Treating tendon and cartilage injuries usually involves rest, physiotherapy and, in severe cases, surgery. But one Dubai orthopaedic specialist has been helping residents heal their injuries through a procedure using injections of platelet-rich plasma, or PRP for short.
In this treatment, plasma, a component of blood, is injected into certain tendons and cartilage to encourage healing.
Dr Harold Vanderschmidt, who has treated up to 800 patients in Dubai using PRP since 2012, is quick to stress that it is still considered an experimental treatment and that it is not a cure for all types of ligament, tendon or cartilage injury.
“We use PRP in tendon disorders, and I use it for cartilage. It does not repair the cartilage defect fully, but the platelets contain healing factors and growth factors and it leads to cell generation, but not to a complete cartilage regrowth,” Vanderschmidt explains.
Currently, the procedure is primarily to treat patients with tennis elbow, golfer’s elbow, plantar fasciitis (inflamed ligament in the heel) and early-onset osteoarthritis.
“PRP works in [conditions affecting] areas where the tendon inserts into the bone, such as plantar fasciitis, tennis elbow, etc. We have done lots of studies with hamstring injuries and it doesn’t heal any faster than other treatments,” he says.
“It is effective for treating early osteoarthritis, which can be in the hip or any other joint, but the knee is the most common for pain. Until now, there is no evidence that it works for patients with advanced osteoarthritis.”
The procedure is relatively quick, taking around 20 minutes. Blood is taken from the patient using a special “double syringe”, which has a small syringe inside a larger one. The blood is then put in a centrifuge where it spins for around five minutes to separate the plasma from the red blood cells. The plasma, which contains the platelets, is sucked into the smaller syringe, which is then disconnected and ready for injection.
“The yellow serum [plasma] contains all the platelets at a concentration that is much higher than normal blood. Cartilage has no blood vessels and tendon has few good blood vessels so we are using it to bring the healing factors to areas where the body cannot bring it in. This is the concept of the treatment,” Vanderschmidt says.
The treatment is not a pain medicine, he explains, and, in fact, can result in more pain for up to two weeks after the injection. The overall healing process takes about six to eight weeks. “I give one injection and see how the patient develops. If there is improvement but the patient is not 100 per cent happy, then I would do a second treatment, but I do not plan two or three treatments in a row. I start with one injection and then see the patient again to see if a second one is required.”
Although Vanderschmidt says he has had great success with the procedure, it is not a first option for treatment. “PRP is a second line of treatment. We have to do the basic therapy first. Say with tennis elbow, I will prescribe physiotherapy and stretching exercises first – a lot of people respond to that treatment. I use PRP only when the patient has tried different treatment models and they are not working. If they respond to PRP, then good. If not, then we have to operate, but this is very rare. Only in about 3 per cent of patients is an operation required for tennis elbow.”
At this stage, most insurance companies do not cover PRP treatment because it is still considered experimental and while it is gaining in popularity thanks to its use by famous sports stars such as Rafael Nadal and Tiger Woods, Vanderschmidt insists “it is not the holy grail in medicine. It is like any other method – you must have the right patient and the right indication and it will work. Some doctors think it helps for everything and can be injected into any part of the body, but this is not real medicine. You have to have evidence-based studies and do the treatment properly for the patient.”
Dr Harold Vanderschmidt is an orthopaedic surgeon for Advanced Surgery at Burjeel Hospital in Dubai.
Zombieland: Double Tap
Director: Ruben Fleischer
Stars: Woody Harrelson, Jesse Eisenberg, Emma Stone
Four out of five stars
When Umm Kulthum performed in Abu Dhabi
Known as The Lady of Arabic Song, Umm Kulthum performed in Abu Dhabi on November 28, 1971, as part of celebrations for the fifth anniversary of the accession of Sheikh Zayed bin Sultan Al Nahyan as Ruler of Abu Dhabi. A concert hall was constructed for the event on land that is now Al Nahyan Stadium, behind Al Wahda Mall. The audience were treated to many of Kulthum's most well-known songs as part of the sold-out show, including Aghadan Alqak and Enta Omri.
It's up to you to go green
Nils El Accad, chief executive and owner of Organic Foods and Café, says going green is about “lifestyle and attitude” rather than a “money change”; people need to plan ahead to fill water bottles in advance and take their own bags to the supermarket, he says.
“People always want someone else to do the work; it doesn’t work like that,” he adds. “The first step: you have to consciously make that decision and change.”
When he gets a takeaway, says Mr El Accad, he takes his own glass jars instead of accepting disposable aluminium containers, paper napkins and plastic tubs, cutlery and bags from restaurants.
He also plants his own crops and herbs at home and at the Sheikh Zayed store, from basil and rosemary to beans, squashes and papayas. “If you’re going to water anything, better it be tomatoes and cucumbers, something edible, than grass,” he says.
“All this throwaway plastic - cups, bottles, forks - has to go first,” says Mr El Accad, who has banned all disposable straws, whether plastic or even paper, from the café chain.
One of the latest changes he has implemented at his stores is to offer refills of liquid laundry detergent, to save plastic. The two brands Organic Foods stocks, Organic Larder and Sonnett, are both “triple-certified - you could eat the product”.
The Organic Larder detergent will soon be delivered in 200-litre metal oil drums before being decanted into 20-litre containers in-store.
Customers can refill their bottles at least 30 times before they start to degrade, he says. Organic Larder costs Dh35.75 for one litre and Dh62 for 2.75 litres and refills will cost 15 to 20 per cent less, Mr El Accad says.
