Treating Hand Arthritis and Trigger Finger with PRP
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!
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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: https://regenexx.com/blog/thumb-arthritis-caused-by-bad-nerves/ and https://regenexx.com/avoid-carpal-tunnel-surgery/ and https://regenexx.com/blog/thumb-arthritis-surgery-alternative/ and https://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.