PRP (platelet rich plasma) Injections
Platelet Rich Plasma (PRP) injections for muscle, ligament tendon, cartilage injuries
Platelet Rich Plasma (PRP) injections for muscle, ligament tendon, cartilage injuries
Platelet Rich Plasma (PRP) injections for muscle, ligament tendon, cartilage injuries
Blood draw
Platelet Rich Plasma (PRP) injections for muscle, ligament tendon, cartilage injuries
Platelet Rich Plasma (PRP) injections for muscle, ligament tendon, cartilage injuries
Performed under sterile technique
Blood delivery into Centrifuge system
Platelet Rich Plasma (PRP) injections for muscle, ligament tendon, cartilage injuries
Blood delivery into Centrifuge system
Centrifuge system will separate the platelet rich plasma from red blood cells and white blood cells
(Flow Cytometry)
Programming the centrifuge
Separation of blood components by light
Blood delivery into Centrifuge system
Can generate white blood cells rich or poor plasma depending on the clinical indication (articular vs. soft tissue injections)
Separation of blood components by light
Separation of blood components by light
Separation of blood components by light
Final PRP product
Separation of blood components by light
Separation of blood components by light
PRP automatically withdrawn into sterile syringe by the centrifuge.
Closed loop system to minimize contamination
Knee PRP injection technique
Elbow PRP injection Technique
Ultrasound guidance - A dynamic diagnostic visualization
Ultrasound guided PRP (platelet rich plasma) injections
Correlation of the site of pathology on MRI
Meta-analysis of 18 studies
Primary outcome = change in pain intensity. Leukocyte rich prp better than leukocyte poor prp
Indications: tennis elbow, patella tendonitis, rotator cuff tendinopathy, achilles tendinopathy.
Recommendations: ultrasound guided single prp injection into tendon with 2 mm local anesthetic superficial to tendon using 6 pass peppering dry needling