Intra-Articular Corticosteroid Injections versus Platelet-Rich Plasma as a Treatment for Cervical Facetogenic Pain: a Randomized Clinical Trial.

David J Allison, Sanam Ebrahimzadeh, Stephanie Muise, Steven Joseph, Alexandria Roa Agudelo, Arden Lawson, Nicole Billias, John Tran1, Ashley Smith, Eldon Loh, November 14, 2024

What question is this study trying to answer?

In this study, we aim to compare the effectiveness of intra-articular leuokocycye poor, low – concentrate platelet – rich plasma (PRP) injections versus corticosteroid injections for the treatment of cervical facetogenic pain. Differences in self-rated disability, pain self-efficacy, and the safety of each procedure were also examined over a 6 month period. This study compares the effectiveness, safety, and patient outcomes of intra-articular platelet-rich plasma (PRP) injections versus corticosteroid injections for treating cervical facetogenic pain.

What did we learn?

Both PRP and corticosteroid injections provided similar reductions in neck pain intensity and self-rated disability over six months. The PRP group showed a greater improvement in pain self-efficacy one month after treatment and experienced less procedural pain. Both treatments had a low rate of adverse events.

Why is this relevant?

Cervical facetogenic pain is a common source of chronic neck pain, and corticosteroid injections are a standard treatment. PRP is emerging as a potential alternative with comparable pain relief but better improvements in patient confidence managing pain and reduced injection discomfort. This evidence supports PRP as a viable treatment option.

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NOTE: This was written to help the reader become familiar with some of the research we are doing here at Vivo Cura Health. This post, and all other content on this website are not intended to be a substitute for medical advice, diagnosis, or treatment. Please consult with a certified healthcare provider to discuss if a treatment is right for you.