Hand & Wrist Stem Cell and PRP Treatment and Therapy

Lipogems®, Platelet Rich Plasma Procedures (PRP) and stem cell treatments for Hand and Wrist Pain

Stem cell therapy, Lipogems® adipose tissue transfer and Platelet Rich Plasma (PRP) treatment can provide relief from pain or a reduced range of motion for people suffering from hand, thumb or wrist arthritis or other conditions of the hand.

Arthritis is the inflammation of one or more of your joints and the most common types are osteoarthritis and rheumatoid arthritis. Osteoarthritis is more common and is caused by the cartilage wearing away. Common symptoms are swelling, stiffness and decreased range of movement. Rheumatoid arthritis is a chronic disease which causes the joint lining to swell and leads to pain and stiffness in the joint. Rheumatoid arthritis often starts in the small joints of the hands and feet.

The hand and wrist have multiple small joints and therefore arthritis can occur in many areas. Thumb arthritis is very common and is wear of the cartilage at the base of the thumb joint, also known as the carpometacarpal joint.

Treatment initially involves anti-inflammatory medicines, splinting and corticosteroid injections.  If these options don’t work, joint fusions (which relieve pain but stop joint motion) or joint replacements can be performed.

Carpal tunnel syndrome causes pain, numbness, and tingling in the hand and arm. It occurs when one of the main nerves to the hand – the median nerve – is squeezed or compressed as it travels through the wrist. 

Initially symptoms can be relieved through wearing a wrist splint or avoiding certain activities.

But if the pressure on the median nerve continues, it can lead to nerve damage and worsening symptoms. To prevent permanent damage, patients may be recommended surgery to take the pressure off the median nerve.

These conditions and other injuries to the hand and wrist can be treated with stem cell therapy, Lipogems® adipose tissue transfer and Platelet Rich Plasma (PRP) treatment which avoids the need for surgery and enables people to return to normal activities sooner.

Hand and wrist conditions which can be treated with Lipogems® and PRP therapy include:

  • Hand arthritis
  • Thumb arthritis (basal joint arthritis/carpometacarpal arthritis)
  • Instability
  • Carpal tunnel syndrome
  • Trigger finger
  • TFCC tear

Our hand and wrist specialists: 

London – Mr Ali Noorani

North West – Mr Matthew Smith

The treatment

Lipogems® Therapy

Stem cells are simply your own body cells that can renew themselves and turn into other cells (differentiate). They live inside all of us in various tissues; their job is to repair damage as it occurs. We all know when we have a cut or injury our body repairs itself. As we age or experience big injuries, we may not be able to recruit enough of these cells to the site to fully repair the area.
The Lipogems procedure helps overcome this problem by extracting your own cells from an area of high volume, then concentrating the cells and re-injecting them into the damaged area to help the body heal naturally.
This procedure can be used for a wide range of conditions and are the tool of choice for injuries, arthritis and other conditions that may be more significant than what may be treated with our Platelet Rich Plasma or Platelet Lysate Procedures.

Blood Platelet treatments (PRP)

PRP injection Treatments contain healing growth components from your own blood that increase your body’s natural ability to repair itself.
The use of PRP to repair joint, tendon, ligament, and muscle injuries is becoming well known, thanks to exposure from professional athletes.
Platelet injection treatments are effective because they have a stimulating effect on the stem cells within the targeted area, making those stem cells work harder to heal damaged tissues.
Our Advanced Platelet Procedures are more pure and concentrated than those created by the automated machines used at most regenerative medicine clinics. Platelet procedures are commonly used for soft tissue injuries, mild arthritis and spine conditions.
To find out more about the Lipogems procedure or the Blood Platelet Procedure click here or make an appointment with one of our specialist Orthopaedic Consultants.
Our expert team works as part of a collaborative partnership of Surgeons, Sports Medicine doctors and Physiotherapists to provide the perfect patient pathway to get you quickly on the road to recovery. Whether you require conventional treatment or if you are a candidate for these new regenerative treatments, you can be sure that will get the best advice from teaching hospital specialists.

Clinical evidence

Autologous Fat Transfer for Thumb Carpometacarpal Joint Osteoarthritis: A Prospective Study

Background: Most operations for carpometacarpal joint osteoarthritis of the thumb irreversibly alter or destroy the anatomy. There is a high demand for minimally invasive alternatives. The authors report the results of autologous fat transfer for treatment of thumb carpometacarpal joint osteoarthritis. 

Methods: In a prospective study, 50 patients with thumb carpometacarpal joint osteoarthritis were observed for 1 year after autologous fat transfer. Manual liposuction and centrifugation were performed. Pain rating according to visual analogue pain scale; objective force of pinch grip and fist closure; and Disabilities of the Arm, Shoulder, and Hand questionnaire scores before and after treatment were analyzed. 

Results: The average pain in stage 2 patients pre-operatively was 7.7 ± 1.3; it was 1.8 ± 1.9 after 6 months and 2.4 ± 3.1 after 12 months. Patients with stage 2 osteoarthritis demonstrated a superior benefit from this treatment compared with patients with either stage 3 or stage 4 thumb carpo-metacarpal joint osteoarthritis. There were similar improvements for the parameters strength and Disabilities of the Arm, Shoulder, and Hand questionnaire score. No serious adverse events were observed. 

Conclusions: Autologous fat transplantation is an appealing alternative, especially in early-stage basal joint osteoarthritis of the thumb. The low invasiveness of the procedure and early recovery of patients compared with classical procedures such as trapeziectomy, and the superior long-term results compared with classical injection therapy, make this approach feasible as a first-line therapy in early-stage basal joint osteoarthritis of the thumb. (Plast. Reconstr. Surg. 140: 327, 2017.)

Read full article