PRP vs Cortisone for Hip Bursitis

Platelet-Rich Plasma IS MORE EFFECTIVE for Severe Chronic Greater Trochanteric Bursitis THAN CORTISONE Raymond Rocco Monto, MD

Nantucket cottage hospital

problem

theory

methods

results

conclusions

problem

What is GTBS/GTPS?

bursa

tendon nerve

15%

theory

LK

AA COX1

COX2

PRP MECHANISM PDGF

TGF-beta

PRP

IGF

FGF-2

VEGF

EGF

BMP 2, possibly 12/13 > 1300 proteins

methods

Rigorously assess efficacy of PRP vs. cortisone injection

Prospective.

Randomized.

Longitudinal.

Blinded.

Failure of > 6 months of standardized conservative treatment.

Proof of pain.

Objective scoring.

Long term follow-up.

GTB

CORT M

PRP F

M

F

3cc PRP

40mg DepoMedrol

ultrasound needle guidance

Harris Hip and WOMAC scores every 3 months x one year

results

Harris Hip Scores

WOMAC Scores

conclusions

cortisone bad.

prp good.

PRP proved to more effective than cortisone in both short term and long term management of severe chronic greater trochanteric hip bursitis.

No complications or side effects.

Thank you.