In addition to other Regenerative injections, Alta Mountain Regenerative Therapy also offers Platelet Rich Plasma injections for treating chronic pain and degenerative joints. Platelet Rich Plasma is a concentrated portion of the patient’s own blood with 5 times the number of platelets as regular blood. Platelets are special blood cells that contain numerous growth factors which, when injected into the area of injury, greatly enhance the body’s natural healing capacity. This treatment leads to a faster and better restoration of the injured area to a healthy state.

At Alta Mountain Regenerative in Sandy, Utah our goal is to identify each and every source of your problem and provide specific, effective treatment through Homeopathic, Ozone, Prolozone, Regenerative Injection Therapy or Platelet Rich Plasma.

Platelet Rich Plasma (PRP) Introduction

Platelet Rich Plasma (PRP) therapy was initially used on a limited basis in the late 1970s in the areas of maxillofacial surgery and dermatology. In the current decade, the focus on using PRP in orthopedics has exploded as a means of potentially regenerating tissue and healing injuries.

PRP therapy falls under the regenerative medicine umbrella as a non-surgical treatment for musculoskeletal injuries. By using a patient’s own sample of blood, the components of the blood are separated using a centrifuge. The platelets are extracted and injected into the injured area of the body. The exact mechanism by which PRP works remains elusive, however, the theory is that numerous growth factors and bioactive proteins contained in PRP can stimulate cell proliferation and reparative capabilities, leading to tissue healing.

Despite the lack of high quality studies in the literature, the early experience with PRP has been extremely positive in the treatment of many clinical conditions. As PRP is derived from the patient’s own blood, many potential risks are minimized and appears to be safe.

Platelet Rich Plasma (PRP) treatments are performed in our Sandy, Utah office by Dr. Nathan Eldredge

  • Arm, Elbow & Wrist Pain
  • Arthritis Pain
  • Fibromyalgia
  • Foot & Ankle Pain
  • Headache & Neck Pain
  • Hip Pain
  • Knee Pain
  • Low Back Pain
  • Mid Back & Chest Pain
  • Sacroiliac Joint Pain
  • Shoulder Pain
  • TMJ Pain
  • And Other Conditions

PRP – WHAT IS PLATELET RICH PLASMA?

Platelet Rich Plasma (PRP) is a regenerative injection therapy designed to stimulate the body’s natural healing. PRP is defined as autologous blood with concentrations of platelets above baseline levels, which contains at least seven growth factors.

Platelet Rich Plasma Prolotherapy (PRP) is very useful and effective in healing severe labral and meniscal (knee) tears, chronic osteoarthritis of the knee and even avascular necrosis of the hip.

PRP begins with drawing some of the patient’s blood and processing it through the use of a high speed centrifuge. Then using the growth factors in the blood to promote healing and pain relief in the affected area.

Dr. Nathan Eldredge may use PRP treatment when a patient is not responding quite as well as he had hoped to Prolozone and/or has a more severe injury. Therefore, we occasionally use homeopathic Human Growth Hormone (HGH), Testosterone or other homeopathic to enhance cartilage regeneration.

HOW DOES PRP WORK?

In PRP, the concentration of platelets is 94%, while in normal blood the concentration of platelets is 6%. Platelets contain growth factors, proteins, cytokines and other biologic factors that initiate and regulate the phases of wound healing.

Platelets secrete growth factors such as platelet derived growth factor, vascular endothelial growth factor, fibroblast growth factor and insulin-like growth factor. They signal adult stem cells and repair cells of the injury site. The more platelets present at the injury site, the more repair can take place.

Platelet Rich Plasma Prolozone is used for musculoskeletal injuries that require a bit more effect than homeopathics, ozone or for which homeopathic Prolozone has caused only a partial improvement.

Platelet Rich Plasma (PRP) is blood plasma with concentrated platelets and other growth factors. Platelets are tiny cells that are critical to healing and to the activation of stem cells. As a result, they are the body’s primary source of bioactive tissue growth factors, and stem cells will not function without PRP or some component of it.

