Platelet Rich Plasma Therapy (PRP)
Back on the tennis court!
Fast forward almost 15 years where I start my treatment regimen for my elbow with Dr. Kaplan. I first had the Tenex procedure done, followed by PRP therapy, and finally a few treatments of prolotherapy. I combined those treatments with about 12 sessions of physical therapy, and I am thrilled to say that I am back on the tennis court playing about 3 hours/week at a solid 4.0 level, all while being pain free for the first time in 16 years! Granted, I am about 15 lbs. heavier, and 16 years older, so I don’t quite move as well as I did back in 1999, but the important thing is I am back out there thanks to the successful treatment I received from Dr. Kaplan!
Guy Sadkin, Williamsville
Windsurfing without significant pain
My quality of life was significantly affected. Windsurfing is my passion and I became depressed as it became increasingly more difficult for me to enjoy the sport. I was also having difficulty sleeping and using crutches which I need to use when I am not wearing my leg prosthesis.
I received three PRP treatments from Dr Kaplan. They were done under ultrasound guidance for accuracy. Dr Kaplan’s treatments have allowed me to windsurf longer and with out significant pain. I can move my shoulder with less popping and grinding and sleep better at night. Dr. Kaplan has a practical and knowledgeable approach. His evaluation by ultrasound at each treatment allows for better injection technique and with reduced discomfort.
At our practice we provide:
- The use of the latest PRP technology that derives more Platelet Rich Plasma (PRP) from less blood taken from a patient and in a fraction of a time of most other PRP units used in medical clinics.
- An expert and comprehensive injection technique that covers all of the supporting structures of the injured area in addition to the injury site
- A combination of Prolotherapy and PRP that establishes maximum coverage of the injured region for no extra cost.
- PRP for the neck and spine disc and joint pain, upper and lower limb joint pain.
Bone and soft tissue injuries heal in many stages. One of the most exciting areas of research in degenerative and sports medicine involves making the most of the healing stages: inflammation and an increase in cells, or cell proliferation. Platelet Rich Plasma (PRP) comes from a patient’s own blood. PRP is a concentrated source of growth factors and cellular signaling factors that play a significant role in the biology of healing.
Platelet rich plasma (PRP) treatment is becoming a more popular option for giving a biological boost to the healing process. PRP treatment has received significant attention from the media and has been used by several of the New York Football Giants, other NFL players and elite athletes from other sports, including Tiger Woods.
Watch the video to learn more and explore our FAQ below.
What is PRP?
After a blood sample is obtained from a patient, the blood is put into a centrifuge, which is a tool that separates the blood into its many components. Platelet rich plasma can then be collected and treated before it is delivered to an injured area of bone or soft tissue, such as a tendon or ligament.
The amount of blood needed depends on the size of the injured region and on the actual PRP technology used to extract the PRP. PRP is given to patients through an injection, and ultrasound guidance can assist in the precise placement of PRP. After the injection, a patient must avoid exercise for a short period of time before beginning a rehabilitation exercise program.
Is PRP Treatment Effective?
These favorable findings in animal models have led to the widespread use of PRP treatment for a variety of conditions, including acute and chronic tendon problems, as well as injuries to ligaments and muscles. Some early-stage clinical studies in humans have been promising, but are limited by their study design and few patients.
The most promising early results have been seen when PRP treatment is used for chronic tendon conditions, such as lateral epicondylitis (tennis elbow) and Achilles tendinosis, which impacts the Achilles tendon.
Which medical specialties inject PRP and when does it have the best chance of working?
The difference in the outcomes of these physicians depends on multiple factors:
Actual makeup of PRP There is still controversy regarding what type of PRP is best. Some manufactures of the PRP extraction devices boast the presence of white blood cells and some boast the absence of white blood cells in their PRP make up. I use PRP extraction technology that includes white blood cells in the PRP because of evidence that white blood cells act as extra stimulants for healing. This is based on the original research done by Dr Allen Mishra over ten years ago on PRP healing benefits for chronic tennis elbow tendon injuries that clearly showed enhanced healing with the presence of the white blood cells in the mixture.
Injection Technique Most classically trained neuromuscular specialists use what is called “ one and done” technique of simply injecting this medication inside the painful or injured structure. This type of treatment frequently produces limited results. Only the Prolotherapy trained physicians such as myself inject all of the stabilizing structures around the site of injury. This approach is much more comprehensive and provides a much better chance of successful healing. Interestingly enough, the cost for both approaches is the same even though the treatment outcomes are not.
Which regions can be treated effectively?
- Cervical, Thoracic and Lumbar Spine
- Sacroiliac joints and pelvis
- Large joints, including shoulders, hips, knees and ankles
- Medium joints including elbows, and wrists
- Small joints of collar bone, fingers, and toes
- Trunk areas including ribcage and shoulder blades