Platelet Rich Plasma (PRP)

 

PRP now plays a key role in accelerated return to play and function for many professional athletes. PRP treatment has received significant attention from the media and has been used by many NFL players and elite professional athletes from other sports such as basketball, golf and tennis.

PRP is now rapidly gaining acceptance as a premier healing treatment option in many advanced medical centers for folks suffering from non sports related conditions such as osteoarthritis.

PRP’s power comes from its incredible versatility. Its regenerative powers can be used to heal a variety of issues such as arthritis of spine, shoulders, elbows, wrists, hips, knees, ankles, and feet. It is also one of the best alternatives to surgical treatments of tendon or ligament tears to include tears of rotator cuff, tennis elbow and achilles tendons.

Bone and soft tissue injuries heal in many stages. One of the most exciting areas of research in regenerative sports medicine involves making the most of the healing stages: inflammation and an increase in cells, or cell proliferation. Platelet Rich Plasma (PRP) comes from a patient’s own blood. PRP is a concentrated source of growth factors and cellular signaling factors that play a significant role in the biology of healing.

 

How Are We Different?:

  • The use of the latest PRP technology that derives the highest concentration of  Platelet Rich Plasma (PRP) from less blood taken from a patient. Higher potency means better and faster healing!
  • Unlike many orthopedic clinics that use a single intra-articular injection technique, our osteopathic approach offers injections of all essential tendon and ligament joint stabilizing structures inside and outside the inured joint.
  • A combination of Prolotherapy and PRP that establishes maximum coverage of the injured region for no extra cost.
  • We offer PRP for degenerative conditions of neck and spine disc and joints and upper and lower limb joints.

Back on the tennis court!

I have been playing tennis since I was about 8 years old. Unfortunately I suffered a severe elbow injury, which damaged tendons and ligaments in my inner, lower right elbow. At the time, the only real option to treat such an injury was with surgery that involved a long recovery period. I visited a renown elbow specialist in NYC at the Hospital for Special Surgery, who told me to treat it conservatively and get more PT before even considering the surgical route. At that point I decided I would not have the surgery, and resigned to the fact that I would probably never play tennis again.

Fast forward almost 15 years where I start my treatment regimen for my elbow with Dr. Kaplan. I first had the Tenex procedure done, followed by PRP therapy, and finally a few treatments of prolotherapy. I combined those treatments with about 12 sessions of physical therapy, and I am thrilled to say that I am back on the tennis court playing about 3 hours/week at a solid 4.0 level, all while being pain free for the first time in 16 years!   Granted, I am about 15 lbs. heavier, and 16 years older, so I don’t quite move as well as I did back in 1999, but the important thing is I am back out there thanks to the successful treatment I received from Dr. Kaplan!

Guy Sadkin, Williamsville

2017-11-06T09:45:31+00:00

Guy Sadkin, Williamsville

I have been playing tennis since I was about 8 years old. Unfortunately I suffered a severe elbow injury, which damaged tendons and ligaments in my inner, lower right elbow. At the time, the only real option to treat such an injury was with surgery that involved a long recovery period. I visited a renown elbow specialist in NYC at the Hospital for Special Surgery, who told me to treat it conservatively and get more PT before even considering the surgical route. At that point I decided I would not have the surgery, and resigned to the fact that I would probably never play tennis again. Fast forward almost 15 years where I start my treatment regimen for my elbow with Dr. Kaplan. I first had the Tenex procedure done, followed by PRP therapy, and finally a few treatments of prolotherapy. I combined those treatments with about 12 sessions of physical therapy, and I am thrilled to say that I am back on the tennis court playing about 3 hours/week at a solid 4.0 level, all while being pain free for the first time in 16 years!   Granted, I am about 15 lbs. heavier, and 16 years older, so I don’t quite move as well as I did back in 1999, but the important thing is I am back out there thanks to the successful treatment I received from Dr. Kaplan!

Windsurfing without significant pain

I have been suffering from severe osteoarthritis of the right shoulder for five years. Before I started to see Dr Kaplan, I have tried physical therapy, herbal anti-inflammatory medicines, vibration therapy, and stem cell injections. These treatments provided some relief but I continued to have pain during windsurfing, and other strenuous activities. My shoulder was getting gradually worse, and was popping, rubbing, and grinding.

