Jun 25, 2025
PRP and McKenzie Exercise For PLID
- Mahmudul Haque Udoy1,
- K M Amran Hossain1
- 1Department of Physiotherapy & Rehabilitation, Jashore University of Science & Technology
Protocol Citation: Mahmudul Haque Udoy, K M Amran Hossain 2025. PRP and McKenzie Exercise For PLID . protocols.io https://dx.doi.org/10.17504/protocols.io.261ge8q8wg47/v1
License: This is an open access protocol distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Protocol status: Working
We use this protocol and it's working
Created: June 24, 2025
Last Modified: June 25, 2025
Protocol Integer ID: 220978
Keywords: Lumbar Disc Herniation, Platelet-Rich Plasma, McKenzie Exercises, Musculoskeletal Ultrasound, Electromyography, Randomized Controlled Trial, Neurophysiology, Low Back Pain, s1 lumbar disc herniation, mckenzie exercise program versus mckenzie therapy, mckenzie exercise program, superior reductions in pain, improved disc height, mckenzie therapy, lower disability score, symptom relief, mckenzie exercise for plid, enhanced neurophysiological outcome, mckenzie exercise, functional recovery, recovery, disc height, disc herniation, week mckenzie exercise program
Abstract
This protocol outlines a randomized controlled trial comparing intradiscal platelet‑rich plasma (PRP) combined with a 4‑week McKenzie exercise program versus McKenzie therapy alone for treating L5/S1 lumbar disc herniation. The study evaluates pain (VAS, PPTs), disc morphology (MSK‑USG), neurophysiology (SLR, NCS, EMG), and disability (ODI) over 1, 3, and 6 months. Expected results include superior reductions in pain, improved disc height and echogenicity, enhanced neurophysiological outcomes, and lower disability scores in the PRP‑McKenzie group. If successful, this combined intervention could accelerate symptom relief and functional recovery, potentially reducing surgical referrals and prolonged medication use.
Materials
- Autologous blood collection kit
- Double-spin centrifuge
- 22G Quincke Chiba spinal needle (8-inch)
- Ultrasound machine with high-frequency linear probe
- Sterile syringes (5 mL, 10 mL), saline, gloves, drapes, antiseptic
- Musculoskeletal ultrasound (MSK-USG) equipment
- Electromyography (EMG) and Nerve Conduction Study (NCS) system
- Visual Analog Scale (VAS) forms
- Pressure algometer (for PPT)
- Oswestry Disability Index (ODI) questionnaire
- McKenzie exercise instruction sheets and therapy bed
Troubleshooting
Protocol references
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Acknowledgements
We would like to express our sincere gratitude to the Department of Physiotherapy and Rehabilitation at Jashore University of Science and Technology (JUST) for partially funding this study. We also thank the faculty members, clinical staff, and all participants whose support and cooperation were essential to the successful execution of this research.