What is PRP (Platelet Rich Plasma)?

Plateletrich plasma (PRP) therapy uses injections of a concentration of a patient’s own platelets to accelerate the healing of injured tendons, ligaments, muscles and joints. In this way, PRP injections use each individual patient’s own healing system to improve musculoskeletal problems.

Local Orthopedic Surgeons

James Dreese

James Dreese

Orthopaedic Surgeon
Lutherville, MD
Dr. Jack Rocco

Dr. Jack Rocco

MD
Orthopaedic Surgeon
Hollidaysburg, PA
Dr. Jamal Rakem

Dr. Jamal Rakem

Orthopaedic Surgeon
Welland, ON

Dr. Jas Chahal, MD, MSc., FRCSC, Orthopaedic Surgeon, discusses PRP (Platelet Rich Plasma) to treat orthopedic conditions including Osteoarthritis.

Quiz: Do You Understand Articular Cartilage Damage & PRP?

Test your knowledge by answering the following questions:

Questions
True
False
1

An articular cartilage injury can heal on its own.

Explanation:
Once damaged, articular cartilage will not heal on its own.
2

Symptoms of articular cartilage injury includes pain around or under the knee cap.

Explanation:
Symptoms of articular cartilage injury includes pain around or under the knee cap, swelling, and limitations in daily function or sports. The pain may worsen when climbing stairs or straightening the knee.
3

Treatment options depend on the patient and the cartilage injury.

Explanation:
There are patient-specific treatment factors such as age, activity level, function and expectations. There are cartilage-defect specific factors such as the size of the cartilage lesion, where it’s located and whether or not it occurs in combination with other problems in the knee joint.
4

Cortisone is not a treatment option for an articular cartilage injury.

Explanation:
Treatments for articular cartilage injury of the knee includes cortisone or hyaluronic acid or platelet-rich plasma injections, bracing and physiotherapy.
5

Surgical treatments include microfracturing with a special pick.

Explanation:
Surgical treatments include microfracturing with a special pick and De novo, which uses donor cartilage to repair the knee. Orthopedic surgeons in some parts of the world perform a process called autologous chondrocyte transplantation.
(Answer all questions to activate)

PRP (Platelet Rich Plasma) to treat orthopedic conditions including Osteoarthritis

PRP can potentially be used to treat various orthopedic conditions. It’s often inquired about in the context of tennis elbow, patella tendonitis, osteoarthritis, and various other soft tissue abnormalities.

PRP becomes an option after patients feel other conservative treatment options. The best indication for PRP at the present time, according to the best scientific evidence, would be in the field of osteoarthritis. Local Physiotherapist 

There are several randomized trials that actually show PRP is better than controlled treatments or placebo treatments, or alternatively, hyaluronic acid treatments.

The evidence would suggest that PRP would be beneficial in this population, and the best time would be to pursue this would be, because there is a cost associated with it, would be to exhaust all other non-operative modalities such as physical therapy, such as bracing, and potentially other types of injections such as hyaluronic acid or cortisone.

In the context of osteoarthritis, once again, which is likely the best indication based on the scientific literature we have today, in the orthopedic world that is, PRP would be suited for once again anybody who really feels non-operative modalities in the setting of pain, functional limitations, swelling, and an impairment of quality of life.

If someone’s pain is bad enough, PRP can help alleviate their symptoms, hopefully improve their function, and you know from a theoretical sense some people think help regenerate some of the tissues, but certainly this requires a lot more investigation before we can prove that that’s true. Local Orthopedic Surgeons 

So if you’ve been told you have osteoarthritis, you may be a candidate for PRP. You should seek an evaluation by your orthopedic surgeon, your local family doctor, Physiotherapist or a primary care sports medicine specialist.

Presenter: Dr. Jaskarndip Chahal, Orthopaedic Surgeon, Toronto, ON

Local Practitioners: Orthopaedic Surgeon

Local sports Medicine Physician

Dr. Ellen Smith

Dr. Ellen Smith

MD, FACEP
Sports Medicine Physician
Gaithersburg, MD
Dr. Vinay Chopra

Dr. Vinay Chopra

MD
Sports Medicine Physician
Freehold, NJ
Dr. Naresh Rao

Dr. Naresh Rao

Sports Medicine Physician
New York, NY

Orthopedics Now

Orthopedics Now

QA Chat
Ask us a health question on
diagnosis/treatment options...