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Platelet-Rich Plasma (PRP) is a revolutionary new treatment for chronic sports and musculoskeletal injuries. PRP recently stepped into the spotlight when it was reported that Pittsburgh Steelers safety Troy Polamalu received the treatment to speed the recovery of an injured knee ligament. Tiger Woods underwent PRP therapy to aid in healing his torn Achilles' tendon.  Los Angeles Dodgers pitcher Takashi Saito and LA Lakers guard Kobe Bryant received PRP injury therapy as well.
 
Why do professional athletes and “weekend warriors" choose PRP Injury Therapy?
Connective tissue is made up of thousands of individual fibers called collagen. These fibers bundle together very neatly and orderly much like wires in an electrical cable. When there is an injury, the body tries to repair the individual fibers. However, because connective tissue has a very poor blood supply, the growth factors and stem cells cannot do their job properly. This results in inferior “scar” tissue that lacks the strength and elasticity of healthy tissue.   When the same force or trauma is placed upon this tissue, it fails, more tissue tears, more scar tissue develops and a vicious cycle of pain and dysfunction occurs. Connective tissue injuries often respond poorly to conventional medicine because treatment is generally aimed at relieving pain (such as with cortisone injections). However, the injured tissue remains and the likelihood of re-injury increases.  PRP Injury Therapy effectively replaces unhealthy tissue with healthy tissue.
How does PRP Injury Therapy work?
Platelets are specialized blood cells that play a critical role in clot formation and injury healing. They are naturally extremely rich in connective tissue growth factors.  Activating and injecting these growth factors into damaged ligaments, tendons, and joints ignites your body’s own stem cells and stimulates the natural repair process.
What happens during PRP treatment?
PRP Injury Therapy does not require general anesthesia or hospitalization. Dr. Ghaly safely administers treatment in a medical office setting. Blood is drawn (just like getting a blood test) and placed in a special centrifuge which spins the blood to aid in separating out the platelet rich plasma. While the blood is processing (for approximately 15 minutes) your skin is cleansed, a local anesthetic cream is applied, and lidocaine is injected to numb the area. Once the Platelet Rich Plasma has been sufficiently concentrated and the growth factors are activated, Dr. Ghaly carefully injects the PRP concentrate into the specific target areas.
 

The entire PRP Injury Therapy process -- from blood draw, to PRP preparation, to injection --  takes approximately one hour.

How many PRP Injury Therapy treatments are needed?
Many patients respond very well to just one treatment. However, some patients may require two or three sessions. If more than one treatment is needed to reach optimal results, follow up treatment is scheduled 4-6 weeks following the initial treatment.
 
Is PRP Injury Therapy safe?
Thousands of research articles have been published on the safety and efficacy of PRP Therapy.  Because your own blood is used, there is no risk of an allergic reaction.   In addition, PRP contains a concentrated amount of white blood cells which are your own natural defenders against infection.  As a result, infection is extremely rare. Just like a routine blood draw, whenever a needle is placed anywhere in the body, there is a risk of infection, bleeding, or nerve damage. However, this too is very rare.
 
Is PRP Injury Therapy painful?
Since Dr. Ghaly uses lidocaine to numb the injured area, the actual PRP injections cause only mild discomfort. There is generally moderate pain for a few days after the numbness wears off which can be managed with ice and Tylenol.  (Avoid anti-inflammatory medications -- including Advil, Motrin, ibuprofen, Aleve and Celebrex – for one week following PRP Injury Therapy because they interfere with the healing response).
 
How effective is PRP Injury Therapy? 
PRP Injury Therapy has been extensively studied and clinically proven to shorten recovery time, enhance bone strength, decrease wound infection rate, and reduce swelling and pain. Both ultrasound and MRI images have shown definitive tissue repair after PRP Injury Therapy, objectively confirming the healing process. The need for surgery can be greatly reduced or even eliminated by treating injured tissues before the damage progresses to a severe level.
How soon after PRP can I return to normal and athletic activities?
Most patients are able to return to work the day following their PRP procedure. Generally, less than 5% of patients need an extra day off work. Return to athletic activity depends on the degree and site of injury. Some chronic tendon injuries that have failed to respond to any other type of treatment will likely take some weeks to completely heal. Injections into joints and acute muscle injuries generally respond significantly sooner. 

Conditions Treated With PRP Injury Therapy

  • Rotator cuff injuries
  • Plantar fasciitis
  • Achilles tendon injuries
  • Shoulder pain and instability
  • Ankle and knee sprains
  • Tennis elbow
  • Hamstring and hip strains
  • Ligament injuries and Bursitis
  • Osteoarthritis
  • Sports hernias
  • Tendon injuries
  • Bicep Tendinitis
  • Golfer’s Elbow
  • Muscle tears
  • Tendonitis
  • Jumper's knee
  • Kneecap pain