WHICH CONDITIONS BENEFIT MOST FROM PRP?
PRP treatment works most effectively for chronic ligament and tendon sprains/strains that have failed other conservative treatment, including but not limited to:
- Lumbar spine disc pain
- Rotator cuff injuries, including partial-thickness
- Shoulder pain and instability
- Tennis and golfer’s elbow
- Hamstring and hip strains
- Knee sprains and instability
- Patellofemoral syndrome and patellar tendonitis
- Ankle sprains
- Achilles tendonitis & plantar fasciitis
- Knee, hip, and other joint osteoarthritis
- Nerve entrapment syndromes, such as Carpal Tunnel Syndrome
- Sacroiliac (SI) joint dysfunction and pain
- Lumbar and cervical facet dysfunction and pain
Additionally, PRP can be effective for many cases of osteoarthritis by stimulating healing of cartilage and reducing pain and disability. This includes:
- Knee arthritis
- Hip joint arthritis
- Shoulder arthritis
- Ankle arthritis
WILL PRP TREATMENT HELP ME AVOID SURGERY?
With any treatment option the outcome and sustained results are highly dependent on the extent of the injury. For example in the case of mild arthritis, PRP could potentially prevent the development of further degeneration. However, in advanced arthritic degeneration the goal of the treatment is to minimize pain and improve function. PRP (potentially if used in tandem with the use of stem cells) could avoid surgery such as joint replacements and potentially spinal fusion.
HOW IS PRP CREATED?
Creation of PRP is simple, painless, and conveniently done at an office visit. The entire process of drawing blood to solution preparation only takes approximately 25-30 minutes. A small amount of blood is drawn from the patient, just like a routine blood test. Once the blood is drawn it is then placed into a centrifuge. The centrifuge is a machine that spins the blood at high speeds in order to separate the blood into red blood cells and concentrated platelets. Once the blood is separated the red blood cells are discarded, and we are left with concentrated platelet rich plasma (PRP) which is ready to be used in the treatment process.
HOW ARE THE PRP INJECTIONS ADMINISTERED? ARE THE INJECTIONS PAINFUL?
The injection process does not take more than an hour, which includes the creation of the PRP as explained above. The platelet-rich portion is collected and injected back into the injured tendon, ligament, muscle, joint, or disc that has been determined to be a source of pain and is not-healing appropriately. When structures around the spine are being injected, x-ray (i.e. fluoroscopy) guidance is used to assure safe and proper placement of PRP at the affected site. In the extremities, ultrasound-guidance is commonly used to inject PRP into the appropriate tendon, ligament or joint that is being targeted. Injections are performed under image guidance to assure precise placement of PRP. The number of injections varies based on each patient’s individualized condition but typically range anywhere from two to six injections done over time. Patients typically experience significant reduction in pain after the first or second injection.
Generally speaking PRP injections are not painful; however the discomfort level depends on the part of the body being treated. Injections into the joint are of minimal discomfort. There is sometimes a small amount of pain after the procedure; however this does not last more than a few days and can be minimized with over the counter Tylenol. It is critical to avoid anti-inflammatory medications such as Aleve, Motrin, Celebrex, Naprosyn, and Mobic. These drugs may impede the healing process.