But while there are savings to be had, going green tends to come with upfront costs and extra work and planning. Are we ready to refill bottles rather than throw them away? “You have to change,” says Mr El Accad. “I can only make it available.”
Votes
Total votes: 1.8 million
Ashraf Ghani: 923,592 votes
Abdullah Abdullah: 720,841 votes
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Living in...
This article is part of a guide on where to live in the UAE. Our reporters will profile some of the country’s most desirable districts, provide an estimate of rental prices and introduce you to some of the residents who call each area home.
Company Profile
Name: Thndr
Started: 2019
Co-founders: Ahmad Hammouda and Seif Amr
Sector: FinTech
Headquarters: Egypt
UAE base: Hub71, Abu Dhabi
Current number of staff: More than 150
Funds raised: $22 million
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more from Janine di Giovanni
Key facilities
- Olympic-size swimming pool with a split bulkhead for multi-use configurations, including water polo and 50m/25m training lanes
- Premier League-standard football pitch
- 400m Olympic running track
- NBA-spec basketball court with auditorium
- 600-seat auditorium
- Spaces for historical and cultural exploration
- An elevated football field that doubles as a helipad
- Specialist robotics and science laboratories
- AR and VR-enabled learning centres
- Disruption Lab and Research Centre for developing entrepreneurial skills
COMPANY PROFILE
Name: Kumulus Water
Started: 2021
Founders: Iheb Triki and Mohamed Ali Abid
Based: Tunisia
Sector: Water technology
Number of staff: 22
Investment raised: $4 million
The smuggler
Eldarir had arrived at JFK in January 2020 with three suitcases, containing goods he valued at $300, when he was directed to a search area.
Officers found 41 gold artefacts among the bags, including amulets from a funerary set which prepared the deceased for the afterlife.
Also found was a cartouche of a Ptolemaic king on a relief that was originally part of a royal building or temple.
The largest single group of items found in Eldarir’s cases were 400 shabtis, or figurines.
Khouli conviction
Khouli smuggled items into the US by making false declarations to customs about the country of origin and value of the items.
According to Immigration and Customs Enforcement, he provided “false provenances which stated that [two] Egyptian antiquities were part of a collection assembled by Khouli's father in Israel in the 1960s” when in fact “Khouli acquired the Egyptian antiquities from other dealers”.
He was sentenced to one year of probation, six months of home confinement and 200 hours of community service in 2012 after admitting buying and smuggling Egyptian antiquities, including coffins, funerary boats and limestone figures.
For sale
A number of other items said to come from the collection of Ezeldeen Taha Eldarir are currently or recently for sale.
Their provenance is described in near identical terms as the British Museum shabti: bought from Salahaddin Sirmali, "authenticated and appraised" by Hossen Rashed, then imported to the US in 1948.
- An Egyptian Mummy mask dating from 700BC-30BC, is on offer for £11,807 ($15,275) online by a seller in Mexico
- A coffin lid dating back to 664BC-332BC was offered for sale by a Colorado-based art dealer, with a starting price of $65,000
- A shabti that was on sale through a Chicago-based coin dealer, dating from 1567BC-1085BC, is up for $1,950
At a glance
Global events: Much of the UK’s economic woes were blamed on “increased global uncertainty”, which can be interpreted as the economic impact of the Ukraine war and the uncertainty over Donald Trump’s tariffs.
Growth forecasts: Cut for 2025 from 2 per cent to 1 per cent. The OBR watchdog also estimated inflation will average 3.2 per cent this year
Welfare: Universal credit health element cut by 50 per cent and frozen for new claimants, building on cuts to the disability and incapacity bill set out earlier this month
Spending cuts: Overall day-to day-spending across government cut by £6.1bn in 2029-30
Tax evasion: Steps to crack down on tax evasion to raise “£6.5bn per year” for the public purse
Defence: New high-tech weaponry, upgrading HM Naval Base in Portsmouth
Housing: Housebuilding to reach its highest in 40 years, with planning reforms helping generate an extra £3.4bn for public finances
In numbers: PKK’s money network in Europe
Germany: PKK collectors typically bring in $18 million in cash a year – amount has trebled since 2010
Revolutionary tax: Investigators say about $2 million a year raised from ‘tax collection’ around Marseille
Extortion: Gunman convicted in 2023 of demanding $10,000 from Kurdish businessman in Stockholm
Drug trade: PKK income claimed by Turkish anti-drugs force in 2024 to be as high as $500 million a year
Denmark: PKK one of two terrorist groups along with Iranian separatists ASMLA to raise “two-digit million amounts”
Contributions: Hundreds of euros expected from typical Kurdish families and thousands from business owners
TV channel: Kurdish Roj TV accounts frozen and went bankrupt after Denmark fined it more than $1 million over PKK links in 2013
MOTHER%20OF%20STRANGERS
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Test
Director: S Sashikanth
Cast: Nayanthara, Siddharth, Meera Jasmine, R Madhavan
Star rating: 2/5
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ICC Awards for 2021
MEN
Cricketer of the Year – Shaheen Afridi (Pakistan)
T20 Cricketer of the Year – Mohammad Rizwan (Pakistan)
ODI Cricketer of the Year – Babar Azam (Pakistan)
Test Cricketer of the Year – Joe Root (England)
WOMEN
Cricketer of the Year – Smriti Mandhana (India)
ODI Cricketer of the Year – Lizelle Lee (South Africa)
T20 Cricketer of the Year – Tammy Beaumont (England)