Facet joint PRP therapy

Facet Joints

PLATELET-RICH PLASMA (PRP)

What is PRP?

Our blood is made up of 93% red blood cells, 6% white blood cells, 1% platelets and plasma. Platelets are best known for their function of blood-clotting to stop bleeding. Platelets, however, are much more significant than this, as human platelets are also a critical component in injury healing.

PRP for musculoskeletal conditions

Platelet-rich plasma, commonly referred to as PRP, is an autologous blood derivative- it is human blood that is spun down and separated producing a concentration of platelets above normal values. Platelets are the clotting cells of our blood, but they also have great potential in enhancing healing of muscle, tendon, and ligaments. Studies suggest that growth factors released by platelets recruit reparative cells, may augment tissue repair, and accelerate soft tissue healing.

What does the process of PRP involve?

  • After assessing you, a nurse will take your blood (like a standard blood test), which will be spun in a centrifuge to isolate the plasma component.
  • Platelet-Rich Plasma (PRP) is activated under a light. Then the PRP is injected directly into the site of injury. The process will take around 45 to one hour.
  • Local anaesthetic is injected 15-20 minutes before or at the same time with PRP injection depending on the injury.

How does PRP work?

The growth factors and platelets in the plasma promote cells to multiply and form new tissue accelerating and enhancing the healing process.

PRP contains a much higher concentration of platelets than normal blood. This means that higher concentrations of growth factors are being released into the injured area.

When compared to cortisone injections, PRP injections hold better results and last much longer. While the effects of cortisone are rapid, they are often followed by a decline in condition. PRP shows slower but greater long-term improvement and less injury recurrence.

What can be treated with PRP?

  • Osteoarthritis
  • Muscle, ligament, and tendon injuries (including tennis or golfer’s elbow)
  • Degenerative knee conditions
  • Facet joints Arthritis
  • Bursitis
  • Cosmetic (hair, face)
  • Rotator cuff
  • Gynaecological conditions

At Melbourne Arthritis specialist Centre we focus on musculoskeletal application of PRP therapy.

Preparing for your PRP appointment

Please drink plenty of water and eat healthily prior to treatment. Avoid smoking if possible.

After your PRP treatment

Following the first PRP treatment, you will be provided with exercises and advice specific to your injury/problem area.

Improvement will be a gradual process over the days to weeks following your treatment.

Treatment frequency

Frequency and number of treatments will depend on how severe the condition is. For chronic joint injuries such as osteoarthritis, we recommend a course of three sessions, one week apart, followed by annual top up sessions.

For soft tissue injuries such as tendon tears, treatment involves three injections, two weeks apart.

Please note

As PRP is taken from your own blood, there are no risks of disease transmission or allergic reactions.

Sometimes PRP may aggravate the inflammatory response, causing a temporary increase in pain and swelling of the injured area. There may also be a local pressure effect from the injection of the fluid. These effects should subside within a few hours to days. If pain is severe, contact the doctor.

For more information, please contact our friendly front desk on 98701400 or go to www.Melbournearthritis.com.au

Facet joint arthritis therapy with PRP

What are your facet joints?

They’re the cartilage-lined links between your back bones, there are two between each vertebra. They enable your back and neck to flex smoothly so you can bend.

Facet Joints

What is facet joint syndrome/osteoarthritis?

It is pain caused by the aging process, which often leads to the facet joints becoming enlarged. Like most back pain, it can be made worse by lifting badly, or if you’re inactive or overweight.

What are the symptoms?

Pain around the affected joints, especially when turning, twisting or straightening. It’s often sore or stiff first thing in the morning. There’s also a chance it can cause discomfort, numbness or tingling in your buttocks and thighs. If the facet joints enlarge sufficiently to ‘trap’ nerves, then pain – often called sciatica – can radiate down your leg.

What is the next step?

As well as an expert consultation with a specialist on your symptoms and advice on the best way to relieve your pain, we offer both traditional and innovative therapies. The first step is to book a consultation for a thorough assessment. Please call 98701400 and speak with our Admin team.

Platelet-Rich Plasma (PRP) Therapy for Facet joints

This is an effective and well-researched procedure that’s a potential alternative to surgery. It takes advantage of the blood’s natural healing properties to reduce pain and improve joint function. It uses a specially concentrated dosage of platelets prepared from your own blood to repair damaged cartilage, tendons, ligaments, muscle and bone. Patients usually see their symptoms improve in one to two weeks of having the injections.

After written consent, our Nurse Natasha takes your blood and put it in the special PRP centrifuge and after 8 minutes we harvest the PRP form the blood. Then patient will be positioned prone and after Prep and Drape, Mr Jithoo gives local anaesthetic around facet joint area skin. Then, He Injects PRP into the facet joints and surrounding area under guidance of ultrasound machine. The patient will then be monitored for 30 minutes for safety measure and needs to be going home with a support.

Patients need to avoid extreme activity for 48 hours and this could be repeated in 1 to 2 months if needed.

Facet Joint PRP Injection relative RCT Research

  1. A Prospective Study Comparing Platelet-Rich Plasma and Local Anesthetic (LA)/Corticosteroid in Intra-Articular Injection for the Treatment of Lumbar Facet Joint Syndrome.

