12 research outputs found
Effects of Platelet-rich Plasma Injection on Adhesive Capsulitis: An Interventional Case Series
No full textThe aim of this case series was to present the effectiveness of platelet-rich plasma (PRP) on pain, range of motion (ROM), and functionality in patients with frozen shoulder and chronic shoulder pain. The study included 9 patients aged 18-75 years who had shoulder pain for at least 3 months with 50% limited ROM in at least one direction and Visual Analog Scale (VAS) score > 5. Under sonography guidance, PRP injection was performed into the glenohumeral joint at baseline and on week 2. Concurrently, proprioceptive neuromuscular facilitation stretching and Codman exercises were given to all patients. Significant improvements were detected in VAS scores on weeks 2, 6, and 12 when compared with baseline (p<0.05) and Shoulder Pain and Disability Index scores in all time points when compared with baseline (p<0.05). There was a significant improvement in active and passive ROMs on weeks 2, 6, and 12 when compared with baseline (p<0.05). Treatment of adhesive capsulitis with PRP may be an alternative treatment method for patients
No. 263 Magnetic Resonance Therapy for Knee Osteoarthritis: A Double‐Blind Placebo Controlled Trial
No full textIs the Effect of Complex Decongestive Therapy the Same for Primary and Secondary Lower Lymphedema?
No full textBackground:The aim was to compare edema and quality of life (QOL) after complex decongestive therapy (CDT) in two types of lymphedema: primary lower limb lymphedema (PLL) and secondary lower limb lymphedema (SLL). Methods and Results:Participants with PLL (n = 20) and SLL (n = 20) were recruited in this prospective single-blinded study. Patients in both groups were treated with CDT for 4 weeks 5 days a week. The amount of edema in their lower extremities was assessed by circumference measurement. The QOL for the patients was evaluated by a Lymphedema Functioning, Disability and Health Questionnaire for Lower Limb Lymphedema (Lymph-ICF-LL) before and immediately following the therapy. There was no significant difference in the volume reductions between the two groups (p > 0.05). Overall initial QOL was significantly lower in patients with PLL than in patients with SLL scores. Post-CDT differed significantly between PLL and SLL groups, QOL was significantly lower for patients with PLL than for patients with SLL scores (p < 0.05). When the changes in both groups were examined, it was found that their QOL increased after the treatment (p < 0.05). Conclusions:While there was no difference in the amount of edema in both groups, the results of patients with SLL were more positive than patients with PLL in terms of QOL. Lymphedema therapists should approach patients with different therapeutic considerations specific to each type of lymphedema before using CDT in clinical practice
Complex Regional Pain Syndrome and Spontaneous Pain Following Simple Incision With Immobilization: A Case Report
No full textEffects of platelet-rich plasma injection on pain, range of motion, and disability in adhesive capsulitis: A prospective, randomized-controlled study
No full textObjectives: In this study, we aimed to investigate the effectiveness of intra-articular platelet-rich plasma (PRP) injection in adhesive capsulitis. Patients and methods: Between January 2019 and December 2019, a total of 40 patients (21 males, 19 females; mean age: 57.1 +/- 6.5 years; range, 44 to 72 years) with idiopathic adhesive capsulitis were included. The patients were randomly assigned into two equal groups as the PRP and the control group. The PRP group received two doses of PRP via intra-articular route biweekly under ultrasound guidance. No injection was performed to the control group. In both groups, stretching and Codman exercises were applied as a home based program. The Visual Analog Scale (VAS), range of motion (ROM), and Shoulder Pain and Disability Index (SPADI) scores were evaluated before the treatment and at 2, 6 and 12 weeks after the treatment. Results: There were significant differences in all VAS, SPADI, and ROM scores at all time points after treatment compared to baseline in both groups. At the end of the study, there were significant differences in the active flexion, passive flexion, active abduction, passive abduction, and active external rotation scores at 12 weeks between the groups (p=0.012, p=0.015, p=0.008, p=0.019, and p=0.040, respectively). No significant difference was observed between the groups in terms of VAS and SPADI scores and the other parameters (active and passive extension, active and passive internal rotation, passive external rotation) at 2, 6, and 12 weeks (p>0.05). Conclusion: The addition of PRP to exercise treatment can improve patients' joint mobility, but not pain and disability in patients with adhesive capsulitis
Is intraarticular sodium hyaluronate injection an alternative treatment in patients with adhesive capsulitis?
