Platelet Rich Plasma (PRP) Injection Treatments in New Jesrey
PRP also called as Autologous platelet gel, platelet concentrate (PC) or plasma rich in growth factor (PRGF) is blood plasma which has a high concentration of platelets (blood component responsible for clotting).
Blood contains around 93% of Red blood cells or RBCs, 1% of White blood cells and 6% of platelets, all of which is suspended in plasma. In platelet rich plasma, the RBC percentage is around 5%, and the platelet concentration increases to 94% approximately.
PRP is autologous which means, it is obtained from the patient. Hence, it is free from the risk of mismatch transfusion and transmission of blood-borne infections like HIV.
These platelets in the PRP are a rich source of chemicals called growth factors and cytokines, which play a pivotal role in tissue healing. Owing to this property, PRP has been successfully used in various medical disciplines like Dermatology, Orthopedics, and Dentistry.
How is Platelet Rich Plasma Prepared?
Blood collected from the patient is treated with an anticoagulant to prevent the blood from clotting. This sample is then subjected to two rounds of centrifugation (the blood is put in a machine which spins it at high speed, and this helps separate the various blood components). The platelet count in the plasma after centrifugation is roughly five times the normal platelet count.
What does Platelet Rich Plasma Treat?
- Vascular endothelial growth factor
- platelet-derived growth factor
- transforming growth factor beta
- insulin-like growth factor 1
- insulin-like growth factor 2
- fibroblast growth factor
- epidermal growth factor
- Interleukin 8
- keratinocyte growth factor
- connective tissue growth factor
Clinical Information on Platelet Rich Plasma
Platelet rich plasma was developed in 1970 and was first used in Italy, in an open heart surgery in 1987. However, PRP started gaining popularity in the mid-90s, and its efficacy has been proven in various clinical scenarios like
- Nerve injury
- Chronic osteoarthritis
- Plantar fasciitis
- Pressure ulcers (bedsores)
- Diabetic foot ulcers
- Venous and arterial leg ulcers
- First and second-degreeburns
- Surgical wounds
- Skin graftdonor sites
- Superficial injuries, cuts, abrasions
- Hair lossdisorders –g.,. Androgenic alopecia where it helps stimulate dormant hair follicles and promote new hair growth.
- Facial rejuvenation– PRP helps in wrinkle treatment, sunburns
- Post-traumatic scars – In combination with centrifuged fat tissue and fractional laser resurfacing, Platelet-rich plasma helps improve the cosmetic appearance of scars.
Aesthetic and Orthopedic use of PRP
Autologous PRP is used in the rejuvenation of Skin, both epithelium and Mesenchyme. It is one of the significant treatments in cosmetic antiaging procedure.
PRP is used in the treatment of many Bone conditions. Quite interestingly, many miscellaneous conditions are treated by PRP. Dupytren contracture, epicondylitis, Plantar fasciitis etc are treated by PRP injections
PRP Complications & Contraindications
Since Platelet rich plasma is derived from the patient’s body (autologous) hence, the chances of an immune reaction or hypersensitivity are almost nil.
- Commonly patients might encounter pain and swell at the site where the PRP is injected.
- Accidental injection into a nerve can cause nerve injury.
- Infection at the injection site if proper sterile precaution not ensured during the procedure.
PRP is Contraindicated in the Following Clinical Scenarios
- Thrombocytopenia (low platelet count)
- Hemodynamic instability (collapse)
- Acute and chronic infections
- Chronic liver disease
- Patient on anticoagulant therapy like Warfarin.
Successful PRP Procedures:
- When PRP is administered via superficial or deep dermalinjection, skin tone, firmness and texture have improved within three weeks, and improvement has continued for several months.
- Common sites of PRP injection for cosmetic enhancement are cheeks, around the eyes, jawline, neck, back of the hands, elbows, upper arms and post-pregnancy stretch marks.
- Treatment of chronic diabetic ulcer using a mix of PRP, autologous fat and a mesh of hyaluronic acid.
It is always good to remember to talk to your doctor before seeking PRP therapy. Since this therapy requires a certain degree of expertise, approaching a qualified healthcare provider is ideal.