Platelet-rich plasma (PRP) is an autologous product, this is to say, a product obtained from the patient`s own blood. Blood is drawn from the patient and the platelets are spun down with a centrifuge. The platelets contain high concentrations of growth factors which have anti-inflammatory and regenerative activity.
It is indicated for many conditions. It can be used as an alone treatment for several pathologies, like patellar tendinitis or from other locations, cartilage injuries or mechanical synovitis. It can also be used as a complementary treatment after surgical procedures of meniscal injuries or anterior cruciate ligament (ACL) reconstruction, because it accelerates ligament or meniscal tissue healing.
The treatment is performed at the practice. The patient does not require any special preparation. After the preparation of the platelet-rich plasma is injected in the target area, either inside the knee or in the affected tendon. Normally three injections are necessary, separated by three to four weeks.
If sterility basic rules are followed in their preparation and injection, this procedure will not present side effects, as the product comes from the patient’s own body.
Corticosteroids have a strong anti-inflammatory effect. They are useful in cases of acute and severe knee pain, mostly in an inflammatory episode within an osteoarthritis or in a tendinitis. It must be used with caution, because its unlimited use can provoke tendinous and cartilagous degeneration. If well indicated it is useful to treat an acute tendinitis or to relieve pain in an osteoarthritis in order to delay its surgical treatment.
The hyaluronic acid is an organic substance present in the synovial liquid of joints and other tissues of human body. Its injection in the knee has an anti-inflammatory and regenerative effect, so that we can treat a minor osteoarthritis with a periodic injection of this substance, usually once every six months.
Corticosteroids and hyaluronic acid are pharmaceutical products, and thus they can produce side effects.
Injections are performed at the practice.