PLATELET RICH PLASMA

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Get better quality of life with the latest Platelet Rich Plasma Treatments, including those for injury recovery, at Preventative Medical Clinic, a division of Kohll’s in Omaha, Nebraska.

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Athletes and active individuals who endure chronic pain from tendon or cartilage injuries or osteoarthritis may finally get relief from a safe, non-surgical procedure. It’s called Platelet-Rich Plasma (PRP) Therapy, and it utilizes platelets from the athlete’s’ own blood to rebuild a damaged tendon or cartilage. It has been successful in not only relieving the pain, but also in jumpstarting the healing process.
Why do PRP?
PRP therapy is advised for patients with moderate osteoarthritis in the hip, knee or shoulder or chronic tendonitis in the elbow or ankle. Typically the patient has failed conservative treatment options such as rest, medication, and physical therapy.
How is PRP administered?

PRP therapy, which takes approximately twenty minutes to complete, begins with collection of 30 milliliters of the patient’s blood. The blood sample is placed in a centrifuge to separate the platelet-rich plasma from the other components of whole blood. The practitioner then inject the concentrated platelets into the site of the injury often using ultrasound guidance for accuracy. Platelets function as a natural reservoir for growth factors that are essential to repair injured tissues. The growth factors that the platelets secrete stimulate tissue recovery by increasing collagen production, enhancing tendon stem cell proliferation, and tenocyte-related gene and protein expression. These growth factors also stimulate blood flow and cause cartilage to become more firm and resilient. PRP activates genocytes to proliferate quickly and produce collagen to repair injured tendons, ligaments, cartilage, and muscles.

The injections are safe, non-surgical procedures used to eliminate or dramatically reduce pain by stimulating the body’s natural ability to heal itself.

Is the treatment one injection or multiple injections?
This is ultimately decided on a case-by-case basis. T of injections. Typically the practitioner will suggest between 1 to 3 injections.
Will I feel immediate results from PRP therapy?
You will feel a notable increase in pain in the days immediately following the injection. Pain intensity becomes less each day as functional mobility and general functional ability increase along with endurance and strength. You will notice gradual improvement 2-6 weeks after PRP therapy. Some patients report ongoing improvement 6-9 months after PRP therapy is administered. In some studies, Ultrasound and MRI images have shown definitive tissue repair has occurred after PRP therapy, supporting the proof of the healing process. By treating injured tissues before the damage progresses, surgical intervention may be avoided.I feel immediate results from PRP therapy?
Which injuries are usually treated with PRP therapy?
Essentially any tendon or ligament injury except complete tears may be treated successfully with PRP. PRP therapy is exactly the treatment needed to reduce the downtime of the athlete while also reducing the chance for re-injury or perhaps the risk of a more serious injury that will result in surgical intervention or permanent disability.
Are there any risks?
Any time the skin is punctured there is always a chance for infection, bruising and bleeding. Complications are rare and minimized by the skill of the well-trained professional.
How many treatments are needed?
This is dependent on the duration of pain, how severe and widespread it is. On average 2-6 treatments in intervals of 3-6 weeks apart are recommended.
When will I start noticing improvements?
Some notice improvements in as early as a few days where others may not notice significant relief until four to six week after their initial treatment. Others may not experience relief until they have had further treatments if present with severe widespread pain.
What should I avoid doing or taking during treatments?

Controlled exercise and mobilization of the treated area promotes tissue healing and results in faster recovery. Strenuous activity should be avoided for the first several days at least. Physical therapy may be recommended to correct muscular or proprioceptive issues.

Avoid taking anti-inflammatory medications (NSAIDS like ibuprofen, aleve) based products and fish-oil supplements. Baby aspirin may be allowed, talk with your provider.

When can I return to work?
In most cases, depending on the job one may return to work or school the same day.
What is the chance I will get better? How long will it last?
Statistics show that 85-90% of all patients treated with prp receive at least a 50% benefit when treated between two and ten times. There is no evidence of a condition worsening with the injections. Also, because actual healing occurs, it is anticipated that long-lasting or even permanent relief of one’s pain can take place. If an area is re-injured, more treatments may be necessary in the future.
Will my injector have any experience or certifications?

At PMC our injector has personal experience with prolotherapy as well as nearly a decade of injecting joints. She is also certified by the American Osteopathic Association of Prolotherapy and Regenerative Medicine.

Common Conditions Treated
  • Cervical spine (arthritis, instability, degenerative disc disease)
  • Lumbar or low back pain (arthritis, instability, disc disease, spondylosis, pain after surgery)
  • Shoulder pain (tendonitis, arthritis, labral tears, recurrent subluxations)
  • Elbow/wrist/hand pain
  • Hip/Pelvis pain (arthritis, instability, chronic hamstring or IT band issues)
  • Knee/Ankle/Foot pain (arthritis, sports injuries, plantar fasciitis, chronic sprains, bunion pain)