PRP Therapy

Platelet Rich Plasma Therapy Miami Beach

PRP Miami Beach, physical therapy Miami Beach, platelet rich plasma Miami Beach
What is PRP? PRP, or platelet rich plasma is a revolutionary treatment for sports and musculoskeletal injuries. In a PRP injection the patient’s own blood is processed resulting in a high concentration of platelets. Platelets are specialized type of blood cells. Most people know of them as the part of blood that forms a clot. While that is a primary function of platelets, they are also very involved in healing injured tissue.

How does PRP work?Platelets are naturally rich in connective tissue growth factors. By concentrating and injecting these growth factors into damaged ligaments, tendons, and joints, they stimulate a natural repair process that restores the integrity of the injured tissue. In a platelet rich plasma injection, the patient’s own blood is processed to increase the concentration of platelets and their growth factors. The PRP is then injected directly into the injured area under ultrasound guidance to promote a potent healing response. What do I do before the procedure? All anti-inflammatory medications such as Aleve, Advil, Motrin or Ibuprofen should be avoided for 7 days prior to the procedure. Potential candidates on Aspirin should discuss with their primary care physician if aspirin may be discontinued for a brief time period. Patients on any blood thinners are not candidates for the procedure.

What to expect during the procedure?

The procedure takes about 45 minutes. The patient’s blood is drawn and processed at high speeds in a centrifuge. The injured area will be assessed with ultrasound. Then using sterile technique the PRP is injected under ultrasound guidance into the affected or injured area. Local anesthetics are typically not used for the procedure due the negative effects these medications have on the platelet rich plasma.

What are the risks and potential complications?

The most common complication is pain at the site of injection. Pain may vary in intensity from mild to severe in occasional cases. Some pain may respond to mild analgesic agents such as Tylenol. While other cases may require stronger prescription strength pain medication. The pain typically last 3-4 days but in some cases it may last for a few weeks. This is part of the normal healing response seen in severe tendon problems.

The procedure takes about 45 minutes. The patient’s blood is drawn and processed at high speeds in a centrifuge. The injured area will be assessed with ultrasound. Then using sterile technique the PRP is injected under ultrasound guidance into the affected or injured area. Local anesthetics are typically not used for the procedure due the negative effects these medications have on the platelet rich plasma.

 

Other potential complications are bruising at injection site, infection and tendon rupture. Infection and tendon rupture are extremely rare. About 20% of patients have no response to PRP.

What to do after the injection?

No anti-inflammatory medications such as Naproxen, Ibuprofen or Aspirin should be taken for at least 14 days after the procedure. Those on Aspirin for cardiac reasons may begin taking Aspirin as directed by their primary care physician or cardiologist.
Rest the area for 2 days or until pain subsides. A post injection physical therapy protocol will be implemented to assure a safe return to activity.
20% of patients may have no response to PRP. In these cases a second injection may provide significant improvement. Factors such as age, co morbid conditions (ie. Diabetes), tobacco use, noncompliance to post PRP physical therapy or overuse of the injured area are factors that may influence the patient’s response to PRP.

Is PRP covered by insurance?

Insurance companies do not cover PRP injections. We can provide all detailed information regarding the out of pocket expense for a PRP injection or a series of PRP injections if indicated.

What conditions benefit from PRP?

PRP treatment works best for chronic ligament and tendon sprains/strains that have failed other conservative treatment. These include:

  • Rotator cuff injuries (partial tears or tendonopathy)
  • Tennis and golfer’s elbow
  • Chronic thumb UCL sprain
  • Hip and hamstring strains
  • Hip arthritis
  • Knee arthritis
  • Knee sprains
  • Patellofemoral syndrome and patellar tendinosis
  • Ankle sprains
  • Ankle arthritis
  • Achilles tendinitis
  • OCD lesions
  • Plantar fasciitis
  • Turf toe

To get the best results from treatment and prevent re-injury, specifically designed rehabilitation and exercise programs are incorporated into your treatment. This helps the newly developing connective tissue to mature into healthy and strong tissues.

What is Prolotherapy?

Prolotherapy is a method of injection treatment designed to stimulate healing. It is primarily used for tendon and ligament injuries.

How does prolotherapy work?

Incomplete healing of tendons and ligaments is common due to their poor blood supply. Prolotherapy works by exactly the same process of the body’s natural healing response. This process is inflammation. The technique involves the injection of a mannitol anesthetic mixture into the affected tendon or ligament, leading to an inflammatory reaction, which initiates the healing process. Prolotherapy stimulates the rise in growth factor levels within the tissue promoting growth, repair and deposition of new collagen, the material that tendons and ligaments are made of.

What conditions benefit from prolotherapy?

Prolotherapy is used to treat many different types of musculoskeletal injuries. Including:

  • Neck pain (i.e. whiplash injuries)
  • Low back pain
  • Chronic sprains/strains
  • Tennis and Golfer’s elbow
  • Chronic tendonitis/tendonosis
  • Osteoarthritis
  • Plantar fasciitis