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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SVF treatment knee arthritis Chennai, 5 month review

SVF treatment knee arthritis Chennai, 5 month review

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Listen to a patient’s review at 5 months for SVF treatment of knee arthritis. Her condition has tremendously improved. She has improvement of pain score, walking distance, stiffness, gait and collateral improvement in other joints as well.

This lady has a lot of improvement in her condition after five months. Her pain is much less, her stiffness has gone, her gait is straight, and her overall function is better.

What is the SVF and PRP treatment that this lady underwent?

Combined SVF and PRP treatment, also known as platelet-rich stroma (PRS) treatment, is a regenerative medicine therapy that uses two components derived from the patient’s own body to treat knee osteoarthritis. Stromal vascular fraction (SVF): This is a collection of cells isolated from fat tissue, such as the abdomen or thighs. SVF contains stem cells, endothelial cells, pericytes, and immune cells. These cells have the potential to differentiate into various cell types and promote tissue repair. Platelet-rich plasma (PRP): This is a concentrated preparation of platelets obtained from the patient’s blood. Platelets contain growth factors and cytokines that promote tissue healing and regeneration.

How is it done?

PRS treatment is a minimally invasive procedure that typically takes about an hour. Here’s a general overview of the steps involved: A small amount of fat tissue is harvested from the patient using liposuction. The fat tissue is processed to isolate the SVF. Blood is drawn from the patient and centrifuged to create PRP. The SVF and PRP are combined to create the PRS solution. The PRS solution is injected into the affected knee joint under ultrasound guidance.

Benefits –

PRS treatment is a relatively new therapy, and more research is needed to confirm its long-term efficacy. However, some studies have shown that it may be effective in reducing pain and improving function in patients with knee osteoarthritis. The potential benefits of PRS treatment include: Reduced pain and inflammation Improved joint function Increased range of motion Slowed progression of osteoarthritis Risks and side effects PRS treatment is generally considered to be safe. However, there are some potential risks and side effects associated with the procedure, such as Pain at the injection site Infection Bleeding Allergic reactions

Is it right for me?

If you are considering PRS treatment for knee osteoarthritis, it is important to talk to your doctor to discuss the potential benefits and risks and to see if it is right for you. Dr. A.K. Venkatachalam offers consultation at Chennai Meenakshi multi-specialty hospital by appointment. Book yours today. Call the hospital at 044 42938938. PRS treatment is not a cure for osteoarthritis, but it may be a viable option for people who are looking for a non-surgical treatment to manage their pain and improve their quality of life. Here are some additional things to keep in mind: PRS treatment is not covered by most insurance plans. There is limited scientific evidence on the long-term efficacy of PRS treatment. It is important to choose a qualified and experienced provider to perform the procedure.

I hope this information is helpful. Please let me know if you have any other questions. #SVFtreatment #kneearthritis #PRStreatmentchennai

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Platelet-rich stroma treatment knee arthritis Chennai

Platelet-rich stroma treatment knee arthritis Chennai

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This gentleman sought Platelet-rich stroma treatment knee arthritis Chennai from Dr.A.K.Venkatchalam. Although he had advanced grade 4 arthritis in both knees, the treatment provided pain relief after 3 days.

Osteoarthritis (OA) of the knee, a condition where the protective cartilage wears away, can be a source of chronic pain and limit mobility. While traditional treatments like medication and physical therapy offer relief, they don’t address the root cause. Enter platelet-rich stroma (PRS) treatment, a promising new approach that harnesses the body’s own healing potential.

What is Platelet-rich stroma treatment knee arthritis Chennai (PRS)?

PRS is a minimally invasive procedure that combines two powerful components:

  • Platelet-rich plasma (PRP): Concentrated platelets from your blood, rich in growth factors that promote tissue repair and regeneration.
  • Stromal vascular fraction (SVF): A collection of stem cells and other healing cells derived from your fat tissue.

How does PRS work for knee OA?

When injected into the knee joint, PRS delivers a concentrated dose of healing factors:

  • Reduced inflammation: SVF’s stem cells have anti-inflammatory properties, calming the pain and joint damage.
  • Cartilage regeneration: Growth factors in PRP stimulate cartilage growth and repair damaged tissue.
  • Improved lubrication: PRS promotes the production of synovial fluid, the lubricant that keeps your joints moving smoothly.

Benefits of PRS for knee OA:

  • Pain relief: Studies show significant pain reduction after PRS treatment, improving quality of life.
  • Improved function: Patients experience increased mobility and flexibility, allowing for better daily activities.
  • Potential to delay surgery: PRS may offer a non-surgical option for managing OA, potentially postponing or even avoiding joint replacement.
  • Minimally invasive: The procedure is relatively quick and well-tolerated, with minimal downtime. experienced in PRS therapy to discuss if it’s right for you.
  • Conclusion:

Platelet-rich stroma therapy is a cutting-edge treatment for knee osteoarthritis that utilizes the patient’s adipose (fat) tissue and Platelet-rich plasma (PRP) to promote healing and reduce pain.

It is done as an outpatient procedure and takes about 2 hours as stated by this patient. He went home soon after and was able to walk without any pain using minimal support.

Plaelet-rich stroma treatment is a safer alternative to knee replacement as said by this patient.

If you want to see more testimonials about biologic treatments for knee arthritis, and shoulder problems, visit Testimonials | Ortho Biologic Surgery Indiahttps://orthobiologicsurgeryindia.com/testimonials-stem-cell-treatment-knee-arthritis/

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