Platelet Rich Plasma Therapy
Platelet-rich plasma (PRP) injection has emerged as a treatment alternative for many musculoskeletal conditions. Although concentrated platelet therapy, including PRP, has been used for 20 years, it has recently been popularized by the media after its positive effects were reported to be responsible for an American professional football player’s accelerated return to play and subsequent victory in the 2009 Super Bowl.
PRP is defined as a platelet concentration higher than the physiologic platelet concentration found in healthy whole blood. Some authors have adopted a more objective definition of five times the platelet concentration of whole blood. The ability to concentrate platelets allows a higher concentration of the bioactive growth factors reported to promote healing. There are currently many clinical applications of PRP, including bone healing in oral maxillofacial surgery, postoperative wound healing, and postoperative rotator cuff repair integrity in orthopedic surgery. The positive effects in these intraoperative applications have stimulated the use of PRP in the sports medicine outpatient clinic setting, mostly for chronic tendinopathies.
The recent explosion of the clinical use of PRP has outpaced evidence-based research. Few randomized controlled studies and smaller anecdotal case reports document clinical success of PRP.
At Pain Spa Dr Krishna is very experienced in performing interventional pain procedures, including platelet-rich plasma therapy. Dr Krishna always performs injections under ultrasound or fluoroscopy guidance for greater accuracy and improved safety.