PRP Therapy

PRP stands for platelet-rich plasma, a concentrated form of platelets found in blood, known for their role in clotting and containing growth factors essential for healing injuries. PRP involves isolating platelets and plasma, resulting in a high platelet concentration in the plasma.

"I have been receiving treatment for more than a year and a half. The bone marrow stem cell injections worked sort of like a miracle. I have been back for a couple PRP injections since. Basically went from a hip replacement candidate to a guy who moves around like everyone else who walks without pain. USA Sports Medicine is super serious about this work, and has a way of putting the patient at ease. I will return when it is time for my next PRP."

Mark Taylor

How can we help you?

If you are experiencing any of these injuries, PRP Therapy can help.

PRP augments your body’s own healing potential and capacity. After an injury occurs, platelets are the first responders to the site and release signaling molecules called cytokines and healing proteins called growth factors. Cytokines are small proteins that allow your cells to “talk” to each other to optimize immune response and healing, whereas growth factors in the body do the work and heal damage. Next, white blood cells, which also release growth factors, are summoned to the injured area to help heal.

Frozen Shoulder/Adhesive Capsulitis

PRP has been shown to be better in at least 2 studies when compared to exercise alone (11,12)

Lateral Epicondylitis/Tennis Elbow

Multiple studies showing benefit when compared to cortisone injection (better and longer-lasting pain relief, heals and reorganizes tissue vs causing tissue degeneration) (13,14, 15)

Achilles Tendonitis/Tendinosis

Patients receiving PRP post-surgically after achilles surgery had decreased time to regain range of motion, and return to their activities (16)

Patellar Tendinosis/Tendinitis/Jumper’s Knee

Safer than cortisone injection, and when combined with eccentric exercises, better healing than eccentric exercises or dry needling alone (17)

Plantar Fasciitis

PRP is more durable and effective than Cortisone injection in multiple studies (18, 19)

Shoulder Impingement

Studies showing improved pain relief, at least for the first 6 months when compared to cortisone injection – a safer alternative to a cortisone injection. (20, 21)

Hip Bursitis

Patients treated with PRP for hip bursitis had better outcomes and longer lasting relief compared to patients receiving cortisone injection (22)

Knee Arthritis

PRP injection was superior in short and long term pain relief when compared to hyaluronic acid injections (24)

Studies show improved pain relief, at least for the first 6 months when compared to cortisone injection – a safer alternative to a cortisone injection.e

Frequently Asked Questions

PRP is the separation of those platelets and plasma from the rest of the blood, which results in a high concentration of the platelets within the plasma, hence, platelet-rich plasma.

What Is The Procedure For PRP Like?

The procedure starts with a simple blood draw. The blood sample is then placed in a centrifuge that spins at high speed, separating the platelets from the other components of whole blood. Concentrated platelets and white blood cells are removed and then injected into the injured tissue. We use ultrasound and/or fluoroscopic guidance for pinpoint accuracy.

High-concentration autologous PRP, containing powerful growth factors and cytokines, helps to jumpstart the healing process. It has even been shown to improve the quality of healing when compared to normal healing.

Not all PRP procedures are equal

We recommend that you avoid any NSAIDs (ibuprofen, naproxen, diclofenac, meloxicam) for at least 4 days prior to your procedure. It is best to avoid receiving a steroid injection in the weeks leading up to your procedure as well. Stay hydrated and try to drink at least 60 oz of water a day in the 2-3 days prior to the procedure.

What Should I Do To Prepare For The Procedure?

We use a double spin process that creates a pure PRP and preserves the highest concentration of PRP. Our kits ensure that no outside agents can enter the blood once drawn from our patients, making our procedures better and safer.

Where is this service offered?

Find Your Pain Solution

Herniated Disc
Radiculopathy
Facet Joint Dysfunction
Stenosis
Muscle Stiffness/Tightness
Headaches
Sacro-Iliac Joint Pain (SIJ)
Nerve Entrapment
Back Pain
Neck Pain
Post-Surgical Care

Shoulder Pain
Rotator Cuff Tear/Sprain
Biceps Tendonitis
Shoulder Labral Tear
Shoulder
Impingement/Bursitis
Adhesive Capsulitis/Frozen
Shoulder
Scapular Dyskinesia
AC Joint Separation
Stenosis
Post-Surgical Care

Lateral Epicondylitis (Tennis Elbow)
Medial Epicondylitis (Golfer’s Elbow)
Climber’s Fracture
Trigger Finger
Wrist Sprain
Wrist Fractures

