Saturday, July 03, 2010

Orthopedics Article

Dr. Allan Mishra recently had his commentary about the state of platelet rich plasma published in Orthopedics. 

Allan Mishra, MD
Allan Mishra
Is PRP a better solution than cortisone for treating tendon injuries? If so, why? 

"Platelet-rich plasma is clearly a better treatment for tendon injuries than cortisone. A recent double-blind randomized trial found significantly better outcomes in the treatment of tennis elbow in patients who received PRP when compared to cortisone.3,4 There is also a risk of dermal atrophy or even tendon rupture when using cortisone. For these reasons, I rarely, if ever, use cortisone in the treatment of a tendon problem in my practice."

Read more of the article...

Total Tendon


JT said...

Dr. Mishra,

Very interesting blog. It's extremely informative. I was hoping you could comment on the PRP treatment that tennis star Rafael Nadal is currently undergoing.

A description of part of this treatment is reported here:

Can you comment on a couple of things:

1. Nadal had at most 7-9 days between receiving his injection and resuming play in professional level tournaments. Is this a prudent course of action?

2. Nadal states that he could have one knee done at the time. Is there any medical reason why one couldn't treat both knees at the same time?

I ask these questions, because another tennis player, James Blake, also received PRP treatment on his knees and he speaks about a much more prolonged recovery period and far different experience.

His describes his treatment here:

I'd appreciate any insight you could offer on this.


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