Platelet-Rich Plasma Therapy (PRP)
Dr. Christie Lehman is excited to offer platelet-rich plasma (PRP) therapy at Asheville Regenerative Orthopedics & Sports Medicine to help reduce inflammation and discomfort in areas of the body. PRP therapy is one of the most popular and innovative procedures on the market because of its natural method and exciting results. The treatment utilizes a patient's very own plasma to stimulate and rejuvenate tissue, alleviating symptoms of chronic or new pain in the joints. If you are interested in PRP therapy, call Asheville Regenerative Orthopedics & Sports Medicine in Asheville, NC to schedule a private consultation. Dr. Lehman is always excited to discuss all the benefits of PRP and how it can help you feel your best.What Is a Regenexx SCP?
The Regenexx Super Concentrated Platelet (SCP) Procedure and Platelet Lysate (PL) uses growth factors from your blood to repair damaged tissue.
For most patients, the recommended SCP or PL protocol involves a blood draw and an injection on the same day. This process applies to procedures for the knee, hip, shoulder, hand, wrist, foot, ankle, and elbow. Platelet Lysate is often recommended for back and spine treatments due to its fast release and reduced inflammation.
PRP Therapy Reviews
"I came to Dr. Lehman after enduring years of pain in my hips, especially my right hip. Previous corticosteroid injections, which would help for a few months, had ceased to be effective. Driving, standing, walking - everything had become very painful. Dr. Lehman’s exam revealed several sizable tears in the tendons of both hips. I received the regenerative platelet injections in each hip, directly into the tendon tears, to produce new cell growth to fill in the painful gaps/tears. At that time, my regular pain on a scale of 1 to 10 was: 4 or 5 in my left hip; 8 to 10 in my right hip. Today, after my 12 week checkup, I can honestly say that my left hip pain is usually nonexistent or, at most, a 1, and my right hip pain is no higher than a 2, maybe 3 after driving a long distance. That is like a 75 to 80% improvement for me, and we expect it to continue to improve. I am so grateful to Dr. Lehman and her team for helping me get past the pain and all the associated stress!"- D.K. / Google / Jul 21, 2021
"I am extremely satisfied with my experiences with Dr. Lehman. I've had two procedures done and everything was handled professionally. She is an excellent communicator, and answered any questions I've had. Her bedside manner during the procedures is excellent as well. I've given her name to more than one friend, and highly recommend her to anyone who has joint/muscle issues that may benefit from her expertise."- L.M. / Google / Aug 03, 2021
"Dr Lehman has helped my elbow tendonitis and torn rotator cuff. Highly recommend seeing her before deciding to pursue surgery!"- B.H. / Google / Jun 10, 2021
"I came to Dr. Lehman after being told by several orthopedic surgeons that I needed a total knee replacement for advanced osteoarthritis. She treated me with stem cell & plasma rich platelet injections harvested from my own body. My knee was significantly improved afterwards and I can walk without my old limp!"- N.M. / Google / Oct 03, 2021
On your procedure day, blood is drawn from a vein in your arm. This blood is then processed and prepared in our lab for re-injection within 24 hours. We use this blood to prepare an injection of highly concentrated platelet-rich plasma containing the growth factors isolated from your blood. This blood draw takes 15 – 30 minutes. During a second visit, this platelet-rich plasma is injected under image guidance into the treatment site. This procedure takes 20 – 30 minutes.
What Is Regenexx SCP?
Platelet Rich Plasma (PRP) and Platelet Lysate are Platelet procedures that contain healing growth factors from your own blood that promote your body’s natural ability to repair itself. The use of PRP to treat joint, tendon, ligament, and muscle injuries is becoming well known, thanks to exposure from professional athletes. Platelet injections have a stimulating effect on the repair cells within the targeted area, making those cells work harder to perform their natural job of healing the body. Like all Regenexx procedures, Regenexx SCP procedures are performed with high-level imaging guidance to ensure the most accurate placements of cells into the desired area. Our Advanced Platelet Procedures are more concentrated and purer than PRP created by the automated machines used at most regenerative medicine clinics, increasing its ability to stimulate the body's natural healing response. Platelet procedures are commonly used for soft tissue injuries, mild arthritis, spine conditions, and around nerves.
Frequently Asked Questions about PRP Therapy
Does PRP therapy really work?
Yes. Much research has gone into the development of PRP-based procedures.
How do I know if I am a candidate for PRP therapy?
