Hip Tendonitis Pain, Try Platelet Rich Plasma (PRP) for Pain Relief

Platelet Rich Plasma (PRP) for Relief from Hip Tendonitis

Tendonitis is characterized by inflammation of a tendon. A tendon is tissue that attaches muscles to bones. Tendonitis can affect any tendon in the body, but most commonly occurs around shoulders, elbows, wrists, knees, and hips. It is a common sports, hobby, and occupational injury and the etiology is typically overuse.

Hip tendonitis is often caused by repetitive strain related to overuse. This happens in individuals performing heavy physical work that involves the hip, and includes activities such as performing exercises that are beyond the capacity of the body’s tolerance. When an individual begins a new type of exercise or sport, the muscles and tendons may not be accustomed to the movements required and hence injury can occur. Similarly, increasing the duration and intensity of exercise may result in injury leading to hip tendonitis. Sudden progression in exercise without appropriate preparation may also cause hip tendonitis. Individuals who are engaged in sports such as cycling and running when associated with over straining also have the higher chances for developing hip tendonitis.

Today, regenerative medicine techniques have been proven to both regenerate ligaments and joints thereby, relieving pain. Platelet Rich Plasma (PRP) is one such technique that uses injections of your own platelets and growth factors, extracted from your blood. The blood draw and injection are done at the same office visit, an outpatient clinical procedure.

PRP has shown great promise in stimulating repair of body tissues including tendons, ligaments and cartilage. PRP mimics the body’s innate response to an injury by stimulating platelet activation. The activation of platelets plays a dynamic role in soft tissue healing.

Research shows that PRP is superior to other injections in the treatment of chronic tendonitis. The growth factors in PRP can signal the body to initiate a healing response in the local injected tissues. Healing is the first step in injured tissues regenerating their strength and function. It has been used extensively in professional athletes who seek hurried return to play.

If you have an injury or condition involving a tendon, ligament, joint or osteoarthritis, PRP may be a nonsurgical option for you.

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Platelet Rich Plasma (PRP) Treatment for Hip Pain Due to Iliotibial Band Syndrome

Platelet Rich Plasma (PRP) One Treatment Option for Hip Pain and Iliotibial Band Syndrome

What is it? Iliotibial band syndrome is inflammation of the Iliotibial band on the outside of the knee as it rubs against the outside of the knee joint. Iliotibial band syndrome (ITBS) is one of the most common causes of hip and/or knee pain among athletes.

Symptoms of ITBS. Symptoms include pain over the outside of the knee which will come on gradually over time getting progressively worse until running must stop. Typically the athlete will rest for a period of time until symptoms go only for them to return so far into a run when training resumes.  The pain is caused from swelling or inflammation of a muscle group, the tendons that attach muscles to the knee or hip, and/or the bursa that surrounds the attachments at the hip and/or knee.

What is the clinical presentation? Typically, ITBS presents with a history of pain with activity (walking, running, cycling, etc.), with soreness at the outside of the knee just above the joint. Pain can radiate up or down and include the hip and/or ankle. Climbing steps and running downhill are common irritating activities. Rest can help alleviate symptoms in the short term but isn’t a long-term remedy.

Regenerative Medicine Techniques to treat ITBS – There are various regenerative medicine techniques that are used to heal ligaments and joints. The use of platelet-rich plasma is one such therapy. Platelets are not just for clotting, immune response, or angiogenesis. Four percent of blood volume is platelets. They are the first cells to arrive at the injury site, they initiate the healing cascade, and – importantly – they contain the growth factors required for collagen regeneration.23 Put simply, instead of stimulating an inflammatory healing cascade to bring platelets and growth factors to the site of injury, with PRP the platelets are extracted from whole blood via a variety of centrifuge methods, and injected in high concentrations directly into the target sites. The result is an enhanced healing response, with less discomfort and fewer treatments.

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Get Relief from Trochanteric (Hip) Bursitis

What is Trochanteric Bursitis

Trochanteric bursitis (bursitis of the hip) is a common condition among those who lead a sedentary lifestyle as well as those who are physically active. Both hips can be effected, but most frequently it is a unilateral condition. This condition can occur in adults of any age, but most common in women as compared to men (the ratio being 4:1).

It sometimes occurs as a complication of arthroscopic surgery of the hip, but its occurrence is rare.

 

Causes

This condition may develop for any of the following reasons:

  •  If you accidentally fall on your hip,  sleep or lie down only on one side of your body for longer periods of time.
  • Play certain sports, carry out physical activities that cause injury to the joint areas, or if the joint area is overused; it may put unwanted strain on the bursa. Such activities may include running up stairs, climbing a mountain, walking for long periods of time, or standing continuously for long periods of time
  • If  your posture is incorrect.
  • Other conditions of the bone and joints such as rheumatoid arthritis, gouty arthritis, psoriasis, and thyroid disease are also known to cause trochanteric bursitis.
  • On rare occasions, it occurs as a result of an unusual drug reaction or infection.
  • If there is a history of past surgery around the hip, or if there is a prosthesis in the hip joint, this too can cause trochanteric bursitis to develop.
  • There may be calcium deposits in the tendons that attach themselves to the trochanter. This can occur due to a condition called gout. When calcium deposits develop, trochanteric bursitis can form.

 

Symptoms

People with Trochanteric bursitis  experience stiffness and pain around the hip joint, and  in the thigh region and the buttocks.

There may be pain when a person lying down on the affected side making sleep difficult.

It may be painful to gently press on the outside of hip.

Pain can be worse after an activity like climbing stairs.

 

Diagnosis

Diagnosis is based on the history of the outer hip pain. Pain may radiate down the thigh, but it should not radiate down to the foot.

Patients complain of pain when climbing up the stairs or when lying on the affected side at night..

Physicians may palpate the entire hip and check for tenderness. The tender area is the point of the inflamed bursa. Therefore, history and physical examination is generally enough to make a diagnosis, but  may order an x-ray to rule out other conditions of the bone and joints such as arthritis, fractures, or even cancer.

MRI, though expensive and not used routinely, gives an accurate image of the bursa.

 

Treatment

The goal of treatment is to reduce pain and swelling and to make the hip function normally.

Platelet Rich Plasma (PRP) for Hip Bursitis

The treatment for mild  hip bursitis typically includes rest, ice, stretching and soft tissue massage. An option for individuals with more intense pain  is PRP (Platelet Rich Plasma) therapy.  PRP utilizes the body’s own platelets to heal itself.

PRP has shown to significantly accelerate the rate in which a person with trochanteric bursitis sees their condition improve. In studies, PRP has proven to outperform traditional treatment protocols. It was responsible, at least in part, for helping NFL superstars, Hines Ward and Troy Polamalu, return from their respective injuries in record time, allowing them to participate in the 2009 Super Bowl.

When a person undergoes PRP therapy, platelets are extracted from their own blood and then injected into the site of the injury.  Platelets contain growth factors, protein molecules that promote healing. PRP therapy utilizes concentrated amounts of platelets and thus growth factors,  to accelerate the healing process.

PRP therapy will reduce and even eliminate pain. Athletes will often request it so that they can return to competition more quickly than traditional therapies would allow. In studies, PRP has been proven to significantly accelerate the rate in which a person is healed from soft tissue and bone injuries. People that need or want to quickly resume physical activity at full strength, are often good candidates for PRP therapy.

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