Platelet Rich Plasma (PRP) Platelet Rich Plasma (PRP) is a relatively new treatment for muscular and skeletal injuries. It utilises part of the body’s natural inflammatory process to accelerate and enhance healing. PRP is an autologous blood derivative, meaning that it is a component of blood from the same patient that it is used to treat. Dr Peter Lewis one of the most experienced PRP doctors in Melbourne. He has just returned from lecturing on PRP at the ARP Medical Conference in the USA. Procedure A nurse will take your blood (like a normal blood test), which will then be spun in a centrifuge, a machine which separates the blood into its various components. The bottom layer contains most of the red blood cells), while the top layer is mostly plasma and platelets. This top layer is the platelet rich plasma (PRP). The top layer is taken out, and the rest discarded. The PRP is then activated under a light. Light activation of PRP has been shown to significantly reduce an aggravation of pain often experienced after the procedure. This whole process takes about 30 minutes. The skin over the injury is washed, and then the PRP is injected directly into the area. The doctor may also inject some local anaesthetic into the region. How It Works Platelets in the blood are an integral part of forming clots, which stop bleeding. However they have another vital role in healing. They contain chemicals called growth factors, which have been shown to cause cells to multiply and form new tissue. PRP contains a much higher concentration of platelets than normal blood. This means that higher concentrations of growth factors are being released into the injured area, which accelerates and enhances healing. When compared to cortisone injections, PRP shows better results over a longer period of time. While the effects of cortisone are rapid, they are often followed by a decline in condition. PRP, however, shows slower but greater long term improvements and less injury recurrence. What Can Be Treated With PRP - Osteoarthritis
- Degenerative knee conditions
- Muscle tears
- Ligament and tendon injuries (including tennis or golfer’s elbow)
Dr Lewis will assess your injury and determine whether you are a suitable candidate for PRP treatment. Before PRP Treatment You should eat and drink healthily before PRP treatment. Avoid fatty foods, coffee and alcohol. Anti-inflammatory drugs (eg cortisone, nurofen, celebrex) should not be taken for 2 - 3 days before andafter the treatment. Hyperbaric Therapy is suggested before therapy to increase the number of stem cells in the blood. Please contact reception if you would like to make an appointment. After PRP Treatment Following the PRP treatment, you should rest, and avoid running. After a knee procedure, you should minimize walking. Don’t expect an immediate result, improvement is gradual over a week or so. At the completion of treatment, an exercise rehabilitation program should be started. This can be arranged at reception with an exercise physiologist. Risks As PRP is taken from your own blood, there are no risks of disease transmission or allergic reactions. It is completely natural. Sometimes PRP may aggravate the inflammatory response, causing temporarily increased pain, and swelling in the area, and there can be a local pressure effect from the injection of fluid. Cost PRP costs about $200 per session. The usual course of treatment for knees involves three treatments, one week apart. Other injuries may only require one treatment.
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