Case History 1:
 Here is a 52 year old physician presented with a six month history of chronic right elbow pain. He had previously undergone treatment with anti-inflammatory medicines, glucocorticoid injections, physical therapy, and prolotherapy with both dextrose as well as sodium morhuate. Clinical examination was remarkable for severe pain at the common extensor origin with resisted extension of the wrist and third digit. He underwent a percutaneous needle tenotomy of the common extensor origin with autologous tissue graft (platelet-rich plasma).
He did well and was able to resume tennis playing within 4 weeks after the procedure.
Case History 2:
 Here is a 57 year old man presented with a 12 year history of chronic right Achilles tendon pain. He had failed other conservative measures. An MRI scan confirmed the presence of severe chronic Achilles tendinopathy. He underwent an initial procedure with platelet rich plasma which helped but did not completely relieve his discomfort. Because of persistent pain and limited ability to perform activities of daily activity, he underwent a second procedure. Pre-procedure ultrasound demonstrated evidence of severe tendinopathy (Figure 2-1). Using aseptic technique with ultrasound needle guidance, needle tenotomy with multiple fenetrations were made in the area of tendinopathy with care not to penetrate the full substance of the tendon (Figure 2-2). 5cc’s of platelet rich plasma (PRP) were slowly infused into the fenetrated region. The patient was placed in an Achilles boot and sent to physical therapy to begin a program of eccentric exercise. He is pain free now at 26 months following the procedure.
Case History 3:
A 60 year old physician with chronic Achilles tendinopathy of the right ankle unresponsive to rest, anti-inflammatory medicines and stretching exercises underwent a percutaneous needle tenotomy with platelet rich plasma (PRP). (See video). He is currently asymptomatic 14 months following the procedure.
Watch videos from a few of the Arthritis Treatment Center's PRP patients below. Click on each video to play.
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