What does the data show?
500+ Published articles, studies and reviews in Pubmed: Sept, 2022
Studies show significant pain reduction.
Multiple studies show that vastly fewer patients progress on to surgery thn untreated patients.
Many studies show long term relief, many studies out to 3,4,5 even six year followup periods.
Many studies look at healing and MRI evidence reveals disease regression, reduction in bulge size, increased disc height, and hydration.
Patients treated with higher concentrations of nucleated cells do the best.
Adverse events are either surprisingly minimal or not seen. Even in long term follow-up. The comparitive risk of surgical options completely eclipse the minimal risk of intradiscal therapy.
Because there is no way to patent your own cells, Pharma and Medical Industry has largely ignored these treatments as there is little money to be made.
The few prospective, sham controlled, randomized controlled trials DO show statistical and clinical benefit.
BUT MOST IMPORTANTLY: Dispite over 500+ published reports on intradiscal injections in the PubMed database, these studies are not large, prospective, multicenter RCT (randomized controlled trials), and even though the evidence is overwhelmingly positive, because of the lack of such large studies we simply do not have the evidence to say with complete confidence:
The procedures are safe
the procedures are highly effective
the procedures are curative
the procedures are without long term risk.
SO!
Proceed with caution
Research your physician, ask for his or her training, liscencure and expertise.
Most everyone gets relief
but not all...
Pain relief is stable over years
there should be a prospective trial against fusion surgery
BoneMarrowAspirationConcentrate: "BMAC"
BONE MARROW DERIVED STEM CELL RESEARCH ARTICLES
Stem Cells, Sept 3, 2014, 146-156.
J Tissue Eng Regen Med 2014; 8: 925–936.
Multipotent Mesenchymal Stem Cell Treatment for Discogenic Low Back Pain and Disc Degeneration
Stem Cells International
Volume 2016 (2016), Article ID 3908389
Intervertebral Disc Repair by Autologous Mesenchymal Bone Marrow Cells: A Pilot Study Transplantation2011;92: 822–828
Tissue engineering strategies applied in the regeneration of the human intervertebral disk
https://www.sciencedirect.com/science/article/pii/S0734975013001249?via%3Dihub
Cell Prolif., 2014, 47, 381–390
Cell sources for nucleus pulposus regeneration
Eur Spine J (2014) 23 (Suppl 3):S364–S374
Disc cell therapies: critical issues
Eur Spine J (2014) 23 (Suppl 3):S375–S384
The Physician and Sports Medicine. 2013 Sep
European journal of Orthopaedic Surgery and Traumatology. 2014 Jan
Clin Med Insights Arthritis Musculoskelet Disord. 2013 Sep 4
Knee Surg Sports Traumatol Arthrosc. 2013 Jan 11.
Treatment of Knee Osteoarthritis With Autologous Mesenchymal Stem Cells: A Pilot Study Transplantation: 27 June 2013 – Volume 95 – Issue 12 – p 1535–1541
Stem Cells. 2014 May;32(5):1254-66. doi: 10.1002/stem.1634.
Stem Cell Therapy Following Meniscus Knee Surgery May Reduce Pain, Restore Meniscus
Read more: http://www.digitaljournal.com/pr/1686326#ixzz4JOzZgCJV
J Bone Joint Surg Am, 2014 Jan 15; 96 (2): 90 -98 . http://dx.doi.org/10.2106/JBJS.M.00058
You may not be better off after knee surgery
Arthroscopic Partial Meniscectomy versus Sham Surgery for a Degenerative Meniscal Tear, N Engl J Med 2013; 369:2515-2524December 26, 2013DOI: 10.1056/NEJMoa1305189
Impacts of bone marrow aspirate and peripheral blood derived platelet-rich plasma on the wound healing in chronic ischaemic limb. J Plast Surg Hand Surg. 2013 Apr 26.
Stem Cells Int. 2012;2012:953510. doi: 10.1155/2012/953510. Epub 2011 Dec 18.
Acta Orthop Traumatol Turc. 2012;46(1):61-7.
Stem Cells Dev. 2012 Nov 16. PMID: 23030230
World J Orthop 2012 July 18; 3(7): 101-108
Benefits of small volume and small syringe for bone marrow aspirations of mesenchymal stem cells.
Int Orthop. 2013 Jul 24.
Orthop Rev (Pavia). 2009 October 10; 1(2): e32. Doi: 10.4081/or.2009.e32
Stem cells and cartilage development: complexities of a simple tissue.
