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PRP - Platelet Rich Plasma

post #1 of 10
Thread Starter 
Real or Quackery?
post #2 of 10

uh oh

What did you pull?
post #3 of 10
Quote:
Originally Posted by epic View Post
Real or Quackery?

real - good treatment for blood loss and helping control bleeding when whole blood is not available.

quackery - thinking it will help improve endurance. You need erythrocytes (red blood cells) for better oxygen/co2 exchange, not platelets.
post #4 of 10
Platelet transfusions are also very short acting, even in the setting of someone that needs it acutely for bleeding. Donated platelets are rapidly sequestered in the spleen and/or destroyed by the host immune system - often within hours.
post #5 of 10
Oops, I just realized you were probably asking about soft tissue injections not transfusions.

Quick answer - yes, there's some literature supporting its use in prolotherapy. There are different cocktails of serum +/- other stuff to provoke a healing response in tissues with poor blood supply (i.e. big tendons) and chronic degeneration.
post #6 of 10
Thread Starter 
Quote:
Originally Posted by comprex View Post
What did you pull?
Don't know yet...
post #7 of 10
Thread Starter 
post #8 of 10

I had PRP (platelet rich plasma) therapy for a partial tendon tear in my left shoulder, diagnosed by MRI.  The symptoms of the tear were decreased range of motion of the arm and pain near the extremes of the new (reduced) range.  I wasn't able to do my usual upper body workout any more.  The injury occured over a year ago, and has improved little during that time on its own, despite extensive physiotherapy.  So a few weeks ago I finally coughed up the $600 for the treatment (which I hear isn't too bad as far as PRP goes).

 

They extracted some blood from my arms, centrifuged it to get rid of the red cells, and injected the rest into the site of the tear through a 3-inch needle (good grief!), guided by real-time ultrasound.  Man, did that ever hurt!!!  I walked around like my arm was dead for a couple of days and ate lots of Tylenol #3 with codeine :-)  But I did manage to go skiing on my usual day, 4 days later.  I wasn't going to miss that!

 

I have yet to notice a pronounced improvement in the symptoms, but the doctor told me that it will take 4-6 months.  I start supportive physiotherapy later this week.

 

Keeping my fingers crossed!  I'll let you know if it was worth it, or if I should have bought another pair of skis with the money! :-)

post #9 of 10
Thread Starter 

Good luck man, I hope it works out.

post #10 of 10

I had tendonitis for over a year in my left elbow (outside). Had 3 PRP injections and it appears that i am pain free. Before the PRP, I had physical therapy for a while, iced it, exercise, nothing worked.

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