Knee Pain
Total Knee Replacement
ACL Sprain/Tear
MCL Sprain/Tear
PCL Sprain/Tear
Meniscus Tear
Osteoarthritis
Osgood Schlatter’s
Jumper’s Knee
Patello-Femoral Pain
Syndrome
IT Band Syndrome
Hamstring Strain
Osgood Schlatter’s
Quadriceps Strain
Baker’s Cyst

Osteoarthritis
Total Hip Replacement
Femoral-Acetabular
Impingement (FAI)
Piriformis Syndrome
Hip Trochanteric Bursitis
Gluteus Medius Tear
Nerve Entrapment
Hip Labral Tear
Stenosis
Post-Surgical Care

Shin Splints
Ankle Sprains
Plantar Fasciitis
Heel Spur
Turf Toe
Bunions
Falls
Achilles Tendonitis
Parkinson’s
Stroke

CITATIONS

Studies Cited:

1. Hernigou P, Bouthors C, Bastard C, Flouzat Lachaniette CH, Rouard H, Dubory A. Subchondral bone or intra-articular injection of bone marrow concentrate mesenchymal stem cells in bilateral knee osteoarthritis: what better postpone knee arthroplasty at fifteen years? A randomized study. Int Orthop. 2021 Feb;45(2):391-399. doi: 10.1007/s00264-020-04687-7. Epub 2020 Jul 2. PMID: 32617651.
2.Prodromos, Chadwick & Finkle, Susan. (2020). Autologous Biologic Treatment with Fat, Bone Marrow Aspirate and Platelet Rich Plasma Is an Effective Alternative to Total Knee Arthroplasty for Patients with Moderate Knee Arthrosis. Medicines. 7. 37. 10.3390/medicines7060037.
3. Y.S. Kim, Y.J. Choi, S.W. Lee, O.R. Kwon, D.S. Suh, D.B. Heo, Y.G. Koh. Assessment of clinical and MRI outcomes after mesenchymal stem cell implantation in patients with knee osteoarthritis: a prospective study, Osteoarthritis and Cartilage, Volume 24, Issue 2, 2016, Pages 237-245, ISSN 1063-4584, https://doi.org/10.1016/j.joca.2015.08.009.
4. Vangsness CT Jr, Farr J 2nd, Boyd J, Dellaero DT, Mills CR, LeRoux-Williams M. Adult human mesenchymal stem cells delivered via intra-articular injection to the knee following partial medial meniscectomy: a randomized, double-blind, controlled study. J Bone Joint Surg Am. 2014 Jan 15;96(2):90-8. doi: 10.2106/JBJS.M.00058. PMID: 24430407.
5. Hernigou P, Flouzat Lachaniette CH, Delambre J, Zilber S, Duffiet P, Chevallier N, Rouard H. Biologic augmentation of rotator cuff repair with mesenchymal stem cells during arthroscopy improves healing and prevents further tears: a case-controlled study. Int Orthop. 2014 Sep;38(9):1811-8. doi: 10.1007/s00264-014-2391-1. Epub 2014 Jun 7. PMID: 24913770.
6. Centeno C, Fausel Z, Stemper I, Azuike U, Dodson E. A Randomized Controlled Trial of the Treatment of Rotator Cuff Tears with Bone Marrow Concentrate and Platelet Products Compared to Exercise Therapy: A Midterm Analysis. Stem Cells Int. 2020;2020:5962354. Published 2020 Jan 30. doi:10.1155/2020/5962354
7. Centeno CJ, Pitts JA, Al-Sayegh H, Freeman MD (2014) Efficacy and Safety of Bone Marrow Concentrate for Osteoarthritisof the Hip; Treatment Registry Results for 196 Patients. J Stem Cell Res Ther 4: 242. doi:10.4172/2157-7633.1000242
8. Darrow M, Shaw B, Darrow B, Wisz S. Short-Term Outcomes of Treatment of Hip Osteoarthritis With 4 Bone Marrow Concentrate Injections: A Case Series. Clin Med Insights Case Rep. 2018;11:1179547618791574. Published 2018 Aug 10. doi:10.1177/1179547618791574
9. Centeno CJ, Al-Sayegh H, Bashir J, Goodyear S, Freeman MD. A prospective multi-site registry study of a specific protocol of autologous bone marrow concentrate for the treatment of shoulder rotator cuff tears and osteoarthritis. J Pain Res. 2015;8:269-276. Published 2015 Jun 5. doi:10.2147/JPR.S80872
10. Singh A, Gangwar DS, Singh S. Bone marrow injection: A novel treatment for tennis elbow. J Nat Sci Biol Med. 2014;5(2):389-391. doi:10.4103/0976-9668.136198
