Platelet rich plasma (PRP - Platelet Rich Plasma) is a concentrate of platelets. It contains lamellar growth factors that initiate repair processes in the body. It strongly stimulates the repair of damaged tendons, muscles, ligaments, cartilage or bones, which is why it is successfully used in regenerative therapy .
In orthopedics , PRP is used to accelerate the healing of tissues throughout the body, including ligaments, tendons and bones, and to treat early degeneration of joints.
The advantage of this method of treatment is effective pain therapy without the need for surgery . Platelet-rich plasma therapy is a minimally invasive method , does not require long-term convalescence and allows you to quickly return to professional or sports activities.
Indications for the use of platelet-rich plasma (PRP):
- injuries of skeletal muscles, tendons
and ligaments, cartilage and bones,
- fractures and non-union after fractures (so-called pseudo-joints or delayed union),
- ankle sprain
with ligament damage, e.g. ATFL,
- acceleration of the healing process of soft tissues after operations,
- joint diseases: in osteoarthritis of the hip, knee, elbow, etc.
- shoulder pain - treatment of sub-shoulder-shoulder bursitis, sub-brachial tightness syndrome,
- enthesopathies - diseases of tendon attachments, e.g. tennis elbow, golfer's elbow, jumper's knee, patellar ligament enthesopathy, hamstring muscle, hamstring muscle, plantar fascia (heel spur),
- Achilles tendonitis,
- tendon sheath inflammation (de Qurvain's disease, crackling finger).
Information for the patient:
- During a qualifying visit, an orthopedic specialist, after a thorough examination, will make a diagnosis and make a decision
about treatment and therapeutic treatment with the use of platelet-rich plasma (PRP).
- On the day of the procedure, you should report
1 hour before the scheduled visit to prepare your PRP.
- The nurse will take about 15 ml of blood
from the patient's peripheral vein,
- the preparation is centrifuged
and prepared in the laboratory to obtain a concentrate of growth factors and cytokines.
- The doctor performs the platelet-rich plasma therapy by administering the prepared PRP preparation to the area of the disease.
- Convalescence after the procedure is short: taking mild painkillers, ice packs and relieving the
treated area of the body for up to 72 hours.
What is PRP therapy?
Platelet-rich plasma PRP (Plateled Rich Plasma) therapy consists in obtaining platelet-rich plasma from the patient's own blood, and then applying it by injection into the revitalized patient's tissues.
Benefits of using platelet-rich plasma PRP therapy
The platelet-rich plasma injection procedure is a natural procedure, without the risk of allergies, intolerances or other immune reactions. It is characterized by long-term effectiveness of therapy, low painfulness of the procedure, and a short recovery period. It is an effective element supporting the treatment of a very wide range of diseases.
Action of platelet-rich plasma PRP
Treatment is possible thanks to Autologous Cellular Regeneration (ACR) - by activating growth factors and stem cells as well as osteocytes and chondrocytes. Platelets and their activation at the right moment in the process (i.e. inside the body) are responsible for the reconstruction of diseased cells.
In order to achieve the intended effects, i.e. effective treatment, the activation of platelets within the body must occur naturally. The activation of platelets inside the body occurs when they come into contact with prothrombin. Prothrombins are a natural, autologous activator. It is they that trigger the release of the healing properties of platelets in the most appropriate way, i.e. inside the treated injury. Growth factors stimulate cell multiplication, metabolism and differentiation. In this way, the area affected by an injury, disease, hypothyroidism or fracture is regenerated. The healing process is greatly accelerated, resulting in the reduction or complete disappearance of symptoms.
Treatments with the use of platelet-rich plasma PRP prp-behandlung are an extremely effective element supporting the treatment of a very wide range of diseases: orthopedic, rheumatological, sports injuries, aesthetic and dermatological treatments, or during surgery (significantly supporting the healing process).
Orthopedics, neurology, rehabilitation, rheumatology:
• tennis elbow golfer's elbow jumper's knee Achilles tendon inflammation / injury, rotator cuff injuries, plantar fasciitis, heel spurs, accelerated bone union, osteoarthritis (knees, wrists, elbows, shoulders, hips, feet), tendinitis (tendinopathies) , overload-degenerative changes in the attachment of tendons and ligaments to the bones (enthesopathies) rupture of tendons, chronic inflammation of tendons, muscles, attachments and fascia, injuries of ligaments and cartilages
• disorders of tissue trophics - their normal functioning, pain relief.
The effects of the therapy appear about a week or two after the treatment. Usually one or two treatments are sufficient.
Dermatology and Aesthetic Medicine:
• prevention of skin aging, improvement of skin density and tension, smoothing of wrinkles around the forehead, cheeks, nasolabial folds, neck, cleavage, hands, eyes, knee areas, etc. improving skin color, getting rid of gray skin, reducing discoloration,
• inhibiting the process of baldness in men and women, stimulating hair regrowth and thickening, treatment of acne and postoperative scars (e.g. after removal of the thyroid gland),
• acceleration of healing after laser treatments.
There is a significant improvement in the tension, elasticity and density of the skin, reduction of discoloration, clear reduction of wrinkles and furrows, smoothing of acne and postoperative scars (e.g. after removal of the thyroid gland). The first effects are noticeable after a few days and become more and more visible with time.
Before deciding on the procedure, you should consult an appropriate specialist doctor in order to specify the indications and diagnose any contraindications.
• pregnancy and breastfeeding,
• blood diseases,
• active viral and bacterial infections, fever,
• autoimmune diseases
• lesions of the place where we want to perform the procedure,
• liver and kidney failure.
Preparation for the procedure.
1. Increase water consumption on the days before the treatment to 2 liters of water per day.
2. Do not drink alcohol for two or three days before the procedure.
3. Do not eat fatty foods within two days before the treatment.
4. Do not put the body into excessive physical effort for two or three days before the procedure.
5. Avoid nicotine.
6. Do not take medications that reduce blood clotting.
The stages of the procedure.
1. Collection of 20 ml of the patient's whole blood
2. Subjecting the donated blood to the process of separating the platelet-rich plasma
3. Application of platelet-rich plasma using a syringe with a needle into the appropriate tissues. Injection can take place with or without ultrasound - depending on the injection site.
4. Applying a sterile dressing.
After 7 to 10 days from the date of the procedure, you should report for a check-up. After the procedure, steroids and anti-inflammatory drugs should not be used for 2-3 weeks. To alleviate possible pain, you can use paracetamol or tramadol, cold compresses several times a day for 10 to 20 minutes.