Acta Chir Orthop Traumatol Cech. 2026; 93(4):203-210 | DOI: 10.55095/achot2026/016

Ultrasound-Guided PRP for Tendinopathy: a Practical, Multimodal Framework from Biology to Rehabilitation

RUDOLF DITMAR1, JIŘÍ GALLO2
1 Department of Physical Medicine and Rehabilitation, University Hospital Olomouc, Czech Republic
2 Department of Orthopaedics, University Hospital Olomouc and Faculty of Medicine and Dentistry, Palacký University Olomouc, Czech Republic

Tendinopathies are common and hete- rogeneous, and recovery depends on both the local biological milieu and appropriately progressed mechanical loading. Platelet-rich plasma (PRP) is a biologically plausible adjunct, yet reported clinical effects are inconsistent, likely due to variation in phenotype, PRP formulation and dosing, delivery technique, and rehabilitation protocols. Ultrasound guidance improves injection accuracy and safety, but its incremental clinical value may be context dependent. This review outlines tendon-healing biology, summarizes evidence for conservative management, and appraises PRP - its putative mechanisms, sources of heterogeneity, and its integration into individualized, multimodal care.

Keywords: platelet-rich plasma, tendinitis, tendinosis, tendon healing, tendinopathy, ultrasound guidance.

Received: March 2, 2026; Revised: March 2, 2026; Accepted: April 7, 2026; Published: August 1, 2026  Show citation

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DITMAR R, GALLO J. Ultrasound-Guided PRP for Tendinopathy: a Practical, Multimodal Framework from Biology to Rehabilitation. Acta Chir Orthop Traumatol Cech. 2026;93(4):203-210. doi: 10.55095/achot2026/016.
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