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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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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Platelet Rich Stroma Therapy for Knee Osteoarthritis

Exploring Platelet Rich Stroma Therapy for Knee Osteoarthritis

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In this article i will elaborate how Platelet rich stroma treatment can stem the pain of Osteoarthritis.

You will hear from an eighty year old lady in Tamil and her son in English in the video at first.

Do you wish to learn about this latest alternative to knee replacement?

Platelet-rich plasma (PRP) treatment is a type of orthobiologic treatment that has been used to treat knee osteoarthritis in India. It  combines two different types of biological materials: platelet-rich plasma (PRP) and stromal vascular fraction (SVF).

What is PRP?

PRP is a concentrated solution of platelets and growth factors that are derived from a patient’s own blood. It is often used in regenerative medicine to promote tissue healing and reduce inflammation.

What is SVF?

SVF, on the other hand, is a mixture of stem cells, immune cells, and other regenerative cells that are derived from adipose tissue (fat). SVF is also known to have regenerative properties and is commonly used in stem cell therapy.

In PRS treatment, a small amount of adipose tissue is harvested from the patient and processed to extract the SVF. The PRP is then combined with the SVF to create the PRS solution. This PRS solution is then injected into the area of injury or degeneration to promote tissue regeneration and repair

How does stromal vascular fraction combat the inflammatory cause of knee osteoarthritis?

Stromal vascular fraction (SVF) is believed to combat the inflammatory cause of knee osteoarthritis through its regenerative properties. SVF contains a mixture of different cell types, including stem cells and immune cells, which work together to modulate inflammation and promote tissue repair.

  1. Anti-Inflammatory Effects: Some of the cells present in SVF, such as mesenchymal stem cells, have anti-inflammatory properties. When injected into the knee joint, these cells can help suppress the release of pro-inflammatory molecules and cytokines that contribute to the inflammation seen in osteoarthritis. By reducing inflammation, SVF may help alleviate pain and slow down the progression of the disease.
  2. Tissue Repair and Regeneration: SVF contains cells that have the ability to differentiate into various cell types, including cartilage-producing cells. In knee osteoarthritis, the protective cartilage cushioning the joint gradually wears away. SVF injections may promote the growth of new cartilage-like tissue, contributing to joint repair and improved function.
  3. Immunomodulation: SVF contains immune cells that play a role in regulating the immune response. These cells can help create an environment that is less hostile to the joint, reducing the immune system’s attack on healthy tissue and further decreasing inflammation.
  4. Growth Factors and Cytokines: SVF is rich in growth factors and cytokines, which are signaling molecules that promote cell growth, differentiation, and healing. These factors can stimulate the body’s natural healing processes and support the repair of damaged tissues. If you desire to undergo this latest treatment, seek an appointment with Dr.A.K.Venkatachalam by filling out the contact form in www.orthobiologicsurgeryindia.com

 

 

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Platelet rich stroma treatment for knee arthritis India

Platelet rich stroma treatment knee arthritis India

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A 75 year old lady with symptoms of knee locking obtained relief after Platelet rich stroma treatment in Chennai. Listen to her testimonial in this video. Dr.A.K.Venkatachalam provides this treatment in Chennai. Although this is a short term honest statement of pain relief by this patient, this study describes the mid term result of SVF treatment at five years. The conclusion in this paper is that 60 percent of patients have acceptable pain relief at five years. This might seem to be sufficient justification for undergoing this procedure which might seem expensive initially.

What is Platelet rich stroma?

Platelet-rich stroma (PRS) is a type of orthobiologic treatment that combines two different types of biological materials: platelet-rich plasma (PRP) and stromal vascular fraction (SVF).

What is PRP?

PRP is a concentrated solution of platelets and growth factors that are derived from a patient’s own blood. It is often used in regenerative medicine to promote tissue healing and reduce inflammation. A concentration of 4 x baseline value of platelets is desirable. PRP provides the growth factors which enable SVF cells to adhere.

What is SVF?

