PRP (Platelet Rich Plasma)
At the Orthohealing Center, we are pioneers in PRP therapy.
Not only have our physicians remained on the cutting edge of this minimally invasive approach, they have also been instrumental in researching and developing this technique from the outset. When you come to the Orthohealing Center, rest assured you are in the hands of those who know it best.
To learn more about our initial and ongoing participation in this innovative field, please visit our Research page.
Platelet-rich plasma (PRP) therapy is an innovative, all-natural treatment option for tendon injuries and joint pain.
It’s a safe, non-surgical treatment that utilizes proteins and growth factors within platelets and plasma from your own blood.
At the Orthohealing center we are dedicated providing our patients with some of the most comprehensive and advanced PRP therapy Los Angeles and New York has to offer.
Understanding how PRP therapy works
Everyone’s blood is composed of the same key 4 components: red blood cells, white blood cells, plasma and platelets. Platelets are the essential component that PRP therapy relies on to potentially heal chronic injuries and relieve pain, while plasma contains anti-inflammatory proteins.
Platelets are an incredible army of cells that circulate in your blood. They are primarily recognized for controlling bleeding. However, they also release over 1500 growth factors and proteins that have been documented to facilitate wound healing and tissue repair. Platelet-rich plasma therapy works by isolating and concentrating the platelets within your own blood and selectively injecting them into injured areas
We continue to vigorously study PRP while collaborating with other field-leading colleagues to determine optimal preparations and applications. We have now learned that joints, tendons, muscles, and nerves each require specific and unique PRP formulations for best results, which are routinely incorporated into our treatments.
SYMPTOMS we treat with PRP therapy
PRP therapy has been studied and published on a variety of musculoskeletal injuries.
According to controlled trials the following areas have shown efficacy:
- Tennis Elbow/Lateral Epicondylitis
- Gluteal Tendinosis
- Plantar Fasciitis
- Mild to Moderate Knee Osteoarthritis
At the Orthohealing Center, we’ve used this innovative and minimally invasive approach to treat a wide range of conditions. Further clinical trials and data analysis are necessary to better understand ideal applications and candidates for PRP.
In addition, PRP therapy is commonly used as a complement to orthopedic surgery. Some patients receive PRP injections after surgery while undergoing rehabilitation or while in the operating room
What to expect during your PRP therapy appointments
You can expect your platelet-rich plasma therapy visits to be a very comfortable and professional experience. Our team of physicians are among the most experienced in the world, having performed thousands of injections for over 13 years. Our team has published peer reviewed clinical trials, several textbook chapters and regularly lectures around the globe on PRP at premier symposiums.
To begin, we will draw your blood and spin it in a centrifuge to isolate the platelets and plasma proteins for your injections. We will then cleanse the treatment area and apply a local anesthetic to ensure a very pleasant experience.
Under the guidance of an ultrasound image (or less commonly X-Ray Fluoroscopic for spine), our Los Angeles and New York experts will then inject the platelet-rich plasma directly into your specific injured areas. We believe that this is the optimal way to perform this procedure, as it allows us to clearly visualize the areas we are targeting and avoid trauma to the surrounding structures. Oftentimes several regions may be comprehensively targeted based on exam and imaging. For anxious patient oral nitrous oxide (laughing gas) may be used. Depending on the region and extent of injury, you may require multiple treatments, along with personalized physical therapy.
After your injections, there is often a very brief recovery period. For the first two days, it’s normal to experience some swelling and discomfort at the injection site, which should resolve on its own. In the meantime, we will provide you with instructions on safe ways to manage the discomfort.
Generally depending on the body region and extent of your injury, you may begin to feel the results of your PRP therapy within eight weeks. Ordinarily, the symptom relief and healing process continues to improve for several months after your final treatment
Is PRP therapy right for you?
PRP therapy is a breakthrough treatment that has helped many of our patients stay active and achieve profound relief from osteoarthritis, tendon injuries, chronic pain, acute athletic injuries and a number of other conditions.
To be considered an ideal candidate, your injury or condition should be of a mild to moderate level taking into account both imaging findings and functional status. If it’s very severe or advanced, you may require other orthobiologic interventions
Disclaimer: Our healthcare practitioners use products and perform therapies cleared for general use by the United States Food and Drug Administration, but specific indications for treatment have not be evaluated and reviewed by the FDA. You are encouraged to consult with your primary care physician prior to undergoing a cell therapy.
Frequently Asked Questions
PRP stands for “platelet rich plasma.” Platelets are the body’s natural wound healers, found in the blood’s plasma, along with red and white blood cells. Platelets contain proteins called growth factors. These proteins play a key role in the healing process. With this treatment your body’s own platelets are concentrated into an injectable solution to trigger the natural reparative process.
