The PRP therapy can also be used for either shoulder arthritis or rotator cuff injury to the shoulder joint.
This particular patient is a middle aged person with a severe shoulder arthritis problem. It is so severe that he had been advised to go for a shoulder replacement surgery. Without this surgery, he is not able to go back to work.
His shoulder radiography film shows no cartilage left and a very big bony spurs. His rotator cuff muscle is also having a severe degeneration and there are multiple tears on it. He was given treatment before including the failed cortisone injections, failed SynVisc injection which is a higher molecular gel lubricant, failed PRP injection. He tried all these but he gets no benefits from the treatment procedures. Even the strongest pain killer of all is not working to relief his pain.
After counselling, he decided to try his own stem cell. The stem cell is harvested from his back of hip, also called the ilac crest bone. The procedure is an office based treatment. It is very comfortable without the pain of a marrow biopsy. This utilizes only a very small special needle. The needle is inserted into the iliac crest bone after given the local anesthetic. The aspirated marrow blood is centrifuged, concentrated, and unwanted white blood cell, WBC is removed.
The stem cell sample is then injected into his shoulder under ultrasound guidance into his rotator cuff muscles, and the shoulder joint. His result showed, after four months of injection, a decreased utilization of taking pain killer, and occasional pain free days. His range of movement remain as it is.
Such a case represent the worst case scenario that failed all treatment, even a PRP treatment, but a positive response towards stem cell therapy is promising. The more the number of treatment the higher the chance that he will get better recovery. Although in some patient, there is no response, whilst in many others they responded very well. The good thing is that he has the option to choose even though he tried and failed all other therapy.