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2026年4月23日 星期四

Is PRP and electromagnetic therapy actually effective? Take a look at the X-ray changes in a 74-year-old woman after treatment.

 

Last March, Dr. Huang shared the case of a 73-year-old woman with lower back pain accompanied by leg numbness.
Her X-rays revealed lumbar scoliosis, spondylolisthesis, and stenosis (in fact, her cervical spine also had problems).

Following Dr. Huang’s recommendations, she underwent several sessions of PRP injections along with high-intensity focused electromagnetic (HIFEM) therapy.

Due to work commitments requiring her to frequently stay in the United States, her treatment schedule was irregular.
Her last PRP injection was in August 2025; then she returned to the U.S.
She didn’t come back until this April.

The first thing she did upon returning was to visit Dr. Huang for maintenance of her spine and other joints.
(She also has rotator cuff tears in the shoulder and degenerative knee joints, both treated by Dr. Huang.)

The patient reported that during her time abroad, she experienced almost no lower back pain, with only occasional mild leg numbness.


Dr. Huang arranged a follow-up spinal X-ray at Chung Shan Hospital, which showed clear improvement compared to previous images:

  • The degree of scoliosis was significantly reduced (Figure 1)
  • Spondylolisthesis and foraminal stenosis also showed improvement (Figure 2)

With objective X-ray evidence to support the results, the patient gained greater confidence in the treatment and chose to continue PRP therapy.

She joked that every time she sees me, she feels both happy and scared—
happy because her problems can be treated,
but scared because it means more injections
😅 (she is very afraid of needles).

So each time, she opts for a larger-volume PRP injection (Figure 3),
which allows her to reduce the number of visits 
😆


Many people ask: Do PRP and electromagnetic therapies actually work?
Many patients also wonder: Can degenerated or damaged structures be “reversed” or “repaired”—even just a little?


The answer is realistic—
not everyone experiences dramatic results.

However, with the right physician, proper indications, good patient compliance, and sufficient treatment dosage,
these therapies can indeed change the course of a disease.

This 74-year-old patient did not undergo intensive treatment
and even spent more than half a year abroad.

Yet with appropriate regenerative therapy combined with electromagnetic treatment,
the X-rays still provided an answer:

Degeneration does not have to be a one-way decline.

What we can do
is not only slow it down, but sometimes even improve it.

This is what Dr. Huang has always aimed to do:
use scientific methods to restore the body as much as possible.

PRP and electromagnetic therapies are not miracle cures,
but they can shift a future that once seemed destined to worsen.


As for fear of injections?
Of course she’s afraid 
😆
Yet she keeps coming back.

Because compared to the injections,
she understands something even more important:

Some pain
doesn’t have to be endured for a lifetime.


Previous report:
https://uroprolo.blogspot.com/2025/03/ultrasound-guided-prolotherapy-for.html

 

PRP及磁波治療到底有沒有效?來看看一位74歲女性接受治療後的X光片變化!

 

去年三月,仁醫分享了一位下背痛合併腳麻的73歲女性案例

X光片可發現腰椎側彎、滑脫、神經孔狹窄(事實上頸椎也有問題)

在仁醫的建議下

除了接受數次PRP注射治療以外,也同時接受高強度聚焦式磁場(HIFEM)的治療

由於病患因公需時常待在美國

治療的頻率並不固定

最後一次接受PRP注射治療是2025年8月

之後病患就前往美國

直到今年四月才回國

回國的第一件事就是找仁醫報到保養她的脊椎以及其他部位骨關節

(病患亦有肩膀旋轉肌撕裂、膝關節退化的問題,都是由仁醫治療)

 

病患自述出國這段時間幾乎沒有下背痛,只是腳偶爾會稍微麻一下

仁醫安排她至中山醫院追蹤脊椎X光片

發現跟之前相比的確有明顯進步

除了側彎的幅度明顯較小(圖一)


滑脫、神經孔狹窄的部份也獲得改善(圖二)


有
X光片客觀證據佐證

病患對治療更具信心

因此繼續接受PRP注射治療

她說她每次看到仁醫既開心又害怕

開心的是她的問題可以獲得解決

害怕的是又要打針(病患很怕打針)😅

因此她每次來都是接受大管PRP注射治療(圖三)

這樣就可以不用來太多次 😆

 

很多人會問:PRP、磁波治療到底有沒有效?

也很多病患想了解:已經退化、受損的結構,有沒有機會「逆轉」、「修復」回來?就算只是一點點?

 

答案其實很現實——

的確不是每個人都神奇有效

但是在對的醫師、適合的適應症、病患的配合、足夠的治療量

真的會改變疾病的走向

 

這位74歲的個案

她沒有密集治療

甚至中間還出國大半年

靠著適當的再生治療搭配磁波

X光還是給出了答案:

退化,不是只能一路向下

我們能做的

不只是讓它「慢一點」,甚至「好一點」

這也是仁醫一直在做的事:

用科學的方法,把身體能修的地方,盡量修回來

PRP與磁波治療,不是萬靈丹

但它確實可以讓「原本只能變差的未來」,出現不同的走向

 

至於怕打針?

