PRP TREATMENT

The Orthopaedic Diagnostic and Regenerative Medicine Centre at Beverly Wilshire is at the forefront of research and usage of Platelet Rich Plasma (PRP) therapy. The PRP kits are carefully chosen based on proven results over two years.

Our specialist will give as much PRP as needed to ensure full coverage of the pathology. This will enable maximum injection coverage of the injured site to promote better healing and recovery.

To ensure successful treatment, we use the guidance of special ultrasound needles and our in-house top-of-the-range ultrasound machine which can show individual collagen fibres of tendons, and tendon and ligament tears. Special software for guidance on the ultrasound ensures the needle tip is in the centre of the injured site so that the PRP is well-distributed without any wastage.

Inaccurate injection of PRP is probably the leading cause of failure of PRP injections, as such the ability to ensure accurate localisation of the PRP into the pathology is very important.

SUITABLE CANDIDATES:

PRP therapy is a great option for two different categories of patient; one are patients with the chronic injury that never seems to go away, and the other are patients with an acute injury that might take 8-12 weeks to heal and is looking for something to speed up the recovery process.

Some of the most common conditions that will benefit from our PRP Therapy are:

  1. a) Acute and chronic tendon injuries (tendonitis, tendinosis, tendinopathy, tendon tears)
  • Foot and ankle: Plantar fasciitis, Grade 2 tears of medial and lateral ligaments such as ATFL and CFL, Achilles tendinosis and partial tears
  • Knee: Patellar tendinosis and tears, Quadriceps tendinosis and tears
  • Thigh: Hamstring strains
  • Elbow: Medial epicondylitis (golfer’s elbow) and Lateral epicondylitis (tennis elbow)
  • Shoulder: Rotator cuff tendinosis and partial tears
  1. b) Acute and chronic ligament injuries (sprains)
  • Elbow
  • Hand
  • Knee – MCL and LCL
  • Foot and Ankle
  • And many other conditions associated with scarred or non-healing tissue.
  1. c) Osteoarthritis

The latest exciting news is that PRP has been shown to be effective in treating Osteoarthritis (OA). PRP can be used to treat the symptoms of arthritis of the shoulder, hip, knee, ankle and foot. Although it is still unproven as to whether PRP treatment can be effective in re-growing lost cartilage or slowing cartilage breakdown, the diagnosis of the actual amount of cartilage loss up to 1mm can now be made by MRI. If there is Grade 2 or 3 loss of cartilage, there is now evidence that PRP is effective in halting the loss of the cartilage and stabilising the existing cartilage.

Thus, PRP may be an excellent minimally-invasive alternative to joint replacement surgery in treating the symptoms of arthritis. For OA of the knee Grade 2 to 3 changes, we recommend an annual combination therapy of PRP followed by high molecular weight hyaluronic acid injection. This combination lasts for 12 months to preserve the cartilage and lubricate the joint.

 

How will PRP Help?

When injuries don’t heal, patients often become frustrated. Patients may try anti-inflammatories and other pain medications, topical creams and gels, physical therapy, massage, acupuncture and cortisone injections but nothing seems to work. That’s because these therapies may try to treat pain and inflammation but they don’t treat the underlying problem of scar tissue, disordered fibres and poor angiogenesis (blood flow). This results in many patients giving up, opting to live with the pain and disability, or going for surgery.

PRP therapy is the solution to this problem. In PRP treatment, the patient’s own blood is taken with a simple blood draw. Using a special centrifuge machine, this blood is spun out to concentrate and separate the platelets and growth factors that are essential for tissue healing. This small amount of fluid with concentrated platelets and growth factors is called platelet rich plasma (PRP).

Platelets are very important in the repair and regeneration of damaged tissue as it encourages the growth of new, healthy cells. As nothing else is added to the patient’s own blood products, there is no risk of allergy, reaction or rejection. PRP therapy is a purely natural process using the body’s own healing factors. The important thing is to get them in the right place.

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