SVF is a mixture of stem cells, immune cells, and other regenerative cells that are derived from adipose tissue (fat). SVF is also known to have regenerative properties. Cells in SVF possess signalling effects. That is they stimulate resident cells within the joint to multiply and produce cartilage matrix. This property of SVF is known as “Paracrine effect” ( See point 4 below)

Stromal vascular fraction (SVF) has been suggested as a potential treatment for knee osteoarthritis due to its ability to combat the inflammatory causes of the condition. SVF contains a mixture of various cells, including mesenchymal stem cells (MSCs), immune cells, and other regenerative cells, which work together to address inflammation and promote tissue healing.

  1. Anti-inflammatory properties: MSCs within SVF have been found to possess anti-inflammatory properties. They can modulate the immune response and reduce the production of pro-inflammatory molecules, such as cytokines and chemokines. By suppressing inflammation, SVF can help alleviate pain and reduce the progression of knee osteoarthritis.
  2. Immune modulation: SVF contains immune cells, including regulatory T cells (Tregs), which play a role in immune regulation. Tregs can suppress the activity of other immune cells that contribute to inflammation. This immune modulation by SVF can help control the inflammatory response in the knee joint affected by osteoarthritis.
  3. Growth factor secretion: SVF cells, including MSCs, have the ability to secrete various growth factors, which can aid in tissue repair and regeneration. These growth factors promote the proliferation and differentiation of cells involved in cartilage and tissue repair, contributing to the healing process in the knee joint affected by osteoarthritis.
  4. Paracrine effects: SVF cells secrete factors that exert paracrine effects, meaning they influence nearby cells. These paracrine factors can have anti-inflammatory effects and promote tissue regeneration, helping to combat the inflammatory causes of knee osteoarthritis. The resident cartilage forming cells produce cartilage matrix. Cartilage is the weight bearing cushioning material at the ends of bones. Regeneration of cartilage has been observed in this paper.

In PRS treatment, a small amount of adipose tissue is harvested from the patient and processed to extract SVF. The PRP is then combined with the SVF to create the PRS solution. This PRS solution is then injected into the area of injury or degeneration to promote tissue regeneration and repair.

If you wish to get this treatment for yourself, get in touch by filling the contact form in the home page.

 

 

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Platelet-rich stroma (PRS) treatment knee osteoarthritis India

Platelet-rich stroma (PRS) treatment knee osteoarthritis India

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Platelet-rich stroma treatment for knee osteoarthritis provided amazing pain relief to this lady. Her gait was restored to normal. Listen to her testimonial in this video. To know more about Platelet-rich stroma treatment for knee arthritis, see this post. If you have other orthopaedic problems, see what I can offer here. 

What is Platelet-rich stroma?

Platelet-rich stroma treatment is a biologic combination therapy that combines the regenerative properties of both Platelet-rich plasma (PRP) and stromal vascular fraction (SVF) to treat knee osteoarthritis. PRP is a concentrated source of platelets obtained from the patient’s own blood. Platelets contain growth factors and cytokines that promote tissue healing and regeneration. SVF is a mixture of cells that are extracted from adipose tissue. These cells have the ability to differentiate into various cell types and can help repair damaged tissues1.

How is it done?

Platelet-rich stroma treatment is a minimally invasive procedure that involves the injection of PRP and SVF directly into the affected knee joint. The procedure is safe and well-tolerated, with few side effects reported1. It has been found to relieve the pain of osteoarthritis immediately and its effect can last for a few years. Over a period of time, limited cartilage repair is seen2.

If you want this procedure for yourself, seek an appointment with the doctor at the hospital by filling out the contact form in the home page.

 

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Platelet-rich stroma procedure explained

What is Platelet rich stroma (PRS) treatment for knee osteoarthritis?

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Platelet-rich stroma treatment for knee osteoarthritis

Osteoarthritis (OA) is a degenerative joint disease that affects millions of people worldwide. It causes pain, stiffness, and reduced mobility in the affected joints. One of the most common sites of OA is the knee, which bears a lot of weight and stress during daily activities.

