Platelet Rich Plasma Therapy (PRP)
Prp therapy is on the new forefront of treatments available to relieve pain and heal many musculoskeletal conditions. The treatment uses the patient's own blood and poses no risk of allergy. This rapidly emerging technique is showing excellent outcomes with osteoarthritis of the knee, shoulder, hip and spine, rotator cuff tears, chronic plantar fasciitis, anterior cruciate ligament (ACL) injuries, pelvic pain and instability, back and neck injuries, tennis elbow, ankle sprains, tendonitis, and ligament sprain. It is also being used in cosmetic procedures that rejuvenate and tighten skin. It pairs cutting edge technology with your body's own ability to heal itself. Careful patient evaluation can determine if this treatment is right for you. Like all therapies medication and lifestyle can affect outcome. Careful evaluation and adherence to treatment protocols have been shown to provide the best outcomes. Your body is being given tools to help heal itself..but you must do your part as well.
WHAT IS PRP?
PRP is a concentrated form of platelets which can accelerate the body's healing process. PRP contains growth hormones and cytokines that transmit increased signals to the tissue to promote faster healing. Since it is enhancing the healing response, a mild inflammatory response is triggered body's repair response.. Essentially PRP is calling in the stem cells to repair the area and accelerate tissue repair and regeneration. The number of injections depends on the severity and type of condition being treated.
HOW IS PRP DONE?
A small amount of the patient's own blood is drawn and placed in a centrifuge that rotates at a high speed. This process takes around 15 minutes and increases the concentration of platelets 600%. This process separates the red blood cells from the platelets. These platelets are blood cells that release growth factors that accelerate and help the body heal it. The physician then uses a local anesthetic to numb the area. Guided imagery (fluoroscopy) is used for correct placement (with the exclusion of cosmetic procedures). The physician then takes the specially prepared platelet-rich portion of this blood (PRP) and injects it directly into the treatment area.
WHAT HAPPENS NEXT?
Because the very process of healing is an inflammatory response, you may experience an increase in pain. Procedures done for injuries and osteoarthritis can expect an increase in pain for the next 5-10 days. Application of ice, Tylenol and possibly a mild narcotic will help with the pain. Non-steroidal (Ibuprofen, Motrin, Aleve, Mobic etc.) cannot be taken as they inhibit and prevent the healing process. Your body can continue to heal itself over the next several months. The majority will occur over the first 4-8 weeks. Your doctor will give you instructions on how to rehabilitate. Most daily activities can be resumed within a few days. Cosmetic procedures may have mild localized inflammation for a few days. Ice and Tylenol will help with these symptoms. Injections may need to be repeated as the skin and body age.