Managing Tibial Pain After ACL Injury: Can PRP Therapy Help? - Rehabilitation

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Pain in the right tibia and PRP treatment?


Hello Doctor: At the beginning of January this year, while working, I suffered an injury to my right tibial plateau due to an anterior cruciate ligament tear, resulting in a fracture and ligament tear.
Although I underwent surgical treatment and have healed, I still feel a constant irritation in the injured tibia with every step, causing significant pain.
I have returned for follow-up consultations with my attending physician, who indicated that the affected area has healed, and the pain is due to friction from the proliferative tissue during the healing process.
The doctor mentioned that I would need to get used to it, but this pain has severely impacted my work performance.
Yesterday, a colleague mentioned PRP therapy, which has given me hope.
I would like to ask the doctor: Is PRP therapy helpful in alleviating this type of pain? Thank you, Doctor.

Bian Xiong, 40~49 year old female. Ask Date: 2022/11/03

Dr. Wang Zhaomin reply Rehabilitation


PRP is one of the methods for pain treatment, but whether it is suitable for an individual's condition should be assessed by a qualified physician.
Please seek medical evaluation to determine the appropriate treatment method.

Reply Date: 2022/11/03

More Info


Platelet-Rich Plasma (PRP) therapy has gained attention in recent years as a potential treatment for various musculoskeletal injuries, including those involving the knee and tibia, particularly after injuries such as anterior cruciate ligament (ACL) tears and associated bone fractures. In your case, where you have experienced tibial pain following an ACL injury and subsequent surgery, PRP therapy may offer some benefits, but it is essential to understand its role and limitations.

PRP therapy involves drawing a small amount of your blood, processing it to concentrate the platelets, and then injecting this concentrated solution back into the injured area. The rationale behind PRP therapy is that platelets contain growth factors that can promote healing and tissue regeneration. This can be particularly beneficial in cases where there is inflammation, pain, or tissue damage.

In your situation, the pain you are experiencing in your tibia may be attributed to several factors. After an ACL injury and surgery, the body undergoes a healing process that can involve the formation of scar tissue or adhesions. These can lead to discomfort as they may cause friction against surrounding tissues during movement. Your physician's assessment that the pain is due to the friction of healing tissue is a common scenario in post-surgical recovery.

Research has shown that PRP can help reduce pain and improve function in various conditions, including tendon injuries and osteoarthritis. However, the evidence regarding its effectiveness specifically for post-ACL injury pain and tibial pain is still evolving. Some studies suggest that PRP may help in reducing pain and improving function in patients with knee injuries, while others indicate that the benefits may not be significant compared to standard treatments.

It is crucial to consider that PRP therapy is not a guaranteed solution. The effectiveness can vary based on individual factors such as the extent of the injury, the presence of other underlying conditions, and the overall healing process. Additionally, PRP therapy is typically used as part of a comprehensive rehabilitation program that includes physical therapy and exercise to strengthen the surrounding muscles and improve joint stability.

Before proceeding with PRP therapy, it is essential to have a thorough discussion with your healthcare provider. They can evaluate your specific condition, review your medical history, and determine whether PRP is an appropriate option for you. They may also suggest other treatments or therapies that could complement PRP, such as physical therapy, anti-inflammatory medications, or other modalities aimed at pain relief and functional improvement.

In summary, while PRP therapy may offer potential benefits for managing tibial pain after an ACL injury, its effectiveness can vary, and it should be considered as part of a broader treatment strategy. Engaging in a dialogue with your healthcare provider will help you make an informed decision about whether PRP therapy is suitable for your situation and how best to manage your pain and recovery.

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