Dr. Pitts discusses how we treat hand arthritis and trigger finger through precise injections of platelet rich plasma (PRP) and our 4th generation platelet lysate. Enjoy!
Category: Hand/Thumb, Latest News
Treating Hand Arthritis and Trigger Finger with PRP
by Chris Centeno, MD /
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Chris Centeno, MD
Regenexx Founder
Chris Centeno, MD is a specialist in regenerative medicine and the new field of Interventional Orthopedics. Centeno pioneered orthopedic stem cell procedures in 2005 and is responsible for a large amount of the published research on stem cell use for orthopedic applications.
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Regenerative procedures are commonly used to treat musculoskelatal trauma, overuse injuries, and degenerative issues, including failed surgeries.
Shoulder
Many Shoulder and Rotator Cuff injuries are good candidates for regenerative treatments. Before considering shoulder arthroscopy or shoulder replacement, consider an evaluation of your condition with a regenerative treatment specialist.
- Rotator Cuff Tears and Tendinitis
- Shoulder Instability
- SLAP Tear / Labral Tears
- Shoulder Arthritis
- Other Degenerative Conditions & Overuse Injuries
Spine
Many spine injuries and degenerative conditions are good candidates for regenerative treatments and there are a number of studies showing promising results in treating a wide range of spine problems. Spine surgery should be a last resort for anyone, due to the cascade of negative effects it can have on the areas surrounding the surgery. And epidural steroid injections are problematic due to their long-term negative impact on bone density.
- Herniated, Bulging, Protruding Discs
- Degenerative Disc Disease
- SI Joint Syndrome
- Sciatica
- Pinched Nerves and General Back Pain
- And more
Knees
Knees are the target of many common sports injuries. Sadly, they are also the target of a number of surgeries that research has frequently shown to be ineffective or minimally effective. Knee arthritis can also be a common cause for aging athletes to abandon the sports and activities they love. Regenerative procedures can be used to treat a wide range of knee injuries and conditions. They can even be used to reduce pain and delay knee replacement for more severe arthritis.
- Knee Meniscus Tears
- Knee ACL Tears
- Knee Instability
- Knee Osteoarthritis
- Other Knee Ligaments / Tendons & Overuse Injuries
- And more
Spine
Many spine injuries and degenerative conditions are good candidates for regenerative treatments and there are a number of studies showing promising results in treating a wide range of spine problems. Spine surgery should be a last resort for anyone, due to the cascade of negative effects it can have on the areas surrounding the surgery. And epidural steroid injections are problematic due to their long-term negative impact on bone density.
- Herniated, Bulging, Protruding Discs
- Degenerative Disc Disease
- SI Joint Syndrome
- Sciatica
- Pinched Nerves and General Back Pain
- And more
Hand & Wrist
Hand and wrist injuries and arthritis, carpal tunnel syndrome, and conditions relating to overuse of the thumb, are good candidates for regenerative treatments. Before considering surgery, consider an evaluation of your condition with a regenerative treatment specialist.- Hand and Wrist Arthritis
- Carpal Tunnel Syndrome
- Trigger Finger
- Thumb Arthritis (Basal Joint, CMC, Gamer’s Thumb, Texting Thumb)
- Other conditions that cause pain
Elbow
Most injuries of the elbow’s tendons and ligaments, as well as arthritis, can be treated non-surgically with regenerative procedures.
- Golfer’s elbow & Tennis elbow
- Arthritis
- Ulnar collateral ligament wear (common in baseball pitchers)
- And more
Hip
Hip injuries and degenerative conditions become more common with age. Do to the nature of the joint, it’s not quite as easy to injure as a knee, but it can take a beating and pain often develops over time. Whether a hip condition is acute or degenerative, regenerative procedures can help reduce pain and may help heal injured tissue, without the complications of invasive surgical hip procedures.
- Labral Tear
- Hip Arthritis
- Hip Bursitis
- Hip Sprain, Tendonitis or Inflammation
- Hip Instability
Foot & Ankle
Foot and ankle injuries are common in athletes. These injuries can often benefit from non-surgical regenerative treatments. Before considering surgery, consider an evaluation of your condition with a regenerative treatment specialist.- Ankle Arthritis
- Plantar fasciitis
- Ligament sprains or tears
- Other conditions that cause pain
Hi. I am set to have basilar thumb arthritis surgery on 1 September, 2016. I keep thinking that there are other treatment options besides the tendon stuffing surgery and the slip knot tie. I was wondering if the doctor could just nibble off some osteophytes and inject PRP?!. I am an RNFA with 23 years in the O.R., so you can talk to me intelligently. Please get back to me ASAP, as I want to inform my hand surgeon of this option, if it is in fact a viable one. Thank you.
Karen Lightfoot, BSN, RNFA, CNOR
Karen,
There are are definitely other options as seen on the video. Surgery for thumb arthritis is a very different paradigm. Our approach is to address the issues which are causative like nerves and lax ligaments as well as the arthritis itself to get the system working without removing or replacing parts of the system. Please see: http://www.regenexx.com/blog/thumb-arthritis-caused-by-bad-nerves/ and http://www.regenexx.com/avoid-carpal-tunnel-surgery/ and http://www.regenexx.com/blog/thumb-arthritis-surgery-alternative/ and http://www.regenexx.com/blog/thumb-arthritis-relief/. PRP added to surgery can be helpful if done properly. We don’t do any surgery, but the expert on adding PRP to surgery is Phillipe Hernigou. If you Google “Phillipe Hernigou PubMed” it will bring you to links to many of his papers. Generally, removing bone spurs without addressing the instability that caused them is not a good idea. If you’d like us to take a look, please fill out the Candidate Form!
What would be an average or typical recovery time for the procedures shown in the video? How long before someone could comfortably use their hand again?
Joanne,
Soreness should last 3-7 days. Use of the hand would be “as tolerated”, meaning as pain allows.