A Randomized Controlled Trial of the Treatment of Rotator Cuff Tears with Bone Marrow Concentrate and Platelet Products Compared to Exercise Therapy: A Midterm Analysis.
This is a study of partial and full-thickness rotator cuff tears being treated with either exercise alone or injections of bone marrow concentrate (BMC) and platelet-rich plasma (PRP). Patients reported functional and symptomatic improvement as soon as 3 months, and at 24 months these benefits were sustained at a mean improvement of 89%. Post injection shoulder MRI confirmed tears to decrease in size. To top it off, none of the patients involved in the study sustained any serious complications.
The Takeaway: Many patients with rotator cuff tears dread the thought of having surgery but are also frustrated with alternative options of rehabilitation exercise and use of NSAIDs. Cellular injections are the perfect middle-ground for patients who want to avoid surgery but also want a stronger therapy than rehabilitation exercise alone. Dr. Silva always combines BMC with PRP for the most powerful cellular response and then prescribes rehabilitation therapy to sustain the healing cascade for the patient’s long-term benefit.
Centeno C, Et Al. A randomized controlled trial of the treatment of rotator cuff tears with bone marrow concentrate and platelet products compared to exercise therapy: A midterm analysis. Stem Cells International. 2020. ID 5962354.