I want to address the question of what is the difference between having a cortisone injection versus platelet-rich plasma for a sports injury, say tendinitis or plantar fasciitis. There have been some very good studies published comparing these two head to head, and what we find is that cortisone produces a good anti-inflammatory response fairly quickly, but it also wears off quite quickly. Your inflammation could be settled down for a few weeks and then the cortisone wears off.
The advantage of platelet-rich plasma is it is actually more powerful at reducing inflammation, and it lasts far longer, often in excess of 12 months. Many times we find that a treatment with platelet-rich plasma will cure a problem, whereas a treatment with cortisone might just provide a temporary Band-Aid.
Another thing to be cautious with cortisone is that it can actually cause some destruction of tissue. It can make your tendon a little bit more mushy and more subject to rupture. Or, if you’re injecting it into a joint, it can deteriorate the cartilage, whereas platelet-rich plasma will improve the integrity of the tissue rather than cause it any harm.
So if you had to choose between the two, I would be very much more in favour of platelet-rich plasma.
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