There is no cure for OA, but there are various treatments that can help manage the symptoms and slow down the progression of the disease. One of these treatments is platelet-rich stroma (PRS), which is a type of regenerative medicine that uses the patient’s own blood cells to stimulate the healing and repair of damaged tissues.

What is Platelet-rich stroma treatment?

PRS is derived from the patient’s blood and adipose tissue which are drawn and processed in a high-end device that separates and concentrates the platelets and SVF. The PRS is then injected into the affected knee joint under ultrasound guidance, where it releases various bioactive molecules that promote inflammation, angiogenesis, and tissue regeneration.

To explain how PRS works, we need to understand how platelets and growth factors function in the body. Platelets are small blood cells that are involved in blood clotting and wound healing. They contain granules that store various growth factors, which are proteins that can signal other cells to grow, divide, or differentiate. Growth factors can also modulate inflammation, which is a natural response to injury or infection.

When PRS is injected into the knee joint, it creates a microenvironment that mimics a wound site. The platelets become activated and release their growth factors, which attract and activate other cells such as stem cells, fibroblasts, and endothelial cells. These cells then start to produce new collagen, blood vessels, and cartilage matrix, which can restore some of the lost tissue function and structure.

PRS has been shown to have beneficial effects on knee OA in several clinical trials. It can reduce pain, improve function, and enhance the quality of life for patients with mild to moderate OA. It can also delay or prevent the need for more invasive procedures such as joint replacement surgery.

PRS is a safe and minimally invasive procedure that can be performed in an outpatient setting. It has few side effects and a low risk of infection or rejection.

If you are suffering from knee OA and are interested in PRS, you should consult Dr. A.K. Venkatachalam and discuss the pros and cons of this treatment option. PRS may not be suitable for everyone as it depends on the severity of OA and individual expectations.

References:

: Venkatachalam A.K. Knee osteoarthritis treatment Platelet-rich stroma India. Ortho Biologic Surgery India Blog 2023; https://orthobiologicsurgeryindia.com/knee-osteoarthritis-treatment-with-platelet-rich-stroma-in-india/

: Venkatachalam A.K. Platelet-rich stroma procedure Knee arthritis Chennai. Ortho Biologic Surgery India Blog 2023; https://orthobiologicsurgeryindia.com/platelet-rich-stroma-procedure-explained-treatment-for-knee-oa/

: Venkatachalam A.K., What is platelet-rich stroma treatment for knee osteoarthritis in Chennai India? Dr.A.K.Venkatachalam’s MJRC Clinic 2023; https://drakvenkat.com/what-is-platelet-rich-stroma-treatment-for-knee-osteoarthritis-in-chennai-india/

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Platelet-rich stroma treatment knee arthritis India

Knee osteoarthritis treatment with Platelet-rich stroma in India

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Knee osteoarthritis treatment with Platelet-rich stroma in India.

Listen to this patient’s testimonial for knee Osteoarthritis treatment with Platelet-rich stroma in India. She came to India from Australia specifically for this treatment. She wanted to preserve her natural knees and didn’t want to undergo knee replacement. She found this cutting-edge treatment in India for a very affordable cost. Platelet-rich stroma is a combination of platelet-rich plasma prepared from venous blood and tissue stroma vascular fraction (tSVF)  prepared from fat or adipose tissue

Knee osteoarthritis is a debilitating condition that affects millions of people worldwide. It can cause pain, stiffness, and limited range of motion in the knee joint, which can make it difficult to perform everyday activities. While there are various treatments available for knee osteoarthritis, tissue stromal vascular fraction (tSVF) treatment has emerged as a promising new therapy for managing the symptoms of knee osteoarthritis.

In this video, you will hear the latest patient testimonial on tissue stromal vascular fraction treatment of knee osteoarthritis. You will understand the reason why this patient chose to come to India for this cutting-edge treatment. Learn what tSVF treatment is, how it works, and the current evidence for its effectiveness in managing knee osteoarthritis symptoms.

