

THE EFFECT OF PLATELET-RICH PLASMA THERAPY ON THE ROTATOR CUFF TENDINOPATHY
Publication – 1 REVIEW ARTICLE Journal Name: International Journal of Clinical Rheumatology Are you or your patients undergo shoulder discomfort
Superior (top of shoulder)
Labral tear (type of tissue)
Anterior (from front)
Posterior (to back)
A repetitive strain often injures the shoulder by pulling the long head of the biceps tendon. This tendon, which attaches to the labrum from supraglenoid tubercle or short head of the biceps and the coracoid process of the shoulder blade bone, is tearing the labrum. It usually ends as partially detached biceps tendon with a torn labrum. The torn labrum is a severe injury and can take you out of the game for several months.
So, prevention is better than cure, and you should do the following to prevent labrum tears. As SLAP tear is an overuse injury it is always advised to:
Limit your pitches: for example, if you are a high school student, the recommendation is to limit your pitch count to no more than 100 per week. If you play as part of the team, your coach will advise you on your pitch limit mainly based on your age and other factors.
Stretch and Shoulder Exercise and Warm-Up
Stretching should be done daily. While stretching, one must focus on stretching the shoulder capsule and strengthening of the upper back and shoulder muscles. Often recommended exercises are:
Practise a Proper Technique:
It is essential to practise and learn proper pitching mechanics to avoid overuse injuries like SLAP tear. For example, while throwing, let say a ball don’t just throw with your arm but use the entire body.
The conventional treatment for labral tear usually includes:
If the above treatment does not help, then shoulder surgery was previously considered as the only option for the treatment of labral tear. For torn labrum or a labral tear shoulder surgery nowadays is performed using arthroscopic surgery or key-hole surgery. In both cases, an arthroscope is used. It involves the insertion of the camera along with few surgical tools through small holes cut into the skin around the joint.
Although torn labrum arthroscopic surgery does not involve large incision, still it usually takes around up to twelve to eighteen months to resume activities like playing sports. A patient can experience restricted movement in some cases, even after the labral tear shoulder surgery.
Pain and stiffness can also be very persistent six months after the surgery with sometimes severe loss of the range of motion.
Are you looking for an alternative to surgery that not only improves the symptoms of a labral tear treatment but also promotes healing and repair of a SLAP tear?
If the answer is yes, then try Regenerative treatment. The Regenerative therapy has been proven to work successfully for injured tendons, ligaments and sprained muscles. With Regenerative treatment, the injuries heal faster without undergoing any painful procedure like surgery. Regenerative therapy ensures faster recovery after treatment for SLAP tear injury with no downtime being struck with an injury.
We, at Medica Stem Cells, use Regenerative treatments like PRP (Platelet Rich Plasma) and/ or Stromal Vascular Fraction Therapy and Bone Marrow Aspirate Concentrate to help you to recover faster from a SLAP tear. Regenerative therapies help to repair the injury by regenerating new tissue which allows you to regain strength and confidence to participate in sports again after a minimal downtime period. You can get back to playing the sports much faster than compared to surgery, and use your joints without any restriction in their movement.
A combination of procedure may be the treatment protocol. For some patients, the treatment is an administration of a series of injections over several treatment sessions. The choice of the treatment protocol is at the discretion of the consultant, which primarily depends on your case.
Regenerative therapy is an orthobiological treatment; thus, it requires some time to initiate repair of the damaged or injured tissue in the affected area. The effect of the treatment is not instant. It requires around a month for the patient to experience early signs of improvement such as reduced pain or increase in function of the shoulder joint or sometimes both.
Shortly after the procedure, some patient’s might experience mild discomfort at the site of treatment which can last for a day or two. Generally, the pain or ache is eased by rest and sometimes if needed, simple painkillers may be prescribed.
The Regenerative treatment has a strong anti-inflammatory effect, mostly due to the release of Cytokines and growth factors. The anti-inflammatory effect lasts for around two to three months, thus reducing inflammation around the shoulder. Continued improvement is seen as the tissues begin to heal around the torn labrum. It is always advisable to wait for 3-4 months for the effects of the treatment to become apparent.
Patients attend follow up consultations up to six months post-treatment, usually at 3 and 6 months mark. The review sessions provide an opportunity for the patients so that they can explain their progress. During these reviews, the consultant compares the improvement with the previous medical records before the procedure started, to see the overall progress.
The outcome of the Regenerative procedures varies for every patient, which mainly depends on factors like age, lifestyle, type and severity of the condition and other factors.
Publication – 1 REVIEW ARTICLE Journal Name: International Journal of Clinical Rheumatology Are you or your patients undergo shoulder discomfort
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Publication – 3 CASE REPORT Journal Name: International Journal of Clinical Rheumatology Objective: To evaluate the effect of combining ultrasound-guided Platelet-Rich Plasma (PRP)
Medica Stem Cells Clinics offer expertise in pain management. Knees and hips are the most common joints treated at our clinics.
Unlike surgery, the recovery time after the Regenerative treatment is a lot shorter. Many of our patients choose Regenerative Medicine treatment for hip and knee pains to avoid lengthy rehabilitation time and hip replacement and knee replacement surgery complications.
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