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JYMS : Journal of Yeungnam Medical Science

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Review articles
The use of platelet-rich plasma in management of musculoskeletal pain: a narrative review
Aung Chan Thu
J Yeungnam Med Sci. 2022;39(3):206-215.   Published online June 8, 2022
DOI: https://doi.org/10.12701/jyms.2022.00290
  • 4,165 View
  • 122 Download
  • 6 Web of Science
  • 8 Crossref
AbstractAbstract PDF
Musculoskeletal pain is the most common pain reported by patients. Platelet-rich plasma (PRP) is widely used to treat musculoskeletal pain. However, the efficacy of PRP to treat this pain remains controversial. This review highlights the application of PRP in the treatment of musculoskeletal pain. PRP treatment appears to reduce pain and improve function in patients with musculoskeletal pain. However, there are limitations to the currently published studies. These limitations include the PRP preparation methods, type of activators, types of pathology to be treated, methods and times of administration, and association of PRP with other treatments.

Citations

Citations to this article as recorded by  
  • Restraint stress-associated gastrointestinal injury and implications from the Evans blue-fed restraint stress mouse model
    Der-Shan Sun, Te-Sheng Lien, Hsin-Hou Chang
    Tzu Chi Medical Journal.2024; 36(1): 23.     CrossRef
  • Injections of Platelet-Rich Plasma: An Emerging Novel Biological Cure for Low Back Pain?
    Adarsh Jayasoorya , Nitin Samal, Gajanan Pisulkar, Kaustav Datta, Kevin Kawde
    Cureus.2024;[Epub]     CrossRef
  • Platelet-Rich Plasma in the Management of Temporomandibular Joint Pain in Young Adults With Temporomandibular Disorder
    Santosh Kumar Mathpati, Gourav Jain, Vijay Mishra, Atul K Singh, Rahul Mishra, Bipin K Yadav
    Cureus.2024;[Epub]     CrossRef
  • Potentials and impact of platelet-rich plasma (PRP) on the regenerative properties of muscle tissue
    V. H. Dzhyvak, I. M. Klishch, O. I. Khlibovska, S. S. Levenets
    Biopolymers and Cell.2024; 40(1): 3.     CrossRef
  • Injectable Lyophilized Chitosan-Thrombin-Platelet-Rich Plasma (CS-FIIa-PRP) Implant to Promote Tissue Regeneration: In Vitro and Ex Vivo Solidification Properties
    Fiona Milano, Anik Chevrier, Gregory De Crescenzo, Marc Lavertu
    Polymers.2023; 15(13): 2919.     CrossRef
  • Systematic Review of Platelet-Rich Plasma for Low Back Pain
    Edilson Silva Machado, Fabiano Pasqualotto Soares, Ernani Vianna de Abreu, Taís Amara da Costa de Souza, Robert Meves, Hans Grohs, Mary A. Ambach, Annu Navani, Renato Bevillaqua de Castro, Daniel Humberto Pozza, José Manuel Peixoto Caldas
    Biomedicines.2023; 11(9): 2404.     CrossRef
  • Potential Mechanism of Platelet-rich Plasma Treatment on Testicular Problems Related to Diabetes Mellitus
    Rista Dwi Hermilasari, Dicky Moch Rizal, Yohanes Widodo Wirohadidjojo
    Prague Medical Report.2023; 124(4): 344.     CrossRef
  • The blind spot and challenges in pain management
    Min Cheol Chang
    Journal of Yeungnam Medical Science.2022; 39(3): 179.     CrossRef
The mechanism of action of pulsed radiofrequency in reducing pain: a narrative review
Donghwi Park, Min Cheol Chang
J Yeungnam Med Sci. 2022;39(3):200-205.   Published online April 7, 2022
DOI: https://doi.org/10.12701/jyms.2022.00101
  • 4,267 View
  • 133 Download
  • 9 Web of Science
  • 13 Crossref
AbstractAbstract PDF
Pain from nervous or musculoskeletal disorders is one of the most common complaints in clinical practice. Corticosteroids have a high pain-reducing effect, and their injection is generally used to control various types of pain. However, they have various adverse effects including flushing, hyperglycemia, allergic reactions, menstrual changes, immunosuppression, and adrenal suppression. Pulsed radiofrequency (PRF) is known to have a pain-reducing effect similar to that of corticosteroid injection, with nearly no major side effects. Therefore, it has been widely used to treat various types of pain, such as neuropathic, joint, discogenic, and muscle pain. In the current review, we outlined the pain-reducing mechanisms of PRF by reviewing previous studies. When PRF was first introduced, it was supposed to reduce pain by long-term depression of pain signaling from the peripheral nerve to the central nervous system. In addition, deactivation of microglia at the level of the spinal dorsal horn, reduction of proinflammatory cytokines, increased endogenous opioid precursor messenger ribonucleic acid, enhancement of noradrenergic and serotonergic descending pain inhibitory pathways, suppression of excitation of C-afferent fibers, and microscopic damage of nociceptive C- and A-delta fibers have been found to contribute to pain reduction after PRF application. However, the pain-reducing mechanism of PRF has not been clearly and definitely elucidated. Further studies are warranted to clarify the pain-reducing mechanism of PRF.

