Orthopaedic Surgeon - United States

I would like to see a Study that repeats PRP at 6months to see if serial treatment is more effective.

Physiotherapist - Canada

Thanks, OE. What is challenging and less helpful in this study is what we are truly comparing. As a physiotherapist, I would like to know if patients in these studies only received injections or if they were also receiving physical therapy - or at least provided with exercise. Receiving an injection is a passive approach to treating shoulder pain.  We know that an active approach is far better, and best practice. In my clinical experience, patients with recalcitrant pain who are receiving physical therapy may go for a cortisone injection AND continue physical therapy.  Anecdotally, recurrence is very low in my experience. A differentiator and selection criterion between cortisone and PRP is cost.  Is there enough data in this study, not knowing whether an active treatment was pursued, to advocate for the more costly [to the patient] PRP treatment? Best, Joseph Federico PT

Orthopaedic Surgeon - Canada

Is it worth the price for a difference that is not very impressive.