Platelet Rich Plasma Injection (PRP)
Tendons connect muscle to bone and ligaments connect bone to bone. We need these tendons and ligaments to maintain healthy, pain free movement. Tendons and ligaments can become torn and or worn down, leading to pain and physical dysfunction. PRP is an injection of platelets (which have a high concentration of growth factors) into a muscle, tendon or ligament tear to help the body start the natural healing.
How does PRP work?
The blood is made up of many different parts: White blood cells, Red blood cells and Platelets. Platelets can release multiple Growth Factors that can help recruit your natural healing response to help enhance tissue regeneration and heal the damaged tendon, ligament and muscle.
PRP is a procedure, which is done in our office under MSK musculoskeletal Ultrasound guidance. First the damaged tissue is visualized under real-time ultrasound. Then a small amount of blood is taken from the patient and concentrated in our centrifuge to get about 500 times greater concentration of platelets. Finally, the platelets are injected directly into the tissue tear under real-time ultrasound guidance.
Who has done this PRP? It has been used with the NFL Pittsburgh Steelers, Super Bowl XLIII, Los Angeles Dodgers, Rutgers college, New York Mets, Mayo Clinic, Cleveland Clinic.
Patients should try to be off NSAIDS,(Ibuprofen, Naprosyn, etc.) For about 1 week before the PRP injection. You can take Tylenol if you need.
You can potentially treat any part of the body that has a (muscle, tendon, and ligament) tear with PRP. Some examples; shoulder pain, Rotator cuff tear, shoulder osteoarthritis, knee pain, knee osteoarthritis, knee tendon tears, knee meniscus tear, food pain, plantar fasciitis, hip pain, hip osteoarthritis, lower back pain.
Prolotherapy ("Proliferative Injection Therapy") involves injecting an otherwise non-pharmacological and non-active irritant solution into the body, generally in the region of tendons or ligaments for the purpose of strengthening weakened connective tissue and alleviating musculoskeletal pain. Studies have shown prolotherapy benefits for people with chronic pain, as well as those with sports injuries.
Prolotherapy is often used as an alternative to invasive arthroscopic surgery.
Please contact our office to find out more about prolotherapy.