Stem Cells 2010, 28:1992-1996.
Cartilage tissue engineering: towards a biomaterial assisted mesenchymal stem cell therapy.
Curr Stem Cell Res Ther 2009, 4:318-329.
Chondrogenesis and cartilage tissue engineering: the longer road to technology development.
Trends Biotechnol 2012, 30:166-176
Stem Cells Translational Medicine 2012; 1:237-247
Cell Commun Signal 2011, 9:12
Adult mesenchymal stem cells for tissue engineering versus regenerative medicine.
J Cell Physiol 2007, 213:341-347.
Marrow stromal cells as stem cells for nonhematopoietic tissues.
Science 1997, 276:71-74.
Multilineage potential of adult human mesenchymal stem cells.
Science 1999,284:143-147.
Blood 2004, 104:2643-2645.
Treatment of a hip capsular injury in a professional soccer player with platelet-rich plasma and bone marrow aspirate concentrate therapy. Knee Surg Sports Traumatol Arthrosc.
Articular cartilage and subchondral bone in the pathogenesis of osteoarthritis.
Ann N Y Acad Sci 2010, 1192:230-237.
The impact of osteoarthritis: implications of research.
Clin Orthop Relat Res 2004, (427 Suppl):S6-S15
Stem cell therapy for cartilage regeneration in osteoarthritis.
Expert Opin Biol Ther 2009, 9:1399-1405.
Future Directions for Research and Treatments of Osteoarthritis
Frontiers in Bioscience 4, d762-771, October 15, 1999
Intraarticular treatments for osteoarthritis: new perspectives
Curr Drug Targets 2010, 11:546-560.
Mesenchymal stem cells for cartilage repair in osteoarthritis.
Stem Cell Research & Therapy 2012, 3:25 doi: 10.1186/scrt116
Mesenchymal stem cells in arthritic diseases.
Arthritis Res Ther 2008, 10:223.
Curr stem Cell Res Ther 2006, 1:21-27
BMC Medicine 2012, 10:44
J Tissue Eng Regen Med 2007, 1:74-79
Am J Sports Med 2010, 38:1110-1116.
Mesenchymal stem cell therapy for knee osteoarthritis. Preliminary report of four patients.
Int J Rheum Dis 2011, 14:211-215.
Arch Iran Med. 2012; 15(7): 422-428.
Autologous bone marrow mesenchymal stem cells implantation for cartilage defects: two case report.
J Med Assoc Thai 2011, 94:395-400.
Pain Physician 2008, 11:343-353.
J Med Case Rep 2011, 5:296.
J Bone Joint Surg Am. 2004 Jun; 86-A(6):1153-60.
Osteoarthr Cartil 2007, 15:226-231.
Cartilage 2010, 1:253-261.
World J Orthop 2012 July 18; 3(7): 101-108
Eur Rev Med Pharmacol Sci. 2013 Aug;17(16):2240-9.
Regenerate Augmentation with bone marrow concentrate after traumatic bone loss.
Orthopedic Reviews 2012; volume 4:e14
The Journal of Bone and Joint Surgery. 2005; 87:1430-1437
The Lancet; 360:427-435; 2002
STEM CELL THERAPY FOR TENDINOPATHY: LESSONS FROM A LARGE ANIMAL MODEL
Br J Sports Med 2013;47:e2 doi:10.1136/bjsports-2013-092459.42
Res Vet Sci. 2013 Feb 16. pii: S0034-5288(13)00019-2. doi: 10.1016/j.rvsc.2013.01.017
BMC Musculoskelet Disord. 2011 Nov 15; 12:259.
Arthritis Res Ther. 2012 Feb 7;14(1):R31
Cell based therapy for osteoarthritis in a sheep model: gross and histological assessment.
Med J Malaysia 2008, 63(Suppl A):37-38.
Osteoarthritis treated with mesenchymal stem cells on hyaluronan-based scaffold in rabbit.
Tissue Eng Part C Methods 2009, 15:647-658.
Stem cell therapy in a caprine model of osteoarthritis.
Arthritis Rheum 2003, 48:3464-3474.
Biomaterials 2010, 31:8964-8973
Blood May 1, 2003 vol. 101 no. 9 3722-3729
Osteoarthr Cartil 2008, 16:1092-1100.
J Bone Joint Surg Am. 2010 Aug 18; 92(10):1927-37
J Cell Physiol 2010, 223:84-93.
