PRP (Platelet Rich Plasma Therapy)
PRP Treatment Orthopedics In India Knee / Hip / Osteoarthritis /Joint Pain / Shoulder Arthritis
Osteoarthritis basically means degeneration of joints. It is very prevalent with age but nowadays due lifestyle changes and lack of physical activities it is on a rising trend. At Anup Institute we believe in Holistic approach for Osteoarthritis management. Primarily Patient Education and weight Optimization and exercises does prevent the progress of osteoarthritis But now we also offer something new which might delay the progression and PRP or Plasma Rich Precipitate (patients own blood appropriately taken and preparing to deliver or inject in one’s own body may delay the progress….) may be an Answer!!Basically a stitch in Time saves Nine …yes so PRP’s may be of help if patients present at a particular stage and we may delay things and preserve one’s own joint ..and a Knee or a hip replacement may be perverted.Over the past couple of decades , there has been an increased interest in the utilization of PRP. This involves the introduction of platelet to achieve release of growth factors to the injured site or in cases of early osteoarthritis.This initiate healing in chronic injuries and shortens the healing time in acute injuries as well. The rationale is to increase the percentage of platelets from 5% to more than 90% to expedite recovery.
What is PRP?
PRP (Plasma Rich precipitate) is essentially plasma with many more platelets. Platelet rich plasma (PRP), also termed autologous platelet gel, plasma rich in growth factors (PRGF), platelet concentrate (PC), is essentially an increased concentration of autologous platelets suspended in a small amount of plasma after centrifugation.Basically,there is also an increase of concentration growth factors which enhances healing process
What is the Reported Usage?
The reported site of usages is usually for ligament injuries, chronic tendinitis, knee arthritis and muscle tearsMusculoskeletal injuries are one of the most common causes of severe long-term pain and physical disability.
How do we do it?
Basically, patient’s blood is collected as done in a routine blood test the blood collected is centrifuged in a special Vortex and in a special syringe at varying speeds until it separates into 3 layers :
Usually, 2 spins are used. The first spin (“Hard spin”) separates the platelet poor plasma (PPP) from the red fraction and platelet rich plasma (PRP). The second spin (“Soft spin”) separates the red fraction from the PRP. The material with the highest specific gravity (PRP) will be deposited at the bottom of the tube. The whole process takes approximately 12 minutes and produces a platelet concentration of 3–5x that of native plasma.This is then instilled into the joint under Local Anaesthesia and as a routine Outpatient Procedure. All activities may be retailed post procedure.
The growth factors that are useful facilitate improved tissue and bone regrowth seen in studies. There is also greater mechanical strength which has been co-related to greater tissue volume enabled by the usage of PRP. Some studies has shown that PRP may facilitate muscle proliferation and matrix biosynthesis.
In patients with muscle strain injuries there has been clinically proven outcomes where patients are treated with PRP enabled return to sports with good outcome. Assessment by physiotherapy has shown optimal strength in isokinetic testing. In some of these patients MRI done has even shown healing of the muscle tear. There is also proven outcomes of the use of PRP in lateral epicondylitis (tennis elbow). There is increasing interest in usage of PRP but studies are ongoing to establish the safety of usage extending them to more musculoskeletal conditions
Platelet-rich plasma consists of two elements : plasma, or the liquid portion of blood, and platelets, a type of blood cell that plays an important role in healing throughout the body.
PRP is obtained from a sample of patients' blood drawn at the time of treatment. A 30 cc venous blood draw will yield 3-5 cc of PRP depending on the baseline platelet count of an individual, the device used, and the technique employed
What Can Platelet-Rich Plasma Treat? PRP injections are used to treat torn tendons, tendinitis, muscle injuries, arthritis-related pain, and joint injuries. They're becoming more common for cosmetic procedures, too
At Anup Institute, we do it as a day care procedure or as Outpatient Services and the cost is far lesser than Hyaluronic Acid ( which is the fluid derived by DNA technique and artificially prepared- may cause a reaction as well)
How long does it take for PRP injections to work? The benefits of PRP injections may take between four and six weeks to be noticeable to the patient. Even beyond this window, the platelet-rich plasma will continue to aid in further healing for anywhere from six and nine months.
But these are rare as patients own blood after preparation is injected in ones own body.
The most common way to prepare PRP involves centrifuging a patient's blood sample. A vial of blood is placed in a centrifuge, where it is spun at intensely high speeds. The spinning causes the blood to separate into layers: Red blood cells, approximately 45% of blood, are forced to the bottom of the vial.