Wednesday, October 27, 2010

P..R..P

PRP is "platelet-rich plasma," also known as autologous platelet concentrate (APC). Platelets are a specialized type of blood cell that is involved in healing injuries. With PRP, a concentrated platelet solution is injected into an injured area, for example chronically damaged ligaments and/or tendons, to stimulate healing.

Why Does PRP Work?

Human platelets are naturally rich in connective tissue growth factors. Injecting these growth factors into damaged ligaments and/or tendons stimulates a natural repairative process.

What Conditions Benefit From PRP?

PRP treatment works best for chronic ligament and tendon sprains/strains that have failed other conservative treatment, including:

- Lateral ankle sprains & instability

- Deltoid ligament injury

- Achilles tendinosis

- Plantar fasciitis

- Sesamoiditis

- Posterior Tibial Tendonitis

- Peroneal Tendonitis

What Does the Procedure Entail?

In the office, blood is drawn, placed in a special centrifuge and spun down to isolate the needed components. The platelets are separated from the red blood cells. The red blood cells are discarded, and the isolated platelet concentrate is used for treatment. While the blood is spinning in the centrifuge, the painful area is anesthetized with local anesthetic. The resultant platelet concentrate is injected into the injured area under direct ultrasound visualization. The entire treatment takes approximately 30-45 minutes.

How Often are Injections Given?

After the initial treatment, a follow up visit is scheduled. Some patients respond very well to just one treatment. However, typically 2-3 additional treatments are necessary at 4-6 week intervals.

Are There Risks With PRP?

The risks include infection, blood clot, skin discoloration, bleeding, and nerve damage; however, these complications are very rare.

What is the Success Rate?

Studies suggest an 80 - 85% improvement in pain and function at 6 months and 91% at 1 - 3 year follow up. Some patients experience complete relief in pain.

Additional Therapies

To get maximum benefit from the treatment, and to help prevent re-injury, a specially-designed home-based rehabilitation and exercise program is incorporated into your treatment. This helps the newly developing connective tissue mature into healthy and strong tendon or ligament fibers. Your doctor may also prescribe customized devices to correct improper biomechanics.

If you or someone you know is suffering from a condition that can benefit from this therapy, please do not hesitate to give our office a call to set-up a consultation, 440-946-5858.

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