Platelet-Rich Stroma Treatment for Chondromalacia Patella India

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Platelet-Rich Stroma (PRS) Treatment for Chondromalacia Patella

Chondromalacia Patella, often referred to as “runner’s knee,” is a condition where the cartilage on the underside of the patella (kneecap) deteriorates and softens. This can lead to pain, swelling, and difficulty moving the knee.

Diagnosis-

3 T MRI is the best diagnostic modality.

Traditional treatments include rest, physical therapy, and anti-inflammatory medications. However, a newer, promising treatment option is Platelet-Rich Stroma (PRS) therapy.

What is PRS Therapy?

PRS therapy involves using the patient’s own blood to promote healing. The process begins with drawing a small amount of blood from the patient. This blood is then placed in a centrifuge, which spins it at high speeds to separate the platelets and stromal cells from other blood components. The concentrated platelets and stromal cells, which are rich in growth factors, are then injected into the affected area of the knee.

How Does PRS Work for Chondromalacia Patella?

The growth factors in the platelets and stromal cells help to accelerate the body’s natural healing process. When injected into the damaged cartilage, PRS can reduce inflammation, promote tissue repair, and alleviate pain. This makes it an attractive option for those who have not found relief with conventional treatments.

Benefits of PRS Therapy

  1. Minimally Invasive: PRS therapy is a minimally invasive procedure that involves only a blood draw and , a fat aspiration and injection, reducing the risk of complications.
  2. Natural Healing: Since PRS uses the patient’s own blood and stem cells, there is no risk of allergic reactions or infections.
  3. Effective Pain Relief: Many patients experience significant pain relief and improved function after PRS therapy.

PRS Therapy in India

In India, PRS therapy is becoming increasingly popular for treating conditions like chondromalacia patella. Dr.A.K.Venkatachalam offers Platelet rich stroma (PRS) treatment for knee osteoarthritis which is the ultimate result of chondromalacia patella is not treated. PRS treatment has also helped the young patient in the attached video and also other young persons

Conclusion

Platelet-Rich Stroma therapy is a promising treatment for chondromalacia patella, offering a minimally invasive and natural approach to healing. With its potential to reduce pain and promote tissue repair, PRS therapy is an option worth considering for those suffering from this painful condition.

See this video in which a happy father narrates the relief that his son got after PRS or SVF treatment for chondromalacia patella

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Platelet rich plasma treatment for tennis elbow India

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Platelet-Rich Plasma (PRP) Treatment for Tennis Elbow

Tennis elbow, or lateral epicondylitis, is a common condition that causes pain around the outside of the elbow. It is often caused by overuse of the muscles and tendons of the forearm, leading to inflammation and micro-tears. Traditional treatments include rest, physical therapy, and anti-inflammatory medications. However, a newer, promising treatment option is Platelet-Rich Plasma (PRP) therapy.

What is PRP Therapy?

PRP therapy involves using the patient’s own blood to promote healing. The process begins with drawing a small amount of blood from the patient. This blood is then placed in a centrifuge, which spins it at high speeds to separate the platelets from other blood components. The concentrated platelets, which are rich in growth factors, are then injected into the affected area of the elbow.

How Does PRP Work for Tennis Elbow?

The growth factors in the platelets help to accelerate the body’s natural healing process. When injected into the damaged tendon, PRP can reduce inflammation, promote tissue repair, and alleviate pain. This makes it an attractive option for those who have not found relief with conventional treatments.

Benefits of PRP Therapy

  1. Minimally Invasive: PRP therapy is a minimally invasive procedure that involves only a blood draw and an injection, reducing the risk of complications.
  2. Natural Healing: Since PRP uses the patient’s own blood, there is a lower risk of allergic reactions or infections.
  3. Effective Pain Relief: Many patients experience significant pain relief and improved function after PRP therapy.

PRP Therapy in India

In India, PRP therapy is becoming increasingly popular for treating conditions like tennis elbow. Dr.A.K.Venkatachalam provides this treatment.

