Before and After Treatment with Platelet Rich Plasma (PRP) Graft

Before treatment

• Your initial visit to the clinic will consist of a full physical assessment based on injury or physical complaint which may include x-rays, diagnostic ultrasound, blood work, Range of Motion measurements, MRI if needed.
  
  
• If taking NSAID’s( anti-inflammatory medication ie: Motrin, Naprosyn, Advil, Aleve) please discontinue 5-7 days prior to treatment. If taking an 81mg Aspirin, continue.
  
  
• Follow you normal daily routine on procedure day; make sure to drink plenty of water.
  
  
• We provide paper shorts or you may bring/ wear you own shorts.
  
  
• The procedure takes approximately 1 hr to perform.
  
  
• Upon arriving at the clinic your peripheral blood will be drawn and you will be prep’d for your procedure. Your blood will be spun in a special centrifuge which takes about 15 minutes.
  
  
• Ultrasound will be used to guide where the Dr. will treat, those areas will be marked and numbed with local anesthesia and followed by PRP.
  
  

After treatment with PRP

• You will be numb in the areas treated for 2-4 hrs after the procedure.
  
  
• Due to the numbness we ask that you refrain from any strenuous activities but to stay mobile. Continue to move affected area to decrease soreness and stiffness.
  
  
• After the anesthesia wears off you may resume activities to tolerance of pain.
  
  
• You will experience some pain and soreness for 2-5 days after your treatment. The initial inflammatory phase last 7 days and secondary phase can last up to 14 days.
  
  
• No anti-inflammatory medication (Ibuprofen, Motrin, Aleve, or Naprosyn) should be used for 4-6 wks after treatment.
  
  
• Tylenol for pain, Ice as needed for pain and or swelling (10-20 minutes to cool the skin, repeat every 2-3 hours)
  
  
• Follow the 10% rule and the FIT principles for returning to activities to decrease the incident of re-injury and to increase the healing potential.
  
  
• Follow a program for flexibility and core strength to rehabilitate and correct any imbalances in the kinetic chain.
  
  
• You may experience the “roller coaster” syndrome where you feel great one day and for no apparent reason the area treated starts to hurt again, this is normal in the healing process.
  
  
• The platelets are active for several weeks and it can take up to 12 months for normal collagen to form and heal completely.
  
  
• Our goal is 80-90% improvement in pain, so you may or may not need more than 1 treatment to reach that goal. Sometime a series of 2-3 treatments are needed to achieve complete healing. If subsequent treatments are needed they are usually performed 8-10 weeks apart.