Germany, Thailand, Bangladesh, South Korea, Vietnam, Taiwan
Prof. Dr. Michael W. Trogisch
CEO and Founder
PRP (platelet-rich or thrombocyte-rich plasma) is a modern therapy approach for strengthening autologous cell regeneration and activating the body’s own growth factors, cytokines and stem cells. The autogenous treatment has analgesic, anti-inflammatory and wound-healing accelerating effects, is versatile and can be used in orthopedics (osteoarthritis, bone regeneration), sports medicine (tendinopathies, fractures, tissue repair) and aesthetic medicine (skin rejuvenation, hair loss). The whole procedure takes no longer than 20 minutes. There are no risks or side effects for the patient.
Our blood is made up of 93% red blood cells, 6% white blood cells, 1% platelets and plasma. Platelets are best known for their function of blood-clotting to stop bleeding. Platelets, however, are much more significant than this, as human platelets are also a critical component in injury healing. Platelets are naturally extremely rich in the connective tissue growth and healing factors. The body’s first response to tissue injury is to deliver platelets to the area. Platelets initiate repair and attract stem cells to the injury. Injecting these growth factors into damaged ligaments, tendons, and joints stimulates the natural repair process. In order to maximize the healing process, the platelets must be concentrated and separated from the red blood cells. The goal of PRP is to maximize the number of platelets while minimizing the number of red blood cells in a solution that is injected into the injured or pained area(s). In summary, PRP creates, stimulates, and accelerates the body’s natural healing process.
PRP treatment works most effectively for chronic ligament and tendon sprains/strains that have failed other conservative treatment, including but not limited to:
- Lumbar spine disc pain
- Rotator cuff injuries, including partial-thickness
- Shoulder pain and instability
- Tennis and golfer’s elbow
- Hamstring and hip strains
- Knee sprains and instability
- Patellofemoral syndrome and patellar tendonitis
- Ankle sprains
- Achilles tendonitis & plantar fasciitis
- Knee, hip, and other joint osteoarthritis
- Nerve entrapment syndromes, such as
Additionally, PRP can be effective for many cases of osteoarthritis by stimulating healing of cartilage and reducing pain and disability. This includes: Knee arthritis, Hip joint arthritis, Shoulder arthritis, Ankle arthritis.
Creation of PRP is simple, painless, and conveniently done at an office visit. The entire process of drawing blood to solution preparation only takes approximately 25 – 30 minutes. A small amount of blood is drawn from the patient, just like a routine blood test. Once the blood is drawn it is then placed into a centrifuge. The centrifuge is a machine that spins the blood at high speeds in order to separate the blood into red blood cells and concentrated platelets. Once the blood is separated the red blood cells are discarded, and we are left with concentrated platelet rich plasma (PRP) which is ready to be used in the treatment process.
The injection process does not take more than an hour, which includes the creation of the PRP as explained above. The platelet-rich portion is collected and injected back into the injured tendon, ligament, muscle, joint, or disc that has been determined to be a source of pain and is not-healing appropriately. When structures around the spine are being injected, x-ray (i.e. fluoroscopy) guidance is used to assure safe and proper placement of PRP at the affected site. In the extremities, ultrasound-guidance is commonly used to inject PRP into the appropriate tendon, ligament or joint that is being targeted. Injections are performed under image guidance to assure precise placement of PRP. The number of injections varies based on each patient’s individualized condition but typically range anywhere from two to six injections done over time. Patients typically experience significant reduction in pain after the first or second injection.