Platelet Rich Plasma (PRP)
PRP Injection Treatment
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. A PRP injection 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 A PRP Injection 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.
A PRP injection 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 Used PRP Injections?
PRP injections have been used by the NFL Pittsburgh Steelers, Super Bowl XLIII, Los Angeles Dodgers, Rutgers College, New York Mets, Mayo Clinic and the Cleveland Clinic, as well as by many other doctors and orthopedic surgeons.
Patients should try to be off NSAIDS (Ibuprofen, Naprosyn, etc) for about 1 week before a 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 a PRP injection. Some examples include shoulder pain, rotator cuff tears, shoulder osteoarthritis, knee pain, knee osteoarthritis, knee tendon tears, knee meniscus tear, foot 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. Contact our office to learn more.