她當然很怕😆

但她依舊會回來

因為比起打針

她更清楚一件事:

有些痛,是可以不用忍一輩子的

 

去年案例分享:

https://uroprolo.blogspot.com/2025/03/ultrasound-guided-prolotherapy-for.html

 

2024年7月30日 星期二

2024-07-26 新加坡PRP國際研討會/The PRP International Symposium in Singapore

 

這次很榮幸應妮傲絲翠邀請參加新加坡PRP國際研討會

It is an honor to be invited by Neoasia to participate in the PRP International Symposium in Singapore. 


1. 07-25 晚宴 pre-symposium dinner


台灣共有四位醫師應邀參與:
黃柏仁醫師(左二),黃啟銘醫師(左三),陳冠誠醫師(右三),游宜蓁醫師(右二)。
Four doctors from Taiwan were invited to participate: Dr. Po-Jen Huang (second from the left), Dr. Chi-Ming Huang (third from the left), Dr. Kuan-Cheng Chen (third from the right), and Dr. Yi-Jen Yu (second from the right). 
妮傲絲翠台灣區經理吳峰岳(左一),孫仁厚(右一)也全程參與研討會。
The Neoasia Taiwan Area Managers, Alex Wu (first from the left) and Ren-Hou Sun (first from the right), also participated throughout the symposium.

2. 07-26 會後授證 Certificate awarding after the symposium 

3. 07-26 各國與會醫師合照 Group photo of participating doctors from various countries

04. 
07-25 晚宴 pre-symposium dinner 

05. 07-26 台灣醫師互相討論交流 Taiwanese doctors discussing and exchanging ideas with each other

06. 07-26 研討會 Lecture 

07. 07-26 研討會-現場示範 Lecture-live demo 

08. 07-26 PRP證書 PRP Certificate




2024年7月14日 星期日

肌腱撕裂傷打PRP真的比較好嗎?來看看國際運動醫學期刊的研究

 

l  肌腱撕裂傷的挑戰

 

肌腱撕裂傷是一種常見的運動傷害,

特別是在運動員和體力勞動者中。

傳統治療方法包括物理治療、消炎藥物和類固醇注射,

但這些方法可能效果有限,

且類固醇長期使用可能導致副作用。

 

l  什麼是PRP (Platelet-rich plasma)?

 

PRP (Platelet-rich plasma)是富含血小板的血漿(PRP),

從患者自身血液中提取並濃縮的血小板,

這些血小板富含多種生長因子,

可以促進組織修復和再生。

PRP治療在運動醫學和骨復健領域越來越受歡迎,

尤其在治療肌腱撕裂傷方面顯示出顯著效果。

 

l  PRP治療真的比較好嗎?

 

2021年一項發表在Orthopaedic Journal of Sports Medicine (IF:2.4)的研究比較了PRP和傳統類固醇注射對部分肩膀肌腱撕裂(主要是肩胛棘上肌Supraspinatus)的疼痛緩解和功能改善效果。

這項隨機對照試驗共納入了32名患者,分別接受了PRP或類固醇注射。

 


研究結果─

短期效果(治療後1個月):

兩組在疼痛(VAS評分)和肩膀功能(OSS評分)方面皆顯著改善,

但兩組之間的改善程度沒有顯著差異。

 

長期效果(治療後6個月):

PRP組在疼痛和功能改善方面仍持續改善,

但類固醇組則持平。

兩組相比,

PRP組在疼痛和功能改善方面明顯優於類固醇組。

具體數據顯示,

PRP組的疼痛(VAS, visual analog scale)評分和功能(OSS, Oxford Shoulder Score)評分都顯著降低,

表明患者的疼痛減少和功能提升更為顯著。



安全性:

兩組患者在研究期間均未出現任何併發症,顯示出PRP和類固醇治療的安全性。

 

研究結論─

使用皮質類固醇或PRP注射皆可在 1 個月時使肩胛棘上肌部分撕裂患者的疼痛得到類似的減輕並改善功能。

然而,

在 6 個月的追蹤中,

PRP 顯示出優於皮質類固醇的益處。

 


黃醫師總結:

l  為什麼選擇PRP?

1.    長期療效:與類固醇相比,PRP在長期的疼痛緩解和功能改善方面效果更好。

2.    自然成份:PRP來自於患者自身的血液,減少了排斥反應和過敏風險。

3.    促進修復:PRP中的生長因子能有效促進肌腱和其他組織的修復和再生。

l  PRP治療適合您嗎? 

對於肌腱撕裂的患者,

PRP注射是有效且安全的治療選擇。

它不僅能在短期內緩解疼痛,

還能長期促進功能恢復,

改善生活品質。

對於想尋求長期效果和降低副作用風險的患者。

PRP無疑是最適合的治療。

 

 

【參考文獻: https://pubmed.ncbi.nlm.nih.gov/34485587/】