What is tissue stromal vascular fraction?

Tissue stromal vascular fraction treatment is a regenerative therapy that uses the patient’s own adipose tissue to help repair damaged tissues. The treatment involves a minimally invasive procedure in which a small sample of the patient’s adipose tissue is extracted and processed to isolate the stromal vascular fraction (SVF) in the operating room itself. No chemicals are used to digest fat to liberate SVF. Fat is mechanically broken down into Stromal vascular fraction.  The SVF is mixed with platelet-rich plasma to prepare Platelet-rich stroma (PRS) and then injected into the damaged area, where it can stimulate the body’s natural healing response and promote tissue repair.

In addition to discussing the evidence for tSVF treatment, this video will also cover what patients can expect during the treatment process. tSVF treatment is typically performed on an outpatient basis and involves a minimally invasive procedure to extract the adipose tissue. The tissue is then processed in the Operating room itsel to isolate the SVF, which is injected into the arthritic knees under ultrasound guidance.

What to expect after this procedure

After the injections, patients may experience some discomfort or swelling in the treated area. However, this usually subsides within a few days, and patients are typically able to resume their normal activities shortly after the treatment.

In conclusion, tissue stromal vascular fraction treatment is a promising new therapy for managing knee osteoarthritis symptoms. While the evidence for its effectiveness is still evolving, studies have shown that it can provide significant improvements in pain, stiffness, and knee function. If you are considering tSVF treatment for knee osteoarthritis, it is important to discuss the risks and benefits of the treatment with a healthcare provider to determine if it is the right choice for you.

Mode of payment

It is also important to note that tSVF treatment is not currently covered by insurance.

It is also worth mentioning that while tSVF treatment is a promising new therapy for knee osteoarthritis, it is not a cure for the condition. Patients may still require ongoing management of their symptoms, including physical therapy, medication, and lifestyle modifications.

In conclusion, tissue stromal vascular fraction treatment is a promising new therapy for managing knee osteoarthritis symptoms. While the evidence for its effectiveness is still evolving, studies have shown that it can provide significant improvements in pain, stiffness, and knee function. If you are considering tSVF treatment for knee osteoarthritis, it is important to discuss the risks and benefits of the treatment with a healthcare provider to determine if it is the right choice for you.

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Platelet-rich stroma procedure explained

Platelet-rich stroma procedure explained – treatment for knee OA

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Watch a Platelet-rich stroma procedure performed for a case of knee osteoarthritis. The patient has advanced OA changes as seen on 3T MRI and cartigram.

What is Platelet-rich stroma?


Platelet-rich stroma (PRS) is a combination of platelet-rich plasma (PRP) and stromal vascular fraction (SVF). PRS includes stromal cells in their matrix with stimulating factors and plays an important role in reducing articular inflammation and signalling cartilage repair in osteoarthritis. It contains SVF obtained from fat. Fat is a better source of multipotential signaling cells than bone marrow. Tissue SVF is combined with Platele-rich plasma (PRP) before intra-articular injection. Fat is harvested by mini liposuction from the thigh, buttocks, or abdominal fat through tiny incisions. The incisions heal naturally without sutures.

PRP is prepared from venous blood. It concentrates platelets several fold times. Platelets contain growth factors which assist in tissue repair.

It is injected into the knee under ultrasound guidance. Ultrasound-guided knee injections are more accurate than blind injections. Keyhole surgery (arthroscopy) or spinal anesthesia is not involved in my procedure. Platelet-rich stroma is a revolutionary procedure to treat osteoarthritis of the knee. Platelet-rich stroma relieves the pain of osteoarthritis immediately and its effect can last for a few years. Over a period of time limited cartilage repair is seen. See the technique of ultrasound-guided PRS injection here.  Platelet-rich stroma is preferred by many patients nowadays as an alternative to knee replacement 

How is it done?

