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PRP (Platelet Rich Plasma) is a Regenerative Medicine technique that uses the patient's blood plasma to stimulate cell growth. In Orthopedics, platelets are used to reduce inflammation in a tissue, produce collagen, increase the number of cells in bones and tendons and promote the healing processes of musculoskeletal tissues.
The procedure for obtaining the PRP is very simple and fast. The patient is given a normal venous blood sample with special PRP Tubes, which is then placed in a prp centrifuge to be centrifuged. The centrifuge causes the different substances that make up the blood to separate. At this point, the platelet-rich part is withdrawn with a sterile syringe.
This process takes about 30 minutes and the closed circuit system ensures that the blood is not contaminated by external agents.
What are the possible uses of PRP in Orthopedics?
The PRP has begun to be used in orthopedics to promote the welding of difficult fractures and wounds that were struggling to heal.
Now, platelet-rich plasma is also used in outpatient clinics for the treatment of tendinopathies and arthropathies. Tendinopathies are those pathologies that affect the tendons.
The tendon starts to ache and the patient loses the mobility and functionality of the affected area. Some examples are "tennis elbow" and Achilles tendon pain .
PRP not only helps to eliminate pain, but also regenerates the tendon tissue by improving its resistance.
Arthropathies are diseases that affect the joints. PRP treatment has been shown to be particularly effective in treating osteoarthritis of the knee . The patient feels pain when walking and is limited in movement. PRP, again, can reduce inflammation and pain and, in younger patients, help improve the condition of the joint cartilage.
Treatment with PRP
To start the procedure you need to have made a recent blood test to make sure that the patient is anemic or has a Image of red blood cellsnumber of platelets is too low.
The first part of the treatment consists in taking the blood, which is passed into the centrifugal machine to separate the red blood cells and obtain the plasma rich in platelets. To perform the blood sample, you must not be fasting or interrupt any ongoing therapies.
The second phase, on the other hand, consists in injecting the concentrate into the area to be treated.
The treatment consists of 3-4 sessions at a variable distance, depending on the type of pathology. For those tendons, the interval is one week; for articular ones, one month. It is recommended that sports be suspended during the treatment period.
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What are the advantages of the PRP?
The advantages deriving from the use of PRP are many:
- It is a quick treatment: you can perform the collection and injection in the same session;
- The pain caused by the inflammation is reduced from the first session;
- It is a practically painless treatment. Only in rare cases is it necessary to use local anesthetics;
- The use of one's own blood avoids the occurrence of contamination due to the use of blood from other donors;
- The patient does not take drugs and therefore avoids possible side effects;
- Anyone can undergo PRP infiltration ;
- It can delay surgery for many years.
The PRP has proved useful for the treatment of many pathologies, even in the orthopedic field. It is a minimally invasive technique much appreciated by patients and which can help regain the functionality of the damaged tendon or joint.
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