PRP or PRP Prolotherapy is a treatment for acute or chronic musculoskeletal injury or pain. The main difference between PRP Prolotherapy and dextrose Prolotherapy is the solution being used.
The use of concentrated growth factors is considered by many to be an exciting and new cutting edge therapy that can stimulate tissue repair, and regenerate weakened torn or damaged ligaments, ligaments and joints.
PRP is derived from your own blood. After filtering out the rest of the cells and plasma, a small amount of platelets remain. This highly concentrated amount of platelets — from 3 to 10 times that of normal blood — can be injected into the damaged areas and catalyze the growth of new soft-tissue.
Blood platelets contain potent growth factors necessary to begin tissue repair and regeneration at the injury site. Concentrated platelets contain large reservoirs of growth factors that have the potential to greatly accelerate the normal healing process, naturally.
Most organizations, and the physicians associated with them, that teach Prolotherapy and PRP agree that Prolotherapy should be tried first.
Since Prolotherapy can usually fix at least 80 - 85% of injuries, it is the first best choice. If healing is not attained with Prolotherapy, then PRP would be your next logical choice.
What is PRP Therapy?
PRP as used in regenerative orthopedics is a non-surgical healing treatment for healing soft tissue. PRP is injected into the affected region to stimulate and enhance healing. PRP is your own blood concentrated so that more platelets (AKA growth factors) that are normally found in your blood are obtained.
What does PRP mean?
PRP stands for Platelet Rich Plasma. Plasma is the fluid portion of blood which contains cellular components such as red cells, white blood cells and platelets. The Harvest method that Dr Fields uses concentrates the platelets 7-10 times of what is normally found in blood. Other systems concentrate them, but to a lesser extent.
What conditions are treated with PRP?
Weakened torn or damaged ligaments, tendons, muscle tears, menisci or labrums are the most common soft tissue structures that are treated. PRP has also been effective in treating arthritis.
What are some common diagnoses treated with PRP?
Knees: meniscus, ACL, MCL LCL, arthritis, knee cap instability
Shoulder: Rotator Cuff Tears, labrum tears, tenositis
Hip: labrum, tenositis, Bursitis
Low Back: Facet joints, arthritis, Sacro-Iliac dysfunction
Ankle/Foot: Achilles dysfunction, tendonitis, arthritis, ankle sprains
Wrist/Hand finger/joint tendinitis, ligament tears, arthritis, carpel tunnel
Elbow: Tennis elbow (later epicondylitis, golfers elbow (medial epicondylitis
How is PRP treatment administered?
The patient’s blood is collected and then spun in a centrifuge specifically designed to concentrate platelets. Second a local anesthetic is provided to the affected region. The PRP is then injected into the affected area.
Is PRP curative?
PRP actually heals the injured region. Unlike pharmaceutical medications like ibuprofen or cortisone which just take the pain away but do not heal the injury.
How does PRP work to heal?
Growth Factors are released from large quantities of activated platelets at the site of injury. This leads to a reaction that initiates a healing cascade. Growth factors stimulate promote stimulate healing of weakened, torn or damaged soft tissue such as tendons, ligaments, meniscus or labrum.
Is PRP painful?
Patients typically tolerate the procedure well although post-injection soreness is sometime experienced.
How many treatments do you need?
Two to four treatments depending on the degree of injury and how long the injury has been there.
How far apart are treatments spaced?
Typically about every 6 weeks if indicated.
What can you expect after getting PRP?
For the first 48 hours, swelling and mild discomfort are typical in the injected area. Therefore, all patients are provided with pain medicine after PRP. By day 3, these symptoms will begin to substantially resolve.
Are there side effects/complications of PRP?
Minimal side effects have been observed with treatment. Any stiffness or discomfort reported after PRP should resolve with time.
How long does it take the PRP to “work”?
Most patients notice some element of improvement by 2-6 weeks after PRP treatment. Symptom improvement is slow and subtle as days and weeks pass, with usual report of original pain being lessened over time. Increased endurance and strength are typically reported.
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