
{"id":42537,"date":"2025-04-01T09:08:00","date_gmt":"2025-04-01T08:08:00","guid":{"rendered":"https:\/\/www.btitrainingcenter.com\/a-long-term-retrospective-observational-clinical-study-evaluating-the-efficacy-of-plasma-rich-in-growth-factors-prgf-in-the-treatment-of-back-pain\/"},"modified":"2025-08-01T12:33:03","modified_gmt":"2025-08-01T11:33:03","slug":"a-long-term-retrospective-observational-clinical-study-evaluating-the-efficacy-of-plasma-rich-in-growth-factors-prgf-in-the-treatment-of-back-pain","status":"publish","type":"post","link":"https:\/\/www.btitrainingcenter.com\/it\/a-long-term-retrospective-observational-clinical-study-evaluating-the-efficacy-of-plasma-rich-in-growth-factors-prgf-in-the-treatment-of-back-pain\/","title":{"rendered":"A Long-Term Retrospective Observational Clinical Study Evaluating the Efficacy of Plasma Rich in Growth Factors (PRGF) in the Treatment of Back Pain"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row content_text_aligment=&#8221;left&#8221; row_background_lines=&#8221;no&#8221;][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3 class=\"title\">Abstract<\/h3>\n<div id=\"enc-abstract\" class=\"abstract-content selected\">\n<div id=\"enc-abstract\" class=\"abstract-content selected\">\n<p><strong class=\"sub-title\">Introduction:\u00a0<\/strong>Chronic back pain is a long-lasting disorder that is significantly associated with a reduction in the quality of life. Previously, the efficacy of intradiscal and epidural injections of plasma rich in growth factors (PRGF) was demonstrated at 6 months. The objective of this study was to retrospectively examine the medical records of these patients in order to determine whether the observed improvement at the 6-month follow-up was sustained over time.<\/p>\n<p><strong class=\"sub-title\">Methods:\u00a0<\/strong>PRGF efficacy was evaluated using validated questionnaires: Core Outcome Measure Index (COMI) Pain score, COMI Disability score, COMI total score, and Oswestry Disability Index (ODI). Furthermore, an evaluation was conducted to determine whether the patients had undergone additional treatments.<\/p>\n<p><strong class=\"sub-title\">Results:\u00a0<\/strong>The results demonstrated that 85.2% of the 27 patients who were enrolled exhibited sustained improvement across all scales over a median follow-up period of 24 months. The results of all questionnaires administered at 24 months exhibited statistically significant differences when compared to the baseline data (p &lt; 0.01). Furthermore, there were no statistically significant differences between the results reported at 6 months and those at 24 months (p &gt; 0.05).<\/p>\n<p><strong class=\"sub-title\">Conclusions:\u00a0<\/strong>The results of this retrospective study demonstrate that treatment of chronic back pain with PRGF was effective in maintaining pain reduction and improving function for at least 24 months after the end of treatment.<\/div>\n<p><strong class=\"sub-title\">Keywords:\u00a0<\/strong>Back pain; Degenerative disc disease; Growth factors; Intervertebral disc degeneration; PRGF; PRP; Platelet-rich plasma; Regenerative medicine.<\/div>\n<p>[\/vc_column_text][vc_empty_space][vc_column_text]<\/p>\n<h3>Figures<\/h3>\n<p>[\/vc_column_text][vc_empty_space][\/vc_column][\/vc_row][vc_row content_placement=&#8221;middle&#8221; content_text_aligment=&#8221;center&#8221;][vc_column]<div class=\"qodef-image-gallery qodef-grid-list qodef-disable-bottom-space  qodef-ig-grid-type qodef-four-columns qodef-tiny-space  qodef-image-behavior-lightbox\">\n\t<div class=\"qodef-ig-inner qodef-outer-space\">\n\t\t\t\t\t<div class=\"qodef-ig-image qodef-item-space\">\n\t\t\t\t<div class=\"qodef-ig-image-inner\">\n\t\t\t\t\t\t\t\t\t\t\t<a itemprop=\"image\" class=\"qodef-ig-lightbox\" href=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/40122_2024_699_Fig1_HTML.jpg\" data-rel=\"prettyPhoto[image_gallery_pretty_photo-679]\" title=\"&lt;strong&gt;Figure 1.&lt;\/strong&gt; Clinical outcomes for the patients included in this retrospective study. COMI Pain Score (NRS), COMI Disability Score, and COMI total score are shown for all patients (n\u2009=\u200927) while the Oswestry Disability Index only for lumbar cases (n\u2009=\u200925). Median values are shown by a horizontal line and mean with a cross. First and third quartiles (25th and 75th percentiles) are represented by the lower and upper limits of the box, respectively. The 2.5th and the 97.5th percentiles are shown as the lower and upper whiskers, respectively. The outliers are represented as dots. *** indicates p\u2009&lt;\u20090.001\">\n\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/40122_2024_699_Fig1_HTML-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/>\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<div class=\"qodef-ig-image qodef-item-space\">\n\t\t\t\t<div class=\"qodef-ig-image-inner\">\n\t\t\t\t\t\t\t\t\t\t\t<a itemprop=\"image\" class=\"qodef-ig-lightbox\" href=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/40122_2024_699_Fig2_HTML.jpg\" data-rel=\"prettyPhoto[image_gallery_pretty_photo-679]\" title=\"&lt;strong&gt;Figure 2.