PRP therapy in orthopedics: how it works and for whom it suits…

Health Tips

What is PRP Therapy?

Platelets contain biologically active substances: cytokines, growth factors, chemokines and others that “help” the cells of our body divide more actively, play an important role in the processes of tissue regeneration. Thanks to these unique properties of platelets, damaged tissues are restored.

The first application of PRP therapy has been described since 1999, when platelet-rich plasma began to be used in clinical practice by plastic surgeons for the purpose of skin rejuvenation.

PRP therapy is widely used today in several branches of medicine. These include traumatology, orthopedics, rehabilitation, reconstructive surgery, sports medicine, dermatology, dentistry, gynecology and others.

When is Plasma Joint Therapy needed?

Most often, PRP-therapy is used in the treatment of diseases of the musculoskeletal system – both in acute and chronic conditions: with injuries, including soft tissue injuries, recovery and rehabilitation after fractures, with tendonitis – an inflammatory disease of the tendons. Also, this method is effective in chronic conditions: inflammatory diseases of the patellar ligament, inflammatory diseases and injuries of the rotator cuff of the shoulder, tendinopathy: Achilles bursitis, epicondylitis, “heel spur” and others. Also, this method can be indicated for osteoarthritis and osteoarthritis.

PRP therapy can be recommended as part of complex treatment along with surgery in the following cases: condition after tendon suture, in the treatment of meniscus and cruciate ligament injuries – such injuries are more common in athletes, to whom specialists can recommend this method along with others for the “overtraining” syndrome and other sports injuries. In some types of arthrosis and arthritis, PRP therapy is sometimes the only way to alleviate the patient’s condition. The method is also used in the treatment of chondropathy, osteomyelitis, and is effective in rehabilitation after surgical interventions. However, it should be remembered that with all the safety, the absence of allergic reactions (since the components of the patient’s own blood are used) and side effects in the form of a negative effect on the liver, kidneys and other organs, the decision to use this method is made exclusively by the doctor – after receiving and examining the patient , a detailed study of the anamnesis, taking into account all the accompanying factors, conducting, if necessary, a number of examinations.

How did you manage before without this method

Previously, treatment in situations similar to those described above was carried out using steroidal anti-inflammatory drugs, which have a wide range of side effects. Or the surgical interventions indicated in each specific case were performed.

How is the treatment of joints with plasma

The technology of the procedure is standard, regardless of which joint the therapy is applied to. The technology is based on the process of platelet enrichment of plasma obtained from the patient’s own blood. This process occurs as a result of a special treatment of plasma – centrifugation.

The specialist who conducts the procedure must be fluent in technology and know all its stages. There are basically six of them: 1. First, the patient donates about 15-20 ml of blood from a vein; 2. It is placed in a special test tube, which is shaped like an hourglass. It allows you to easily separate blood fractions – erythrocytes, fibrin, plasma; 3. The tube with blood is then placed in a centrifuge, where the blood plasma is enriched with platelets; 4. After centrifugation, 3-5 ml of platelet-rich plasma is drawn into the syringe. During this procedure, the number of platelets in the plasma increases by 7-10 times. 5. The drug obtained in this way is injected into the joint cavity; 6. During the procedure, the patient must bend and straighten the limb in the joint several times so that the injected drug is evenly distributed in its cavity.

More often it is necessary to carry out 3-5 manipulations with an interval of 7 days, less often one procedure is enough. As for the sensations immediately after the procedure, sometimes the pain in the joint may increase, but within a few days the pain syndrome noticeably decreases.
As a rule, the average cost of this procedure in Moscow is 8,000-12,000 rubles.

To whom the method is contraindicated

With the above advantages and safety of the method, there are still contraindications to its use. PRP therapy is not prescribed for patients with autoimmune, acute infectious diseases, chronic liver pathologies, skin infections (at the injection site), anemia, and oncological diseases. This method is also not indicated for use by those who have psoriasis in the acute stage, diseases with a violation of the blood coagulation system, critical thrombocytopenia, severe forms of diabetes mellitus.

When Plasma Treatment Fails

This method will not have positive effects in osteoarthritis of the 4th degree, aseptic necrosis, total damage to the capsular-ligamentous apparatus of the joints, oncological pathology of the musculoskeletal system.

Photo: Shutterstock

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