Human mesenchymal stem cells modulate allogeneic immune cell responses.
Blood 2005, 105:1815-1822.
Exp Cell Res 2001, 268:189-200.
Cell Tissue Res 2005, 320:269-276.
ROTATOR CUFF BIOLOGICS
Mesenchymal Stem Cells Empowering Tendon Regenerative Therapies. Int J Mol Sci. 2019;20(12):3002. Published 2019 Jun 19. doi: 10.3390/ijms20123002
A Prospective multi-site registry study of a specific protocol of autologous bone marrow concentrate for the treatment of shoulder rotator cuff tears and osteoarthritis. J Pain Res. 2015;8:269-276. Published 2015 Jun 5. doi: 10.2147/JPR. S80872
Effects of bone marrow aspirate concentrate and platelet-rich plasma on patients with partake tear of the rotator cuff tendon. J Orthopedics Surg Res. 2018;13(1):1. Published 2018 Jan 3. doi:10.1186/s13018-017-0693-x
Effects of Bone Marrow Aspirate Concentrate- Platelet-Rich Plasma on Tendon-Derived Stem Cells and Rotator Cuff Tendon Tear. Cell Transplant. 2017;26(5):867-878. doi:10.3727/096368917X694705
Biologic augmentation of rotator cuff repair with mesenchymal stem cells during arthroscopy improves healing and prevents further tears: a case-controlled study. Int Orthop. 2014 Sep;38(9): 1811-8. doi: 10.1007/s00264-014-2391-1.
Bone Marrow Stimulation decreases retear rates after primary arthroscopic rotator cuss repair: a systematic review and meta-analysis. J Shoulder Elbow Surg. 2019 Apr; 28(4): 782-791. doi;
Prospective Randomized Trail of Biologic Augmentation With Mesenchymal Stem Cells In Patients undergoing Arthroscopic Rotator Cuff Repair. Orthop J Sports Med. 2019;7(7suppl5):2325967229S00275. Published 2019 Jul 29. doi:10.1177/2325967119S00275
Clinical Results of Platelet-Rich Plasma for Partial Thickness Rotator Cuff Tears: A Case Series. Arch Bone Jt Surg. 2017;5(5): 328-331.
Treatment of Partial Rotator Cuff Tear with Ultrasound-guided Platelet-Rich Plasma. J Clin Imaging Sci. 2017;7:32. Published 2017 Aug 14. doi:10.4103/jcis.JCIS_26_17
GENERAL ARTICLES
Current Clinical Recommendations for Use of Platelet Rich Plasma.
Current Reviews in Musculoskeletal Medicine. Oct 2018.
J Bone Joint Surg Br; 2009 Aug;91(8):987-96
Focused Review: Current Trends in Platelet-Rich Plasma Injection Treatments
Journal of Neurosurgical Review, Vol 1 (2011).
Platelet-rich plasma: current concepts and application in sports medicine.
J Am Acad Orthop Surg; 2009 Oct;17(10):602-8
Regenerative injection therapy for osteoarthritis: fundamental concepts and evidence-based review
American Academy of Physical Medicine and Rehabilitation. PM R. 2012 May;4(5 Suppl):S104-9
Future Medicine, 2011
The role of platelet-rich plasma in tissue regeneration
Informa Healthcare May 30, 2012
Platelet-Rich Plasma: A Milieu of Bioactive Factors
Arthroscopy: The Journal of Arthroscopic and Related Surgery, 2012
PM&R; 2011 Mar; 3(3): 226-250.
Musculoskeletal Applications of Platelet-Rich Plasma: Fad or Future? AJR Am J Roentgenol. 2011 Mar;196(3):628-36.
Platelet rich plasma injection grafts for musculoskeletal injuries: a review
Curr Rev Musculoskelet Med. 2008 Dec;1(3-4):165-74.
Platelet Rich Plasma Grafts in Musculoskeletal Medicine
Journal of Prolotherapy. 2010 May; 2(2): 371-376.
Platelet Rich Plasma (PRP) Matrix Grafts.
Practical Pain Management 2008:8 (1):11-26.
Platelet-rich plasma: current concepts and application in sports medicine
J Am Acad Orthop Surg. 2009 Oct;17(10):602-8.