The procedure is performed under local anaaesthesia. It is injected under ultrasound guidance. Ultrasound-guided knee injections are more accurate than blind injections. Keyhole surgery (arthroscopy) or spinal anesthesia is not involved in my procedure.

No spinal anesthesia is required. Keyhole surgery is not used. Both knees can be done in one sitting.  The patient walks into the OR and walks out after the procedure. They experience immediate pain relief. PRS, SVFhttps://www.orthobiologicsurgeryindia.com and PRP are commonly performed biologic injections in my practice. I also perform knee replacements for advanced cases of knee arthritis. ACL reconstruction, and meniscal repair, are the common arthroscopic procedures.

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Platelet rich stroma treatment knee arthritis Chennai

Platelet rich stroma treatment knee arthritis Chennai

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Listen to a patient’s testimonial for platelet rich stroma (PRS)  treatment knee arthritis Chennai. This lady was able to walk within a few hours of the treatment.

Platelet-rich stroma (PRS) treatment for knee osteoarthritis (OA) is a promising therapeutic option that has shown significant potential recently. This approach involves the use of the patient’s own blood and tissue which is processed to extract concentrated Platelet rich stroma. This PRS is then injected directly into the knee joint without any key hole surgery under local anaesthesia.  Inside the joint PRS can stimulate the body’s natural healing response and help repair damaged tissues.

The effectiveness of PRS and SVF treatment for knee OA has been extensively studied in the literature, with a growing body of evidence suggesting that it can provide significant pain relief and improve function in patients with this condition

The positive result in this patient and others suggest that PRS treatment has significant potential as a non-invasive, low-risk therapeutic option for patients with knee OA. However, it is important to note that more research is needed to fully understand the mechanisms by which PRS treatment works and to optimize treatment protocols for different patient populations.

In conclusion, PRS treatment for knee OA is an exciting new option that holds significant promise for patients seeking relief from this debilitating condition. With further research and refinement, it is likely that PRS treatment will become an increasingly important part of the toolkit of healthcare providers seeking to improve outcomes for patients with knee OA

Listen to a patient’s testimonial here

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PRS treatment knee arthritis India

PRS treatment knee Osteoarthritis India

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Are you sick of seeing knee replacements fail among relatives and friends? So did this gentleman from Kolkata who was disillusioned with the hardships that his close relatives faced after a knee replacement. He decided to get a platelet-rich stroma ( PRS) treatment for his knee arthritis. Listen to his testimonial here. Many patients have benefited from PRS or SVF treatment in Chennai

What is PRS treatment?

Platelet-rich stroma (PRS) treatment in Chennai, India is a cutting-edge therapy for knee osteoarthritis (OA) that utilizes the patient’s own adipose (fat) tissue and PRP to promote healing and reduce pain. The treatment begins with a liposuction procedure to harvest adipose tissue from the patient’s thigh. The tissue is then processed to isolate stromal vascular fraction (SVF), which is a rich mixture of cells that include adipose-derived stem cells, endothelial cells, and other stromal cells. Once the SVF is prepared, it is mixed with platelet-rich plasma (PRP) to yield PRS, which is injected directly into the knee joint, where it can promote healing and repair of the damaged cartilage. The stem cells in the SVF can differentiate into various types of cells, including chondrocytes (cartilage cells), which can help to rebuild the damaged cartilage in the knee joint. Additionally, the SVF can stimulate the production of growth factors and other molecules that promote healing and reduce inflammation. PRP provides growth factors.

What is the result of PRS treatment

PRS treatment is a minimally invasive procedure that is performed on an outpatient basis. Patients typically experience minimal pain and discomfort during the procedure and can return to normal activities within a few days. The effects of the treatment can be seen within a few weeks and may continue to improve over time. Overall, PRS treatment for knee OA is a promising new therapy that utilizes the patient’s own cells to promote healing and reduce pain. It is a safe and effective option for patients who are seeking an alternative to traditional treatments such as surgery or medication. Platelet-rich stroma was injected into both knees of this gentleman for knee osteoarthritis, following which he has made a quick recovery.

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