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Platelet
Rich Plasma, PRP
Journal of Prolotherapy 2009;3:184.
Platelet Rich Plasma (PRP) Injection
Technique
Authors: Ross A. Hauser, MD & Marion
A. Hauser, MS, RD
ABSTRACT
This article provides the JOP reader
with some basic information about
Platelet Rich Plasma, also known as
PRP. PRP as a Prolotherapy
proliferant has become increasingly
popular in the pain management
field. The basic tenants of PRP
preparation and use in the
Prolotherapy field are discussed.
Prolotherapy
with Platelet Rich Plasma
Case History: bilateral elbow tendinosis
with underlying joint degeneration
Cynthia is a 45 year old formerly active woman who came to Caring
Medical on April 18, 2006 with complaints of bilateral forearm and
elbow pain. The pain in the left
elbow was present since July 2004 and in the right elbow since February
2003. She had tried many treatments such as
cortisone
shots,
acupuncture, and
surgeries (repair of a ruptured tendon in the right arm, radial tunnel
decompression and lateral extensor fasciotomy in the left arm) without
relief.
MRI’s have shown
tendinopathy in the both elbows and
osteitis in the left elbow. She ranked her pain as a 10 almost 24-7 and
she was basically completely disabled in both arms and hands due to the
pain. She had 5-10 degrees of limited extension in the left elbow.
Platelet Rich Plasma for treating chronic
pain
When I’m interviewing people living with pain, I always start by asking
8 questions in the same order: 1 – how did your pain start, tell me the
entire story from the beginning, 2 – where exactly is the pain, etc.
Then the last question is always: “tell me very specifically how this
pain impacts your quality of life?” At this point, more often than not,
there is a brief pause and a look of surprise (no doctor has asked them
this before), then the tears start to well up, the tissues come out, and
the crying begins. Most commonly, the first words out of a person’s
mouth are “I feel much older than I am”. Also very common are “I’ve lost
all sex drive with my partner and I’ve become mean towards him/her”, or
“I have no motivation to meet anyone, I go to work then I go home”.
Prolotherapy with
Platelet Rich Plasma for
Labrum
and Menisci Degeneration and/or Tears
I can’t
remember the last time a patient of ours had surgery
for a torn
meniscus or labrum. I know I have sent a few
patients for surgery in the past, but it has been a
long time.
Prolotherapy works very well for labrum (hip
and
shoulder) and menisci degeneration and tears and
even more so when
platelet rich
plasma (PRP) is added. So what is PRP and
how does it work?
Severe
arthritis of the knee and leg length discrepancy
(pelvic tilt)
treated with prolotherapy and PRP.
JG is a 64 year old
male with severe knee pain. He works on elevators, and is constantly
on his feet and needs to carry heavy tools and machinery. He
frequently needs to kneel and climb lots of stairs at work, and
could only walk up one step at a time. He was getting concerned
about his job because he was not able to keep up with the younger
employees, but needed the income to survive and help raise his
grandchildren. JG already had physical therapy,
arthroscopic
surgery, cortisone, and Synvisc injections. He was told that knee
replacement was imminent for his bone on bone
arthritis.
PRP Therapy
Although PRP (Platelet-Rich Plasma) Therapy
has been around since the mid-1990s many people are still unaware of
this beneficial treatment.
Various fields of medicine, including dentistry, neurosurgery, wound
healing, and orthopedics, have only just begun to scrape the surface of
the long-term and ongoing benefits that can result from employing this
valuable therapy.
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