PRP – Platelet Rich Plasma
In essence, the technique is exactly the same, the only difference being the proliferant (what you inject to stimulate proliferation and regrowth of connective tissue). We now refer to PRP sessions as Biosurgery, since the results can be extraordinary and perhaps one day more and more surgery will be replaced by this minimally invasive technique.
The key for successful Biosurgery remains that you must inject the correct spot, and enough times to stimulate healing correctly. As such the success of the program is totally dependent on the experience and expertise of the connective tissue specialist you see. I personally have been doing regenerative medicine almost exclusively for a decade, but many doctors only dabble. Ask them how long they have been doing it and where they got their training. There are a few exceptional teachers around and I was lucky enough to train with some of the best in the world.
The PRP is taken as a regular blood draw and spun down to isolate the platelet rich component. this fraction is the richest in growth factors. THe PRP then should be injected promptly into the affected areas. A word of notice, the PRP is more irritating than the regular dextrose, so you might be extra sore after it. However, when I explain that this a good sign and a necessary part of the healing process, most people are willing to accept this temporary aggravation of their condition. I have a little saying- “No pain, no gain”. I can’t say that patients are thrilled with this concept, but it remains true that if you have a Prolotherapy /Regenerative Med session and you don’t feel it, you probably missed the right “trigger points”. Conversely, I frequently have patients who observe that the sessions where they were most sore, were also the ones where they achieved the most improvement.