Platelet-rich therapies in the treatment of orthopaedic sport injuries Sports Med. 2009;39(5):345-54
The Roles of Growth Factors in Tendon and Ligament Healing
Sports Med. 2003 33(5):381-394
PM 2013 Jul 3
Use of autologous platelet-rich plasma to treat muscle strain injuries. Am J Sports Med; 2009 Jun;37(6):1135-42
Platelet-Rich Plasma in Muscle Healing
American Journal of Physical Medicine & Rehabilitation: October 2010 – Volume 89 – Issue 10 – pp 854-861.
Treatment of Tendon and Muscle Using Platelet-Rich Plasma
Clin Sports Med 28(1): 113-25.
Int J Sports Med, 2004. 25:589-594.
Use of autologous platelet-rich plasma to treat muscle strain injuries
American Journal of Sports Med, 2009. 37 (6): 1135-1142.
SPINE
Physical Medicine and Rehabilitation, 2016, Jan; 8(1): 1-10.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2012 Aug;26(8):977-83
Spine: Affiliated Society Meeting Abstracts . Supplement 1, October 2011.
SHOULDER
“Regenerative medicine in rotator cuff injuries.”
Biomed Res Int. 2014;2014:129515.
Glob Adv Health Med. 2013 Mar;2(2):26-31.
” Intralesional injection of partial thickness rotator cuff tears”
Paper presented at 2014 RSNA meeting in Chicago
Br J Sports Med 2013;47:e2 doi:10.1136/bjsports-2013-092459.39.
PRP May Be Effective Treatment for RCT
American Academy of Orthopaedic Surgeons. 2013 Annual Meeting News February 19 – 23, 2013.
J Orthop Res. 2012 Dec 31. doi: 10.1002/jor.22301.
Clin Rehabil. 2012 Oct 3.
Comparative Studies of Platelet-Rich Plasma (PRP) and Prolotherapy for Proximal Biceps Tendinitis.
Clin Should Elbow. 2011 Dec;14(2):153-158
Am J Sports Med. 2012 Feb 23.
Clinical Indications and Techniques for the Use of Platelet-Rich Plasma in the Shoulder
Operative Techniques in Sports Medicine, Volume 19, Issue 3, September 2011, Pages 165-169.
ELBOW
Am J Sports Med. 2014 Feb;42(2):463-71.
Am J Sports Med. 2013 Jun;41(6):1435-46.
“Treatment of partial ulnar collateral ligament tears in the elbow with platelet rich plasma”
Am J Sports Med. 2013 Jul;41(7):1689-1694.
Am J Sports Med July 3, 2013
Am J Sports Med 38: 255-262
Treatment of chronic elbow tendinosis with buffered platelet-rich plasma
Am J Sports Med. 2006 Nov;34(11):1774-8.
Autologous blood injections for refractory lateral epicondylitis
Am J Hand Surg. 2003;28(2):272–8.
Platelet Rich Plasma Significantly Improves Clinical Outcomes in Patients with Chronic Tennis Elbow
The Orthobiologic Institute, March, 2013.
PM R 2011 Oct; 3(10):900-11.
Clinical Indications and Techniques for the Use of Platelet-Rich Plasma in the Elbow
Operative Techniques in Sports Medicine, 2011
PM R. 2011 Aug 25.
Am J Sports Med; 2011 Mar.
Platelet-rich Plasma Injection Reduces Pain in Patients With Recalcitrant Epicondylitis
Orthopedics, February 2011.
Br J Sports Med; 2009 Jul;43(7):471-81.
HAND / WRIST
“Stem cells and biological approaches to treatment of wrist problems.”
J Wrist Surg. 2013 Nov;2(4):315-8.
HIP
Am J Of Sports Med. 2019.
Orthopedics. 2013 Dec;36(12):e1501-8.
Int J Mol Sci. 2014 Jul 31;15(8):13437-60.
Platelet-rich Plasma as an Effective Treatment for Proximal Hamstring Injuries.
Orthopedics. 2013 Jan 1;36(1):e64-70.
Knee Surg Sports Traumatol Arthrosc.
Ultrasound-guided platelet-rich plasma injections for the treatment of osteoarthritis of the hip
Rheumatology (2011) doi: 10.1093/rheumatology/ker303.
KNEE
J of Orthopedic Surg and Res. Jan 2017
American J Of Sports Med. March 2016. 44(3): 792-800.
“Efficacy of Intra-articular PRP Injections In Knee Osteoarthritis : A Systematic Review”
Arthroscopy. Mar 2016. 32(3). Pp 495-505.
“Viscosupplementation for Osteoarthritis of the Knee: A Systematic Review of the Evidence”
JBJS. 2015 Dec 16; 97(24): 2047-60.
