Mar 10

Leukocyte-rich PRP for Knee Osteoarthritis: Current Concepts. 

Osteoarthritis is one of the most debilitating degenerative conditions affecting more than a third of the population of active individuals over the age of 65. Upon onset of clinical manifestations, osteoarthritis (OA) may become increasingly destructive regarding disease progression with respect to the microenvironment. Investigations into the leukocyte concentration in PRP formulations and its effect on the healing process in OA has created some controversy in evidence-based practice. It is well known that the inflammatory phase is integral to the...

Mar 10

Consequences on Private Insurance Coverage: The AAOS Clinical Practice Guidelines and Hyaluronic Acid Injections

Congratulations to TOBI Faculty, Dr. Vangsness and colleagues, on this important new publication in the Journal of Bone and Joint Surgery. Researchers recently reviewed the conclusions of the 2013 American Academy of Orthopedic Surgeons (AAOS) Clinical Practice Guideline (CPG) on the use of intra-articular (IA) hyaluronic acid (HA) injections and how their position has impacted private insurance coverage of these injections. The significance of such a review is warranted due to the continued high cost of hyaluronic injections as an...

Jul 16

Comparing PRP and prolotherapy in the treatment of SI joint dysfunction

[section_tc][column_tc span='12'][text_tc trigger_pt='0' duration='1000' delay='0']Low back pain (LBP) is a significant source of morbidity that affects a significant portion of the population. While initially a mainstay in therapy, surgical interventions have come under intense scrutiny as research has questioned their efficacy in addressing LBP. Nonspecific LBP (NSLBP) is particularly difficult to treat because multiple etiologies can contribute to ongoing pain. Mechanical dysfunction of the sacroiliac joint (SIJ) has been targeted as a common source of low back pain amenable to...