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Platelet-Rich Plasma Therapy Propels Dot Back To The Pool

February 22, 2016 By Andre Panagos M.D.

Video Rotator cuff tear PRP treated

Dot is a New Yorker whose passion is swimming.

She has a long history of shoulder pain that never got in the way over decades of swimming. In early September of 2013 she had a severe attack of  right shoulder pain that went on for several months. Her diagnosis was shoulder impingement syndrome which lead to progressive fraying and tearing of the supraspinatus tendon.  She attributed the pain to more frequent swimming sessions.

Her pain was so bad that it impacted her ability to carry items and lie on her right shoulder while sleeping. The pain even woke her up at night.

Learn more with this short video on shoulder impingement syndrome

 

Imaging

September, 2013- MRI right shoulder noted a severe supraspinatus tendinosis at the insertion on the humerus with a focal full thickness tear (yellow arrow).

MRI supraspinatus tear

 

September, 2013- A right shoulder ultrasound evaluation noted tendinosis and a partial to complete tear of the supraspinatus tendon (red arrow) and bony irregularity (blue arrow) indicating tissue overload and incomplete healing for many years.

Rotator cuff repair 2013

Management

Early September, 2013- Several sessions of physical therapy severely exacerbated her pain so she had to stop.

September, 2013- Ultrasound-guided supraspinatus tendon insertion corticosteroid injection- slightly helpful but not with longstanding improvement.

Platelet-rich plasma therapy

Late September, 2013- Platelet-rich plasma procedure into the right supraspinatus insertion with 50% improvement after several weeks.

Early October, 2013- Platelet-rich plasma procedure into the right supraspinatus insertion with a total of 90% improvement after several weeks with an eventual return to swimming.

December, 2015- The patient remains pain-free. A follow-up ultrasound image of the supraspinatus tendon noted increased tendon thickness (red arrow) and decreased bony insertion irregularity (blue arrow) which is associated with the healing process.

 

Rotator cuff repair 2015

 

A very grateful patient

 

Thank you note from patient

Andre Panagos M.D. (19 Posts)

Regenerative Spine and Sports Medicine, Functional Medicine Spine & Sports Medicine of New York www.ssmny.com Clinical Assistant Professor in the Department of Rehabilitation Medicine at New York University Langone Medical Center

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Filed Under: Platelet-Rich Plasma, Shoulder Treatments Tagged With: Active Swim, Andre Panagos M.D., Cuff Tear, Overuse Injuries, Plasma Therapy, Platelet Rich Plasma Therapy, Platelet-rich Plasma, Prp Injection, Rotator Cuff Tear, Shoulder, Shoulder Pains, Shoulder Problem, Soft Tissue Disorders, Supraspinatus Muscle, Supraspinatus Tendinosis, Supraspinatus Tendon, Tendinosis

Andre Panagos M.D.

Andre Panagos Physician, Reseacher, Author. More about me.
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