What is Platelet Rich Plasma Therapy (PRP) ?

*What is PRP

PRP is a blood component rich in platelets. It is a concentrated source of platelets, having different growth factors which help in the healing of bone and soft tissues

*History

  • PRP was first developed in the 1970’s and first used in 1987

  • Proven to be effective in healing wounded tissue in sports injuries

  • Used worldwide in sports–related injuries. Few famous personalities recently treated with PRP therapy include Tiger Woods (golf) in his knee following surgery, Takashi Saito (Baseball)in his elbow, among many others.

*Mechanism

  • Platelets from the patient’s own blood are concentrated by processing in a specialized machine, called the PRP centrifuge

  • It is successful not only in relieving the pain, but also in enhancing the healing process

  • This unique property of PRP, as regenerative therapy has helped it gain popularity amongst pain physicians

*Procedure

  • We make patient lie down comfortably and withdraw 15-30 ml of his blood as per requirement

  • This is mixed with a special reagent needed to yield maximum output of platelets

  • It is then transferred to a specially designed, disposable, single use container

  • The sample is then processed in the PRP centrifuge in 2-3 steps

  • Meanwhile we prepare the body part to be injected under utmost sterile precautions

  • Once we get the desired PRP, it is injected in the affected part under X-ray or ultrasound guidance

PRP can be prepared by various methods and equipment. At Painex, we have the best PRP centrifuge available in the market, along with a specially designed disposable, single use container. Being disposable and single use chances of transmitting infections like HIV, HBsAg, HCV etc are almost nullified.

*Duration of Treatment

  • It varies case to case. We usually suggest between 1-3 injections, with 4 weeks interval between 2 injections

  • Alter about 6-12 weeks, patients are re-evaluated for improvement

  • Patients with more difficult injuries or advanced disease may require extensive therapy with more number of injections

  • Most of these patients can return to near normal activity within 3 months

*Conditions Treated With PRP

  • Mild to moderate osteoarthritis in the hip, knee or shoulder

  • Chronic tendinitis in the elbow or ankle

  • Nerve injuries

  • Muscle tears

  • Ligamentous injuries

  • Plantar fasciitis

  • Trigger finger

  • Used in certain type of surgery like shoulder surgery to repair torn rotator cuff tendons, repair of anterior cruciate ligament (ACL)

*When to Avoid PRP

  • Cancer

  • Active infection

  • Patient on blood thinning agent (can be done with due precautions)

  • Brain disorders

  • Patient with multiple medical issues

*Advantages of PRP Therapy

  • It is patients own body (blood) component

  • No external injection added

  • No risk of allergies

  • Avoids risk of transmitting infection

  • Extremely safe for all age groups

  • Very few contraindications

  • No side effects

  • No other preparation needed

  • It is a day care procedure as it takes around 1 hour

  • Patient need not be fasting

  • No absenteeism from work

  • Immediate return to your normal activities

  • Near total pain relief without surgery

  • Economical as compared to surgery

  • Need for long term analgesics causing side effects is minimised

 

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