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Miami Sports Magazine May/June 2011

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Is it Safe?<br />

For over twenty years, PRP has<br />

been used in many different<br />

fields of medicine including: cardiac<br />

surgery, oral surgery, dentistry<br />

and periodontal implants,<br />

orthopaedics, wound care, sports<br />

medicine, neurosurgery, general<br />

surgery and cosmetics. 1 The research<br />

and clinical data we found<br />

mostly<br />

supported<br />

the manufacturer’s<br />

safety<br />

claims. 2,3<br />

Because<br />

the platelets<br />

are<br />

produced<br />

from<br />

your own<br />

blood,<br />

there is<br />

no risk of<br />

rejection or<br />

disease transmission. There does<br />

seem to be a small risk of infection,<br />

however it is very rare and<br />

no greater than any other type of<br />

injection.<br />

1. Anitua E, Andia I, et al. Thromb<br />

Haemost. 2004; 91(1):4-15.<br />

2. Everts P, Knape J, et al. JECT.<br />

2006; 38:174-187.<br />

3. Gamradt SC, Rodeo S, et al.<br />

Tech in Ortho. 2007; 22(1):26-<br />

33.<br />

What would the Tour de<br />

France say about this one?<br />

It seems to be safe and effective,<br />

but is it considered “blood<br />

doping”? Blood doping is basically<br />

the exact opposite of this<br />

procedure. The purpose of blood<br />

doping is to isolate, store and<br />

re-introduce red bloods cells to<br />

enhance oxygen carrying capacity<br />

of an athlete’s blood. We<br />

didn’t have enough time/space to<br />

follow this angle in depth, but we<br />

promise explore it more in the<br />

near future.<br />

How fast does it Work?<br />

In two different studies evaluating<br />

the use of PRP for the treatment<br />

of<br />

tennis elbow,<br />

both<br />

showed<br />

a gradual<br />

improvement<br />

at one<br />

month,<br />

three<br />

months<br />

and six<br />

months.<br />

These<br />

studies<br />

along with<br />

other studies treating different<br />

conditions suggest a reduction in<br />

pain and improvement in function.<br />

PRP delivered via<br />

injection directly to<br />

the problem area.<br />

The “spin” on most websites<br />

claim you may notice improvements<br />

after one injection but,<br />

“additional injections may be<br />

necessary.”<br />

What say we?<br />

This seems to be a better option<br />

than the overused, go to<br />

treatment of choice for the last<br />

several decades- cortisone. It is<br />

certainly worth exploring before<br />

surgery, but don’t take our word<br />

for it, check out the following<br />

studies.<br />

FITNESS<br />

ADDITIONAL RESEARCH<br />

Positive Effect of an Autologous<br />

Platelet Concentrate in Lateral<br />

Epicondylitis.<br />

Joost C. Peerbooms, MD, Jordi Sluimer, MD,<br />

et al. The American Journal of <strong>Sports</strong> Medicine.<br />

2010; 38.225<br />

Platelet-rich Plasma Injection<br />

Reduces Pain in Patients With<br />

Recalcitrant Epicondylitis.<br />

Hecthman K, Uribe J, et al. Orthopedics. <strong>2011</strong>;<br />

34:2<br />

Platelet-Rich Plasma Injection for<br />

Chronic Achilles Tendinopathy.<br />

Robert J. de Vos, Adam Weir, et al. JAMA.<br />

2010; 202(2):144-149.<br />

Use of platelet-rich plasma for the<br />

treatment of refractory jumper’s<br />

knee.<br />

Kon E, Filardo G, et al. Injury. 2009; 598-603<br />

Growth Factors For Chronic Plantar<br />

Fasciitis?<br />

Stephen L. Barrett, DPM, CWS, and Susan E.<br />

24 • MAY/JUNE <strong>2011</strong><br />

Growth Factors For Chronic Plantar<br />

Fasciitis?<br />

Stephen L. Barrett, DPM, CWS, and Susan E.<br />

Erredge, DPM, CWS. Podiatry Today. Nov.<br />

2004;17(11):36-42.<br />

Autologous platelets as a source<br />

of proteins for healing and tissue<br />

regeneration.<br />

Anitua E, Andia I, Ardanza B, Nurden P, Nurden<br />

AT. Thromb Haemost. 2004; 91(1):4-15.<br />

Platelet-Rich Plasma in Rotator Cuff<br />

Repair<br />

Gamradt, Seth C. M.D.; Rodeo, Scott A.<br />

M.D. Warren, Russell F. M.D. Techniques in<br />

Orthopaedics. 22(1):26-33, March 2007.<br />

Management of Lateral Epicondylitis:<br />

Current Concepts.<br />

Calfee R, Patel A, DaSilva M, Akelman<br />

E. Journal of the American Academy of<br />

Orthopaedic Surgeons. 2008; 16:19-29.<br />

Platelet-Rich Plasma and Platelet Gel:<br />

A Review.<br />

Everts P, Knape J, Weibrich G, et al. The Journal<br />

of The American Society of Extra-<br />

Corporeal technology. 2006; 38:174-187.<br />

In the News<br />

PLATELET RICH PLASMA<br />

New York Times article “Seeking Help for an Injury, at Any<br />

Price: A bad injury dispels doubt about a new treatment<br />

with minimal study behind it.”<br />

New York Times Article on Platelet Rich Plasma (PRP)<br />

Therapy and Potential Healing Promise for Tennis Elbow<br />

and Knee Tendonitis<br />

CBS Evening News features Platelet Rich Plasma Therapy<br />

as a preferred treatment for chronic tendonitis<br />

ABC News: Healing Tendonapathy with Your Own Blood<br />

Platelets and Growth Factors<br />

Good Morning America: Hines Ward and Others See Benefits<br />

of Healing Injuries, Arthritis with Platelet Rich Plasma<br />

(PRP) Therapy<br />

Tiger Woods receives platelet rich plasma (PRP) therapy

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