American J Of Sports Med. March 2016. 44(3): 792-800.
“Efficacy of Intra-articular PRP Injections In Knee Osteoarthritis : A Systematic Review”
Arthroscopy. Mar 2016. 32(3). Pp 495-505.
“Viscosupplementation for Osteoarthritis of the Knee: A Systematic Review of the Evidence”
JBJS. 2015 Dec 16; 97(24): 2047-60.
JBJS. 2014 Jan 15;96(2):90-98.
JBJS. 2010 Aug 18;92(10):1927-1937.
Sports Health: A Multidisciplinary Approach 2012 4: 162 originally published online 20 January 2012
Autologous platelet gel for tissue regeneration in degenerative disorders of the knee.
Blood Transfus. 2011 Oct 25:1-6. doi: 10.2450/2011.0026-11
The American Journal of Physical Medicine & Rehabilitation. Nov 20, 2010 online. Print Dec 2010.
Treatment of Knee Joint Osteoarthritis with Autologous Platelet-Rich Plasma in Comparison with Hyaluronic Acid American Journal of Physical Medicine & Rehabilitation 0894-9115/12/9104-0000/0
“Regenerative repair of damaged meniscus with autologous adipose tissue-derived stem cells.”
Biomed Res Int. 2014;2014:436029.
Clin Med Insights Arthritis Musculoskelet Disord. 2015 Jan 7;8:1-8.
Orthop Rev (Pavia). 2014 Sep 18;6(3):5405.
American Journal of Physical Medicine and Rehabilitation, May 29, 2014
Am J Sports Med. 2012 Jun;40(6):1282-8.
Clinical and MRI Outcomes After Platelet-Rich Plasma Treatment for Knee Osteoarthritis.
Clin J Sport Med. 2012 Dec 12.
Use of platelet-rich plasma for the treatment of refractory jumper’s knee
International Orthopaedics; 31 July 2009; Vol 24, No 6; 909-915
Platelet-rich plasma: New clinical application: A pilot study for treatment of jumper’s knee
International Journal of the Care of the Injured; 2009 June; 40(6): 509-603
Platelet-Rich Plasma Injection for Partial Patellar Tendon Tear in a High School Athlete: A Case PresentationAmerican Academy of Physical Medicine and Rehabilitation, Vol. 3, 391-395, April 2011.
American Journal of Physical Medicine and Rehabilitation, May 29, 2014
The Use of Platelet-Rich Plasma in Degenerative Lesions of the Knee: Results at Two-year Follow Up
OASIS, Mar 20, 2013.
Treatment With Platelet-Rich Plasma Is More Effective Than Placebo for Knee Osteoarthritis
AJSM PreView, January 8, 2013
Arch Orthop Trauma Surg, Springer-Verlag 2010
Sport Sci Health (2012) 8:15–22
Platelet-Rich Plasma Treatment in Symptomatic Patients With Knee Osteoarthritis: Preliminary Results in a Group of Active Patients Sports Health: A Multidisciplinary Approach 2012 4: 162 originally published online 20 January 2012
American Journal of Physical Medicine & Rehabilitation
Autologous platelet gel for tissue regeneration in degenerative disorders of the knee.
Blood Transfus. 2011 Oct 25:1-6. doi: 10.2450/2011.0026-11.
Arthroscopy. 2011 Aug 8.
The Effects of Platelet-Rich Plasma on Cartilage: Basic Science and Clinical Application
Operative Techniques in Sports Medicine, Volume 19, Issue 3, September 2011, Pages 154-159.
Platelet-Rich Plasma Releasate Inhibits Inflammatory Processes in Osteoarthritic Chondrocytes
The American Journal of Sports Medicine; August 19, 2011
Injection of Platelet-Rich Plasma in Patients with Primary and Secondary Knee Osteoarthritis: A Pilot Study American Journal of Physical Medicine & Rehabilitation. Dec 2010. 961-969.
Infiltration of plasma rich in growth factors for osteoarthritis of the knee short-term effects on function and quality of life Archives of Orthopaedic and Trauma Surgery, Volume 131, Number 3, 311-317
The regenerative effect of platelet-rich plasma on healing in large osteochondral defects
International Orthopaedics, 2010. 34:589-597.
Platelet-rich plasma: intra-articular knee injections produced favorable results on degenerative cartilage lesions Knee Surg Sports Traumatol Arthrosc. Sept 2009: 0940-8.
