Sunday, May 19, 2013

Saturday, December 22, 2012 Donna Coill asks

Q: is PRP used in treating osteoarthritis?

I have osteoarthritis in my right hip, can PRP be used to help this, as it is very painful and very constricting to my movements.

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Answers (2)
12/23/12 3:38pm

Injections into the hip joint are difficult because this joint is not as accessible as the knee joint. That's why you'll see a lot more written about knee injectables than hip injectables. Hip injections need to be done with imaging guidance.

 

With that said, platelet rich plasma injection therapy is being utilized although it is not been really well studied. Yes, there are single case studies of success in this athlete's knee or that rabbit's joint. One study examined a larger group of people with bad knees and divided them into three groups. One group received three PRP injections. Another group recieved high molecular weight viscosupplementation and the final group got three injections of low molecular weight viscosupplementation. Interestingly, the PRP did better than the other two groups. And not surprising, the youngest people with the least amount of arthritis did the best.

 

So if you are young, with some money to burn (insurance won't cover this treatment), and have a minimal amount of arthritis, then a PRP injection into the hip might help. But considering you are already into the "very painful", "very constricting" phase, PRP probably won't change your life.

 

Arthroscopy. 2011 Nov;27(11):1490-501

 

 

Dr. Christina Lasich, MD

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1/21/13 5:44am

Think of some better options to treat you hip like cortisone injections or take supplements like glucosamine and chondroitin, they are effective in reducing pain and inflammation.

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By Donna Coill— Last Modified: 01/21/13, First Published: 12/22/12