Platelet Rich Plasma Prolotherapy
Platelet Rich Plasma (PRP) Prolotherapy is an effective method in treating many musculoskeletal conditions – such as tendon injury, ligament sprains, back and neck pain, tennis/golfer’s elbow, ankle pain, joint laxity and instability, jogger’s heel, shoulder, knee pain and other joint pain.
The therapy uses a concentration of patient’s own blood platelet to stimulate healing by causing temporary, low-grade inflammation at the injection site, raising growth factor levels and promoting tissue repair and growth.
Who can benefit from Platelet Rich Plasma (PRP) Prolotherapy?
Patients suffering from the following conditions:
- Painful joints
- Muscle and tendon tears
- Ligament sprains and tears
- Knee, elbow and shoulder injuries (e.g. tennis elbow, frozen shoulder)
- Chronic plantar fasciitis (heel pain)
How is Platelet Rich Plasma (PRP) Prolotherapy performed?
PRP extracted from the patient’s own blood is injected into the injured tissues.
In PRP uses a concentration of 94% platelets, which contains at least seven growth factors to enhance healing. The platelets contain a number of proteins, cytokines and other bioactive factors that initiate and regulate basic aspects of natural wound healing designed to stimulate healing. When concentrated platelets are applied to damaged areas, the activated platelets “signal” to distant repair cells, including adult stem cells, to come to the injury site. Increasing the volume of platelets accordingly increases the subsequent influx of repair and stem cells.
What are the benefits of PRP?
PRP increases the initial healing factors and the rate of healing for chronic or long-standing injuries. The Prolotherapy itself (irritation, needle microtrauma) is what is “tricking” the body into initiating repair at these long-forgotten sites. This is especially important with chronic injuries, degeneration and severe tendinosis, where the body has stopped recognizing that area as “something to repair.”
PRP can be used years after the initial pain or problem began, as long as the person is healthy. Because PRP works to repair weak and painful joint areas, it is a long-term solution rather than a temporary measure, such as drugs or Cortisone.
What to expect during the treatment?
Our medical staff will draw a blood sample from the patient. The blood sample is then placed in a centrifuge machine to separate the platelets from the other blood cells. After the separation, the concentrated PRP is extracted and injected into the injured site.
What are the risks and side effects?
You may feel some soreness at the injected site for 2 to 3 days and the discomfort usually wears off after that. You may also feel more pain at first since it causes swelling in the area that was already sore. The swelling is needed for the blood cell to start helping you heal for the long term.
The doctor may prescribe some pain medications to ease your discomfort.
PRP Prolotherapy has been practised in Singapore to treat patients over the last two years. The Ministry of Health Singapore has instructed that PRP injections in Singapore can be used in the context of ligament and tendon injuries. In other places, such as Korea and Malaysia, these PRP injections have been utilised in other conditions, such as skin rejuvenation, migraine, insomnia, anti-ageing, back pain or neck pain treatments.
How safe are PRP injections?
PRP injections are very safe because platelet rich plasma is taken from patient’s own blood and there is almost no chance of allergy or immune reaction. The chances of complications is very rare and the main risks include local infection (< 1% chance) and pain of the site of injection.