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 procedure is done in our office under the supervision of trained practitioner. First 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.
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.
I am thoroughly pleased with the results I have gotten following PRP therapy to treat lateral epicondylitis (tennis elbow). I experienced noticeable improvement within the first 2-3 weeks, and I have had continued improvement even now, more than 2 months since the procedure. I have been able to return to nearly 100 percent of previous physical activity (weight-lifting, baseball, basketball). With PRP therapy I have enjoyed significantly better results than with cortisone injections, which didn’t seem to help at all. And, while physical therapy provided some immediate pain relief, it did not give the sustained improvement that I have experienced with PRP.
I would highly recommend the procedure to anyone suffering from joint discomfort, especially if you have tried more traditional medical procedures with limited or no success. The pain factor with PRP therapy is minor, more of a brief discomfort than pain. It is certainly less invasive than surgery and the recovery time is significantly less.
I want to say thank you – so much – for recommending that I see Dr. Rawal for the PRP treatment on my elbow. I have had a “new lease,” since the treatment, and have played several rounds of golf without pain and been able to enjoy many of the activities that were troublesome before.