Platelet-rich plasma in orthopedics

Osocze bogatopłytkowe w ortopedii

Platelet-rich plasma (PRP) injection is a medical procedure used in a wide range of musculoskeletal problems. This treatment improves the body’s natural healing ability and serves to improve healing and reduce recovery time after acute and chronic soft tissue damage. This treatment technique is relatively recently used to treat musculoskeletal problems, but is rapidly gaining popularity due to very good results. It is used in conditions such as “tennis elbow”, “golfer’s elbow”, plantar fasciitis, tendinopathy of the Achilles tendon and others.
Platelets are blood components whose main function is to participate in blood clotting, e.g. during injuries. In addition to coagulation factors, platelets release so-called growth factors that help to start the natural healing process.

Injection of platelet rich plasma at the site of damage in the musculoskeletal system stimulates and heals natural healing processes. This is especially important in areas with poor blood supply (such as tendons), because it enables more efficient delivery of necessary substances for self-healing of tissue. In addition, intravitreal platelet injection is free of many potential side effects that may occur after steroid injections or long-term use of nonsteroidal anti-inflammatory drugs.

Course
Platelet-rich plasma treatment is divided into two stages: preparing the platelet-rich plasma for injection, followed by injection into the desired area. First, blood is collected and then placed in a machine called a centrifuge. The centrifuge separates it into layers, thanks to which it is possible to take a layer containing concentrations of growth factors. The injection is made immediately after the blood is centrifuged. Your doctor can help you with an ultrasound probe to place the needle directly in the desired area. There is no need for general anesthesia.

Can something go wrong?
There have been very few reports of complications or side effects. Whenever any injection is given, there is always a risk of infection. A small number of patients have reported increased pain, redness and swelling at the injection site, but these conditions did not last long. It should be remembered that the material that is injected during the procedure is mostly the patient’s blood content, hence there is no fear of transmission of bacteria or viruses (e.g. HIV). With other types of injection treatment, scarring and calcification may appear at the injection site. This has not been reported so far with PRP injections, but it is theoretically possible. Allergic reactions are possible but rare and are associated with the possible administration of a local anesthetic. The worst that can happen is the penetration of the needle through a blood vessel or nerve, but using ultrasound visualization the risk is very small.

What happens after the procedure?
Immediately after the procedure, the patient is looked after by the medical staff. There may be some discomfort in the injection area, which can last from several days to a week. In fact, it may sometimes seem worse after the procedure than before. This is because the local inflammatory response has just been stimulated. However, usually any worsening of symptoms does not last long.
After returning home, you can cover the area where the medicine was injected with ice, lift your leg or arm and limit your activity so that you feel comfortable. Recommendations for reducing activity vary depending on the area treated. It is not recommended to use anti-inflammatory drugs (both one week before the procedure and about 4 weeks after) because it may eliminate the positive effect of treatment.
The most surprising aspect of platelet-rich plasma regeneration is the speed of recovery. This is the result of many factors, also independent of any actions on the part of the patient or doctor, while PRP sometimes allows you to return to full fitness in half the time, without side effects such as scars or adhesions.

Advantages of platelet rich plasma (PRP) treatment:

  • A minimally invasive procedure
  • High therapy effectiveness – approx. 90%
  • Safety of therapy – no allergic reactions, infections
  • Low painfulness of the procedure,
  • Short recovery period after surgery.

Contraindications

PRP should not give up persons:

  • Chronic patients with hepatorenal syndrome.
  • Chronic liver disease.
  • Treated with immunosuppressive drugs.
  • Treated with anticoagulants.
  • Infected with viruses (HCV, HBS, HIV).
  • With blood diseases

The specialist physician decides about the patient’s qualification for platelet-rich plasma therapy.

Consultations and treatments with platelet rich plasma are carried out by:

lek. med. Dariusz Hudzik, Ortopeda

Doctor of Medicine Dariusz Hudzik, orthopaedist

Price of the treatment:

RICH-PLATED PLASMA 700 PLN single injection, if you need to give 3 injections, the cost of 1 injection is 600 PLN.