What is Platelet-Rich Plasma (PRP)?

March 22 2024

News & Insights

Platelet-rich plasma (PRP) is a therapeutic substance believed to accelerate healing when administered through injections. It is produced by separating plasma from blood and concentrating it. This plasma component is rich in proteins that not only aid in blood clotting but also support cell growth, enhancing the body's healing capabilities.

The theory behind PRP therapy is that injecting it into injured tissues could trigger the body to produce new, healthy cells, thereby speeding up the healing process. The concentration of growth factors in these injections is thought to significantly boost tissue recovery. Despite its potential, PRP therapy has yet to receive conclusive evidence of its effectiveness or FDA approval as a treatment method. Nonetheless, it has gained popularity among renowned athletes for its purported ability to heal sports-related injuries.

PRP injections are being explored for various applications, including:

 

  • Hair Loss: 

    PRP has been injected into the scalp to encourage hair growth and prevent hair loss. Studies from 2014 suggest its effectiveness in treating male pattern baldness.

  • Tendon Injuries: 

    For chronic tendon issues like tennis elbow, Achilles tendonitis, and jumper’s knee, PRP injections have been a treatment option due to tendons' slow healing nature.

  • Acute Injuries: 

    PRP has been applied to acute sports injuries such as pulled muscles or knee sprains.

  • Postsurgical Repair: 

    Post-surgery, PRP injections have been used to aid the repair of torn tendons or ligaments.

  • Osteoarthritis: 

    For osteoarthritis in the knee, PRP injections have shown potential benefits over traditional treatments like hyaluronic acid injections, though more extensive studies are needed for conclusive results.

It's important to note that the effectiveness of PRP injections for these purposes is not yet definitively proven. Preparing for PRP injections varies based on the method of administration. It might involve applying a topical numbing agent or mixing PRP with a local anesthetic to reduce discomfort. The preparation could also include pre-surgical instructions if PRP is used during surgery.


The typical procedure for a PRP injection includes the following steps:

A medical professional will collect a blood sample from you. The volume of blood drawn varies based on the injection site. For instance, injecting PRP into the scalp might require a blood sample of about 20 milliliters, which is just over one teaspoon. Next, your blood sample is placed into a centrifuge, a device that spins rapidly to separate the components of the blood. This separation process usually takes around 15 minutes.

After separation, a technician will prepare the concentrated plasma for injection.To ensure accuracy, medical professionals often use diagnostic imaging tools, like ultrasound, to identify the exact location for the PRP injection, such as within a tendon. The PRP is then administered directly to the targeted area. Potential side effects of PRP injections can include infection, nerve injuries, pain at the injection site, and tissue damage, although the autologous nature of PRP reduces the risk of allergic reactions.

Recovery from PRP injections typically allows for the continuation of daily activities, with any rest or limitations more likely related to the injury than the injections themselves. The full effects of PRP therapy, such as accelerated healing or hair growth, may take weeks or months to become evident.

In conclusion, Platelet-Rich Plasma (PRP) therapy represents a promising, though not yet fully validated, approach to treating a range of conditions from sports injuries and hair loss to osteoarthritis and tendon damage. By utilizing the body's own healing mechanisms, PRP injections aim to expedite recovery and regenerate damaged tissues. While the procedure is generally considered safe, with minimal risk for side effects due to its autologous nature, further research and larger clinical trials are necessary to conclusively determine its efficacy and secure FDA approval. As the medical community continues to explore the full potential of PRP therapy, it remains a topic of interest for both healthcare providers and patients seeking innovative treatment options for chronic and acute conditions.

 

 

Reference

  1. Khatu S, et al. (2014). Platelet-rich plasma in androgenic alopecia: Myth or an effective tool?
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4134641/
  2. Le AD, et al. (2018). Current clinical recommendations for use of platelet-rich plasma.
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220007/
  3. Platelet-rich plasma (PRP). (2020).
    https://orthoinfo.aaos.org/en/treatment/platelet-rich-plasma-prp
  4. Raeissadat R, et al. (2015). Knee osteoarthritis injection choices: Platelet-rich plasma (PRP) versus hyaluronic acid (a one-year randomized clinical trial).
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4287055/
  5. Wesner M, et al. (2016). A pilot study evaluating the effectiveness of platelet-rich plasma therapy for treating
    degenerative tendinopathies: A randomized control trial with synchronous observational cohort.
    https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0147842

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