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PRP is
Platelet-Rich Plasma therapy. Although an emerging technology and technique in
sports medicine, it has been used since the mid-1990’s in dental and oral
surgery and to aid in soft tissue recovery following plastic surgery.
How is PRP administered?
PRP
therapy, which takes approximately twenty minutes to complete, begins with
collection of 20 milliliters of the patient’s blood. The blood sample is placed
in a centrifuge to separate the platelet-rich plasma from the other components
of whole blood. Doctors then inject the concentrated platelets into the site of
the injury. Platelets function as a natural reservoir for growth factors that
are essential to repair injured tissues. The growth factors that the platelets
secrete stimulate tissue recovery by increasing collagen production, enhancing
tendon stem cell proliferation, and tenocyte-related gene and protein
expression. These growth factors also stimulate blood flow and cause cartilage
to become more firm and resilient. PRP activates tenocytes to proliferate
quickly and produce collagen to repair injured tendons, ligaments, cartilage,
and muscles.
Will I feel immediate results from PRP
therapy?
You
will feel a notable increase in pain in the days immediately following the
injection. Pain intensity becomes less each day as functional mobility and
general functional ability increase along with endurance and strength. You will
notice gradual improvement 2-6 weeks after PRP therapy. Some patients report
ongoing improvement 6-9 months after PRP therapy is administered. In some
studies, Ultrasound and MRI images have shown definitive tissue repair has
occurred after PRP therapy, supporting the proof of the healing process. By
treating injured tissues before the damage progresses, surgical intervention
may be avoided.
Which injuries are usually treated with
PRP therapy?
Injuries
treated with PRP therapy include: rotator cuff, quadriceps, hamstring, Achilles
tendon injuries and tennis elbow. Essentially any tendon or ligament injury
except complete tears may be treated successfully with PRP. PRP therapy is
exactly the treatment needed to reduce the downtime of the athlete while also
reducing the chance for re-injury or perhaps the risk of a more serious injury
that will result in surgical intervention or permanent disability. It is also
very useful in osteoarthritis in old age.
Is PRP therapy a substitute for surgery?
Why does it (in theory) work?
Not
necessarily. While many chronic conditions may respond to PRP therapy,
obviating the need for a surgical procedure, it is impossible to predict which
will respond and which will fail to do so. A chronic, incompletely healed
condition is characterized by excessive scar tissue within the tendon/ligament.
This may lead to impaired joint function or leave the tendon or ligament
susceptible to re-injury or complete disruption. This inferior, or in some
cases, aborted, healing process is due to poor blood supply to the injury site.
Most tendons have a poor blood supply and often are the site of microscopic
tears or chronic scarring. The body naturally has a difficult time healing
these structures. PRP is thought to initiate a response that makes the chronic
condition appear to be a new injury, and thus, provoke a new/renewed healing
response. This new healing response is then augmented by the super-concentrated
healing factors contained within the PRP. Therefore, with PRP therapy in
combination with appropriate reconditioning, we may improve the chance of
healing and diminish the opportunity for escalation of the injury. A positive
result may lead to a decrease need for surgical intervention.
Which injuries can PRP therapy
successfully treat?
Conditions
that can be treated successfully with PRP therapy include the shoulder
involving: rotator cuff tendinitis, impingement, bursitis, and bicipital
tendinitis; In the wrist and hand involving: DeQuervain’s tenosynovitis,
tendinitis, ligament tears; In the elbow involving: tennis elbow and golfer’s
elbow; the hip involving iliotibial band tendinitis (ITB Syndrome), ilio-psoas
tendinitis and bursitis, greater trochanteric bursitis, sacroiliac joint
dysfunction; the knee involving: patellar tendinitis, partially torn or
strained major knee ligaments (LCL/MCL); the ankle and foot involving: Achilles
tendinitis, peroneal tendinitis, recurrent ankle sprains, and other foot or
ankle tendinitis; neck and back involving: facet joint arthritis, rib problems.
I believe PRP treatment is best reserved for incomplete, chronic degeneration
and tears of extra-articular ligaments and tendons.
Indications
1.When fast recovery is required after operation
2.Degenerative arthritis
3.Osteomalacia
4.Cartilage injuries
5.Ligament injuries
6.Frozen shoulder
7.Chronic elbow tendinosis (tennis elbow, golf elbow)
8.Ligament-injuries according to various Sports (sport
medicine)
9.Ligament injuries or cartilage damage of ankles
10.Achilles tendinitis
11.Plantar fasciitis
12.Pain control after operation
13. Skin Rejuvenation and many other aesthetic rejuvenation
14. Alopecia (Hair loss treatment) Treatment