Ortho-biologic Care PRP, ESWT

In the office, avoiding a hospital, Dr. Bishop frequently uses Platelet-Rich Plasma (PRP) therapy and Extracorporeal Shock Wave Therapy (ESWT). These are non-surgical treatments frequently used in foot and ankle medicine to address various injuries and chronic conditions.
Here’s an overview of both:

Platelet-Rich Plasma (PRP) Therapy

Overview:

- Involves injecting a concentrated form of the patient’s own platelets to promote healing.
- Platelets contain growth factors and proteins that stimulate tissue repair and reduce inflammation.

Common Applications in Foot and Ankle:

Chronic Tendon Injuries:

- Achilles tendinopathy
- Plantar fasciitis (especially recalcitrant cases)

Ligament Injuries:

- Ankle sprains

Arthritis:

- Mild-to-moderate osteoarthritis in the ankle or midfoot

Fracture Healing:

- Assists in bone regeneration for non-union fractures.

Procedure:

- Blood is drawn from the patient and spun in a centrifuge to separate platelets.
- The concentrated platelets are injected into the affected area under ultrasound guidance.

Advantages:

- Minimally invasive
- Utilizes the body’s natural healing mechanisms
- Short recovery time compared to surgery

Limitations:

- Effectiveness varies; results may take weeks to months.
- Typically not covered by insurance.
- May require multiple treatments for optimal results.

Extracorporeal Shock Wave Therapy (ESWT)

Overview:

- Uses high-energy acoustic waves to stimulate healing in musculoskeletal tissues.
- Helps break down scar tissue and calcifications while increasing blood flow to the area.

Common Applications in Foot and Ankle:

Plantar Fasciitis:

- Particularly effective for chronic cases unresponsive to conservative treatment.

Achilles Tendinopathy:

- Effective for insertional and non-insertional types.

Calcific Tendinitis:

- Used to break down calcium deposits.

Stress Fractures:

- Can aid healing in specific situations.

Procedure:

- Performed in an outpatient setting.
- A device delivers focused or radial shock waves to the affected area.
- Treatment lasts about 15-20 minutes, often requiring 3-5 sessions.

Advantages:

- Non-invasive
- No downtime for many cases
- Stimulates natural healing processes

Limitations:

- May cause mild discomfort during treatment.
- Results can take several weeks to appear.
- Not effective for all patients or conditions.
- May require multiple sessions.

Comparison of PRP and ESWT

FeaturePRP Therapy ESWT
Invasiveness Minimally invasive (injection) Non-invasive
Mechanism Growth factors in platelets Acoustic waves stimulating repair
Conditions Treated Soft tissue injuries, arthritis Tendinopathies, plantar fasciitis
Sessions Required 1-3 (depending on response) 3-5 sessions typically
Onset of Results Weeks to months Weeks
Insurance Coverage Often not covered Sometimes covered for certain uses

Choosing Between PRP and ESWT

- Condition: PRP is preferred for joint conditions or when tissue regeneration is a goal.
ESWT is ideal for chronic pain syndromes like plantar fasciitis.
- Patient Tolerance: ESWT is non-invasive, making it suitable for those avoiding injections.
- Response to Previous Treatments: If conservative measures fail, ESWT is often tried before PRP.
- Cost: PRP can be more expensive and is often out-of-pocket.

Both PRP and ESWT are valuable tools in treating foot and ankle conditions.
Consult with Dr. Bishop at 480-342-9999 to determine the best treatment based on your condition, goals, and lifestyle.

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