Dr Karmakar performs interventional treatments, including Hyaluronic Acid and MFAT Injections in Sydney for various musculoskeletal pathologies. Most injections are performed under ultrasound guidance to improve accuracy and efficacy.
Interventional Treatments
Platelet Rich Plasma (PRP)
Platelet-rich plasma, known commonly as PRP, describes plasma that has a higher platelet concentration than baseline. Blood is collected and centrifuged to produce the collected volume. PRP contains several growth factors, including but not limited to PDGF, TFG-ᵦ, VEGF, FGF and EGF. These growth factors. These ‘concentrated growth factors’ stimulate natural processes involved in the healing process.
PRP can be used in various conditions, including but not limited to:
- Osteoarthritis
- Tendinopathy
- Tendon tears
- Ligament injuries
- Muscle strains and tears
- Plantar fasciitis
Though PRP is increasingly accessible, not all PRP is the same. Platelet concentration is highly variable and dependent on the collection method and processing techniques. Platelet concentration is likely to have a significant impact on the treatment’s efficacy. This is demonstrated in earlier studies, where considerable variation in the harvesting process and final concentration resulted in mixed results from the treatment. Today, there is a greater understanding of PRP, along with strong evidence to support its use for various musculoskeletal issues. See below for a collection of studies supporting the use of PRP.
Dr Karmakar performs PRP in the rooms. He collects blood and processes the PRP using various techniques, depending on the specific injection to be performed. Following the injection, patients may experience an increase in pain, typically for 24-48 hours. Depending on the site of injection, a series of injections may be recommended. Exercise rehabilitation is recommended as an adjunct in most cases to improve the effectiveness of the treatment. PRP can also be used in combination with other treatments, such as hyaluronic acid in arthritis or shockwave in tendon injections.
Cortisone
Cortisone injections have been used extensively for various injuries. Cortisone is a corticosteroid hormone that functions as an anti-inflammatory agent. When injected directly into the site of inflammation, they can act directly to reduce inflammation. Although cortisone continues to be used for conditions such as bursitis, tendinopathy, and arthritis, its role in all these sites is becoming increasingly limited. This is due to several factors, such as risk of infection, degradation of soft tissue structures, including tendons and cartilage and availability of better agents, including PRP. Despite this, cortisone is widely used in the community, mainly due to its easy availability.
Dr Karmakar performs cortisone injections in his rooms. He will discuss the specific indications for the procedure and alternative options with you. Following the injection, it may be advisable to modify some activities to reduce the risks of soft tissue irritation.
Hyaluronic Acid Injections for Knees (HA)
Hyaluronic acid is a non-sulphated glycosaminoglycan that is naturally produced by the body. It is typically found in soft connective tissues. In osteoarthritis, there appears to be less concentration of HA. Synthetic versions of the molecule have been developed. When the hyaluronic acid is injected into the joint, it can help restore the viscoelastic properties of HA and then act as a lubricant and shock absorber. Additionally, it may help prevent further cartilage degradation and limit the release of pro-inflammatory mediators. HA is considered a safe option and appears to be most effective for mild and moderate OA of the knee.
Dr Karmakar performs hyaluronic acid injections for knees and other joints in the rooms. He will discuss the indications and alternatives of the procedure. Most patients can remain active soon after the injection
MFAT injection & Other procedures in Sydney
Various other regenerative medicine techniques, such as micro-fragmented adipose tissue injections in Sydney, are gaining popularity in Australia and globally. Many of these techniques will be increasingly adopted as evidence continues to improve. Dr Karmakar is up to date with the latest regenerative techniques and performs them. He is happy to discuss the current efficacy and treatments of various novel treatment agents. If you are searching for “mesenchymal MFAT therapy near me,” Dr Karmakar will help you in every step of the way.