PRP therapy is advised for patients with mild to moderate osteoarthritis or chronic tendonitis in or around the large and small joints (shoulder, elbow, wrist, fingers, hip, knee, ankle, toes). Typically, the patient has failed conservative treatment options, such as rest, medication, and physical therapy.
Who is NOT a candidate for PRP therapy?
- Anyone with cancer (such as prostate cancer or breast cancer) not in remission for at least three years
- Certain other malignancies or blood-borne diseases that you are being treated for
- Any current infection
- Patients with multiple medical issues may not be good candidates
What is the cost of PRP therapy?
The cost of PRP treatment may vary, depending on the area(s) being treated. Insurance companies will not pay for PRP. This is paid for out of pocket.
How long do I have to wait to return to my normal activities?
How quickly you can return to your normal activities depends on the condition and body part being treated.
- Depending on what area is treated, a brace, sling, or walking boot may be used for a few days.
- Most patients are able to return to work the day following the procedure unless they experience a significant post-injection flare-up. In that situation, the patient may need an extra day off work.
- There will likely be some post-injection soreness. Return to normal activities may be related to how long this lasts – several days usually.
How long does it take the PRP to "work"?
PRP does not offer quick pain relief. The pain gradually subsides as the injured tissue repairs and pain-relieving factors activate. This can take weeks or months, but when successful, the effect is lasting. Maximum effects are usually seen at 6 – 9 months. Some areas may require 2 – 3 injections in closer succession. Protocols are regularly evolving.
How soon can I return to normal and athletic activities after PRP?
Return to athletic activity depends on the type and site of injury. Most chronic tendon injuries that have failed to respond to any other type of treatment will generally take quite a number of weeks to heal. Injections into joints and acute muscle injuries respond a bit sooner.
Are there any side effects or complications of PRP?
No serious complications have been reported related to PRP. Like any injection, there is a risk of infection or damage to a nerve or blood vessel. However, there is not a risk of adverse reaction to the platelets the way there is to a medication (ex. corticosteroids).
What are the side effects of commonly used cortisone injections (alternative treatment)?
Cortisone injections have been widely used over many years to treat sports injuries and arthritis. Unlike PRP injections, cortisone injections allow only inflammation and pain to settle down and they do not induce healing. Hence, in many conditions, the pain will recur due to a lack of healing. Also, steroid injections have potential complications, such as skin atrophy, discoloration, weakening, and rupture of the tendon where the injection is given, joint deterioration, and infection, among others.
Can I drive home after the PRP injection?
It is Dr. Lehman's preference for you to have a driver.
Do I need to schedule a follow-up appointment for PRP?
Yes, Dr. Lehman will want to see you back in the clinic to check your progress. You will be asked to make a follow-up appointment usually 10 – 12 weeks following the injection.
Can I take my normal medication(s) before and after the injection?
Do not take anti-inflammatory medication, such as Advil, Aleve, Motrin, Ibuprofen, Mobic, Naproxen, or Diclofenac, for seven days prior to the injection and several weeks after the last injection. Pain medication may be prescribed on the day of the procedure to be taken as needed. Tylenol/Acetaminophen is allowed.
What is the "typical" response to PRP treatment?
Research and clinical experience suggest that PRP can successfully treat pain from chronic degeneration and tears of tissue tendons, and pain from mild to moderate joint articular cartilage degeneration. It is important to understand that PRP isn't a miracle cure. Dr. Lehman sees a pretty high percentage of patients get over 50% relief though. For a minimally invasive procedure for injuries/conditions that are notoriously hard to heal, that's pretty impressive. Technique and ultrasound guidance is essential to the accuracy of placement and enhancing the efficacy of the injection.
What if I don’t get a good enough response with PRP treatment?
Then bone marrow-derived cellular therapy, Regenexx SD, or surgical treatment might be the next step.
Is Surgery the Only Way to Treat a Meniscus Tear in the Knee?
A meniscus tear has been shown to improve without surgery through minimally invasive PRP or BMA treatments.Read
How Many PRP Treatments Are Needed ?
Address arthritis and chronic pain with advanced PRP therapy. Learn about the process and how many sessions are needed for tissue repair to occur.Read
Who May Not Be a Candidate for PRP Therapy?
Platelet-rich plasma is effective for treating chronic pain and soft tissue injuries. Learn about your candidacy for PRP injections at our clinic.Read
Reasons Why Your Knee is in Pain
Knee pain, while common, does not have to go left untreated. There are a variety of causes for knee pain and many nonsurgical and surgical solutions.Read