These signaling factors instruct the body to send stem cells to the area of damage and at the same time cause the stem cells to reproduce and begin repair. By concentrating the platelets drawn from your own blood supply, we can harness the power of platelets to relieve pain and stop inflammation for many musculoskeletal joint injuries and disorders that often cause chronic pain.

PRP can eliminate or reduce the need for expensive and at times risky surgery by enhancing the body’s innate ability to heal itself at a fraction of the cost of many of the recommended surgeries.

PRP THERAPY – HOW IS PRP ADMINISTERED?

The process of administering PRP injections to a patient takes less than an hour, including the preparation of PRP. The injectable PRP solution is injected into the damaged tissue, tendon, ligament, muscles, joint (periarticular) or a painful disc.

The procedure has minimal side effects. PRP injections produce tolerable pain or discomfort, which only lasts for a few days. However, the level of discomfort depends on which part of the body is being treated. PRP solution that is injected into the joint periarticularly results in minimal discomfort.

Before the procedure, you should consult Dr. Nathan Eldredge about possible side effects of PRP injections.

HOW MANY PRP INJECTIONS ARE REQUIRED?

Depending on the severity and duration of the injury, 1-4 injections are recommended with a follow-up every 2-4 weeks after the initial injection.

Improvement may be seen within a few weeks or as early as 10 days after the initial injection and will gradually improve throughout the healing progresses, each subsequent injection further improves the healing and continues to repair the damaged area. Both ultrasound and MRI images have shown definitive tissue repair after PRP therapy, confirming the healing process.

WHAT CONDITIONS CAN BE TREATED WITH PRP?

Besides playing a significant role in the healing process, this procedure relieves pain. Meniscus tear treatment, knee pain treatment and general chronic pain management for shoulders, hips, rotator cuff tears, anterior cruciate ligament (ACL) injuries, degenerative disc, disc herniations for both back and neck injuries, just to name a few, can be treated with PRP therapy.

What’s more, many sports figures and elite athletes have been treated with PRP with excellent results. They understand that this non-surgical treatment relieves pain and promotes permanent healing and averts the need for surgery. For this reason, PRP treatment is the paradigm for how we treat acute and chronic pain.

When compared with surgery and cortisone injections, PRP therapy is less invasive and a relatively inexpensive treatment of pain caused by acute and chronic injuries. Platelet Rich Plasma is useful in the following conditions:

  • Osteoarthritis of the knee, shoulder, hip and spine
  • ACL injuries (Anterior Cruciate Ligament)
  • Pelvic pain and instability
  • Golfer’s Elbow (Medial Epicondylitis)
  • Ankle sprains and strains
  • Chronic lower back pain
  • Spinal stenosis
  • Tennis elbow (Lateral Epicondylitis)
  • Rotator cuff tears
  • Knee osteoarthritis
  • Achilles tendinitis
  • Plantar fasciitis
  • Medial collateral ligament tears
  • Acute and chronic tendon problems
  • Injuries to ligaments and tendons and muscles
  • Lateral collateral ligament tears
  • Meniscus tears
  • Degenerative disc
  • Herniated disc

Platelet rich plasma (PRP) therapy can be used to treat patients of all ages, and activity levels. Whether you are a professional athlete, weekend warrior, or a person suffering from chronic joint pain, PRP therapy can help relieve your pain symptoms.

 

 

To schedule your appointment at Alta Mountain Chiropractic call us at (801) 523-2582.

 

To read medical studies on the effectiveness of Platelet-Rich Plasma (PRP) click here.

 

 

REFERENCES

1 Marieke M, et al. Can Platelet_Rich Plasma Enhance Tendon Repair. The American Journal of Sports Medicine. 2008 Mar 7th. Conclusion: In human tenocyte cultures, PRCR, but also PPCR, stimulates cell proliferation and total collagen production. PRCR, but not PPCR, slightly increases the expression of matrix-degrading enzymes and endogenous growth factors.

