pa4ortho
05-25-10, 10:33
there is a new treatment that is becoming popular ahead of the science, however some of the science is starting to look good. We have started using one of the several versions of this based on improved outcomes in pattelar, achilies, lateral epicondyle, rotatorcuff tendinosis.
its being used by alternative providers for a much broader range of indications but the data is still being developed. djd, dry eyes, migraines, etc...
Whats interesting from a austere medicine standpoint is that this is really easy to make from the patients own serum with a simple centrefuge and pipette.
there are several ways of preparing various versions of this but the simplist would involve simply drawing a sample of about 13cc of the patients blood. if you spin it imediately you dont use any edta or other anticoagulant in the tube. centrefuge for about 2-3 min. spin more if needed to seperate the layers. you should see a layer of 2-3cc of serum on the top layer. there is a barely perceptable layer and the packed red cell layer makes up the rest. draw up as much of the plasma as you can without getting red cells. Inject the plasma into the tendon at the point of maximum tenderness. its full of platelets and growth factors that stumulate a healing response and re vascularization. the revascularization is the big deal in the above tendinopathys. I will keep an eye on this and post as new indications start showing promise.
pa4ortho
its being used by alternative providers for a much broader range of indications but the data is still being developed. djd, dry eyes, migraines, etc...
Whats interesting from a austere medicine standpoint is that this is really easy to make from the patients own serum with a simple centrefuge and pipette.
there are several ways of preparing various versions of this but the simplist would involve simply drawing a sample of about 13cc of the patients blood. if you spin it imediately you dont use any edta or other anticoagulant in the tube. centrefuge for about 2-3 min. spin more if needed to seperate the layers. you should see a layer of 2-3cc of serum on the top layer. there is a barely perceptable layer and the packed red cell layer makes up the rest. draw up as much of the plasma as you can without getting red cells. Inject the plasma into the tendon at the point of maximum tenderness. its full of platelets and growth factors that stumulate a healing response and re vascularization. the revascularization is the big deal in the above tendinopathys. I will keep an eye on this and post as new indications start showing promise.
pa4ortho