased progression of degenerative changes. Here at the Dynamic Clinic we to focus on cartilage preservation and maintenance.
TREATMENT FOR KNEE PAIN AND OSTEOARTHRITIS
Conservative treatment for knee pain
Stretching - stretching and massage of local muscles
Rest - reduce activities that put stress on the joint
Knee support - a support can sometimes be helpful
Taping/acupuncture/dry needling - has been shown to reduce pain and provide support
Manipulation - breaking down scar tissue and joint mobilisations
Strengthening - appropriate strengthening exercises
Injection therapy for knee pain
Steroid - good for pain relief short term. Chronic conditions show poor outcomes long term
Hyaluronic acid - joint lubricant that nourishes the cartilage and shows the progression of degenerative changes
PRP injection - to facilitate healing and repair
Non-steroidal injection - traumeel
What is the Research and Evidence on PRP injection treatment?
Excitingly, high quality research and evidence is continuing to grow at a fast rate to support the use of platelet-rich plasma (PRP) injection treatment. Most of the research trials so far have looked at the use of PRP injections in knee osteoarthritis and chronic tendinitis, with the majority of studies identifying favourable outcomes for PRP treatment for pain reduction and improved function compared with control groups and alternative treatments, one being corticosteroid. Here at Dynamic Clinic, our clinical director Mr Adam Whatley has a particular interest in cartilage preservation. The majority of the comparison studies to date between PRP treatment and steroid injection treatment are showing far better outcomes with PRP treatment long term. This is simply due to PRP being a stimulator of tissue repair, whereas steroid has negative implications for causes cartilage degradation over time, therefore being a poor treatment choice long term.
To date there has been no reports of any significant adverse side effects of PRP treatment. In the 14 studies considered by NICE a total of 1423 patients were included – no patients experienced any side effects apart from some minor post-injection discomfort. PRP treatment in most cases shows a dramatic reduction in pain, improved function and improved quality of life. Furthermore, PRP treatment benefits are still measurable in many patients at 12-18 months post treatment meaning that the long term effects of PRP perform better than any alternative treatments.
It is important to knowledge that PRP should be followed up with appropriate exercise rehabilitation. Assessment will be performed prior to PRP patient selection.
Further information on research and evidence can be found here.
PRP injection treatment for Knee Pain & Osteoarthritis with Dynamic Clinic
Either via a telephone call or a face to face consultation, our expert clinicians will discuss what PRP is, how it works and whether it is appropriate for your condition. It may be useful if you can forward imaging reports copies of reports.
At your appointment you will have an assessment of the area. If nessecary, we can disscuss the possibility of imaging scans or diagnostic ultrasound which.
What do I do following on from my PRP injection?
Following on from your PRP treatment you will be provided with guided instructions which will aid recovery and repair by your PRP clinician. Generally speaking, PRP is simple and very well tolerated. Apart from mild discomfort and stiffness you can continue with normal daily activities straight away. Although it will be most certainly recommended to take relative rest for a couple of days, focussing on gentle mobility and stretching.
Further information can be found below: