Platelet-Rich Plasma (PRP) therapy is increasingly being used to treat tendonitis, a condition characterized by inflammation and pain in the tendons.

Here’s a detailed overview of how PRP can be used for tendonitis treatment:

 

What is Tendonitis?

Tendonitis is the inflammation or irritation of a tendon, the thick fibrous cords that attach muscle to bone. Common areas affected by tendonitis include:

• Shoulder (rotator cuff tendonitis)

• Elbow (tennis elbow or golfer’s elbow)

• Wrist (De Quervain's tenosynovitis)

• Knee (patellar tendonitis)

• Ankle (Achilles tendonitis)

 

How PRP Helps with Tendonitis

Mechanism of Action:

PRP contains a high concentration of growth factors and platelets that promote healing and tissue regeneration.

These components help to:

• Reduce inflammation

• Promote collagen production

• Enhance tissue repair

• Improve blood flow to the affected area

 

Procedure

1. Consultation: A thorough consultation with a healthcare provider is necessary to diagnose tendonitis and determine if PRP therapy is appropriate.

2. Blood Draw: A small amount of the patient's blood is drawn.

3. Centrifugation: The blood is processed in a centrifuge to separate the platelet-rich plasma from other components.

4. Injection: The PRP is injected directly into the tendon at the site of inflammation. Ultrasound guidance is often used to ensure precise placement of the injection.

5. Duration: The procedure typically takes about 30-45 minutes.

 

Treatment Schedule

1. Initial Treatment: One or more PRP injections may be administered initially, depending on the severity of the tendonitis.

2. Follow-Up Treatments: Additional treatments may be needed, typically spaced a few weeks apart, to achieve optimal healing.

 

Effectiveness

1. Results: Many patients experience a reduction in pain and improvement in function within a few weeks to months following PRP therapy. Full benefits are often observed over several months as the tendon gradually heals.

2. Candidates: PRP is most effective for individuals with mild to moderate tendonitis. Severe cases may require more intensive treatments or surgical intervention.

 

Risks and Side Effects

1. Common Side Effects: These can include localized pain, swelling, and bruising at the injection site. These side effects are generally temporary and resolve within a few days.

2. Rare Side Effects: Rarely, there may be an increased risk of infection or an allergic reaction, though these are uncommon given the autologous nature of PRP (using the patient's own blood).

 

Considerations

1. Qualifications of the Provider: It is crucial to have the procedure performed by a qualified and experienced healthcare provider, often an orthopedic specialist, to ensure safety and optimal results.

2. Cost: The cost of PRP therapy for tendonitis can vary widely depending on the provider, location, and number of treatments required. It is often not covered by insurance, so it's important to check with your provider and insurance company. Consult is $50, $500 per session.

 

Conclusion

PRP therapy offers a promising treatment option for tendonitis by leveraging the body's natural healing mechanisms. It provides a minimally invasive alternative to more aggressive treatments, potentially reducing pain and improving function in individuals suffering from tendonitis. If you are considering PRP therapy for tendonitis, consult with a qualified healthcare provider to determine if it is the right option for your specific condition.