20Shoulder Care
AC Joint Injuries
Arthritis
Biceps Tendon Injuries
Calcific Tendinitis
Clavicle Fractures
Frozen Shoulder
Labral and SLAP Tears
Rotator Cuff Injuries
Shoulder Dislocation/Instability
Subacromial Impingement/Busitis
A-C Joint Stabilization
Biceps Tenodesis
Clavicle Fracture Fixation
Pectoralis Major Repair
Rotator Cuff Repair
Shoulder Instability Surgery – Bankart Repair
Shoulder Instability Surgery – Latarjet Procedure
Subacromial Decompression and Acromioplasty
Superior Capsular Reconstruction
Total Shoulder Replacement
28Knee Care
ACL Tear
Cartilage Injury
Lateral Meniscus Tear
LCL Injury
MCL Injury
Medial Meniscus Tear
Osteoarthritis
Patellar Instability
Patellofemoral Chondromalacia
Posterolateral Corner Injury
Trochlear Dysplasia
Anterior Cruciate Ligament (ACL) Reconstruction
Cartilage Restoration Surgery – Autologous Chondrocyte Implantation (ACI-Carticel)
Cartilage Restoration Surgery – Donor Graft
Collagen Meniscal Implant (CMI)
Lateral Collateral Ligament (LCL) Reconstruction
Medial Collateral Ligament (MCL) Reconstruction
Meniscus Repair
Meniscus Root Repair
Meniscal Transplant
Nanofracture
Osteochondral Allograft Transfer
Osteochondral Autograft Transfer (OATS)
Partial Meniscectomy
Posterior Cruciate Ligament (PCL) Reconstruction
Posterolateral Corner (PLC) Surgery
Tibial Tubercle Osteotomy
Trochleoplasty
17Hip Care
Cartilage Injury
Femoroacetabular Impingement (FAI)
Gluteal Tears
Hamstring Tears
Hip Instability
Labral Tears
Psoas Impingement (Internal Snapping Hip)
Trochanteric Bursitis
Acetabuloplasty
Chondroplasty
Femoroplasty
Gluteal Repair
Labral Debridement
Labral Repair
Labral Reconstruction
Nanofracture
Trochanteric Bursa Debridement
2Biologics
Bone Marrow Aspirate Stem Cell Concentrate (BMC)
Platelet-Rich Plasma “PRP”

Platelet-Rich Plasma “PRP”

Platelets present in blood contain a number of growth factors that are responsible for healing.  Platelet-rich plasma is a concentrate of platelets derived from an individual’s blood stream.  Blood is collected from the patient and centrifuged to create the platelet concentrate appropriate for its medical application.

PRP is used to promote the healing of injured tendons, ligaments and muscles.  Several studies have demonstrated promising results in the treatment partial rotator cuff tears, rotator cuff tendinopathy, lateral epicondylitis (tennis elbow), hamstring tendinopathy, patellar tendinopathy and Achilles tendinopathy. PRP may also be utilized in the setting of osteoarthritis of the knee, hip and shoulder to reduce pain.

Platelet-Rich Plasma treatments are generally performed in the office setting.  Blood is drawn from the arm of the patient, and taken to the centrifuge for preparation.  The centrifuge process takes approximately 5-10 minutes.  Typically 5-10cc of Platelet-Rich Plasma is extracted during this process.  The specific treatment area is then prepared for injection.  In the case of tendon injections, the site is prepared with a local anesthetic to decrease pain.  The PRP is then delivered to the joint or area of injury through an injection.

Restrictions following PRP therapy are dependent on the area of focus.  Typically, patients who receive joint injections for osteoarthritis are allowed to return to normal activity immediately.  In the case of tendon and muscle injury, there is usually a period of rest that is required, with a gradual progression back to normal physical activity.  In the case of Achilles tendinopathy, a walking boot is usually required for a period of time.

Patients are asked to avoid non-steroidal anti-inflammatory medications (NSAIDS) for 2 weeks following PRP therapy as this may negatively affect outcomes.   The use of Tylenol or a prescribed pain reliever can be used to control discomfort when needed.

The side effects of PRP injections are limited because the patient’s own blood is being utilized and they should have no reaction to it.