&lt;\/strong&gt; Representation of the results of the questionnaires as a time series, before treatment (time 0), and at 6 and 24 months after the end of treatment. The mean\u2009\u00b1\u2009standard deviation is plotted for each point\">\n\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/40122_2024_699_Fig2_HTML-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/>\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<div class=\"qodef-ig-image qodef-item-space\">\n\t\t\t\t<div class=\"qodef-ig-image-inner\">\n\t\t\t\t\t\t\t\t\t\t\t<a itemprop=\"image\" class=\"qodef-ig-lightbox\" href=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/40122_2024_699_Fig3_HTML.jpg\" data-rel=\"prettyPhoto[image_gallery_pretty_photo-679]\" title=\"&lt;strong&gt;Figure 3.&lt;\/strong&gt; Representation of treatment response in terms of pain reduction during follow-up. This reduction was classified as excellent (score 0\u20133 on the NRS pain scale), moderate (NRS 3.1\u20136.5) and ineffective (NRS 6.6\u201310). The proportion of patients falling into each category is indicated\">\n\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/40122_2024_699_Fig3_HTML-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/>\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<div class=\"qodef-ig-image qodef-item-space\">\n\t\t\t\t<div class=\"qodef-ig-image-inner\">\n\t\t\t\t\t\t\t\t\t\t\t<a itemprop=\"image\" class=\"qodef-ig-lightbox\" href=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/40122_2024_699_Fig4_HTML.jpg\" data-rel=\"prettyPhoto[image_gallery_pretty_photo-679]\" title=\"&lt;strong&gt;Figure 4.&lt;\/strong&gt; Graph illustrating the improvement in pain scale scores over time for the 27 patients included in the study COMI Pain Score Difference (\u0394 basal- final). Each patient is represented by a single data point. Twenty-two patients exhibited an improvement in their condition as a result of the treatment, exceeding the minimal clinically important change (MCIC) threshold for pain (demonstrated by green dots above the dashed black line). The grey dots represent patients who showed improvement but did not reach the MCIC threshold (dashed black line), or who remained at the same level as at the beginning of treatment (dashed red line). One patient (red dot) evidenced a worsening of their condition in comparison to their baseline situation, with a value below the red dashed line\">\n\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/40122_2024_699_Fig4_HTML-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/>\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<\/div>\n<\/div>[vc_empty_space height=&#8221;50px&#8221;][\/vc_column][\/vc_row][vc_row][vc_column]<a itemprop=\"url\" href=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/13-40122_2024_Article_699.pdf\" target=\"_blank\"  class=\"qodef-btn qodef-btn-medium qodef-btn-solid btnWebRosa2\"  >\n    <span class=\"qodef-btn-text\">Scarica articolo<\/span>\n    <\/a>[\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p><strong>Pain Ther. 2025 Apr;14(2):675-690.<\/strong><br \/>\nChronic back pain is a long-lasting disorder that is significantly associated with a reduction in the quality of life. Previously, the efficacy of intradiscal and epidural injections of plasma rich in growth factors (PRGF) was demonstrated at 6 months. The objective of this study was to retrospectively examine the medical records of these patients in order to determine whether the observed improvement at the 6-month follow-up was sustained over time.<\/p>\n","protected":false},"author":2002,"featured_media":42502,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[157],"tags":[],"class_list":["post-42537","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medicina-rigenerativa"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.btitrainingcenter.com\/it\/wp-json\/wp\/v2\/posts\/42537","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.btitrainingcenter.com\/it\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.btitrainingcenter.com\/it\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.btitrainingcenter.com\/it\/wp-json\/wp\/v2\/users\/2002"}],"replies":[{"embeddable":true,"href":"https:\/\/www.btitrainingcenter.com\/it\/wp-json\/wp\/v2\/comments?post=42537"}],"version-history":[{"count":1,"href":"https:\/\/www.btitrainingcenter.com\/it\/wp-json\/wp\/v2\/posts\/42537\/revisions"}],"predecessor-version":[{"id":42538,"href":"https:\/\/www.btitrainingcenter.com\/it\/wp-json\/wp\/v2\/posts\/42537\/revisions\/42538"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.btitrainingcenter.com\/it\/wp-json\/wp\/v2\/media\/42502"}],"wp:attachment":[{"href":"https:\/\/www.btitrainingcenter.com\/it\/wp-json\/wp\/v2\/media?parent=42537"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.btitrainingcenter.com\/it\/wp-json\/wp\/v2\/categories?post=42537"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.btitrainingcenter.com\/it\/wp-json\/wp\/v2\/tags?post=42537"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}