Tissue Engineering with Platelet-Rich Plasma and Stem Cells: New Frontier In Rheumatology
The Journal of Musculoskeletal Medicine. July 2009.
Plasma rich in growth factors to treat an articular cartilage avulsion: a case report
Med Sci Sports Exerc 2003, 35:1648-1652.
Platelet-rich plasma application during closure following total knee arthroplasty
Orthopedics. 2006;29(7):590–8.
Int Orthop. 2006;31:309–13.
Platelet gel and fibrin sealant reduce allogeneic blood transfusions in total knee arthroplasty
Acta Anaesthesiol Scand. 2006;50:593–9.
(2012) Arthroscopy – Journal of Arthroscopic and Related Surgery, 28 (8), pp. 1070-1078.
Knee Surgery, Sports Traumatology, Arthroscopy Online ISSN 1433-7347.
Pain Medicine, 20(7), 2019, 1418–1429
FOOT / ANKLE
PRP as a treatment for plantar fasciitis: A Meta Analysis of RCTs.
Medicine. Nov 2017.
Knee Surg Sports Traumatol Arthrosc. 2014 Jun 18
Foot Ankle Spec. 2014 Oct;7(5):372-6.
International Journal of Therapy and Rehabilitation. February 2011, Vol 18, No 2.
Platelet Rich Plasma and Plantar Fasciitis Sports Medicine and Arthroscopy Review. Dec 2013
The treatment of intractable plantar fasciitis with platelet-rich plasma injection.Foot. 2013 Jul 29.
PM R. 2013 Jul 19.
Platelet-rich plasma injections for chronic plantar fasciitis.
Int Orthop. 2012 Dec 19.
Platelet rich plasma treatment for chronic achilles tendinosis.
Foot Ankle Int. 2012 May;33(5):379-85.
Platelets rich plasma for treatment of chronic plantar fasciitis.
Arch Orthop Trauma Surg. 2012 May 4
Platelet-Rich Rich Plasma is More Effective than Cortisone for Chronic Severe Plantar Fasciitis 2012 Annual American Academy of Orthopaedic Surgeons meeting Podium Presentations.
The Use of Platelet-Rich Plasma in the Management of Foot and Ankle Conditions Operative Techniques in Sports Medicine, Volume 19, Issue 3, September 2011, Pages 177-184.
Injection Techniques of Platelet-Rich Plasma Into and Around the Achilles Tendon: A Cadaveric Study
Am J Sports Med, April 19 2011.
Platelet-rich plasma therapy as a first-line treatment for severe Achilles tendon tear: a case report InternationalJournal of Therapy and Rehabilitation. February 2011, Vol 18, No 2.
Treatment of Achilles Tendinopathy with Platelet RichPlasma
International Journal of Sports Med, June 2010.
Platelet-Rich Plasma Injection for Chronic Achilles Tendinopathy: A Randomized Controlled Study JAMA 2010, 3003(2): 144-149.
Platelet Rich Plasma (PRP) Effectively Treats Chronic Achilles Tendinosis
2010 Annual American Academy of Orthopaedic Surgeons meeting Podium Presentations.
Platelet-rich plasma (PRP) in managing Achilles tendinosis
2010 Annual American Orthopaedic Foot & Ankle Society (AOFAS) Meeting.
Nonoperative Biological Treatment Approach for partial Achilles Tendon Lesion Orthopedics 1;33(2):120-3.
Growth factors for chronic plantar fasciitis Podiatry Today 2004;17:37.
BASIC SCIENCE
Arthritis Research & Therapy 2012, 14:R241
Am J Sports Med. 2012 April 10.
PM 2013 Jun 19
The Effects of Platelet-Rich Plasma on Muscle: Basic Science and Clinical Application Operative Techniques in Sports Medicine, Volume 19, Issue 3, September 2011, 149-153.
Effect of platelet-rich plasma on tendon healing
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. Mar 2011; 25(3):344-8.
Clin Orthop Relat Res. 2001;391(Suppl):S171–81.
Rheumatology. 2007;46(12):1769–72.
Autologous injectable tissue-engineered cartilage by using platelet-rich plasma: experimental study in a rabbit model. [Journal Article, Research Support, Non-U.S. Gov’t]
J Oral Maxillofac Surg 2007 Oct; 65(10):1951-7.
Platelet concentrate injection improves Achilles tendon repair in rats
Acta Orthop Scand 75(1):93-9.
Plast Reconstr Surg. 2004 Nov;114(6):1502-8.