Osteoarthritis- Self Blood Treatment

My mother was given the PRP injection and now she wants the same for her second knee.
My mother was given the PRP injection and now she wants the same for her second knee.

Light Exercises can Delay Osteoarthritis

A new study has shown that the simple changes in physical activity can delay the onset of osteoarthritis. It has been found that participating in a high impact activity such as running for more than one hour per day at least three times a week is the highest risk factor for the occurrence of osteoarthritis, as it causes more degeneration of the cartilage.

But avoiding the frequent knee-bending activitie and performing light exercises may protect against the the disease.

Osteoarthritis is a degenerative joint disease that causes pain, swelling and stiffnes. It has been proved by MRI exams that light exercises had the healthiest knee cartilage among all exercise levels. The cartilage remains healthier with light exercises than with heavy or no exercises.

Introduction

Osteoarthritis is one of the most successfully treated diseases especially of the knee and the hip. The former afflicts the Indians, while the latter is more prevalent in the West. There are several reasons to it.

The problem of osteoarthritis is a progressive disease. It occurs when the cartilage covering the end of the bones within a joint including the overgrowth of bones becomes worn out and degenerate.

This disease occurs in the the knees due to wear and tear. It is caused by trauma or progressive deterioration of the articular cartilage and menisci of the joint. It leads to the exposure of the surface of the bone. The symptoms of this progressive disease include joint stiffness, inflammation, swelling and difficulty in walking.

In US alone, the osteoarthritic disability affects over 27 million people. The problem gradually and generally begins after the age of 40 years.

PRP Injection in Osteoartharitis
PRP Injection in Osteoartharitis | Source
PRP injection being given in the knee
PRP injection being given in the knee | Source

Treatments

Depending upon the severity of pain, swelling and inflammation, it could be treated with analgesics, physiotherapy or exercises to improve function and mobility, weight control, bracing, corticosteroid injections or medication. Acute osteoarthritis needs different types of surgery.

Injections of Synthetic Grease

A microenvironment of toxic fluid develops in osteoarthritis alongwith the presence of the fragments of hyaluronic acid, catabolic or energy releasing enzymes and inflammation causing molecules. The condition of this toxic environment is improved by giving intra-articular injections.

For natural lubrication, a gel-like substance or synthetic grease is injected into the joints in viscosupplementation.

It is done either by a single or a set of three injections to reduce the friction inside the joints by providing essential constituents to the fluid in the joints.

Injection of PRP or Platelet Plasma

The main constraints for surgery are financial compulsions, social taboos and associated diseases.

There are the patients who are in the early stages of degeneration, where the joint replacement is not needed in future. The severity and occurrence of the disease could be prevented.

An alternative cure for the treatment of osteoarthritis has always been felt. The new method of biologic treatment of injecting platelet-rich-plasma or PRP is being experimented without artificial substances to repair the cells and tissues.

Platelet Rich Plasma Therapy
Platelet Rich Plasma Therapy | Source

Mechanism of PRP

HA or hyaluronic acid is a natural substance found in body in lubricating fluids around the joints.

The increased HA secretion has been found in the presence of platelet-rich rather than platelet-poor forms.

Platelet Rich Plasma
Platelet Rich Plasma | Source

History of PRP

The blood cells of the patient in PRP injection have successfully been in use in the world to treat the tendom injuries, bone repair and regeneration of atheletes and sportspersons. The method is also used to treat nerve or heart muscle injury, tendinitis and oral or plastic orsurgery.

Now the new technique of PRP injection is being used to treat osteoarthritis in early stages. The method though similar is not exactly like stem cell therapy.

The PRP is derived from the blood of the patient after taking the sample from a vein and a liquid (plasma) containing mainly platelets are extracted from it.

The blood is concentrated by centrifugation and filtering, to get the platelets only. This platelet rich plasma is then injected into the knee joint by ultrasound guidance of the needle.

These platelets are cell fragments that produce growth factors and other normal constituents involved in the repair process in the body. They contain other cytokines that are excellent in promoting the healing of bone and the repair of the body tissues.

