PRP vs. Cortisone for Hip Tendon Tear

Better than cortisone? A PRP injection is better for your partial hip tendon tear.

Lateral sided hip pain, commonly described as pain on the outside of the hip, pain with activity and pain lying on the affected side at night, is often referred to as trochanteric bursitis.  However, many of these patients also have a partial tear of their gluteal tendon,

The Use of Oxford Knee Scores in Evaluating Stem Cell Injection Results for Arthritic Knees

The use of biologics in the orthopedic field has increased over the last few years, namely stem cell injections in the treatment of knee osteoarthritis. With more patients becoming aware of this treatment modality, the question of how effective stem cells are often arises. In order to do this, we have our patients undergoing knee joint stem cell injections complete an Oxford Knee Score handout.

Stem Cell Injections Provide Improvements in Pain and Function in Knee Osteoarthritis

A recent systematic review looked at any current studies investigating clinical outcomes and cartilage repair after the clinical application of stem cells in human subjects with knee osteoarthritis. With strict criteria, a total of 17 studies were used in the review, 8 of which used bone marrow derived stem cells. The 17 studies included 499 knees with osteoarthritis.

Can a Common Blood Pressure Medicine Help Reduce Scar Tissue in Muscle Healing?

Losartan, which is sold under the trade name Cozaar may show synergistic effects in tissue healing in patients undergoing Platelet-Rich-Plasma (PRP) therapy. Losartan is a common antihypertensive drug often used for both its antihypertensive properties and its cardiac myocyte (muscle cell) protective properties. A recent study published in 2013 by the Journal of Bone and Joint Surgery demonstrated possible exploitation of Losartan’s myocyte protective and antifibrotic properties in animal studies.

Statins (cholesterol-lowering) drugs hurt stem cell function By Ryan Borgemenke, OMS-II, and John S. Urse, DO

Statins, which include any drug name with a suffix -statin, are a class of medications commonly prescribed to treat high lipids, or cholesterol, with the intention of lowering risks of cardiovascular disease. They are also important to stabilize stents placed for heart blockages, and to help prevent recurrent stroke phenomena. Statins block an enzyme, mercifully abbreviated HMG-CoA reductase,

Stem Cell Injections from Bone Marrow Safe and Effective for Knee Arthritis

A recent study observed that knee joint injections of bone marrow-sourced stem cells alone or in combination with Platelet-rich Plasma (PRP) are safe and have beneficial effects in patients with symptoms of knee osteoarthritis. Patients experienced significant improvements in pain, function, daily living and sports activities based on rating scores at twelve month end-points. The study noted that adding a PRP injection two weeks after the initial stem cell injection in the knee did not appear to add any additional benefit.

Platelet-rich plasma (PRP) in arthroscopic hip surgery

Platelet-rich plasma (PRP) is shown to be beneficial in many pathologies.  The use of PRP in arthroscopic hip surgery demonstrates early pain relief and decreased post-operative effusion rates.  A randomized prospective study evaluated 57 patients who had arthroscopic hip surgery for femoral acetabular impingement.  30 patients received PRP injection after surgery and reported a decrease in VAS pain score at 48 hours and MRI showed less post-operative effusion rates when compared to control (Rafols et al).

VERASENSE Sensor-Assisted Total Knee Replacement

Dr. Urse utilizes a disposable sensor device called VERASENSE during total knee replacement (TKR) surgery. This technology helps Dr. Urse by providing real-time data during surgery that allows him to make important decisions to better balance your knee and customize your implant position.

Improper soft tissue balance and implant position may result in premature implant failure and the need for revision surgery in the future.1-4

Before VERASENSE,

PRP vs. Elbow arhroscopy for Tennis Elbow (lateral epicondylitis)

A recent article using a randomized, prospective, double-blind comparison of Ultrasound-guided injection of Platelet-rich Plasma (PRP) vs. Arthroscopic debridement for painful tennis elbow was reviewed (1). Both groups had significant pain relief and restoration of function at one year follow-up, but the PRP group had a return of pain by 2 years while the Elbow Arthroscopy group remained pain free and increased grip strength.

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