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Regenerative Injections for Knee Osteoarthritis in a Recreational Baseball Player’s Knee to Prevent Further Surgical Procedures

Julie Barnett, PT DPT (UT Health San Antonio PT Department, San Antonio, TX, United States)

Meeting: AAPM&R Annual Assembly 2019

Session Information

Date: Thursday, November 14, 2019

Session Title: Musculoskeletal and Sports Medicine Case Report

Session Time: 12:30pm-2:00pm

Location: Research Hub - Kiosk 3

Disclosures: Julie Barnett, PT DPT: Nothing to disclose

Case Description: The patient had two prior arthroscopic meniscal knee surgeries and the patient goal was to prevent future surgeries and play recreation baseball.

Setting: Outpatient clinic

Patient: 52-year-old recreational baseball player with knee osteoarthritis.

Assessment/Results: Patient reported increased edema and pain after recreational baseball. The patient underwent prolotherapy and platelet rich plasma injections to the medial femoral condyle, medial meniscal area and the medial collateral ligament. At the 3-month follow up, the patient reported decreased pain and edema and no pain after playing recreational baseball.

Discussion: This case demonstrates the efficacy of in-office regenerative injections for common orthopedic dysfunctions prior to further surgical interventions or corticosteroid injections. A Physical Therapy prescription program was performed before and after the injections including shoe recommendations, knee bracing and open and closed kinetic knee exercises and low impact cardio options.

Conclusion: Regenerative injections such as prolotherapy and platelet rich plasma should be considered as options for treatment vs further corticosteroid injections or surgical interventions for knee osteoarthritis.

Level of Evidence: Level V

To cite this abstract in AMA style:

Barnett J. Regenerative Injections for Knee Osteoarthritis in a Recreational Baseball Player’s Knee to Prevent Further Surgical Procedures [abstract]. PM R. 2019; 11(S2)(suppl 2). https://pmrjabstracts.org/abstract/regenerative-injections-for-knee-osteoarthritis-in-a-recreational-baseball-players-knee-to-prevent-further-surgical-procedures/. Accessed May 25, 2025.
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