Ligament rupture
Hello Doctor: Six months ago, I twisted my knee while skiing.
Since then, I have been swimming and cycling, but I often feel pain on the inner side of my knee.
Last week, the pain became unbearable, so I went to see a doctor.
After an ultrasound, the doctor found a hole in the medial patellar stabilizing ligament and suggested I try a PRP injection.
However, the cost of $15,000 for one injection makes me hesitant.
I would like to ask the doctor, given that the ligament has not healed after so many months, is there a necessity for a PRP injection?
Hao Tongxue, 20~29 year old female. Ask Date: 2017/11/07
Dr. Cai Shanglin reply Orthopedics
If the pain is severe, you may consider corticosteroid injections (covered by health insurance).
Reply Date: 2017/11/07
More Info
When considering whether PRP (Platelet-Rich Plasma) injection is necessary for a long-lasting ligament injury, it is essential to understand both the nature of the injury and the potential benefits and limitations of PRP therapy.
In your case, you have experienced a significant knee injury while skiing, which has resulted in persistent pain and a diagnosis of a hole in the medial patellar stabilizing ligament. This type of injury can be quite complex, as ligaments have a limited blood supply, which can hinder their healing process. PRP therapy aims to enhance healing by using a concentration of platelets derived from your own blood, which contains growth factors that can promote tissue repair.
The decision to proceed with PRP injections should consider several factors:
1. Duration of Symptoms: You mentioned that your symptoms have persisted for several months. Chronic pain and lack of healing can indicate that the body is struggling to repair the ligament on its own. PRP may provide the necessary biological stimulus to enhance healing in such cases.
2. Effectiveness of PRP: Research has shown that PRP can be effective in treating certain types of ligament injuries, particularly in cases where conservative treatments (like physical therapy and rest) have failed. However, the effectiveness can vary based on the specific injury, the individual’s overall health, and the presence of other factors such as age and activity level.
3. Cost Consideration: The cost of PRP therapy can be a significant factor, especially if insurance does not cover it. While the initial investment may seem high, consider the potential long-term benefits, such as reduced pain and improved function, which could lead to a better quality of life and potentially lower healthcare costs in the future.
4. Alternative Treatments: Before deciding on PRP, it may be worthwhile to explore other treatment options. Corticosteroid injections, as mentioned in the previous discussions, can provide temporary relief and may be covered by insurance. Physical therapy focusing on strengthening the surrounding muscles and improving joint stability could also be beneficial.
5. Consultation with Specialists: It may be helpful to seek a second opinion from a specialist in sports medicine or orthopedic surgery who has experience with PRP therapy. They can provide insights into whether PRP is appropriate for your specific condition and discuss the potential outcomes based on their clinical experience.
6. Long-term Outlook: If the ligament does not heal adequately, it could lead to chronic instability and pain, potentially requiring more invasive treatments in the future, such as surgical intervention. PRP may help avoid such outcomes by promoting healing.
In conclusion, while PRP injections can be a valuable treatment option for ligament injuries, the decision should be made based on a comprehensive evaluation of your specific situation, including the severity of the injury, the duration of symptoms, and the potential benefits versus costs. Engaging in a thorough discussion with your healthcare provider about these factors will help you make an informed decision regarding the necessity of PRP therapy for your ligament injury.
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