Evidence map›Paper›PMID 41111685›Full record

ReviewCureus2025

Effectiveness of Platelet-Rich Plasma Injection for Chronic Achilles Tendinopathy: An Umbrella Systematic Review.

Nidhin Pallikkara Kuttyadan, Sameer Samad, Momina Shahzad, Kashaf Sanaullah, Syed Hassan M Gillani, Hussnain Mushtaq, Shafeen Bashir Butt, Sardar Khizar Hayat, Muhammad Raif, Syed Momin Ali and 1 more

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Nidhin Pallikkara KuttyadanGeneral Medicine, Kings College Hospital, London, GBR.
Sameer SamadBiological Sciences, Youngstown State, Youngstown, USA.
Momina ShahzadMedicine, Gujranwala Medical College, Lahore, PAK.
Kashaf SanaullahMedicine, King Edward Medical University, Lahore, PAK.
Syed Hassan M GillaniMedicine, King Edward Medical University, Lahore, PAK.
Hussnain MushtaqInternal Medicine, King Edward Medical University, Lahore, PAK.
Shafeen Bashir ButtInternal Medicine, King Edward Medical University, Lahore, PAK.
Sardar Khizar HayatInternal Medicine, King Edward Medical University, Lahore, PAK.
Muhammad RaifNeurology, Mayo Hospital, Lahore, PAK.
Syed Momin AliMedicine and Surgery, King Edward Medical University, Lahore, PAK.
Syed Faqeer Hussain BokhariSurgery, King Edward Medical University, Lahore, PAK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic Achilles tendinopathy (CAT) represents a prevalent overuse injury affecting athletes and active individuals, with conventional treatments showing variable success rates. Platelet-rich plasma (PRP) injection has emerged as a promising biologic therapy, theoretically promoting tendon regeneration through growth factor release. However, clinical evidence regarding PRP effectiveness remains controversial. This umbrella systematic review synthesized findings from systematic reviews and meta-analyses examining PRP injection effectiveness for CAT management. A comprehensive literature search was conducted across five major databases (PubMed, Embase, Scopus, Web of Science, and Cochrane Library) from inception until June 2025. Eight systematic reviews and meta-analyses published between 2018 and 2025 were included, encompassing 170-697 participants across primary studies. Methodological quality was assessed using AMSTAR 2 (A MeaSurement Tool to Assess systematic Reviews) criteria. The predominant finding across reviews was the absence of statistically significant differences between PRP and control interventions for primary outcomes, including pain reduction (visual analog scale) and functional improvement (Victorian Institute of Sport Assessment-Achilles scores). While some reviews reported modest short-term improvements in pain scores at three to 12 weeks, these benefits were neither clinically meaningful nor sustained at longer follow-up periods. Tendon structural outcomes assessed via ultrasonography yielded inconsistent results, with substantial heterogeneity attributed to variability in PRP preparation methods, injection protocols, and outcome measurements. Safety profiles were generally favorable with minimal adverse events. The collective evidence fails to demonstrate PRP superiority over placebo or standard conservative treatments. Current evidence does not support routine PRP use as a first-line treatment for CAT, with established conservative interventions remaining the preferred therapeutic approach.

Indexed as

chronic achilles tendinopathyconservative treatmentmeta-analysispain managementplatelet-rich plasmasports medicinesystematic reviewtendon regenerationumbrella reviewvisa-a score

Identifiers

PMID41111685
PMCPMC12535431

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.