Platelet Rich Plasma Injections
Platelet rich plasma (aka PRP) grafts offer a conservative holistic approach to accelerating healing in chronic musculoskeletal pain syndromes including but not limited to rotator cuff tears, tennis elbow, osteoarthritis, cartilage injuries, plantar fasciitis, neuropathy and other degenerative disorders or sports injuries. This unique treatment modality has been available in the United States for over 25 years after first being introduced through oral surgery, then finding its way into orthopedics, plastic surgery, cosmetics, and more recently in veterinary medicine.
This therapy is offered as a rapid, cost-effective, outpatient procedure and often takes less than 45min to complete. The patient's blood is drawn and processed using a special centrifuge to create a platelet rich matrix graft which is composed predominantly of platelet rich plasma, a small residue of red blood cells and a trace amount of pluripotent stem cells. The platelets are those cells in your body responsible for wound healing. Platelets are rich in growth factors including PDGF, VEGF, EDGF, TGF-beta and IGF-1. These growth factors when available in the appropriate quantity and proportions stimulate other cells (phagocytes, fibroblasts) to migrate to the injured area to repair and strengthen damaged tissue.
At Progressive Rehabilitation Medicine, PRP matrix grafts are delivered accurately to injured areas in the body via high resolution MSK ultrasound to visualize the relationship of the needle, PRP graft and injured tissue within millimeters of each other. By using ultrasound guidance we ensure proper localization of the technique while optimizing patient safety. Serial ultrasound imaging can be used to assess the process of healing in order to obtain useful information in planning a comprehensive treatment program. In addition, depending on the severity of the disorder, Class IV laser photobiostimulation may be delivered to the target area and surrounding structures to augment and accelerate the healing process even further following this procedure.
The tools and techniques applied at our clinic are cutting edge offering a minimally invasive non-surgical option to treating difficult musculoskeletal pain disorders with relatively low risk.