Plasma rich platelet injection Peroneal Tendonitis

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I've had a swollen ankle for three months now. Acute tendinitis was the initial diagnosis with an expected 3 week recovery.

Now, 3 months later with no real improvement and After seeing 3 different physiotherapists, I've finally had an ultrasound that shows "chronic" tendinosis in both the peroneal longus and brevis tendons.

Now seeing a sports physician with this information, he has suggested I go for a Plasma-Rich Platelet injection. He said that a cortisone at this "chronic" stage will only mask the pain and not promote the healing due to the scar tissue.

So I'm here to ask if anyone has ever had this treatment before and if it was successful.

i am a student and have to waitress for a living... so I've been out of work for two months now, and as you can imagine they are quite frustrated with me at this point. I'd like to get some idea when I could go back to work. Walking is a must. sad

The specialist thinks that after 3 weeks of complete rest after the injection, I will be able to go back to work. HMMMMM...

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7 Replies

  • Posted

    Hi Natasha, what country are you in?  

    I have just Googled this and your post is pretty near the top of the list!  This suggests that it isn't a well used procedure.  I had a look at a Google Scholar article and also what Wiki says.  It seems to me, that it isn't a proven procedure yet.

    Your waitressing job probably doesn't help at all.

    I notice that they suggest this injection for tennis elbow, amongst other things.  I am currently suffering with tennis elbow.  I have had it for years and the best treatment I ever had, was acupuncture, performed by my then GP.  My current GP told me that Physios offer it these days.  Have you thought of trying acupuncture?

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    • Posted

      Hi! Thanks for posting! I've  never tried a forum before..

      I am in Melbourne, Australia.

      I have not consider acupuncture.. i didn't think it would be used for tendinosis?!? 

      One physio told me what i have is like tennis elbow except in my ankle. It just makes it hard cause my ankle has to carry my weight around so Ive become a couch potato for three months! I have booked in for the PRP - Plasma Rich Platelet injection for this Thursday. Although it isnt something that is popular which  makes it hard to find 'success' stories,  it makes the most sense when i compare it to cortisone injections -which was suggested to me in the first place. I will see a physio 2 weeks after my injection and will definitely  mention acupuncture  to see if its an option during my rehabilitation program. 

      Im close to losing my job..and if i lose it.. i really dont know what i will do! So fingers crossed for this. Hopefully it will be successful and I can create a forum for someone else who's  considering to find!!

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    • Posted

      I am in the UK.

      I have had steroid injections on my elbow and it helped for a while but the last time, it did nothing, so I am waiting to see a Physio at the moment and hoping they will do acupuncture again.  I am using an anti inflammatory analgesic cream at the moment, called Movelat.  My GP prescribed it for me, it helps a little.  Have you tried anything orally, like NSAIDS?

      I'm sorry about your job, is it helping with your college fees?

      Going back to your original question,  all I can find regarding the injection, is that nothing has been proven regarding its efficacy.  It doesn't say that it would damage you if you had it, so maybe it would be worth giving it a go if nothing else helps.

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  • Posted

     Hi Natasha

    I haven't tried this treatment, though I have heard it mentioned by people in the US (I'm in the UK).

    i hope you don't mind me asking how your chronic Tendinosis came about and if you have ever taken an antibiotic in the Fluoroquinoline class ie, Levofloxacin(Levaquin) or Ciprofloxacin(Cipro); there are others too. Fluoroquinolones can cause Tendinosis and ruptured Achilles, amongst many other musculoskeletal and body-wide problems. These adverse reactions are often delayed by as much as a year.

    wishing you well and that you get better soon 

    plodding on

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    • Posted

      Hi Ploddington,

      I never took any kind of medication that could have contributed to my tendinosis. 

      I think it is damaged from a sprain and then not allowing to heal fully. How i remember  it happening was just having a very stiff ankle,  and felt restricted with my movement... 2 days of that and then SWOLLEN ANKLE. Since  then its never been 100%. I havent walked without a limp for 3 months.. due to pain and also my muscles and tendons not being able to stretch the way it is supposed to when u walk. Physio is definitely  something i need... but whenever i tried doing exercises it would aggrevate it even more. It never got to a stage where it was healed enough. So with PRP im assuming it will allow healing over 2 weeks  and then  rehab.

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  • Posted

    PS. Natasha, I forgot to mention, that steroid injections near to a tendon can be damaging to the tendon.

    plodding on

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  • Posted

    Natasha, have you tried swimming to exercise your ankle?  

    You need to keep your weight off it

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