Orthobiologic Interventions for Muscle Injuries

Phys Med Rehabil Clin N Am. 2023 Feb;34(1):181-198. doi: 10.1016/j.pmr.2022.08.012.

Abstract

Muscle injuries represent a common problem in active populations. Orthobiologics continue to be studied for their ability to improve muscle healing. To date, the basic science research for treating muscle injuries with platelet-rich plasma or stem cell remains novel. Furthermore, there are even fewer clinical studies on these topics, and their findings are inconclusive. Reviewing the literature, muscle injuries treated with ultrasound-guided leukocyte-rich PRP injections appear to have the strongest evidence. Scar formation remains a major barrier in muscle injury healing, and there is optimism for future orthobiologic treatments that target the downregulation of TGF-B, resulting in decreased scar development.

Keywords: Muscle injury; Orthobiologic; Platelet-rich plasma; Prolotherapy; Stem cell.

Publication types

  • Review

MeSH terms

  • Cicatrix
  • Humans
  • Muscles
  • Muscular Diseases* / therapy
  • Platelet-Rich Plasma* / physiology
  • Wound Healing / physiology