My quality of life was significantly affected. Windsurfing is my passion and I became depressed as it became increasingly more difficult for me to enjoy the sport. I was also having difficulty sleeping and using crutches which I need to use when I am not wearing my leg prosthesis.

I received three PRP treatments from Dr Kaplan. They were done under ultrasound guidance for accuracy. Dr Kaplan’s treatments have allowed me to windsurf longer and with out significant pain. I can move my shoulder with less popping and grinding and sleep better at night. Dr. Kaplan has a practical and knowledgeable approach. His evaluation by ultrasound at each treatment allows for better injection technique and with reduced discomfort.

David Moomaw

2017-11-06T09:46:30+00:00

David Moomaw

I have been suffering from severe osteoarthritis of the right shoulder for five years. Before I started to see Dr Kaplan, I have tried physical therapy, herbal anti-inflammatory medicines, vibration therapy, and stem cell injections. These treatments provided some relief but I continued to have pain during windsurfing, and other strenuous activities. My shoulder was getting gradually worse, and was popping, rubbing, and grinding. My quality of life was significantly affected. Windsurfing is my passion and I became depressed as it became increasingly more difficult for me to enjoy the sport. I was also having difficulty sleeping and using crutches which I need to use when I am not wearing my leg prosthesis. I received three PRP treatments from Dr Kaplan. They were done under ultrasound guidance for accuracy. Dr Kaplan’s treatments have allowed me to windsurf longer and with out significant pain. I can move my shoulder with less popping and grinding and sleep better at night. Dr. Kaplan has a practical and knowledgeable approach. His evaluation by ultrasound at each treatment allows for better injection technique and with reduced discomfort.

Watch the video to learn more and explore our FAQ below.

PRP is produced from a person’s own blood. It is a concentration of one type of cell, known as platelets, which circulate through the blood and are critical for blood clotting. Platelets and the liquid plasma portion of the blood contain many factors that are essential for the cell recruitment, multiplication and specialization that are required for healing.

After a blood sample is obtained from a patient, the blood is put into a centrifuge, which is a tool that separates the blood into its many components. Platelet rich plasma can then be collected and treated before it is delivered to an injured area of bone or soft tissue, such as a tendon or ligament.

The amount of blood needed depends on the size of the injured region and on the actual PRP technology used to extract the PRP. PRP is given to patients through an injection, and ultrasound guidance can assist in the precise placement of PRP. After the injection, a patient must avoid exercise for a short period of time before beginning a rehabilitation exercise program.

Several basic science studies in animal models suggest that PRP treatment can improve healing in soft tissue and bone. For example, increased numbers of cells and improved tendon strength have been noted in Achilles tendon injuries, and improved muscle regeneration has been shown in gastrocnemius (calf) muscle injuries.

These favorable findings in animal models have led to the widespread use of PRP treatment for a variety of conditions, including acute and chronic tendon problems, as well as injuries to ligaments and muscles. Some early-stage clinical studies in humans have been promising, but are limited by their study design and few patients.

The most promising early results have been seen when PRP treatment is used for chronic tendon conditions, such as lateral epicondylitis (tennis elbow) and Achilles tendinosis, which impacts the Achilles tendon.

PRP use is not standardized and many specialties use it for healing purposes with different PRP properties and injection techniques. The specialties include Orthopedics, Neurosurgery, Family Practice and Sports Medicine, Homeopathic Medicine, and Physical Medicine and Rehabilitation Medicine. These medical providers are commonly described as Neuromuscular Specialists

The difference in the outcomes of these physicians depends on multiple factors:

Actual makeup of PRP There is still controversy regarding what type of PRP is best. Some manufactures of the PRP extraction devices boast the presence of white blood cells and some boast the absence of white blood cells in their PRP make up. I use PRP extraction technology that includes white blood cells in the PRP because of evidence that white blood cells act as extra stimulants for healing. This is based on the original research done by Dr Allen Mishra over ten years ago on PRP healing benefits for chronic tennis elbow tendon injuries that clearly showed enhanced healing with the presence of the white blood cells in the mixture.

Injection Technique Most classically trained neuromuscular specialists use what is called “ one and done” technique of simply injecting this medication inside the painful or injured structure. This type of treatment frequently produces limited results. Only the Prolotherapy trained physicians such as myself inject all of the stabilizing structures around the site of injury. This approach is much more comprehensive and provides a much better chance of successful healing. Interestingly enough, the cost for both approaches is the same even though the treatment outcomes are not.

