“I use a fair amount of PRP in my practice for other conditions. I use none for my concussion patients. I don’t think I’ve ever done a PRP injection on a concussion patient. They usually respond really well to a very coordinated plan that attacks the biggest negative first. Get them active as per Leddy protocol. Get the cognitive rehabilitation going in terms of academic modifications and working with the schools, communicating with the schools. Work on the neck, get the ocular rehabilitation, get the vestibular rehabilitation. Attack all the subtypes that are impacting the specific individual. And we have tremendous success with that approach without needing invasive treatment. Rarely are we prescribing invasive treatment. And occasionally it’ll be a Fossette joint or a spine injection with one of my physiatry colleagues.”
RESOURCES & LINKS:
This Q&A is an excerpt from the Vestibular Health Summit Sessions
Thomas S. Bottiglieri, DO, is a sports medicine physician specializing in the management of orthopedic injuries and disorders impacting athletes at all skill levels from adolescents to seniors. In addition to treating the full spectrum of muscle, bone, tendon, and joint injuries, Dr. Bottiglieri is a nationally recognized expert in the field of concussion care. His practice stresses shared decision-making with patients and their families and uses the latest medical technology, evidence-based sports medicine, and a compassionate, patient-centered approach. Dr. Bottiglieri is a regular contributor to local educational initiatives and an invited speaker at national medical conferences on the diagnosis and management of concussions, as well as the use of biologics in sport medicine.
Angela Rich, PT, OCS, ScD, ATC
Angela Rich was a private practice owner for 16 years, specializing in orthopaedics and sports medicine. In 2015, she turned her focus to teaching as an Assistant Professor in Texas State University’s Doctor of Physical Therapy Program with responsibilities in Orthopaedics and Therapeutic Interventions. In 2017, Dr. Rich was recognized with the Faculty Excellence Award in Teaching for the Department of Physical Therapy and the College of Health Professions. Her research agenda focuses on the identification of movement system dysfunction and impairment-based intervention.
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