In this case the technique works on the principal of supplying large quantities of stimulants for regeneration into areas where there is wear and tear. It stimulates the healing in the most natural way by encouraging the body to repair the damaged cartilage in the knee and delays the surgery.

The PRP activates high concentration of growth factors in arthritic cartilage through degranulation to decreases the symptoms and inflammation.

The Cost

The cost around 3,000 INR is involved in the PRP treatment of asteoarthritis, which however is minimal as compared to other more expensive therapies.

My mother got herself treated with PRP injection and now she wants the same treatment for her second knee. She has been greatly relieved of the pain in her knee,

The Success Rate of PRP

This treatment in worn out knees in the early stages of osteoarthritis was used in Spain.

In India the work began in PGI Chandigarh in 2009 and the results are very positive. The first In US study a study about PRP treatment in knees appeared in December 2010 issue of American Journal of Physical Medicines & Rehabilitation, showing a positive report after one year.

The instances of short term reliefs are fairly decent, but the long term overall effects are unknown. It is not certain that how nuch repair occurs, as the PRP injected knees have so far not been opteated.

If not ahead, the PRP treatment in India is abreast of international trends in the field.

The Risks Factors

About one third of the patients reported fainting, dizziness, headache, nausea, upset stomach, sweating and increased palpitation.

Some patients reported pain, swelling, hot sensation and stiffness in the knee for a fortnight.

The Advantages of PRP

The main advantage is the absence of allergic reactions which commonly occur with the injections of synthetic drugs.

The PRP injection is synthesized from the blood of the patient.

The records of long term significant gain are not available, but majority of patients are ready to go for the next injection in future after short term pain.

PRP Injection being given with ultrasound guidance
PRP Injection being given with ultrasound guidance | Source
PRP Treatment in Hair Transplant
PRP Treatment in Hair Transplant | Source

Conclusions of PRP Treatment

It helps in mild osteoarthritis and the knees that are severely worn out do not benefit from PRP injections.

The current evidences show that PRP injections reduced pain more effectively and delayed the progression of osteoarthritis than placebo injections in the knees.

Significant effect on pain was seen in PRP injections as compared to the injections of HA or hyaluronic acid and NS or normal saline solution. The function improved significantly more when PRP injections were compared with other treatments.

As compared to NS and HA injections, the succession of multiple intra-articular PRP injections may be beneficial for adults with mild to moderate osteoarthritis of the knees at approximately 6 months.

The combination of PRP and HA may be beneficial due to their dissimilar biological mechanisms.

Individually in all the three compartments of the knee viz., medial, lateral and patellofemoral, the treatment improved pain, stiffness and function among 75% of the patients.

The loss of cartilage decreased, while the patients lose about 5% of knee cartilage every year.

The arthritis index or the pain calculated on Visual Analog Scale got reduced by 40% to 60% in the period of 6 and 12 months respectively.

The functional scores improved by 25% at one year.

The daily living scores activity increased from 45% to 55% for 6 and 12 months respectively.

A change in magnetic resonance imaging or MRI of structural appearances was reported.

The facial rejuvenation with PRP
The facial rejuvenation with PRP | Source

Finger Snapping Causes Arthritis

It is a warning to those who are in a habit of snapping the fingers in free or idle time. It may lead to the painful condition of arthritis.

The bones are connected to each other with ligaments and the point where the two bones join is called a joint. While snapping the fingers we are in reality pulling these joints and taking the bones away from each other. In this way the bones joined to each other get separated and the internal pressure gets reduced.

A special liquid is found in the joints of fingers, elbow and knees which act as a lubricant liquid to provide greasing between the moving bones in the joints and saves the bones from getting worn out.

With the decrease in the pressure on bones, the gases like carbon dioxide etc. fill in the empty space thus created and the bubbles of liquid are formed. These bubbles burst when the joints are pulled apart. Once after the bursting of the bubbles, it takes 15 to 30 minutes for the bubbled to get formed again.

The repeated pulling of the joints weakens the grip of attached bones and the tissues present in the joints get destroyed too.

So the habit of snapping the bones could cause the problem of arthritis.