2 Barber A, et al. Rotator Cuff Repair Healing Influenced by Platelet-Rich Plasma Construct Augmentation. Arthroscopy: The Journal of Arthroscopic & Related Surgey. 2011, Aug Vol 27 issue 8, Pg 1029-1035 Conclusions; The addition of 2 PRPFM constructs sutured into a primary rotator cuff tendon repair resulted in lower retear rates identified on MRI than repairs without the constructs.

3 Taylor D, et al. A Systematic Review of the Use of Platelet-Rich Plasma in Sports Medicine as a New Treatment for Tendon and Ligament Injuries. Clinical Journal of Sport Medicine. 2011 Jul vol 21 Issue 4 pg. 344-352. Conclusion: Presently, PRP use in tendon and ligament injuries has several potential advantages, including faster recovery and, possibly, a reduction in recurrence, with no adverse reactions described.
4 Monfett M, et al. Intradiscal Platelet_rich Plasma (PRP) Injections for discogenic Low Back Pain: an update. International Orthopaedics 2016 Apr. vol 40 Pg.1321-1328. Conclusion: Intradiscal PRP is a safe and a possibly effective treatment for discogenic low back pain.

5. Singla V, et al. Steroid vs. Platelet-Rich Plasma in Ultrasound-Guided Sacroiliac Joint Injection for Chronic Low Back Pain. Pain Practice 2017 Jul. vol 17 issue 6 pg. 782-791. Conclusion: The intra‐articular PRP injection is an effective treatment modality in low back pain involving SIJ.
6 Yetsa A. et al. Lumbar Intradiskal Platelet-Rich Plasma (PRP) Injections: A Prospective, Double-blind, Randomized Controlled Study. PM&R 2016 Jan. vol 8 issue 1 pg. 1-10. Conclusion: Participants who received intradiskal PRP showed significant improvements in FRI, NRS Best Pain, and NASS patient satisfaction scores over 8 weeks compared with controls. Those who received PRP maintained significant improvements in FRI scores through at least 1 year of follow-up.
7 Gosens T, et al. Ongoing Positive Effect of Platelet-Rich Plasma Versus Corticosteriod Injection in Lateral Epicondylitis: A Double-Blind Randomized Controlled Trial With 2-year Follow-up. The American Journal of Sports Medicine, 2011 Mar vol 39 issue6, pg. 1200-1208. Conclusion: Treatment of patients with chronic lateral epicondylitis with PRP reduces pain and increases function significantly, exceeding the effect of corticosteroid injection even after a follow-up of 2 years. Future decisions for application of PRP for lateral epicondylitis should be confirmed by further follow-up from this trial and should take into account possible costs and harms as well as benefits.
8 Multiple Platelet-Rich Plasma Injections Versus Single Platelet-Rich Plasma Injection in Early Osteoarthritis of the Knee: An Experimental Study in a Guinea Pig Model of Early Knee Osteoarthritis Devendra K. Chouhan, MS Ortho, Mandeep S. Dhillon, MS, FAMS, FRCS, Sandeep Patel, MS Ortho, DNB Ortho†, Tungish Bansal, MS Ortho, Alka Bhatia, MD, Himanshu Kanwat, MS OrthoThe American Journal of Sports Medicine, vol. 47, 10: pp. 2300-2307. , First Published July 3, 2019. Conclusion: Both single and multiple injections of PRP exert similar anti-inflammatory effects on the synovium in the short term. However, this effect is sustained in the long term only for multiple injections. Multiple injections of PRP exert a chondroprotective effect, but only in the short term. This effect is not seen with a single injection of PRP.
9 Raeissada S. et al.  Knee Osteoarthritis Injection Choices: Platelet- Rich Plasma (PRP) versus Hyaluronic Acid (A one-year randomized clinical trial) Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders, vol. 8, 2015 Jan. Conclusion: This study suggests that PRP injection is more efficacious than HA injection in reducing symptoms and improving quality of life and is a therapeutic option in select patients with knee OA who have not responded to conventional treatment.
Information on this procedure has been adapted from LifeWorks Wellness Center