Citations

Citations to this article as recorded by  
  • A narrative review of pulsed radiofrequency for the treatment of carpal tunnel syndrome
    Himanshu Gupta, Colm Vance, Vishal Bansal, Ahilraj Siva
    Pain Practice.2024; 24(2): 374.     CrossRef
  • Pulsed Radiofrequency for Auriculotemporal Neuralgia: A Case Report
    Yan Tereshko, Enrico Belgrado, Christian Lettieri, Simone Dal Bello, Giovanni Merlino, Gian Luigi Gigli, Mariarosaria Valente
    Neurology International.2024; 16(2): 349.     CrossRef
  • Transforaminal pulsed radiofrequency and epidural steroid injection on chronic lumbar radiculopathy: A prospective observational study from a tertiary care hospital in Vietnam
    Viet-Thang Le, Phuoc Trong Do, Vu Duc Nguyen, Luan Trung Nguyen Dao, Ipek Saadet Edipoglu
    PLOS ONE.2024; 19(4): e0292042.     CrossRef
  • Pulsed Radiofrequency Ablation for Refractory Cancer-Related Leg Pain: A Case Report
    Praveen Reddy Elmati, Tyler J Wilkinson, Alexander Bautista
    Cureus.2024;[Epub]     CrossRef
  • Anatomo-physiological basis and applied techniques of electrical neuromodulation in chronic pain
    Giusy Guzzi, Attilio Della Torre, Andrea Bruni, Angelo Lavano, Vincenzo Bosco, Eugenio Garofalo, Domenico La Torre, Federico Longhini
    Journal of Anesthesia, Analgesia and Critical Care.2024;[Epub]     CrossRef
  • Radiofrecuencia del nervio supraescapular como estrategia analgésica para el dolor crónico de hombro. Revisión sistemática y metaanálisis
    J. Sebastián Infante, N. Blackburn, J. Felipe Vargas
    Revista Española de Anestesiología y Reanimación.2024;[Epub]     CrossRef
  • Comparison of two distinct needle tip positions in pulsed radiofrequency for herpes zoster‐related pain
    Shao‐jun Li, Dan Feng
    CNS Neuroscience & Therapeutics.2023; 29(7): 1881.     CrossRef
  • Previous Lumbar Spine Surgery Decreases the Therapeutic Efficacy of Dorsal Root Ganglion Pulsed Radiofrequency in Patients with Chronic Lumbosacral Radicular Pain
    Jiri Jandura, Milan Vajda, Roman Kostysyn, Jiri Vanasek, Eva Cermakova, Jan Zizka, Pavel Ryska
    Journal of Personalized Medicine.2023; 13(7): 1054.     CrossRef
  • Spinal Injections: A Narrative Review from a Surgeon’s Perspective
    Dong Ah Shin, Yoo Jin Choo, Min Cheol Chang
    Healthcare.2023; 11(16): 2355.     CrossRef
  • Pulsed Radiofrequency 2 Hz Preserves the Dorsal Root Ganglion Neuron Physiological Ca2+ Influx, Cytosolic ATP Level, Δψm, and pERK Compared to 4 Hz: An Insight on the Safety of Pulsed Radiofrequency in Pain Management
    Ristiawan Muji Laksono, Taufiq Agus Siswagama, Fa'urinda Riam Prabu Nery, Walter van der Weegen, Willy Halim
    Journal of Pain Research.2023; Volume 16: 3643.     CrossRef
  • Summary of the 48th KORSIS Symposium in 2023
    Min Cheol Chang
    International journal of Pain.2023; 14(2): 96.     CrossRef
  • The blind spot and challenges in pain management
    Min Cheol Chang
    Journal of Yeungnam Medical Science.2022; 39(3): 179.     CrossRef
  • Use of QR Codes for Promoting a Home-Based Therapeutic Exercise in Patients with Lumbar Disc Herniation and Lumbar Spinal Stenosis: A Prospective Randomized Study
    Min Cheol Chang, Donghwi Park, Yoo Jin Choo
    Journal of Pain Research.2022; Volume 15: 4065.     CrossRef
Review Article
Ketamine : Refocused Role of Ketamine in Pain Management
Sun Ok Song
Yeungnam Univ J Med. 2007;24(2 Suppl):S108-117.   Published online December 31, 2007
DOI: https://doi.org/10.12701/yujm.2007.24.2S.S108
  • 1,081 View
  • 1 Download
AbstractAbstract PDF
Ketamine has used as a dissociative anesthetics from 40 years ago. Its mechanism of action is an antagonism of the N-methyl-D-aspartate (NMDA) receptors, which has an important role into the central sensitization during pain states. The role of ketamine, in lower sub-anesthetic doses, has recently gained increasing interest in pain management. There are considerable numbers of trials to use ketamine in acute or chronic pain states. Recently, Hocking et al. summarized their recent reviews of the evidence concerning ketamine’s clinical use on PAIN: Clinical Updates. In this review, the author introduce their summery with personal experience. Based on their summary, the primary role of ketamine in such subanesthetic doses is as an ‘anti-hyperalgesic’, ‘anti-allodynic’ or ‘tolerance-protective’ agent rather than as a primarily ‘analgesic’. However, to support the evidence-based clinical guideline using a ketamine in pain management, there will be needed numerous high-quality studies that access both immediate and long-term outcomes.

JYMS : Journal of Yeungnam Medical Science