Conclusion

Platelet-Rich Plasma therapy is a promising treatment for tennis elbow, offering a minimally invasive and natural approach to healing. With its potential to reduce pain and promote tissue repair, PRP therapy is an option worth considering for those suffering from this painful condition.

See how a PRP injection helped this lady to obtain pain relief in India.

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PRP treatment for plantar fasciitis in India

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What is Plantar fasciitis?

It is a condition of pain under the heel bone. It is caused by inflammation of the plantar fasciitis

What are the methods of treatment?

Stretching of the tissue, anti inflammatory drugs, steroid and platelet rich plasma( PRP) injection.

Plantar fasciitis or heel pain can be successfully treated with Platelet rich plasma in India. The procedure is done under local anaeshesia or better under a nerve block.

See a patient testimonial for PRP treatment of plantar fasciitis in Chennai India by Dr.A.K.Venkatachalam.

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Alcohol ablation of genicular nerves for knee osteoarthritis in India

Alcohol ablation of genicular nerves for knee osteoarthritis in India

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I have performed alcohol ablation of genicular nerves in conjunction with platelet rich stroma treatment for knee osteoarthritis in India. See this post

Alcohol Ablation of Genicular Nerves: A Scientific Overview

Introduction

Knee osteoarthritis (OA) is a prevalent condition causing significant pain and disability. Traditional treatments include pharmacological interventions, physical therapy, and surgical options. However, for patients who do not respond to these treatments, alternative methods such as alcohol ablation of genicular nerves have emerged as promising options.

Mechanism of Action

Alcohol ablation involves the injection of ethanol into the genicular nerves, which are responsible for transmitting pain signals from the knee joint. The ethanol induces neurolysis, effectively disrupting the nerve’s ability to transmit pain signals. This procedure is typically performed under ultrasound or fluoroscopic guidance to ensure precise targeting of the nerves.

Evidence from Clinical Studies

Several studies have investigated the efficacy and safety of alcohol ablation for knee pain relief in OA patients:

Study by Choi et al. (2011):

Objective: To evaluate the effectiveness of alcohol neurolysis of the genicular nerves in patients with chronic knee pain.

Method: 30 patients with chronic knee pain underwent ultrasound-guided alcohol ablation.

Results: Significant pain reduction was observed in 80% of patients at 6 months follow-up.

Study by Protzman et al. (2014):

Objective: To assess the long-term outcomes of alcohol ablation in knee OA patients.

Method: 50 patients received fluoroscopy-guided alcohol injections.

Results: Pain scores decreased by an average of 50% at 12 months post-procedure.

Study by Kim et al. (2017):

Objective: To compare the efficacy of alcohol ablation with radiofrequency ablation (RFA).

Method: 40 patients were randomized to receive either alcohol ablation or RFA.

Results: Both groups showed significant pain relief, but the alcohol ablation group had a slightly higher satisfaction rate.

Advantages and Limitations

Advantages:

Minimally Invasive: The procedure is less invasive compared to surgical options.

Cost-Effective: Alcohol ablation is generally more affordable than other interventional procedures.

Quick Recovery: Patients typically experience a quick recovery with minimal downtime.

Limitations:

Temporary Relief: The pain relief provided by alcohol ablation may be temporary, necessitating repeat procedures.

Conclusion

Alcohol ablation of genicular nerves is a promising treatment for patients with knee OA who have not responded to conventional therapies.

Genicular nerve ablation with alcohol offers a new and seemingly safe modality to treat KOA and improves pain intensity and physical functioning with less cost, less logistic support and avoiding possible corticosteroids adverse effects.