  • Cervical, Thoracic and Lumbar Spine
  • Sacroiliac joints and pelvis
  • Large joints, including shoulders, hips, knees and ankles
  • Medium joints including elbows, and wrists
  • Small joints of collar bone, fingers, and toes
  • Trunk areas including ribcage and shoulder blades

Common Areas We Treat

PRP for Cervical Spine

Our PRP treatment technique allows for accurate ultrasound guided placement of PRP not only in the cervical ligaments but just as importantly into  capsule of the injured cervical joint. Treatment of these stabilizing ligament  structures and the actual cervical joints and joint capsules provides the best therapeutic results. Areas of the cervical spine that respond well to this treatment include sub-occipital ligaments, cervical vertebral and interspinous ligaments, cervical joints and joint capsules.

PRP For Lumbar Spine

Our PRP treatment technique allows for accurate ultrasound guided placement of PRP not only in the lumbar ligaments but just as importantly into  capsule of the injured lumbar joint. Treatment of these stabilizing ligament  structures and the actual lumbar joints and joint capsules provides the best therapeutic results. Areas of the Lumbar  spine that respond well to this treatment include, lumbar vertebral and interspinous ligaments, iliolumbar ligaments, lumbar joints and joint capsules

PRP For SacroIliac Joint

Our PRP treatment technique allows for accurate ultrasound guided placement of PRP not only in the sacroiliac joint but just as importantly into sacroiliac  joint stabilizing sacroiliac, sacrotuberous and sacrospinous ligaments. Treatment of these stabilizing ligament  structures in addition to the  sacroiliac joint provides the best therapeutic results. Conditions of the sacroiliac joint that respond well to this treatment include pregnancy related instability, traumatic instability and arthritis and degenerative arthritis of the sacroiliac joint.

PRP for Shoulder

Our stem cell treatment technique allows for accurate ultrasound guided placement of PRP not only in the joint but just as importantly into the surrounding ligaments and capsule of the joint. Without treatment of these stabilizing structures, benefits of PRP injection in the joint is limited as the main issue of joint instability is not addressed. Areas of the shoulder that respond well to this treatment include shoulder joint cartilage, shoulder labrum, rotator cuff tears, shoulder bone spurs.

PRP For Tennis Elbow

Our PRP treatment technique allows for accurate ultrasound guidance placement of PRP not only into the tennis elbow tendon tear but just as importantly into the surrounding elbow ligaments . Without treatment of these stabilizing structures, benefits of PRP  injection in the tendon  is limited as the main issue of elbow joint instability is not addressed.

PRP for Golfer’s Elbow

Our PRP treatment technique allows for accurate ultrasound guidance placement of PRP not only into the golfers elbow tendon tear but just as importantly into the surrounding elbow ligaments . Without treatment of these stabilizing structures, benefits of PRP  injection in the tendon  is limited as the main issue of elbow joint instability is not addressed.

PRP for Hip

Our PRP treatment technique allows for accurate ultrasound guidance placement of PRP not only in the joint but just as importantly into the surrounding ligaments and capsule of the joint. Without treatment of these stabilizing structures, benefits of PRP injection in the joint is limited as the main issue of joint instability is not addressed. Areas of the hip that respond well to this treatment include hip joint cartilage, hip labrum,  hip capsule tears, hip tendon tears.

PRP For Knee

Our PRP treatment technique allows for accurate ultrasound guidance placement of PRP  not only in the knee joint but just as importantly into the surrounding ligaments and capsule of the joint. Without treatment of these stabilizing structures, benefits of PRP injection in the joint is limited as the main issue of joint instability is not addressed. Areas of the knee that respond well to this treatment include knee joint cartilage, meniscal tears, knee ligament tears, patella tendon tears.

PRP For Ankle and Foot

Our PRP treatment technique allows for accurate ultrasound guidance placement of PRP  not only in the ankle and foot joints but just as importantly into the surrounding ligaments and capsules of the joints. Without treatment of these stabilizing structures, benefits of PRP injection in the joint is limited as the main issue of joint instability is not addressed. Areas of the ankle that respond well to this treatment include ankle joint cartilage, high ankle sprains, medial and lateral ankle ligament tears.