Exercises and Home Remedies for Weak Knees

The pain in the knees or the problem of weak knees is caused by the injury in some accident or excessive pressure on the knees. The daily routines of life including walking, running, jogging or the ascending of stairs increase the pressure and the knees become weak.

Performing some exercises listed hereunder on regular basis strengthens the knees. The guidance of expert physiotherapist is needed in the gym.the regular exercises prescribed by the physician or physiotherapist is beneficial, otherwise more damage may occur.

Stretching

The muscle stretching is the best option of exercise for knee pain or weak knees. The hemstrung and is good for the knees. Lie down on the back, stretch the legs, fold one leg and press it towards the chest, till the pressure of the leg could be felt. Repeat with another leg alternatively 10 times for each leg.

Cycling

Both the gym cycling and open cycling strengthen the feet, legs and knees. It gives strength to the bones and muscles of the knees.

Step Up Exercise

Stepping or step up is a cardio exercise which has several benefits including the strong knees. It heats up the knees and reduces the stress on the knees.

Mat Exercises

Certain mat exercises like leg lift, knee lift etc., could be performed at home. These exercises stretch the muscles of the knees and reduce the pain of the knees.

Lie down on the mat and lift he leg about a foot from the floor without folding the knee and remain in this position for awhile. Repeat 5-7 times with each leg. This exercise strengthens the knees.

Raise the leg and move it in a circle to make the formation of 0.

Control the Body Weight

The weight of the body should be maintained according the height, body structure and age. For the purpose the exercises under preventive physiotherapy are needed. The increased weight puts extra pressure on the hips and legs especially the knees.

Take a Break

Generally a break of 5 to 10 minutes is needed after standing for more than an hour or so. Prolonged standing puts extra pressure on the knees and causes knee pain.

Shape of Shoes

The proper shape and type of the shoes or slippers is also necessary. Different footwear should be chosen for office, trekking or gym. Tight fitting or high heeld shoes should be avoided.

Home Remedies

1. Rub the peeled garlic over the sore and swollen joints for anti-inflammatory action and to reduce the pain.

2. The application of the massage of the oil containing camphor is best for all types of joint pains.

3. The intake of few kernals of nuts or akhrot in empty stomach in the morning helps to get rid of knee pain.

4. Regularly eat the coconut kernel to get relief from knee pain.

Disclaimer

The article provides general information available about the new technique to treat osteoarthritis. The information of interest is only for awareness and based on limited research. The developments in subsequent improvements are not covered and the article is not a statement on safety and risks of the treatment.

We do not accept any liability, arising due to injury, loss or damage incurred by the use or reliance on the information.

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8 comments

SANJAY LAKHANPAL profile image

SANJAY LAKHANPAL 15 months ago from Mandi (HP) India Author

Thanks lex123 for the visit. Indeed this treatment is very effective if used in early stages of osteoarthritis.


lex123 profile image

lex123 15 months ago

Very useful hub about the osteoarthritis treatment. I was not aware of this new treatment. Thanks for sharing.


SANJAY LAKHANPAL profile image

SANJAY LAKHANPAL 17 months ago from Mandi (HP) India Author

Thanks aviannovice for the visit. You are right. The early PRP treatment in osteoarthritis brings good results.


aviannovice profile image

aviannovice 17 months ago from Stillwater, OK

Seems totally uninvasive and there is no worry for any sort of rejection, as this is one's own body fluids. The key, however, is to catch the progression at an early point in time for it to be most successful.


SANJAY LAKHANPAL profile image

SANJAY LAKHANPAL 18 months ago from Mandi (HP) India Author

Thanks BlossomSB for the compliment. This is a new treatment and is working wonders.


BlossomSB profile image

BlossomSB 18 months ago from Victoria, Australia

Thank you for an interesting and informative article about a condition that affects so many people.


SANJAY LAKHANPAL profile image

SANJAY LAKHANPAL 18 months ago from Mandi (HP) India Author

Thanks Venkatachari M for the visit and the comment. The problem of osteoarthritis is becoming very common these days.


Venkatachari M profile image

Venkatachari M 18 months ago from Hyderabad, India

Very interesting and useful information about treatment of osteoarthritis with PRP injections and other guidances.

Voted up.

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