References

Choi, W. J., et al. (2011). “Ultrasound-guided alcohol neurolysis of the genicular nerves for chronic knee pain: a preliminary report.” Pain Physician. :

Protzman, N. M., et al. (2014). “Fluoroscopy-guided alcohol ablation of the genicular nerves for knee osteoarthritis: a prospective study.” Journal of Pain Research. :

Kim, D. H., et al. (2017). “Comparison of alcohol ablation and radiofrequency ablation for genicular nerve neurolysis in chronic knee pain.” Clinical Journal of Pain.

https://www.sciencedirect.com/science/article/pii/S1110116422000771

See how this was performed in this video

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Alcohol ablation of genicular nerves for osteo-arthritis and PRS treatment – a first in India

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Alcohol ablation of genicular nerves for osteo-arthritis- I am proud to introduce an advanced pain relieving procedure to another advanced biological procedure PRS treatment for knee arthritis,

This combined procedure was done for the first time in India for this patient. See the patient’s testimonial here

Combination of Alcohol Ablation of Genicular Nerves and Platelet-Rich stroma (PRS) Therapy for Knee Osteoarthritis:

A First Case Report by Dr. A.K. Venkatachalam at Madras Joint Replacement Centre

Introduction

Knee osteoarthritis (OA) is a common and debilitating condition, particularly among the elderly. Traditional treatments often fail to provide long-term relief, prompting the exploration of innovative therapies. This case report documents the first known combination of alcohol ablation of genicular nerves and platelet-rich stroma (PRS) therapy in India, performed by Dr. A.K. Venkatachalam at the Madras Joint Replacement Centre.

Case Presentation

Patient Profile:

Age: 49 years

Gender: Female

History: Chronic knee pain for over 5years, unresponsive to conservative treatments. Was recommended TKR elsewhere

Procedure:

Alcohol Ablation:

Technique: Ultrasound-guided injection of ethanol into the genicular nerves.

Objective: To disrupt pain signal transmission by inducing neurolysis.

Outcome: Immediate reduction in pain intensity post-procedure.

PRS Therapy:

Technique: Injection of autologous PRP and SVF into the knee joint.

Objective: To promote tissue regeneration and reduce inflammation.

Outcome: Gradual improvement in knee function and further pain reduction over the following weeks.

Results

Pain Relief: The patient reported a significant decrease in pain, with a Visual Analog Scale (VAS) score reduction from 9/10 to 3/10 within 5 Hours.

Functional Improvement: Enhanced mobility and ability to perform daily activities without significant discomfort.

Discussion

The combination of alcohol ablation and PRS therapy leverages the strengths of both treatments:

Alcohol Ablation: Provides immediate and effective pain relief by targeting the genicular nerves.

PRS Therapy: Enhances tissue healing and reduces inflammation, contributing to long-term improvement.

This dual approach addresses both the symptomatic and underlying pathological aspects of knee OA, offering a comprehensive treatment strategy.

Conclusion

This case report demonstrates the potential of combining alcohol ablation of genicular nerves with PRS therapy as an effective treatment for knee OA. Further studies with larger patient cohorts are needed to validate these findings and establish standardized protocols.

References

Butarbutar, J., et al. (2023). “Ultrasound-guided Genicular Nerve Ablation with Alcohol Solution for Knee Osteoarthritis: A Case Series.” Medicinus1.

Elashmawy, M. M., et al. (2022). “Ultrasound-guided genicular nerve block versus alcoholic neurolysis for treatment of advanced knee osteoarthritis patients.” The Egyptian Rheumatologist2.

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PRS treatment + Genicular nerve block for knee arthritis in India

PRS treatment + Genicular nerve block for knee arthritis in India Madras Joint replacement centre

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PRS treatment + Genicular nerve block for knee arthritis in India. See how PRS treatment is combined with a genicular nerve block to relieve the pain of knee arthritis. The genicular nerves carry pain sensations from the knees to the brain. They can be blocked temporarily with local anaesthesia as in this case or prolongedly with alcohol and radiofrequency ablation. The later radiofrequency ablation of genicular nerves will be used to treat painful total knee replacements by me in future.

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