View Full Version : Kenyon Martin to have PRP therapy (but no surgery) for tendinitis -out for a while

03-09-2010, 07:59 AM
Nuggets' Martin will return, but maybe not before playoffs (http://www.denverpost.com/nuggets/ci_14637721?source=rss)
Martin will miss an undetermined amount of time while undergoing platelet rich plasma (PRP) therapy. He plans to return this season, although perhaps not until the NBA playoffs, the team announced Monday. Martin began the PRP therapy Monday.

It's definitely a good news-bad news situation for the Nuggets (42-21), who rank third in the Western Conference.

The good news is Martin won't require surgery on the knee, which is suffering from patella tendinitis. The bad news is the race in the West is tight and without Martin, the Nuggets will be without their "defensive quarterback," as coach George Karl calls him.

"I think everybody's got to step up, everybody's got to take a stab at his position," said all-star forward Carmelo Anthony, whose team is 4-4 without Martin this season. "Sometimes, when Kenyon's out there, we can let him play his man straight up and we don't have to worry about anything. But now we all have to come together as a team and deal with that."

According to the website of the Steadman Hawkins Clinic in Vail, where doctors have worked with Martin's knee, PRP therapy is "an 'autologous blood therapy' that uses a patient's own blood components to stimulate a healing response in damaged tissues. In response to an injury or tissue damage, your body naturally recruits platelets and white blood cells from the blood to initiate a healing response."

Therapy the recovery plan for K-Mart (http://www.nba.com/nuggets/features/nuggets_beat_0910.html)
No surgery for K-Mart.

That was the outlook after Nuggets power forward Kenyon Martin met with physicians to discuss treatment options for his ailing left knee.

Martin, bothered by chronic patella tendinitis for the past few months, began Platelet Rich Plasma (PRP) therapy Monday in an attempt to alleviate the pain in his knee. A timetable for his recovery remains indefinite, but he is expected to return this season.

Therapy was an alternative to surgery for Martin, who is Denver’s defensive captain and leading rebounder (9.6 per game).

Malik Allen, Joey Graham and Johan Petro have taken turns filling Martin’s spot in the starting lineup, while reserve Chris Andersen also has seen his minutes increase. There also remains the possibility that the Nuggets will sign a big man to add frontcourt depth heading into the final five weeks of the season.

03-09-2010, 08:18 AM
Good news. He'll be out for a while, the Nuggets probably won't need him for the first round of the Playoffs. Hopefully he'll be back for the second round, I love this guy and I'm loving the Nuggets. Best of luck

03-09-2010, 10:50 AM
Seeing the way Ty Thomas is playing with the Bobcats i would be pissed as a nuggs fan knowing we didnt get him and now Kmart is injured.

03-09-2010, 01:54 PM
Holy **** he was averaging 9 boards? No wonder he blew out his knee, he was trying again. Seriously though this treatment aint gonna work, how long would he have been out had he gotten the surgery?

03-09-2010, 02:08 PM
K-mart is underrated. nuggets won't make the WCF without him.

03-09-2010, 04:56 PM
Holy **** he was averaging 9 boards? No wonder he blew out his knee, he was trying again. Seriously though this treatment aint gonna work, how long would he have been out had he gotten the surgery?

If he got the surgery, it gonna be at the very least season ending, but don't know how much longer it was going to take.

Thankfully he decided take the treatment.

03-09-2010, 05:58 PM
Sucks for the Nugs

03-09-2010, 09:47 PM
Seriously though this treatment aint gonna work

It might - hopefully. At least, it has before (see NYT article (http://www.nytimes.com/2009/02/17/sports/17blood.html) below). And Kenyon time and again has demonstrated remarkable powers of recovery and rehabilitation. Came back from a broken leg? Check. Came back from microfracture surgery on one knee? Check. Came back from microfracture surgery on his other knee? Check. And he was basically performing at a level on par with his career high in 2010 (check the #s).

So at the least, I'm cautiously optimistic.

A Promising Treatment for Athletes, in Blood

Two of the Pittsburgh Steelers’ biggest stars, Hines Ward and Troy Polamalu, used their own blood in an innovative injury treatment before winning the Super Bowl. At least one major league pitcher, about 20 professional soccer players and perhaps hundreds of recreational athletes have also undergone the procedure, commonly called platelet-rich plasma therapy.

Experts in sports medicine say that if the technique’s early promise is fulfilled, it could eventually improve the treatment of stubborn injuries like tennis elbow and knee tendinitis for athletes of all types.

The method, which is strikingly straightforward and easy to perform, centers on injecting portions of a patient’s blood directly into the injured area, which catalyzes the body’s instincts to repair muscle, bone and other tissue. Most enticing, many doctors said, is that the technique appears to help regenerate ligament and tendon fibers, which could shorten rehabilitation time and possibly obviate surgery.

