Generalised Tendinopathy
Chronic tendinopathy at various sites (e.g., quadriceps, hamstring, pectoralis) shares common degenerative features. PRP therapy addresses the underlying failed healing response by delivering concentrated platelets to the damaged tendon. The growth factors in PRP stimulate tenocyte proliferation and organised collagen deposition. Ultrasound guidance ensures precise placement at the most degenerated tendon areas. Patients typically experience progressive improvement over 8-12 weeks as tendon remodeling occurs. The treatment is particularly valuable for recalcitrant cases failing 3+ months of conventional therapy.
Post-procedure rehabilitation follows a structured eccentric loading protocol to guide proper fibre alignment. Unlike cortisone which may weaken tendons, PRP enhances tendon structure over time. The procedure can be repeated every 4-6 weeks for maximum benefit in severe cases. Athletes often benefit from PRP’s ability to restore tendon resilience while maintaining sport-specific strength.
PRP Treatment Process
Tendon Mapping
Ultrasound identifies pathology
PRP Preparation
High platelet concentration
Peppering Technique
Multiple needle passes
Healing and Pain Relief
Protecting the ligament during treatment with a knee brace may be required depending on grading of the injury
Treatment Eligibility
Ideal Candidates:
✔ Chronic tendon pain >3 months
✔ Ultrasound-confirmed degeneration
✔ Failed loading programs
Exclusions:
✘ Acute tendon ruptures
✘ Insertional tendinopathies
Pricing
Frequently Asked Questions
What is "Generalised Tendinopathy," and how does PRP aim to treat it?
Generalised tendinopathy refers to chronic pain and dysfunction affecting one or more tendons anywhere in the body (e.g., shoulder, elbow, hip, knee, ankle). It’s not primarily an inflammatory condition, but rather involves degeneration, disorganisation, and failed healing of collagen fibres within the tendon, often due to overuse or repetitive strain. Platelet-Rich Plasma (PRP) involves injecting a concentrated solution of your own blood platelets, which are rich in various growth factors, directly into the affected tendon. The aim is for these concentrated growth factors to stimulate cellular repair, promote collagen synthesis and remodelling, reduce pain, and improve the tendon’s structural integrity, encouraging the body’s natural healing response to resolve the chronic tendon issue.
Am I a suitable candidate for PRP treatment for generalised tendinopathy in Australia?
PRP treatment for tendinopathy is generally considered for individuals who have chronic tendon pain (typically lasting more than 3-6 months) that has not responded adequately to traditional conservative treatments. These often include rest, activity modification, specific rehabilitation exercises (like eccentric loading), physiotherapy, and sometimes other interventions. Your doctor will conduct a thorough assessment, which may include physical examination specific to your painful tendons, to confirm the diagnosis of tendinopathy and rule out other underlying issues. PRP is usually explored as a non-surgical option when conventional approaches have failed to provide lasting relief for your chronic tendon pain.
What does a PRP injection for tendinopathy involve, and what's the typical recovery process like?
The procedure for a PRP injection for tendinopathy usually begins with a small amount of blood being drawn from your arm. This blood is then processed in a specialised centrifuge to separate and concentrate the platelets, creating the PRP solution. The concentrated PRP is then precisely injected directly into the affected tendon. This injection is almost always performed under ultrasound guidance to ensure accurate placement within the diseased tendon. You might experience some mild discomfort or a feeling of pressure during the injection. After the procedure, it’s common to have some localised soreness, tenderness, or bruising at the injection site for a few days. Your doctor will provide specific post-injection instructions, which generally involve a period of reduced load or activity on the treated tendon, followed by a gradual and structured rehabilitation program. This rehabilitation is crucial for optimising the healing process and strengthening the tendon. Improvement in symptoms and tendon healing often develops gradually over several weeks to many months
How many PRP injections are usually needed for tendinopathy, and is it covered by Medicare or private health insurance in Australia?
The number of PRP injections needed for tendinopathy can vary depending on the individual’s response, the specific tendon involved, and the chronicity/severity of the condition. While some patients may find relief with a single injection, many protocols suggest a course of 1 to 3 injections, often spaced a few weeks apart, to achieve optimal and more sustained results. Your treating doctor will advise on the most appropriate number of injections for your specific tendinopathy. In Australia, PRP treatments for tendinopathy are generally not covered by Medicare. This means the cost of the PRP procedure itself is typically an out-of-pocket expense for the patient. Similarly, most private health insurance funds in Australia currently do not provide rebates for PRP therapy for tendinopathy. It is always advisable to discuss the full costs involved and confirm any potential out-of-pocket expenses directly with your clinic and your private health fund prior to commencing treatment.
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