• Bracing/DME
  • Total Joint Replacement
  • Arthroscopic Surgery
  • Fractures & Trauma
  • Physical Therapy
  • PRP/Stem Cell Injections
  • Sports Injuries

PRP/Stem Cell Injections

Joint Preservation and Biologic Program

Platelet Rich Plasma (PRP) Treatment

Platelet Rich Plasma Therapy or PRP is an emerging treatment in health care to rejuvenate your skin by stimulating collagen, the main component of connective tissue. The therapy improves lines, wrinkles and texture with a gradual natural change. The therapy is also helpful for treating skin conditions and for general skin reconditioning. The most dramatic results so far have been seen with improvement of crepe skin problems in areas such as the neck, under the eyes and décolletage areas.

Platelet-Rich Plasma Therapy is done in the office under ultrasound guidance to ensure accurate placement of the injections. The treatment involves drawing blood from you just in the same way as it is taken for a blood test and then it is spun for around eight minutes in a centrifuge to produce the platelet rich plasma (PRP). The PRP is then drawn into a small syringe and a small amount of calcium chloride is added to it to stimulate the process. The mixture is then injected into clean, anaesthetized skin. For better results, the PRP is injected into the same areas over three sessions which are usually spaced around a month apart.
There are almost no complications of this therapy. However, as with every kind of injection, there is the possibility of slight bruising and appearance of pinkness or redness of the skin, which usually fades away after a week or so.

Stem Cells for Avascular Necrosis

Avascular necrosis is an orthopedic condition where the blood supply to bone is gradually lost, leading to damage and death of bone tissue. It is a progressive condition that is usually seen in the femur (thigh bone), resulting in the collapse of the femoral head. Avascular necrosis can produce severe pain and disability. It is a multifactorial disease that may be caused by increased pressure following an injury, genetic abnormality and clotting disorders. Treatments for this condition have not been satisfactory, with patients ultimately requiring a total hip replacement, which often needs to be revised in younger patients. A newer approach involves the injection of stem cells into the diseased bone.

Stem cells are progenitor cells in your body that can multiply and differentiate into specific cell types. Stem cells are used in combination with platelet-rich plasma (concentrated platelets in blood) after a minimally invasive procedure called core decompression. Core decompression involves making small channels in the femoral head to reduce the pressure on the bone and promote blood supply to the diseased bone. Following this, a mixture of stem cells from bone marrow in your pelvis and platelets from your blood are injected into the affected bone. The use of stem cells has shown good results in slowing down and even arresting early stage avascular necrosis, delaying or avoiding the need for hip replacement.

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