11. Lin, Junhong. International Journal of Clinical Pharmacology and Therapeutics; Munich Vol. 56, Iss. 8, (Aug 2018): 366.
12. Kothari SY, Srikumar V, Singh N. Comparative Efficacy of Platelet Rich Plasma Injection, Corticosteroid Injection and Ultrasonic Therapy in the Treatment of Periarthritis Shoulder. J Clin Diagn Res. 2017;11(5):RC15-RC18. doi:10.7860/JCDR/2017/17060.9895
13. Peerbooms JC, (2010) Positive effect of an autologous platelet concentrate in lateral epicondylitis in a double-blind randomized controlled trial: platelet-rich plasma versus corticosteroid injection with a 1-Year follow-up. http://www.ncbi.nlm.nih.gov/pubmed/20448192
14. Gosens T, et al. (2011) Ongoing positive effect of platelet-rich plasma versus corticosteroid injection in lateral epicondylitis: a double-blind randomized controlled trial with 2-year follow-up. http://www.ncbi.nlm.nih.gov/pubmed/21422467
15. Mishra A, et al. (2014) Efficacy of platelet-rich plasma for chronic tennis elbow: a double-blind, prospective, multicenter, randomized controlled trial of 230 patients. http://www.ncbi.nlm.nih.gov/pubmed/23825183
16. Sanchez M, et al. (2007) Comparison of surgically repaired Achilles tendon tears using platelet rich fibrin matrices. http://www.ncbi.nlm.nih.gov/pubmed/17099241
17. Dragoo JL, Wasterlain AS, Braun HJ, Nead KT. Platelet-Rich Plasma as a Treatment for Patellar Tendinopathy: A Double-Blind, Randomized Controlled Trial. The American Journal of Sports Medicine. 2014;42(3):610-618. doi:10.1177/0363546513518416
18. Akşahin, Ertuğrul, et al. “The comparison of the effect of corticosteroids and platelet-rich plasma (PRP) for the treatment of plantar fasciitis.” Archives of orthopaedic and trauma surgery 132.6 (2012): 781-785.
19. Ragab, Ehab Mohamed Selem, and Ahmed Mohamed Ahmed Othman. “Platelets rich plasma for treatment of chronic plantar fasciitis.” Archives of orthopaedic and trauma surgery 132.8 (2012): 1065-1070.
20. Doaa H. Ibrahim, Nagat M. El-Gazzar, Hanan M. El-Saadany, Radwa M. El-Khouly,
Ultrasound-guided injection of platelet rich plasma versus corticosteroid for treatment of rotator cuff tendinopathy: Effect on shoulder pain, disability, range of motion and ultrasonographic findings. The Egyptian Rheumatologist, Volume 41, Issue 2, 2019, Pages 157-161, ISSN 1110-1164, https://doi.org/10.1016/j.ejr.2018.06.004.
21. Dadgostar, H., Fahimipour, F., Pahlevan Sabagh, A. et al. Corticosteroids or platelet-rich plasma injections for rotator cuff tendinopathy: a randomized clinical trial study. J Orthop Surg Res 16, 333 (2021). https://doi.org/10.1186/s13018-021-02470-x
22. Begkas D, Chatzopoulos ST, Touzopoulos P, Balanika A, Pastroudis A. Ultrasound-guided Platelet-rich Plasma Application Versus Corticosteroid Injections for the Treatment of Greater Trochanteric Pain Syndrome: A Prospective Controlled Randomized Comparative Clinical Study. Cureus. 2020;12(1):e6583. Published 2020 Jan 7. doi:10.7759/cureus.6583
23. ROSÁRIO, DAVI ARAÚJO VEIGA et al. COMPARISON BETWEEN CONCENTRATED BONE MARROW ASPIRATE AND CORTICOID IN GLUTEAL TENDINOPATHY. Acta Ortopédica Brasileira [online]. 2021, v. 29, n. 1 [Accessed 1 December 2021] , pp. 26-29. Available from: <https://doi.org/10.1590/1413-785220212901236828>. Epub 10 Mar 2021. ISSN 1809-4406. https://doi.org/10.1590/1413-785220212901236828.
24. Tang, J.Z., Nie, M.J., Zhao, J.Z. et al. Platelet-rich plasma versus hyaluronic acid in the treatment of knee osteoarthritis: a meta-analysis. J Orthop Surg Res 15, 403 (2020). https://doi.org/10.1186/s13018-020-01919-9