Platelet-Rich Plasma (PRP)

During the past several years, much has been written about a preparation called platelet-rich plasma (PRP) and its potential effectiveness in the treatment of injuries.

Although blood is mainly a liquid (called plasma), it also contains small solid components (red cells, white cells, and platelets.) The platelets are best known for their importance in clotting blood. However, platelets also contain hundreds of proteins called growth factors which are very important in the healing of injuries.

PRP is plasma with many more platelets than what is typically found in blood. The concentration of platelets — and, thereby, the concentration of growth factors — can be 5 to 10 times greater (or richer) than usual.

To develop a PRP preparation, blood must first be drawn from a patient. The platelets are separated from other blood cells and their concentration is increased during a process called centrifugation. Then the increased concentration of platelets is combined with the remaining blood.

Diagnostic Ultrasound

Ultrasound is a popular cost effective imaging tool. High frequency sound waves travel from the ultrasound probe through human tissue. Some of the sound waves bounce back to the transducer. This reflected sound is used by a computer to form the ultrasound image. There is no radiation dose associated with the ultrasound scan.

Ultrasound is the examination of choice in obstetrics. It is used to determine the age, level of development of the fetus and the presence of birth defects or other potential problems.

It is also the examination of choice in young women with pelvic pain and in patients with suspected gallbladder problems.

Ultrasound is useful to study blood flow in larger arteries. It is commonly used to search for abnormal narrowing of the carotid arteries and to monitor aneurysms of the abdominal aorta.

Ultrasound Guided Injections

An Ultrasound Guided Injection is used to relieve pain, administer medication, and treat an assortment of conditions. This is a relatively new technology in the orthopedic field, but has gained a lot of interest for a number of reasons. The current literature proves that ultrasound guided injections are far superior to “blind” injections in regards to the accuracy of the needle placement. This is very important if the physician is trying to avoid more painful or dangerous areas, or if the physician wants to direct the treatment to a very specific area. In addition the ultrasound allows the physician to inject structures that would not normally be possible to hit “blindly” such as nerves, cysts, tendons, and fluid collections.

Why Do I Need One?

Ultrasound Guided Injections are used to treat a variety of different symptoms and conditions:

  • Pain from arthritis
  • Pain from tendonitis
  • Accurate targeting of a “problem area”
  • Fluid removal or prevention
  • Pain management prior to surgery

The multitude of benefits coupled with very few drawbacks make these special injections sought after in the sports medicine and orthopedic world.

Amniotic Tissue Allografts

Amniotic Allografts are minimally manipulated, dehydrated tissue that contain many extracellular matrix proteins, growth factors, cytokines and other regulatory proteins. These tissue allografts are injected into joints and other regions of pain and injury. Depending on the type of allograft used, treatment may result in robust tissue healing, increased joint lubrication, and even enhanced migration of the patient’s own stem cells to the areas where they are needed.

Amniotic tissues are donated by mothers that have delivered a full-term live birth through Cesarean section. All tissues are recovered under full informed consent of the donor. All tissue recovered meets stringent specifications during donor screening and laboratory testing to reduce the risk of transmitting infectious disease.

The allografts are procured and processed in the United States according to standards and/or regulations established by the American Association of Tissue Banks (AATB) and the United States Food & Drug Association (FDA).

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