Platelet Rich Plasma
What is platelet rich plasma (PRP)?
- Essentially, PRP is plasma with a higher concentration of platelets compared to whole blood. Platelets contain many different growth factors that support the healing process.
- There are many uses of PRP such as dental implantations, surgery and treatment of severe burns. In musculoskeletal medicine, PRP can accelerate healing of
- tendon tears
- ligament laxity sprains
- joint osteoarthritis
- The use of PRP as an injectant in prolotherapy treatment (refer to prolotherapy section) is now accepted as a superior stimulant compared to dextrose.
How does PRP work?
- PRP is developed from patient blood, so is inherently safe and free of transmissible diseases such as HIV and hepatitis.
- Within PRP, the platelets deliver a number of growth factors in their biological ratios compared to recombinant growth factors engineered in laboratory.
- In addition PRP contains cell adhesion molecules, which makes a natural fibrin glue.
- PRP stimulates the formation of tri-dimensional mesh-fibrin strands, creating a framework for healing.
- Other benefits include stem cell proliferation and differentiation, chemoattraction and migration of macrophages and stem cells.
- Usually a standard 30 min session is sufficient to carry out the procedure.
- Musculoskeletal ultrasound may be required to determine the site of injection as well as for needle guidance.
- Local anesthetic in the form of 1% local anaesthetic is injected to the skin to alleviate any unnecessary pain for the actual PRP injection.
- Do not take anti-inflammatory medication for a week after the procedure and reducing your activities for the same period can only aid your healing process.
- The procedure may cause some localized discomfort for up to 48 hours. Paracetemol or Codeine is recommended if you need medication.
Dr. Philip Lim
Dr. Michael Mock
Dr. Sue Leong
- diagnostic model
- trigger point injection & muscle energy release
- ligamentous & fascial release
- joint manipulation & release
- platelet rich plasma
- joint injection
- muscle scar tissue hydrodissection
- shoulder joint hydrodilation
- real-time ultrasound core training
- prescriptive exercises
- breathing dysfunction & capnotrainer