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Platelet Rich Plasma (PRP) therapy..Anybody get injections??

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Thinking of trying it for my Trapezium issue (thumb bone) and have read "a lot" about it. Yes its expensive, but looking at the alternative (surgery) and the possibility of having to give up MX and/or dirtbike riding as all the surgeons I've been to say that continuing to ride would be detrimental to the thumb after surgery and recovery.

Was even thinking about seeing what it could do for my knees meniscus tear??

Edited by DonO

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PRP doesn’t work. After a trapezoidal arthroplasty, the only thing that can prevent a gun from riding is rain. (Sometimes)

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@DonO - how much pain are you in?  I had this surgery a few years ago.  

As with most things, each surgeon will have their protocol that they use for surgery.  When I had the surgery, the bone was removed and the space was filled with another substance (from what I was told anyway).  Some surgeons will use a tendon to fill the space the bone occupied.  So, you would need to ask what method they use. 

I was not in a cast, but I have met a number of people that have had this surgery that were in a cast for up to 8 weeks (these were mostly the tendon transfer surgeries).

I still have issues with my thumb.  The surgery did get rid of the pain I was having.  However, I did lose grip strength and it is still hard for me to pick up things, open jars, etc.  I have a very definitive indentation at the base of the thumb where the bone was. The people that had the "other" surgery and casts, all seemed to say they have no issues.  

I have more arthritis in my hand now.  I went to two hand specialists and both have said that they would not have performed the surgery in the same manner that I had (they use the tendon I think), but they did say that each surgeon does what they are comfortable with.

For me, I think of the PRP injections similar to cortisone injections - it will work in some people and not in others.  Some people may have better results that others.  But, if it does work and you can get a year (or whatever time) of relief without surgery, is it worth it??  Only you can answer that.

Just remember, this surgery involves removing a bone, so you will never be "100%"

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Dr. Mark,

Well you know I don't care for surgery and on top of that removing "anything" as I know once its gone its gone and your left with what ya got. I got the injections and they took enough blood to also do my knee.

I haven't felt much relief in the trapezium area but I think most of my pain is from the metacarpal joint above that area and maybe not the trapezium per say!!!! (probably just frikkin artritis!!!)

As for the knee it has felt "somewhat different" albeit I haven't done anything (read my normal body torturing activities) with it since the treatment as I was asked to stay off of it as much as possible for 10 days. We'll see how it goes. I figure why not give it a try as I got nothing to loose .....but body parts:excuseme:

RR,

I went to a couple of the best hand guys here in town, the latest does a "spiral ???? wrap" where he wraps wire around the metacarpal bones thru the area and fills the cavity with ??? (can't remember everything but I got it on paper). I am holding off on doing anything for this as long as Advil Life support is available!!:D

I always start a Dr. conversation with " Do you know anything about a dirtbike?, specifically maybe Motocross/Harescramble/Enduro?" and boy do you want to know how many "deer in the headlight" looks I have gotten over my lifetime (not to mention the looks from the nurse/PA that are in the room!!! - priceless)

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I'll give my 2 cents on this, having had a bunch of prp injections in various places due to having a friend who's a doctor and has the equipment. 

The only thing I've found that prp helps with is tendonitis. I had it pretty bad in my elbow and one injection cured it in about 24 hours. Pretty amazing. I had a few injections in my left knee thinking it would help some patella tendonitis but didn't do anything. Turned out I had some weird sciatica issue that was causing the pain, hence why the shot did nothing. 

I wouldn't waste the money on it if it's costing more than 500 bucks a pop. But if you're trying to avoid surgery maybe worth a shot. 

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2SN,

Surgery is exactly what I'm trying to avoid or at least move out until I can't take the pain any more (and/or ALS - Advil Life Support isn't helping anymore). Yes I know I could end up with a worse situation but once the body parts are gone the body falls apart (seen that enough in family, friends, and co-workers.

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2 hours ago, DonO said:

2SN,

Surgery is exactly what I'm trying to avoid or at least move out until I can't take the pain any more (and/or ALS - Advil Life Support isn't helping anymore). Yes I know I could end up with a worse situation but once the body parts are gone the body falls apart (seen that enough in family, friends, and co-workers.

DonO - I agree with you avoiding surgery (as long as you possibly can at least).  I have read studies out there (and it probably depends on what technique your surgeon uses - not sure of that) where once you remove the bone, it "may help with a short-term reduction in pain, but will permanently alter the biomechanics of the wrist and likely lead to more arthritis in more of the wrist.  In addition, once the bone is removed, there is no going back."  I think this is what happened in my case.

I have found that I do get pain relief with using CBD cream on my hand.  I've also found that taping my wrist or using a wrist wrap for lifting helps some too.

 

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17 hours ago, DonO said:

2SN,

Surgery is exactly what I'm trying to avoid or at least move out until I can't take the pain any more (and/or ALS - Advil Life Support isn't helping anymore). Yes I know I could end up with a worse situation but once the body parts are gone the body falls apart (seen that enough in family, friends, and co-workers.

Shop around and get a good price. You'd be surprised how many places can do prp injections. The worst that can happen is it doesn't do anything. Good luck. 

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RR,

after the injection in the thumb I have come to realize the real problem is the MCP joint not the trapezium (albeit that is probably a problem as well - age, but my pain is really in the MCP joint)

2SN,

Isn't really any shopping around here in the towns. Only place I found was south of me.

 

Thinking of one more knee injection with STEM cells added to PRP to see what happens. Move the F'n surgery out a month or so just to see. (Its only $$$ vs having a ?? knee after surgery and then needing knee replaced after that)

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