Research into the effects of platelet-rich plasma therapy has accelerated in recent months, with most doctors cautioning that more rigorous studies are necessary before the therapy can emerge as scientifically proven. But many researchers suspect that the procedure could become an increasingly attractive course of treatment for reasons medical and financial.

“It’s a better option for problems that don’t have a great solution — it’s nonsurgical and uses the body’s own cells to help it heal,” said Dr. Allan Mishra, an assistant professor of orthopedics at Stanford University Medical Center and one of the primary researchers in the field. “I think it’s fair to say that platelet-rich plasma has the potential to revolutionize not just sports medicine but all of orthopedics. It needs a lot more study, but we are obligated to pursue this.”

Dr. Neal ElAttrache, the Los Angeles Dodgers’ team physician, used platelet-rich plasma therapy in July on a partially torn ulnar collateral ligament in the throwing elbow of pitcher Takashi Saito. Surgery would have ended Mr. Saito’s season and shelved him for about 10 to 14 months; he instead returned to pitch in the September pennant race without pain.

Dr. ElAttrache said he could not be certain that the procedure caused the pitcher’s recovery — about 25 percent of such cases heal on their own, he said — but it was another encouraging sign for the nascent technique, which doctors in the field said could help not just injuries to professional athletes but the tendinitis and similar ailments found in the general population.

“For the last several decades, we’ve been working on the mechanical effects of healing — the strongest suture constructs, can we put strong anchors in?” Dr. ElAttrache said. “But we’ve never been able to modulate the biology of healing. This is addressing that issue. It deserves a lot more study before we can say that it works with proper definitiveness. The word I would use is promising.”

Platelet-rich plasma is derived by placing a small amount of the patient’s blood in a filtration system or centrifuge that rotates at high speed, separating red blood cells from the platelets that release proteins and other particles involved in the body’s self-healing process, doctors said. A teaspoon or two of the remaining substance is then injected into the damaged area. The high concentration of platelets — from 3 to 10 times that of normal blood — often catalyzes the growth of new soft-tissue or bone cells. Because the substance is injected where blood would rarely go otherwise, it can deliver the healing instincts of platelets without triggering the clotting response for which platelets are typically known.

“This could be a method to stimulate wound healing in areas that are not well-vascularized, like ligaments and tendons,” said Dr. Gerjo van Osch, a researcher in the department of orthopedics at Erasmus University Medical Center in the Netherlands. “I call it a growth-factor cocktail — that’s how I explain it.”

Dr. van Osch and several other experts said they had used the procedure as a first option before surgery for reasons beyond its early results. There is little chance for rejection or allergic reaction because the substance is autologous, meaning it comes from the patient’s own body; the injection carries far less chance for infection than an incision and leaves no scar, and it takes only about 20 minutes, with a considerably shorter recovery time than after surgery.

Because of those apparent benefits, the consensus among doctors is that the procedure is worth pursuing. However, several doctors emphasized that platelet-rich plasma therapy as it stands now appeared ineffective in about 20 to 40 percent of cases, depending on the injury. But they added that because the procedure costs about $2,000 — compared with $10,000 to $15,000 for surgery — they expected that with more refinement, insurance companies would eventually not only authorize the use of PRP therapy but even require it as a first course of treatment.

03-09-2010, 09:51 PM
Nuggets may be able to get by the first round without him but they're going to need him for the 2nd round and beyond.

03-09-2010, 09:56 PM
If the Nuggets can somehow keep on their early season pace, then get Kenyon Martin back in the play-offs, they'll be even stronger than they've looked so far. It's going to take a lot of work for them to pick up the slack caused by this injury though.

03-09-2010, 10:24 PM
He is done for the season. Usually these treatments end up working somewhat, but there needs to be some minor surgery done to get the player fully back. K-Mart is done and even if he comes back in May, he would be out of game shape and wouldn't be able to get into game-ready mode.

03-09-2010, 10:34 PM
Tough loss for the Nuggets. They prolly won't need him for the first round, but if they have to take on the Jazz, Lakers, or Mavs they will be in deep trouble.

03-09-2010, 10:58 PM
He is done for the season. Usually these treatments end up working somewhat, but there needs to be some minor surgery done to get the player fully back. K-Mart is done and even if he comes back in May, he would be out of game shape and wouldn't be able to get into game-ready mode.

You seem to be very sure of your opinion. Not sure what you're basing it on, though.

I think I'm just gonna go ahead and keep trusting the medical experts who currently are advising the Nuggets that he'll be back by the postseason. Being that they're, you know, medical experts.

03-10-2010, 12:15 AM
Can't blame him and the orthopods for trying this as it is fairly in vogue right now, but after a search of clinical articles on the Pub Med website; sorry to say that most researchers aren't so hot on it. I REALLY REALLY REALLY wish KMart's treatment WILL work.