Platelet Rich Plasma Therapy (A.K.A. PRP)
Dr. Sheskier has been using PRP treatment in NYC with success for the following conditions:
- Chronic Achilles Tendonitis
- Plantar Fasciitis
- Ankle/Knee Arthritis
- Posterior tibial and peroneal tendon problems
- Peripheral neuropathy/Tarsal Tunnel Syndrome (NEW)
Platelet rich Plasma injections (Also known as Autologous Conditioned Plasma)
Platelet Rich Plasma (PRP) Injections for the treatment of difficult chronic Tendonitis around the hand and foot as well as Tennis Elbow (Epicondylitis), Achilles Tendonitis, Plantar fasciitis (heel pain) and Patellar Tendonitis. These types of tissue have limited blood supply so they heal slowly. In most instances these are areas where steroid injections have been marginally effective or contra-indicated. It has also been used after arthroscopic treatment of arthritis to further stimulate the healing process.
What is PRP?
PRP is formulated by drawing a small amount (@10ML) of the patient’s own blood and spinning it in a centrifuge for 5 minutes. This separates the red and white blood cells leaving a solution containing the concentrated platelets. This solution contains an average of 2 to 5 the number of platelets and 2 to 25 times the amount of various growth factors than the same amount of the patient’s whole blood.
After an injury, the body rushes many types of cells including platelets to the injured area. This solution. containing concentrated growth factors, initiates and accelerates wound healing. Studies that have been done on patients after PRP injection suggest a facilitated healing response resulting from the introduction of the greater amount of growth factors into the damaged tissue.
What is the treatment process?
After the reduction process described above, the plasma containing platelets with growth factors is injected into the injured tissue. A local anesthetic is used if necessary. The entire process takes less than 30 minutes including drawing the patient’s blood centrifuging it and then injecting the plasma portion into the injured site.
What happens afterward?
The patient can expect some soreness for about 48 hours following the injection. Mild Analgesic medication such as acetaminophen (Tylenol) with or without codeine can be used to treat discomfort.
NON-steroidal anti-inflammatory medications are prohibited for 2-3 days before the treatment and at least 3-4 weeks afterwards.Aspirin,Motrin, Alleve etc interfere with the action of the PRP
A follow-up appointment at 4 weeks will be made with Dr. Sheskier after the injection.
It is recommended that physical activity involving the affected limb be limited for 24-hours.
A stretching program directed by a Physical Therapist should be followed for two weeks. Four weeks post-injection, the patient may return to recreational activity and sports as tolerated.
Improvement over several months is anticipated as the tissue heals in response to the stimulus from the growth factors.
Is it safe?
No ill effects have been reported in any of the many studies executed. This process uses the patient’s own blood thereby eliminating any chance of rejection response and minimizes the likelihood of injection.
Does it work?
The PRP injections have been used in many studies as well as on Professional Athletes. Patients have reported an average of 60% pain reduction after 8-weeks and 81% improvement after 6 months. It usually takes 3-6 weeks to notice an improvement. It may take 2-3 subsequent injections to experience full healing/relief.
Recent studies have shown its effectiveness in upwards of 90% of patients with chronic insertional achilles tendonosis and plantar fasciitis. Cases that otherwise would require surgery.