Anyone had a PRP injection as an alternative to surgery for a rotator cuff tear?  Is this treatment even available in Thailand?  Sheryl?

Wife had them in her extensively damaged knee joint. Brilliant and a better first alternative to surgery.

Was she treated in Thailand?  Where?

Chiang Mai Ram hospital offers PRP. Quoted 50,000baht/injection. Passed.

 

Jeez, 800 USD in the States, which I thought was expensive.  I would give it a pass, too.

Pattaya Pratumnak soi 6 clinic does it, good reports apparently 

All posters: Please do not confuse the use of PRP for different conditions. The evidence base is quite different for say sports injuries vs chronic osteoarthritis.

 

OP is asking about its use for a rotator cuff tear.

 

@oobar  PRP treatment is available in Thailand but quite costly (and would require multiple injections).  Studies do suggest it reduces the incidence of re-tears but I have not seen evidence it substantially affects the need for surgery (which largely depends on the type and extent of the tear). Indeed it is often used in conjunction with surgery.

 

But have you been told your tear requires surgery? As >80% of tears do not. If so, what type of surgery? as there is a range of surgical treatments depending on size and extent of tear and other factors. 

 

Unless an good orthopedic surgeon specializing in shoulder injuries has specifically told you your tear requires surgery there is an excellent chance it can be managed without either surgery or costly PRP injections. But it does depend on the size and extent of the tear and other factors. Every case is somewhat unique and you should consult a good shoulder specialist first to discuss the specifics of yours. I do not think there are any in Ubon, if that is where you are located. There are some good ones in Khon Kaen but may be just as easy to come into Bangkok. Best shoulder specialist there is:

 

https://www.bumrungrad.com/en/doctors/mason-porramatikul

 

Bring Xrays and any scans with you actual films nto just reports).

 

If you do decide to try PRP injections, get them from a board certified ortho specializing in at least sports injuries (if not shoulder) and only at a major hospital as stand alone clinics are not so well regulated, especially those specializing in things like stem cells and PRP.

 

you may find these links helpful:

 

https://orthoinfo.aaos.org/en/diseases--conditions/rotator-cuff-tears/

https://orthoinfo.aaos.org/en/treatment/rotator-cuff-tears-surgical-treatment-options/

 

 

I'm going here early December and the package they have is acceptable priced until New year.

Samitivej Hospital in Bangkok, Thailand (samitivejhospitals.com)

 

Felt

 

 

What is the price?

23 hours ago, Sheryl said:

All posters: Please do not confuse the use of PRP for different conditions. The evidence base is quite different for say sports injuries vs chronic osteoarthritis.

 

OP is asking about its use for a rotator cuff tear.

 

@oobar  PRP treatment is available in Thailand but quite costly (and would require multiple injections).  Studies do suggest it reduces the incidence of re-tears but I have not seen evidence it substantially affects the need for surgery (which largely depends on the type and extent of the tear). Indeed it is often used in conjunction with surgery.

 

But have you been told your tear requires surgery? As >80% of tears do not. If so, what type of surgery? as there is a range of surgical treatments depending on size and extent of tear and other factors. 

 

Unless an good orthopedic surgeon specializing in shoulder injuries has specifically told you your tear requires surgery there is an excellent chance it can be managed without either surgery or costly PRP injections. But it does depend on the size and extent of the tear and other factors. Every case is somewhat unique and you should consult a good shoulder specialist first to discuss the specifics of yours. I do not think there are any in Ubon, if that is where you are located. There are some good ones in Khon Kaen but may be just as easy to come into Bangkok. Best shoulder specialist there is:

 

https://www.bumrungrad.com/en/doctors/mason-porramatikul

 

Bring Xrays and any scans with you actual films nto just reports).

 

If you do decide to try PRP injections, get them from a board certified ortho specializing in at least sports injuries (if not shoulder) and only at a major hospital as stand alone clinics are not so well regulated, especially those specializing in things like stem cells and PRP.

 

you may find these links helpful:

 

https://orthoinfo.aaos.org/en/diseases--conditions/rotator-cuff-tears/

https://orthoinfo.aaos.org/en/treatment/rotator-cuff-tears-surgical-treatment-options/

 

 

Thanks, Sheryl.  Will give this further thought.

On 11/1/2023 at 12:54 AM, Sheryl said:

All posters: Please do not confuse the use of PRP for different conditions. The evidence base is quite different for say sports injuries vs chronic osteoarthritis.

 

OP is asking about its use for a rotator cuff tear.

 

@oobar  PRP treatment is available in Thailand but quite costly (and would require multiple injections).  Studies do suggest it reduces the incidence of re-tears but I have not seen evidence it substantially affects the need for surgery (which largely depends on the type and extent of the tear). Indeed it is often used in conjunction with surgery.

 

But have you been told your tear requires surgery? As >80% of tears do not. If so, what type of surgery? as there is a range of surgical treatments depending on size and extent of tear and other factors. 

 

Unless an good orthopedic surgeon specializing in shoulder injuries has specifically told you your tear requires surgery there is an excellent chance it can be managed without either surgery or costly PRP injections. But it does depend on the size and extent of the tear and other factors. Every case is somewhat unique and you should consult a good shoulder specialist first to discuss the specifics of yours. I do not think there are any in Ubon, if that is where you are located. There are some good ones in Khon Kaen but may be just as easy to come into Bangkok. Best shoulder specialist there is:

 

https://www.bumrungrad.com/en/doctors/mason-porramatikul

 

Bring Xrays and any scans with you actual films nto just reports).

 

If you do decide to try PRP injections, get them from a board certified ortho specializing in at least sports injuries (if not shoulder) and only at a major hospital as stand alone clinics are not so well regulated, especially those specializing in things like stem cells and PRP.

 

you may find these links helpful:

 

https://orthoinfo.aaos.org/en/diseases--conditions/rotator-cuff-tears/

https://orthoinfo.aaos.org/en/treatment/rotator-cuff-tears-surgical-treatment-options/

 

 

Exercise for shoulder problems. Lets talk hair. I am waffling because I only seen black hair dye results with hair combed back before, and hair combed over after. Let's show the boys some hair growth!!!

11 hours ago, oobar said:

What is the price?

 

Check the link.

Felt

Had 3 PRP teatments including hyperbaric air chamber, massage w/ultrasound at Zen Clinic for 13,900 baht. Had a partially collapsed disc between L1 and L2, could barely walk, super painful. 1 month later feel fine.  Cant say enough about the doctor and staff -- fantastic. Brought Xrays from Bangkok hospital, the doctor explained exactly what was wrong and why this would work. Talked to American clients who went there for bad knees, they were also pleased.