Patients requiring enteral feeding during treatment were fed via a nasogastric tube, rather than via a prophylactic gastrostomy tube. Compared with the regional gastrostomy audit results, our patients had a lower clinical risk/complication rate, with a greater proportion tolerating full oral intake at 6 months. Therefore, nasogastric feeding, rather than prophylactic gastrostomy tube feeding, could be a more appropriate method of enteral feeding in this patient group.

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BACKGROUND Tendinopathy is a major problem associated with sports and physical activity in active people over 25 years of age. We wanted to study the effect of PRP in the patients of chronic tendinopathy. METHODS In patients of chronic tendinopathy who failed medical treatment for last 3 months, platelet rich plasma is prepared from patient's own blood. After giving platelet rich plasma patient is advised to take rest for 3 weeks with analgesics. Physiotherapy is started after 3 weeks of injection as this causes pain for first 3 weeks. Patients are advised to join their duty after 3 weeks of injection. All the patients were followed up in OPD at 3 rd week, 6 th week, 3 months and 6 months. At every follow up, range of motion, visual analogue scale and functional activity score recorded. RESULTS The follow up shows that most of the patients do not get relief within 3 weeks after injection. Follow up shows that 46 patients out of 50 got relief within 6 months after injection. That means 94% of patients are having relief within 6 months of injection. CONCLUSIONS The findings of this study show that platelet rich plasma injection under ultrasound guidance at the tendon is an effective mode of treatment for patients and takes time but results in gradual decrease in symptoms.