How is the procedure performed?

The entire procedure is performed in the office and takes approximately 1 hour in total. During your visit, we obtain 50cc of blood from a peripheral arm vein and spin it in a centrifuge to collect highly concentrated platelet-rich plasma. To ensure precise placement, injections are performed under ultrasound guidance. To help with discomfort, a local anesthetic is administered prior to injection and ice may be applied for 10-15 minutes afterwards.

What should you expect after treatment?

Common side effects include soreness, stiffness, and swelling. Initial discomfort from procedure typically subsides in 3-5 days. Ice, acetaminophen, or pain medication may be used for post-injection soreness.

What is activity level like after the procedure?

You are able to return to normal daily activities after the procedure. A brace or crutches may be applied in certain cases.

To optimize the effectiveness of treatment, physical therapy is recommended starting 2 weeks after the procedure to treat any underlying muscle weakness and minimize risk of recurring painful episodes. You will be provided with a rehabilitation protocol specific to the area of treatment.

In general, strenuous exercise or heavy lifting should be avoided in the first 4-6 weeks. Typical return to full activity may take up to 3-6 months.

Common Indications

• Mild-to-moderate knee osteoarthritis

• Rotator cuff tendinopathy

• Lateral epicondylosis (“tennis elbow”)

• Medial epicondylosis (“golfer’s elbow”)

• Hamstring tendinosis

• Gluteal tendinopathy

• Patella tendinosis

• Achilles tendinosis

• Planar fasciitis

Am I a candidate?

An initial consultation is performed to obtain a thorough history, physical examination, and confirmation of severity of injury with radiographic imaging (XR, ultrasound, and/or MRI).

PRP is typically considered for patients with pain lasting more than 3-6 months despite standard conservative treatments (i.e. NSAIDs, physical therapy, activity modification).

Patient must also be able to participate in physical therapy following injection.