ORTHOPEDIC USES FOR PRP
PRP offers our orthopedic patients pain relief as an alternative to more aggressive treatments, such as long term medications and surgery, with the goal of restoring full mobility and function.
New research shows PRP injections being used in orthopedics with increasing frequency and effectiveness for tendon or ligament injuries and osteoarthritis. Just this last year, athletes such as Alex Cobb (Tampa Bay Rays), J.J. Wilcox (Dallas Cowboys), Ryan Flaherty (Baltimore Orioles) Jesse Hahn (Oakland Athletics), Freddie Freeman (Atlanta Braves) and many others have relied on PRP for accelerating the healing process of their sports injuries.
PRP has also been used to treat chronic ligament and tendon sprains that have not responded to other treatments.
The most common areas treated have included Achilles tendinitis, knee sprains, patellar tendinitis, plantar fasciitis, rotator cuff injuries, shoulder pain and tennis elbow. PRP has also shown success in treating the symptoms of osteoarthritis, relieving pain in the knee, hip and other areas.
PRP is a relatively simple procedure done in the office that takes less than an hour. First, blood is drawn from the patient and placed in a special centrifuge to separate the red blood cells, filtering out the valuable plasma for injection. The plasma is then injected into the area of concern, guided by ultrasound for the most accurate placement.
WHAT IS PRP?
PRP is blood plasma enriched with platelets that contain growth factors and other cytokines that stimulate the healing of bone and soft tissue.
WHAT INJURIES CAN PRP TREAT?
Any tendon or ligament injury, excluding tears may be treated by PRP such as rotator cuff injuries, tendon injuries and tennis elbow.
DOES PRP THERAPY HURT?
For a few days after the procedure, most patients feel some pain, but gradually subsides each day. You will be provided information on what to expect, healing time and what medications to avoid for the first week. Discomfort depends on the area being treated. Most patients experience localized soreness and discomfort for which over the counter medication can be taken.
WHAT IS THE RECOVERY TIME FOR PRP?
Patients are put on a program of rest followed by physical therapy for six weeks. Exercise can be done during this time, but must be limited to activities that do not impact the treated area.
WHEN CAN I EXPECT RESULTS AFTER A PRP TREATMENT?
Around two to six weeks, gradual improvement begins. Some patients continue to see improvement six to nine months after the initial procedure.
- The efficacy of platelet-rich plasma in the treatment of symptomatic knee osteoarthritis: a systematic review with quantitative synthesis.
- Comparative effectiveness of platelet-rich plasma injections for treating knee joint cartilage degenerative pathology: a systematic review and meta-analysis.
- Platelet-rich plasma modulates the secretion of inflammatory/angiogenic proteins by inflamed tenocytes.
- Knee Osteoarthritis Injection Choices: Platelet- Rich Plasma (PRP) Versus Hyaluronic Acid (A one-year randomized clinical trial).
- Effects over time of two platelet gel supernatants on growth factor, cytokine and hyaluronan concentrations in normal synovial membrane explants challenged with lipopolysaccharide.