Fibromyalgia & musculoskeletal pain

Platelet-rich plasma versus corticosteroids in facet joint syndrome: A controlled, randomized, double-blind study

Joint Bone SpinePublished Randomised controlled trial

Authors' conclusion

In patients with facet joint syndrome, PRP injections did not demonstrate superiority over CTC injections in terms of pain relief or clinically significant functional improvement at 6months.

Study context

Population
Patients with facet joint syndrome
Participants
76 patients
Comparison
Intra-articular PRP injections vs corticosteroid (CTC) injections into painful facet joints
Primary endpoint
50% improvement in NRS (0-10) for spontaneous lumbar pain
Follow-up
6 months
Methodological detailssuperiority, double-blind, prospective, radiographic guidance
  • Superiority
  • Double-blind
  • Prospective
  • Radiographic guidance

Primary result

As reported in the abstract

50% improvement in spontaneous NRS

PRP

6

events

CTC

5

events

Secondary outcomes

Pain · 3, 6, or 12 months

No statistically significant differences

Function (ODI) · 3 months

Statistically significant difference observed in the PRP group

Satisfaction

No significant differences between groups

Safety

Transient adverse effects — PRP
1 events
Transient adverse effects — Patients with transient adverse effects, total
4

Original publication

Platelet-rich plasma versus corticosteroids in facet joint syndrome: A controlled, randomized, double-blind study. Joint Bone Spine. Published 1 November 2025. doi:10.1016/j.jbspin.2025.106001

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