What is PRP?
Platelet Rich Plasma is a high concentration of platelets made from your own blood. In the simplest of terms, platelets call on your body to start healing itself. PRP is a great treatment option because it works well for many different body parts such as tendons, ligaments and arthritic joints. It can be used on new and chronic issues.
How is the PRP procedure performed?
This is an in-office procedure, typically taking between 1-2 hours. A blood draw of 50-100cc is taken from your arm. The blood is then spun in a centrifuge, which separates the blood, therby concentrating the platelets in a specific layer. Those platelets are injected into an injured tissue or arthritic joint under ultrasound guidance to ensure accurate placement. Generally, you can expect some discomfort while the PRP is being performed. Local anesthetic and oral medications can be given to help make you more comfortable.
How do I prepare for a PRP procedure?
We recommend the following:
- NO NSAID (ibuprofen, naproxen, Aleve, Advil, diclofenac, celecoxib, meloxicam, etc.) medications for at least 2 weeks prior to procedure and 6 weeks post procedure.
- No prednisone or steroid injections/medications for at least 6 weeks prior and 6 weeks after. The reason for avoidance of these medications is that they can stop some of the healing signals in the body we are trying to stimulate with the PRP.
- Please drink plenty of water in the days prior to your procedure—it is easier to get blood from a hydrated patient.
- We may recommend a combination of supplements to take before and after the procedure to optimize your healing response.
- It is reasonable to consider taking a day or two off work as you may have some discomfort and limited use of the affected body part. This will be reviewed prior to the procedure.
- We recommend a 10-15-minute brisk walk within 3 hours of you coming in for your procedure.
What happens after the procedure?
After the procedure you may use a brace and/or assistive device as directed by your physician. You will also be given instruction on exercises as appropriate for your specific issue and it is recommended you start physical therapy 7-10 days after the procedure. This should be set up ahead of time when you schedule your PRP visit. You can expect soreness for several days after the procedure. It is okay to use ice for short periods of time (up to 10 minutes) for the first 24 hours if necessary for pain and discomfort. Tylenol as needed for pain can also be taken. Sometimes a prescription pain medication is given to be used for 2-3 days after the procedure. After the first few days, gradual improvement in your symptoms should be seen over the following weeks to months. It is important to remember that this is a healing process and can take time.
How many PRP’s do I need?
We start with one treatment, but every patient’s health status and injury severity is different. Additional treatments may be needed and will be discussed based on your specific needs and response.
