Injection Therapy

Injection Therapy
At Newcastle Physiotherapy, we have our own, in house injection therapy service. Injection therapy is used in conjunction with physiotherapy to expedite the rehabilitation process. Common conditions which can benefit are:
  • Shoulder pain (rotator cuff impingement, tendinitis, frozen shoulder, osteoarthritis)
  • Knee pain ( osteoarthritis, torn meniscus, tendinitis)
  • Hip Pain (osteoarthritis, bursitis, tendinitis)
  • Sacro-Illiac joint pain
  • Tennis and golfers elbow
  • Ankle pain (tendinitis, osteoarthritis)
  • Wrist pain (tendinitis, osteoarthritis)
We offer a variety of injections:
  • PRP
  • Corticosteroid
  • HVIGI (high volume image guided injection)
Your Physiotherapist will advise you which would be the most appropriate for your condition.

Platlet Rich Plasma Injections

Platlet Rich Plasma

Platelet Rich Plasma (PRP) Injections (Ultrasound guided):

PRP therapy is available at our clinic centres for sports injuries, tendon problems and arthritic conditions. Al our injections are ultrasound guided to ensure the accuracy of the treatment.

Due to PRP’s ability to heal and even regenerate injured or aging tendons, ligaments and joints, providing some patients with an alternative to surgery.  PRP therapy reduces the required healing time for the injuries; otherwise injuries would have sidelined the athletes/ sports professionals for a longer period.

Commonly treated conditions with PRP:

  • Arthritis:Mild to moderate arthritic joint problem.
  • Sports injuries.
  • Tendon Problems:
  • Tennis elbow (Outer side of elbow pain)
  • Golfers elbow (Inner side of elbow pain)
  • Plantar fasciitis
  • Achilles tendinopathy
  • Patellar tendinopathy
  • Supraspinatus tendinopahy
  • Trochanteric bursitis (lateral Hip pain)

PRP Blood SamplePRP treatment process:

  1. Clinician draws some blood from the same patient vein.
  2. PRP (Growth factors are rich in 3-10 times) is separated from whole blood, by using a centrifuge machine.
  3. Finally, PRP’s are injected to the treatment area under ultrasound guidance for accuracy.

What are the advantages for the patient?

  • Patient consultation, diagnosis and PRP treatment can be carried out in the same appointment, maximum of 2 hours time.
  • This is an outpatient procedure. Patient can return home after waiting for 20-30minutes in the clinic.
  • The biologic substance (PRP) is prepared from the same patient receiving the PRP Injection.

How does PRP work?

Platelets contain growth factors which are important in the healing. PRP injection contains 3-10 times more concentrated platelets in comparison to the normal blood. This expedites the natural healing process in the injured area.

 

jointpain

What are platelets?

How do i prepare for PRP treatment appointment?

You will be given an opportunity to discuss these on your pre consultation.

  • ***** Please, do not take anti inflammatory medication for a week before and 4 weeks after the PRP treatment ******
  • You will not be able to drive immediately after the procedure. Bring someone with you Or use a taxi to return home.
  • Wear comfortable clothes.

What is the PRP success rate ?

PRP therapy success rate is considerably variable. This depends on the condition being treated, patient age,  health status and treatment protocol.  Patient perception also plays an important role. The reported success rates in the literature have been largely anecdotal. PRP success in the treatment of tennis elbow (lateral epicondylitis) has been reported in up to 80-90% in some studies, Achilles tendonitis 70-80% and golfer’s elbow (medial epicondylitis) 60-70%.

What should i expect after having PRP?

You will experience some discomfort and pain during and after the treatment. Try controlling pain by using Ice packs or paracetamol.

  • Do not take anti-inflammatory medications (Ex: tramadol, Ibuprofen, naproxen, diclofenac )
  • Prepared to take few days of relative rest.
  • Do not carry out exercises for 2 weeks.
  • Contact health care professional if needed any further help.

What are the possible risks/side effects?

Though whole procedure is carried out with great care and caution, some rare side effects and risks are possible.

  • Infection – Very rare.
  • Temporary flare up, numbness, pins and needles and tingling.
  • Swelling, bruising, redness to the treatment area.
  • No symptomatic relief or increased pain. Flare-up.
  • Tendon, blood vessel, nerve damage.

Can i be allergic to the injectable solutions?

Though it is extremely rare, some patient may experience allergic reactions to their own serum , other substrates or local anaesthesia used for numbing.

Who is not suitable for PRP therapy?

If you are diagnosed with the following conditions or on treatments, you should notify us.

  • Infection
  • Malignancy
  • Haemophilic disorders
  • Blood thinning medications
  • Joint replacement to the area of PRP treatment

Resources :

  1. https://www.nice.org.uk/search?q=platelet+rich+plasma
  2. https://www.nice.org.uk/guidance/ipg438/resources/treating-tendinopathy-by-injectiong-a-patients-own-blood-into-and=around-the-painful-tendon-pdf-364581613
  3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5632954/