If you are experiencing joint pain, osteoarthritis, or chronic tendon pain and other treatments have been unsuccessful, you should learn more about PRP treatments. If physical therapy has failed to bring adequate relief, or you prefer to avoid cortisone and pain medications; you may be a candidate for PRP injections. A consultation with our team of pioneering physicians will explain whether PRP injections could be an effective treatment for you.
A consultation with our doctors is the best way to see if PRP is an appropriate option. Some underlying medical conditions such as anemia, immune disorders, cancer, prolonged or active infections, certain blood disorders, pregnancy may not be considered good candidates.
According to our peer reviewed published research along with extensive clinical experience, PRP is often considered for patients suffering with mild to moderate osteoarthritis. For more advanced arthritis other biologic treatments offered at Orthohealing may be warranted. At the Orthohealing Center, we will evaluate the extent of your arthritis and will be able to determine whether PRP injections would be a reasonable treatment option.
According to our peer reviewed published research along with extensive clinical experience as pioneering physicians in the field, PRP is often recommended for patients with tendinitis or more accurately termed “tendinosis” implying thickening, scarring and poor blood flow. In general these patients have persistent tendon discomfort and activity limitation already tried and failed conservative measures including, rest, activity modification, bracing, and physical therapy among others.
We are still scientifically understanding the many ways that PRP works. Studies have shown that PRP may increase the body’s ability to heal triggering a natural release of proteins. PRP contains over 1500 proteins called growth factors, which may aid in healing and inflammation of soft tissue injuries and arthritis. After drawing your whole blood, unwanted white and red blood cells are removed, concentrating platelets and plasma. This purified plasma solution is precisely injected under ultrasound or X-ray guidance to potentially trigger the body’s natural healing process.
Typical treatment takes an average of 1 to 1.5 hours. The time includes the drawing of blood and separating the platelets as well as the administration of any local anesthetics and the injections. Oftentimes several regions contributing to the patient’s symptoms may be targeted with a comprehensive approach. Oftentimes this highlights our expertise, identifying the many surrounding structures that may be contributing to the problem and need to be targeted for best results. Oral Nitrous Oxide (Laughing Gas) may be used to reduce patient anxiety and allow us to minimize or avoid the use of local anesthetics which have been shown to have harmful effects on tissue healing and cells).
On average approximately 2 tablespoons of blood is removed.
This varies for every individual and the site of the injection. There may be some mild discomfort associated with the injection, but we offer local anesthetics or Nitrous oxide (Laughing Gas) to reduce the likelihood of potential pain. Also our pioneering physician use ultrasound guidance and can identify exactly where to target their injections to avoid sensitive structures. Overall we pride ourselves on creating the most comfortable and professional patient experience available.
Depending on the area being treated and the extent of the treatment it is generally advisable to have someone drive you home.
Depending on the injection site and the overall health of the individual it may take several weeks of optimal results as the body takes time to heal naturally. Injections into joints or muscles tend to exhibit signs of healing faster than tendons which have less circulation.
Joints typically require a series of 3 injections at 1-2 week intervals. Tendons depending on severity typically require 1-3 injections at 2-4 wk intervals.
In General our practice philosophy embraces a “less is more approach” minimizing down time and encouraging an active lifestyle. We prefer a minimally invasive pathway with “needle over knife” when possible. However some conditions may not be ideal candidates for injections and minimally invasive surgery may be recommended. PRP may also be applied surgically to potentially boost the reparative process.
As the injection contains your own blood platelets it is unlikely that you will experience adverse reactions. There may be temporary discomfort associated with the injection sites as well as some pain or inflammation for the first few days. As with many medical procedures there are associated risks which should be discussed with your physician prior to undergoing treatment.
There is minimal downtime associated with PRP injections and most people can expect to return to daily activities shortly following their procedure. The recovery time necessary before returning to strenuous use of the treated area will depend on the region treated and extent of injury. Oftentimes because PRP is a natural therapy, the body will give patients true feedback regarding advancing specific activities.
PRP can be used in most areas of the body to help potentially accelerate healing and reduce pain. PRP is frequently injected directly into involved joints, muscle, tendons, ligaments, and nerves.
PRP injection expenses vary and are not covered by traditional insurance carriers. The cost may differ depending on your individualized treatment plan. We also have hardship programs available to spread the reach of cell therapy promoting affordable care to the community.
Exercise and activity has a synergistic effect on our treatments. We usually recommend a customized home program with video demonstrations along with participation in Physical Therapy/Rehabilitation.
Contact our office for assistance in financing your treatment. Our administrative staff is here to support you.