What is Platelet-Rich Plasma (PRP)?
Our blood is composed of a liquid component known as plasma, and three main solid components which include red blood cells (RBCs), white blood cells (WBCs), and platelets. Platelets are crucial in forming blood clots and they contain special proteins, known as growth factors, which assist our body’s healing process. Platelet-rich plasma or PRP is plasma that has a high concentration of platelets. A typical blood specimen contains only 6% platelets, while PRP contains 94% platelets and 5 to 10 times the concentration of growth factors found in regular blood, providing superior healing properties.
When is PRP Therapy Indicated?
PRP is a relatively new treatment method for several orthopedic conditions such as muscle, ligament, and tendon injuries; arthritis; and fractures. PRP injections can help alleviate painful symptoms, promote healing, and delay joint replacement surgeries.
Pre – Procedure preparation
Preparation for your injection:
- We recommended hydrating well for 3 days prior to the procedure to insure adequate and easy blood draw.
- Discontinue any anti-inflammatories (NSAIDs) starting 1 week prior to the procedure. This includes OTC NSAIDs (Advil, Aleve, Motrin, ibuprofen, Aspirin products), Prescription NSAIDs (Naproxen, Mobic, Celebrex, Lodine, etc.) and anti-inflammatory supplements (fish oil and turmeric)
- Can eat meals as normal
- You may drive yourself to and from the procedure, however please be aware that some injections sites may results in higher levels of pain following the injection. Therefore please discuss with the physician if a driver is recommended.
The PRP Injection Procedure
The PRP therapy procedure involves drawing about 50-60cc’s of blood from the large vein in your elbow. This blood is then spun in a centrifuge machine for about 10 to 15 minutes to separate the platelets from the remaining blood components. The injured part of your body is then anesthetized with a local anesthetic. The platelet-rich portion of your blood is then injected into your affected area. In some cases, ultrasound guidance may be used to ensure proper needle placement.
Post-Procedure Care following PRP Injections
Following PRP injections, it is normal to feel some discomfort at the injection site for a few days. You should avoid:
- Avoid cold therapies (ice, cold compress, cryotherapy, cold plunge, etc.) for 3 days after the procedure.
- Avoid NSAIDs listed above for 3 weeks following the procedure.
- You can resume your activities of daily living, you should avoid any physical activities such as heavy lifting, golfing, hiking, running or other exercises as directed by the physician x 3 weeks.
- At two week post – injection you may resume formal physical therapy as directed by the physician.
Risks and Complications of PRP Injections
The risks associated with PRP injections are very minimal but may include increased pain at the injection site, infection, damage to adjacent nerves or tissues, formation of scar tissue, and calcification at the injection site.
Conclusion
While PRP therapy has been used for various conditions, the evidence for its efficacy is still evolving and not yet fully established. Moreover, protocols for PRP preparation and application can vary, adding another layer of complexity to its use. As a medical professional, it is always advisable to stay updated with the latest research and guidelines for the best patient outcomes. At SMaRT Health & Wellness, we’re committed to providing the most up-to-date and effective treatments for our patients.