No full textThe aim of this study was to compare the efficacy of sodium hyaluronate (SH) injection with the most common treatment methods, intraarticular steroid injection and physical therapy modalities in patients with adhesive capsulitis (AC). A total of 95 shoulders of 90 patients were included in the study and were randomized in four groups. The patients were treated with SH injection (group 1), triamsinolone acetonide (group 2) or physical therapy modalities (group 3). Group 4 patients were served as controls. Pain severity, passive ranges of motion and functional considerations were measured before, and 15 days and 3 months after the treatments. In all treatment groups, there were significant improvements at both the 15th day and third month in all parameters (for each, p < 0.001). The passive abduction values on the 15th day was found significantly higher in group 3 when compared with group 1 and controls (for each, p < 0.001). At the third month, the passive abduction values of the groups 2 and 3 were improved when compared with the control group (p < 0.001). Constant score was higher in group 3 on 15th day when compared with group 1. At the third month, all treatment groups were improved significantly compared with control group (p < 0.001). We provided the best results in physical therapy modalities applied group for AC treatment. However, we think that SH injection may be administered as an alternative treatment method
Comparison of Therapeutic Effectiveness between Kinesio Taping Technique and Static Resting Splint in Carpal Tunnel Syndrome
No full textObjective: We aimed to compare the kinesio taping (KT) technique and static wrist resting splint therapy in terms of clinical symptoms, hand grip strengt and daily living activities in patients with carpal tunnel syndrome
Comparison of Effects of Leukocyte-Rich and Leukocyte-Poor Platelet-Rich Plasma on Pain and Functionality in Patients With Lateral Epicondylitis
No full textObjectives: This study aims to compare the effect of leukocyte concentration in platelet-rich plasma (PRP) on pain, functionality and post-injection local inflammatory reactions in patients with lateral epicondylitis
Efficacy of Intra-Articular Autologous Platelet Rich Plasma Application in Knee Osteoarthritis
No full textObjectives: This study aims to evaluate the efficacy of autologous platelet rich plasma applications on pain, functional status, and cartilage regeneration in advanced knee osteoarthritis. Patients and methods: A total of 82 patients (13 males, 69 females; mean age 63.5 +/- 9.3 years; range 40 to 88 years) with chronic knee pain for the last one year, who had grade 3-4 knee osteoarthritis according to Kellgren-Lawrence Scale and visual analog scale value of higher than 5, who did not receive physical therapy for the last six months, and did not respond to treatment despite use of nonsteroidal antiinflammatory drugs and analgesics at least for the last three months were enrolled in the study. Totally 103 knee joints of 82 patients were applied intra-articular platelet rich plasma in the beginning, and first and second weeks of treatment. Platelet rich plasma was applied to both knees in 20 patients. Patients were evaluated clinically with visual analog scale, functionally with Western Ontario and McMaster Universities Osteoarthritis Index, and six-minute walk test before application and after application at first and second weeks, and third and sixth months. Cartilage thicknesses were measured by ultrasound before treatment and at third and sixth months after treatment. Obtained results were compared. Results: Compared to values before treatment, patients' visual analog scale values were significantly decreased at third and sixth months after treatment (p<0.001). When compared according to Western Ontario and McMaster Universities Osteoarthritis Index, all values improved significantly after treatment (p<0.001). Results of six-minute walk test improved at third and sixth moths after treatment compared to results before treatment (p<0.05). Cartilage thicknesses increased significantly after treatment at third and sixth months compared to before treatment (p<0.05). Conclusion: We believe that platelet rich plasma treatment is an effective, reliable, easily applied and low cost application in terms of pain, functional status as well as cartilage regeneration even in patients with advanced osteoarthritis
The Effect of Teriparatide Treatment on Spinal Deformity Index in Severe Osteoporosis
No full textObjective:This study’s purpose was to evaluate the efficacy of teriparatide (TPTD) therapy on back pain, quality of life, and spinal deformity index (SDI) in the presence of established postmenopausal osteoporosis.Materials and Methods:The mean ages of 21 patients with established osteoporosis were 72.43±4.06 years. The patients with L1-L4 mean vertebral and/or hip total T score -4 and less, and at least two vertebral and/or non-vertebral fractures, were included in the study. The patients received 20 microgram (μg)/day TPTD treatment and 800 IU/day vitamin D3 + 1200 mg/day calcium (Ca) treatment during six months. Biochemical parameters were examined before the treatment and sixth month controls. Visual analog scale (VAS) was used for back pain, short form 36 (SF-36) for quality of life, in addition, grading of vertebral fracture severity according to Genant method and SDI evaluation were performed.Results:The mean total alkaline phosphatase, uric acid, and 24-hour urinary Ca values of the patients demonstrated a statistically significant increase after TPTD treatment compared to the pre-treatment level (p<0.01, p<0.05, p<0.05; respectively). There was no statistically significant difference in other biochemical markers according to the pre-treatment. A statistically significant increase was observed in the L1-L4 bone mineral density of the patients (p<0.01). After the treatment, there was a statistically significant improvement in SF-36 and VAS values of the patients according to pre-treatment (p<0.01). A statistically significant increase was detected in SDI after TPTD treatment (p<0.01).Conclusion:It has been determined that the treatment of TPTD treatment improves back pain and quality of life by decreasing the risk of new fracture developments in advanced age group and in patients with multiple fractures, however, the expected increase in SDI is still continuing in the present fractures