    Wu J, Zhou J, Liu C, Zhang J, Xiong W, Lv Y, Liu R, Wang R, Du Z, Zhang G, Liu Q.Pain Pract. 2017 Sep;17(7):914-924. doi: 10.1111/papr.12544. Epub 2017 Feb 22.PMID: 27989008 Clinical Trial.

    OBJECTIVES: To compare the effectiveness and safety between autologous platelet-rich plasma (PRP) and Local Anesthetic (LA)/corticosteroid in intra-articular injection for the treatment of lumbar facet joint syndrome. METHODS: Forty-six eligible patients with …

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  2. A New Technique for the Treatment of Lumbar Facet Joint Syndrome Using Intra-articular Injection with Autologous Platelet Rich Plasma.

    Wu J, Du Z, Lv Y, Zhang J, Xiong W, Wang R, Liu R, Zhang G, Liu Q.Pain Physician. 2016 Nov-Dec;19(8):617-625.PMID: 27906940

    SETTING: The outpatient clinic of a single academic medical center. METHODS: Total 19 patients with lumbar facet joint syndrome (8 men, 11 women; mean ages: 52.53 6.79 years, range: 38 - 62 years) were enrolled to receive lumbar facet joint injection w …

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  3. Platelet-Rich Plasma for the Treatment of Low Back Pain: a Comprehensive Review.

    Urits I, Viswanath O, Galasso AC, Sottosani ER, Mahan KM, Aiudi CM, Kaye AD, Orhurhu VJ.Curr Pain Headache Rep. 2019 Jul 3;23(7):52. doi: 10.1007/s11916-019-0797-6.PMID: 31270622 Review.

    PRP injections for sacroiliac joint-related pain are not an accepted or common treatment modality; the evidence for their efficacy remains to be seen outside of small RCTs and case reports. A small number of prospective trials have suggested there may be some benefi …

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  4. Regenerative Medicine for Axial and Radicular Spine-Related Pain: A Narrative Review.

    Desai MJ, Mansfield JT, Robinson DM, Miller BC, Borg-Stein J.Pain Pract. 2020 Apr;20(4):437-453. doi: 10.1111/papr.12868. Epub 2020 Jan 28.PMID: 31869517 Review.

    Eligible articles analyzed the therapeutic injection effects of platelet-rich plasma (PRP), prolotherapy, or mesenchymal signaling cells (MSCs) via intradiscal, facet joint, epidural, or sacroiliac joint delivery. ...CONCLUSIONS: Currently, there are l …

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  5. Do Regenerative Medicine Therapies Provide Long-Term Relief in Chronic Low Back Pain: A Systematic Review and Metaanalysis.

    Sanapati J, Manchikanti L, Atluri S, Jordan S, Albers SL, Pappolla MA, Kaye AD, Candido KD, Pampati V, Hirsch JA.Pain Physician. 2018 Nov;21(6):515-540.PMID: 30508983 

    CONCLUSION: The findings of this systematic review and single-arm metaanalysis shows that MSCs and PRP may be effective in managing discogenic low back pain, radicular pain, facet joint pain, and sacroiliac joint pain, with variable levels of evidence …

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  6. Responsible, Safe, and Effective Use of Biologics in the Management of Low Back Pain: American Society of Interventional Pain Physicians (ASIPP) Guidelines.

    Navani A, Manchikanti L, Albers SL, Latchaw RE, Sanapati J, Kaye AD, Atluri S, Jordan S, Gupta A, Cedeno D, Vallejo A, Fellows B, Knezevic NN, Pappolla M, Diwan S, Trescot AM, Soin A, Kaye AM, Aydin SM, Calodney AK, Candido KD, Bakshi S, Benyamin RM, Vallejo R, Watanabe A, Beall D, Stitik TP, Foye PM, Helander EM, Hirsch JA.Pain Physician. 2019 Jan;22(1S):S1-S74.PMID: 30717500 

    Lumbar Epidural Injections Based on one high-quality RCT, multiple relevant moderate-quality observational studies and a single-arm meta-analysis, the qualitative evidence has been assessed as Level IV (on a scale of Level I through V) using a qualitative modified approach to the …

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  7. Comparative analysis of the effectiveness of PRP therapy and facetoplasty in older patients with isolated lumbar facet syndrome: long-term results of a randomized controlled trial.].

    Byvaltsev VA, Kalinin AA, Okoneshnikova AK.Adv Gerontol. 2019;32(5):804-811.PMID: 32145173 Clinical Trial. Russian.

    The aim of the study was to conduct a comparative analysis of the long-term results of applying PRP therapy and facetoplasty in patients of the older age group with an isolated lumbar facetsyndrome. The study included 159 patients over the age of 65 with symptomatic …

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  8. [Analysis of the clinical efficacy of platelet-rich plasma therapy in the treatment of patients with isolated facet -syndrome of the lumbar spine].

    Byvaltsev VA, Kalinin AA, Okoneshnikova AK, Satardinova EE.Zh Nevrol Psikhiatr Im S S Korsakova. 2019;119(11):27-31. doi: 10.17116/jnevro201911911127.PMID: 31851168 Russian.

    AIM: To analyze clinical results of the surgical treatment of patients with isolated facet-syndrome of the lumbar spine using platelet-rich plasma (PRP) therapy for arcuate spine joints. ...Dynamic evaluation was made on average 18 months after surgery. RESULTS AND …

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