Platelet Rich Plasma (PRP) Injections

Platelet Rich Plasma (PRP)

Platelet Rich Plasma (PRP) is plasma, the fluid portion of blood,[/tipsy] with concentrated platelets, the blood cells that cause clotting. The concentrated platelets found in PRP contain huge reservoirs of bioactive proteins, including growth factors that are vital to initiate and accelerate tissue repair and regeneration. Injecting this into injured ligaments and tendons stimulates healing.

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    How does PRP work?

    When PRP is injected into a damaged area, it causes mild inflammation that triggers a healing cascade. As a result, new collagen (a major component of connective tissue) begins to develop. As this collagen matures it shrinks, causing the tightening and strengthening of the tendons or ligaments of the damaged area.

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    How can PRP help me?

    Patients can see a significant improvement in symptoms. This may eliminate the need for more aggressive treatments such as long term medications, cortisone injections or surgery. PRP therapy helps regenerate tendons and ligaments, but is not a quick fix. This therapy stimulates the growth and repair of tendons and ligaments, and requires time and rehabilitation to heal properly.

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    What conditions can PRP help?

    PRP injections can be performed on tendons and ligaments all over the body. Sports injuries, arthritic joints, lower back pain, degenerative disc disease, and more specific injuries including tennis elbow, carpal tunnel syndrome, ACL tears, shin splints, rotator cuff tears, plantar fasciitis may all be effectively treated by PRP.

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    What is involved in a PRP treatment?

    Your Practitioner will need to see you to evaluate you before your injections. If you are new to our practice you may need a complete evaluation. If you are being referred by another practitioner just to have the injection performed, you will only require a short evaluation. One hour evaluations are scheduled with New Patients in advance of your injection appointment so that your Practitioner can review all options with you and select the best treatment to address your needs.

    New Patient Contact
    (707) 575-5180

    To prepare for your PRP treatment you will be asked to stop all  anti-inflammatory medications one week prior to the procedure and throughout the course of treatment.

    Includes aspirin, celecoxib (Celebrex), diclofenac  (Cambia, Cataflam, Voltaren-XR, Zipsor, Zorvolex), ibuprofen (Motrin, Advil),  indomethacin (Indocin), naproxen (Aleve, Anaprox, Naprelan, Naprosyn), oxaprozin (Daypro), piroxicam (Feldene),  Among others….

    Ask your practitioner if you have a question about whether a medication or supplement you take may be included on the list.

    Most patients only require some extra strength acetaminophen (Tylenol) to help with the pain. Ice and heat may be applied as needed. Please ask your Practitioner what you can use for pain if needed at your PRP appointment.

    You will also want to wear loose fitting clothing or slip on shoes depending on the treatment site.

    Once you have been evaluated and PRP injections have been ordered, treatments are done as a two-part appointment. First you meet with a Technician. They will draw 60 mls of your blood into a syringe mixed with an anticoagulant. While the PRP is prepared, you can relax in the waiting room. The Technician prepares your blood, using a centrifuge to separate out the Platelet Rich Plasma to be injected into your body.

    Once the PRP is ready, you will meet with your Practitioner for the injections. In the treatment room, you will sit or lay on the table provided, depending on the treatment areas. They will palpate the area of concern and mark where they will do the injections. The injection is done using sterile technique.

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    Do I need a prescription for PRP?

    Yes. You will need to have an appointment with your Practitioner prior to your PRP appointment. This allows them to review your imaging results and decide if PRP is the right treatment for you.

    If you are new to our practice you may need a complete evaluation. If you are being referred by another practitioner just to have the injection performed, you will only require a short evaluation. Evaluations are scheduled in advance of your injection appointment so that the GMA Practitioner can review all options with you and select the best treatment to address your needs.

    New Patient Contact
    (707) 575-5180

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    How do I schedule an appointment?

    Once you have received a referral by your Practitioner for PRP, please use the Patient Portal or call Gordon Medical Associates at (707) 575-5180 to schedule your treatment. Appointments can be made Monday, Tuesday, Thursday and Friday with  the Practitioner and a Technician.

    If you are a patient being referred for PRP by another practitioner, please call the office to make a brief evaluation appointment with a GMA Practitioner.

    If you are a New Patient, please contact the New Patient Coordinator to make an appointment with a Practitioner for an evaluation.

    New Patient Contact
    (707) 575-5180

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    How much time does treatment take?

    PRP injection require two appointments following one after the other. The appointment with the Technician is 30 mins, directly before your one hour injection appointment with your Practitioner.

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    How often will I need to receive a PRP treatment?

    Most patients will require anywhere from 1-3 injection appointments. Each set of treatments is spaced approximately 4-6 weeks apart.

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    How much does PRP cost?

    Your GMA Practitioner will need to see you to evaluate you before your injections. If you are new to our practice you may need a complete evaluation. If you are being referred by another practitioner just to have the injection performed, you will only require a short evaluation. Evaluations are scheduled in advance of your injection appointment so that your Practitioner can review all options with you and select the best treatment to address your needs.

    Fees for the exams are billed separately from the fees for the injections. PRP injection pricing is based on the number of areas addressed. *This service may be reimbursed by insurance.

    You can find a price list for PRP Injections linked to your Practitioner’s bio, or contact the office at (707) 575-5180.

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    How can I prepare for my appointment?

    For current GMA patients, gathering related imaging studies can expedite treatment to the first visit rather than waiting till the second. Wear loose clothing, expect a physical exam of the affected area, and please clean the affected area before your visit.

    New Patients may or may not be able to be treated at the first visit, depending on time and availability of staff, but should bring imaging studies to make the most of the appointment.

    To prepare for your PRP treatment you will be asked to stop all anti-inflammatory medications one week prior to the procedure and throughout the course of treatment.

    Includes aspirin, celecoxib (Celebrex), diclofenac (Cambia, Cataflam, Voltaren-XR, Zipsor, Zorvolex), ibuprofen, (Motrin, Advil), indomethacin (Indocin), naproxen (Aleve, Anaprox, Naprelan, Naprosyn), oxaprozin (Daypro), piroxicam (Feldene), Among others…..

    Most patients only require some extra strength acetaminophen (Tylenol) to help with the pain. Ice and heat may be applied as needed. Please ask your Practitioner at your PRP appointment what you can use for pain if needed.

    You will also want to wear loose fitting clothing or slip on shoes depending on the treatment site.

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    Is it safe?

    The PRP injection is very safe – at most, you may experience very mild pain, stiffness or swelling. While any medical procedure carries a small risk of infection, since you’re using your own blood this risk is minimal.