Platelet-Rich Plasma ( PRP )
Commonly Used For Tendinitis
Platelet-Rich Plasma is most commonly used for the treatment of damaged tendons, widely known as tendinitis. The medical term for this is tendinosis or tendinopathy. It is also used in the treatment of osteoarthritis with recent high-quality meta-analysis efficacy in comparison to alternative therapies.
With increasing severity of tendinosis, partial thickness tears may form, which if left untreated can result in a full thickness tendon tear. Some tissues such as tendons, fascia, and cartilage have a relatively poor blood supply. They are prone to breaking down when they fail to adapt to the demands of daily living and exercise.
This break down results in a degenerative change known as tendinosis can result in chronic pain. For many people changes in activity, physical therapy and biomechanical correction may be sufficient to alleviate the problem, but in patients who are not responding to these measures, platelet-rich plasma therapy can be used restore the area through a precise ultrasound-guided injection into the damaged site. Your concentrated growth factors which have been extracted from your blood soon get to work by switching on the local stem cells to repair the tendon or ligament.
What is involved?
Blood is collected just like a regular blood test, the blood is then centrifuged to remove the undesirable red blood cells and some of the white blood cells, the platelets are then concentrated to ensure a high purity Platelet-Rich Plasma. In our office, patients are generally seen every four weeks for a follow-up injection.
There is convincing research to support the efficacy and safety of Platelet-Rich Plasma therapies. At The Foot and Ankle Clinic we maximise the results and accuracy of this treatment by providing Platelet-Rich Plasma injections under Ultrasound Guidance.
For your safety The Foot and Ankle Clinic performs all harvesting in a Class II biosafety cabinet and laboratory using the latest equipment.
On-site Musculoskeletal ultrasound
At The Foot and Ankle Clinic’s Sale Practice, Dr. James Ferrie utilises advanced ultrasound imaging onsite, allowing for a comprehensive treatment plan to be established at your initial consultation.
Advantages of Ultrasound
Clinical evidence and research support ultrasound as the first diagnostic test for numerous Musculoskeletal (MSK) conditions. Diagnostic ultrasound offers many important advantages compared to computed tomography (CT) and magnetic resonance imaging (MRI), in terms of safety and effectiveness. Diagnostic ultrasound is noninvasive and offers real-time imaging, allowing for examinations of structures at rest and in motion. This ability to capture the movement of Musculoskeletal components differentiates it from other imaging modalities and can permit more accurate diagnoses.
What are the benefits of onsite ultrasound?
Onsite ultrasound allows for accuracy and safety when performing procedures such a nerve blocks, soft tissue and joint injection. Fast, accurate on-site diagnostic imaging reduces unnecessary therapies and allows for timely treatment of your condition without delay.
Ultrasound-guided joint injections
Ultrasound allows for visualising of Musculoskeletal tissue. We can identify the injured tissue in the office without having to wait for an MRI. During treatment, we inject the injured structures and maintain continued needle visualisation of the targeted areas.
What can I expect at my 1st consultation ?
- Listen to you
- Accurate diagnosis from previous scans and on-site ultrasound assessment.
- Physical assessment/biomechanical assessment.
- Develop a tailor-made comprehensive treatment plan to manage your condition.
- Discussing your suitability for a regenerative tissue therapy.
Does it hurt?
We do not believe treatments should be painful. Before your injections, it is common for a nerve block to be performed ensuring a pain-free procedure.
What is the success rates of tissue regenerative treatments?
Success rates are high. 80% of patients receive significant relief after treatment. Success will vary depending on the severity of the condition and general health & age. There are some patients who, due to certain health conditions or medical history, will not be suitable for regenerative injections.
What are the risks?
Tissue regenerative procedures have a proven track record when it comes to safety; complications are very uncommon mainly as these procedures utilise your own cells and very fine needles.
There are some inherent risks which are present for any injection, and these include infection and injury to nerve or blood vessel. At The Foot and Ankle Clinic, we use the latest in clinical ultrasound guidance to ensure best practice, and all laboratory work is conducted in a sterile air environment to provide the highest safety standards.
At the Foot and Ankle Clinic our highly qualified team of Podiatrists are all members of the Australian Podiatry Association and offer a combined 50 years’ experience.
Put your feet in our hands! See Dr. Ferrie today at our Sale clinic.