Platelet Rich Plasma (PRP)

Platelet Rich Plasma, also known as PRP, is blood plasma with highly concentrated platelets. Platelets are a specialized type of blood cell involved in injury healing. Platelets also contain large reservoirs of natural growth factors.  PRP therapy is performed by harvesting these platelet components from a patient’s own blood and then injecting the PRP into the patient’s injured tissues.

Elementos que componen la sangre

While a normal concentration of platelets circulating in your blood is 200,000 per micro liter, the platelet count in Platelet Rich Plasma can exceed 2 million platelets per micro liter. PRP injections result in a robust release of healing growth factors as well as attraction of autologous stem cells to regenerate the site of injury.

With this technology we have been able to help many patients who have failed conservative as well as surgical therapies.

The volume of PRP per treatment and the number of treatments needed will vary depending on factors such as area of the body to be treated and the extent of injury and degeneration.

A patient’s overall health, nutritional status and hormonal status will also effect outcomes.

The average number of treatments is 2-4 treatments with the end point being patient satisfaction and optimal pain reduction.  We find that 1 PRP treatment is generally as effective as ~3 Prolotherapy treatments.  While being a larger up front cost to the patient, it is a money saver in the long run over several rounds of Prolotherapy.  This treatment is a simple in-office procedure with little to no down time the following day.

Studies supporting the efficacy of PRP is only somewhat limited in that the treatment is dependent on the quality of one’s own platelets. Every patient’s level of health and chemistry is different, hence their platelets are somewhat different as well. Results may vary.

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PRP vs Cortisone jpeg

Studies supporting the efficacy of PRP is only somewhat limited in that the treatment is dependent on the quality of one’s own platelets. Every patient’s level of health and chemistry is different, hence their platelets are somewhat different as well. Results may vary.

Conditions that generally respond favorably to PRP:

  • Acute joint injuries
  • Chronic joint pain
  • Whiplash pain
  • Chronic Headaches
  • Arthritis
  • Knee Pain
  • Torn meniscus
  • Low Back Pain
  • Sciatica
  • Sacroiliac Joint Pain (acute or chronic)
  • Degenerative Joint and Disc Disease
  • Herniated Discs
  • Rotator Cuff Injuries/Tears
  • Labral Tears (shoulder/hip)
  • Sprained Ankles
  • Tennis/Golfer’s Elbow
  • Unstable joints
  • Ligamentous Laxity
  • Many more……

Conditions that do not respond favorably to PRP:

  • Fibromyalgia
  • Chronic myofascial pain syndromes
  • Severely herniated discs
  • Central Spinal Stenosis
  • Complete Rotator Cuff Tears
  • Frank Surgical Conditions
  • Pain from Cancer
  • Pain from Autoimmune Conditions

 

Further Reading:

Platelet Rich Plasma Technique

Platelet Rich Plasma: A Review of Actions and Applications in Sports Medicine

Regenerative Injection Therapy blog post

Choosing the Right Doctor blog post

References

 

 

© Dr. Tyna Moore and www.corewellnesspdx.com, 2014-2018. Unauthorized use and/or duplication of this material without express and written permission from this site’s author and/or owner is strictly prohibited. Excerpts and links may be used, provided that full and clear credit is given to Dr. Tyna Moore and www.corewellnesspdx.com with appropriate and specific direction to the original content.