Platelet-Rich Plasma (PRP) Therapy

What is PRP (Platelet-Rich Plasma)?

Platelet-Rich Plasma (PRP) is a non-surgical treatment option for various musculoskeletal injuries. It is particularly beneficial for patients undergoing surgery or those with chronic injuries unresponsive to traditional treatments like physical therapy or steroid injections. PRP has minimal side effects, usually limited to some soreness or bruising, and is generally well-tolerated by most patients. Relief can often be felt within days to weeks after treatment.

What's involved in PRP?

The PRP procedure begins with drawing a small amount of the patient's blood, which is then placed in a centrifuge to concentrate the platelets. The resulting platelet-rich plasma is injected into the injured area to promote healing. This technique leverages the body’s natural healing capabilities to repair damaged tissues. The entire process, including numbing the skin and performing the injections, typically takes less than 20-30 minutes, depending on the area being treated. Ultrasound guidance is used for all injections to ensure accuracy and efficacy.

How does PRP work?

PRP stimulates the body’s natural healing through concentrated platelets containing growth factors. These growth factors trigger cell reproduction and tissue regeneration in the treated area, promoting the healing of tendons, ligaments, muscles, and joints. PRP is especially effective for chronic injuries that have not healed properly due to poor blood supply or repeated injury.

Who benefits from PRP?

PRP is ideal for patients who have experienced temporary relief from steroid injections but seek a longer-lasting solution. While steroids suppress inflammation and provide immediate relief, they do not address underlying instability or promote tissue healing. PRP, on the other hand, fosters the regeneration of damaged tissues, making it a suitable treatment for chronic conditions.

How long has PRP been around, and is there scientific evidence supporting its efficacy?

PRP has been utilized for decades and is backed by numerous research studies validating its effectiveness. Although it is not yet widely taught in medical schools or residencies, PRP is gaining recognition in the medical community for its positive outcomes in treating various musculoskeletal conditions.

How quickly does PRP work?

PRP is not an instant cure; healing takes time. Some patients may notice improvement within a week, while others may take a month or longer. Unlike cortisone injections, which provide immediate but temporary relief by reducing inflammation, PRP promotes long-term healing by regenerating tissues. This process involves strengthening and thickening the connective tissues (ligaments, tendons, and cartilage) in the injured area, ultimately improving stability and reducing pain.

Why doesn’t soft tissue healing occur on its own?

While the body does naturally recover soft tissue injuries, the process is often incomplete. Everyday injuries like sprains and strains cause micro-tears in ligaments and tendons. Healing can be disrupted by factors such as the severity of the injury, the use of anti-inflammatory medications, and insufficient recovery time. Additionally, ligaments and tendons have a poor blood supply, requiring up to 12 weeks to fully heal. Interruptions in the healing process can lead to chronic instability and a predisposition to re-injury.

For example, an athlete who frequently sprains their ankle might rest and take anti-inflammatory medications, returning to activity before the injury fully recovers. This can lead to chronic ankle instability and, eventually, conditions like osteoarthritis. PRP addresses these issues by promoting complete healing and reducing the risk of future injuries.

By harnessing the power of your body’s natural healing mechanisms, PRP offers a promising solution for those living with chronic pain and injuries.