How can The Regenerative Clinic help?
At the Regenerative Clinic we have a large team of orthopaedic and musculoskeletal experts. We can provide a thorough consultation with diagnostic scan and ultrasound guided PRP injections. These are offered to patients with this kind of injury to reduce inflammation. PRP therapy aims to deliver growth factors contained in the patients blood plasma directly to the injured site. To find out more about how we can help with your injury make an enquiry or book an appointment with one of our specialist consultants.
Platelet Rich Plasma (PRP) therapy, also known as autologous conditioned plasma, takes advantage of the blood’s natural healing properties to repair damaged cartilage, tendons, ligaments, muscle and bone. It can reduce pain, improve joint function and helps you quickly return to normal activities.
PRP supports your body’s self-healing processes by using your own cells. Blood is mostly liquid (called plasma) but also contains solid component including red cells, white cells and platelets. The platelets are important for clotting blood but they also contain proteins called growth factors which are important in the healing of injuries.
This treatment is widely researched and supported in clinical papers. See our PRP evidence section.
What is bursitis?
Bursae are thin water filled sacs that sit between the tendons and bones around a joint they can also sit between two tendons. Their function is to cushion and reduce friction of the structures to allow free movement of the tissues. Bursitis occurs when these sacs become inflamed causing your joints to become painful, tender and swollen.
You may be suffering with bursitis if you are experiencing some of the below:
Movement or pressure on the joint is painful
Redness and warmth to touch
Reduced function of the joint
It is important to have it correctly diagnosed as it can sometimes be confused with:
What can cause bursitis?
Everyone is potentially at risk of bursitis but some groups may be at a higher risk, see below:
People who participate in sports that are high risk of injury or trauma to joints e.g. football, basketball and wrestling
People who’s profession includes repetitive movement e.g. kneeling or overhead movements. Examples of professions are gardeners, carpet fitters and painters/decorators.
People more susceptible are those with underlying conditions such as: gout, rheumatoid arthritis and osteoarthritis.
Where can bursitis occur?
There are 150 bursae in the human body acting as cushions between tendons, muscles and joints. Any bursa can become inflamed, but bursitis often occurs in the:
Shoulder (subacromial bursitis)
The subacromial bursa is the most common to become inflamed of the shoulder bursa. Subacromial bursitis is a common cause of shoulder pain that is commonly related to shoulder impingement of the bursa between your rotator cuff tendons and bone (acromion). A less common shoulder bursitis is your subdeltoid bursa.
Knee (prepatellar bursitis)
Although the knee contains up to 11 bursae, the most common bursa to become inflamed is the prepatellar bursa which lies in front of the patella. It is commonly known as ‘housemaids knee’ as it is a condition associated with those who work for extensive periods kneeling.
Hip (trochanteric bursitis)
Hip bursitis most often involves the bursa that covers the greater trochanter of the femur (the most prominent part of the side of the hip), although the iliopsoas bursa can also become inflamed.
Other areas that commonly suffer with bursitis are buttocks, thighs and ankles.
What are the treatment options?
Bursitis can heal on its own with no intervention, however if symptoms are impacting your quality of life and it is not responding to conservative treatments it is advisable to treat with injections to help symptoms and enhance the recovery. Conservative treatment options includes rest, anti-inflammatory medications, analgesia, physiotherapy and local steroid injections. However, Platelet Rich Plasma (PRP) therapy injections are a much more effective treatment for bursitis.
Bursitis clinical evidence
Toggle title Platelet-Rich Plasma Treatment More Effective than Cortisone for Chronic Hip Bursitis (Medical News 2014)
Background: Platelet-rich plasma (PRP) treatment is more effective than cortisone for chronic severe hip bursitis, according to a study presented at the 2014 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS).