The History of Platelet-Rich Plasma

Platelet-Rich Plasma, AKA PRP, is comprised of a high concentration of Growth Factors and Platelets.

Platlet-Rich Plasma

PRP is generated from a person’s own body.

Approximately six percent of normal blood is comprised of platelets. Conversely, PRP encompasses about 94 percent platelets. These platelets are important in the body because they are able to improve and speed up the healing processes. This is feasible due to the many proteins, immune system cells, and other bioactive factors that PRP is composed of.

The History of Platelet-Rich Plasma

The model of PRP began in the 1970s in the field of Hematology, which is the study of blood. This term was coined so that hematologists could define blood that had a higher platelet count than normal blood. This platelet-rich blood was mainly used for blood transfusions for individuals who suffered from low platelet count in their blood.

During the 1980s and 1990s, PRP began to be used during surgical procedures because it has many properties that help with wound closure, reducing inflammation, and increasing new cell growth. The most common procedure it was used for were Periodontal Surgery, Maxillofacial Surgery, Cosmetic Surgery, and Skin Grafting.

Since then, PRP began to be used in Orthopedics to help with bone grafts and fractures, connective tissue repair, cardiac surgery, sports injuries, plastic surgery, gynecology, urology, and more. Research has also shown that PRP can be effective at reducing scarring, so it is now being used to improve burn scars, post-surgery scars, and acne scarring.

How PRP Therapy Works

PRP is derived from your own blood. A vial of blood is drawn, and then it is centrifuged to separate the different components. This isolates the red blood cells, platelet-rich plasma, and platelet-poor plasma. The plasma rich in platelets is then removed from the vial to be used for PRP Therapy.

Platelets play an essential role in the body’s healing processes, especially in the preliminary stages. They help promote homeostasis by helping to form blood clots and releasing other chemicals that promote tissue repair.

Platelets play an integral role in the body’s healing processes, especially in the preliminary stages. They help promote homeostasis by helping to form blood clots and releasing other chemicals that promote tissue repair.

The benefits of these also help to reduce the need for opioid medications. Opioids are highly addictive, and developing dependence on them is quite common. Using PRP Therapy can expedite the healing process, reducing the need for repeated opioid use to manage pain.

PRP in Regenerative Medicine

A key advantage of PRP is that it is able to be delivered directly into the injury site. It is also easy to obtain, comes at a low price point, and has very few potential negative side effects. Based on these advantages, PRP can be used for many different medical treatments.

Chronic Knee and Joint Pain

Chronic Knee and Joint Pain is one of the most frequent areas of discomfort for adults. Injuries can include Osteoarthritis, Tendon Strains, Rotator Cuff Injuries, Plantar Fasciitis, Sports Hernias, Knee Cartilage Injuries, Sports Injuries, and many others.

PRP helps increase the growth of the cells responsible for creating new tissues in the damaged area, whether they build new tendons, muscles, cartilage, and connective tissue. PRP can also assist with healing the tissues more effectively, leaving them stronger, thicker, and healthier than they would be without it. This can be especially useful for cartilage injuries, like Osteoarthritis, as it can help to treat the root of the problem by stimulating new cartilage growth, which is typically extremely challenging because of the poor vascularity.

Cardiac Surgery

Wound infections are quite common in the sternal area after Heart Surgery, and in some cases these infections can lead to death. PRP injections have been shown to improve the healing process, reducing the risk of developing an infection.

Excess bleeding can also occasionally occur during Cardiac Surgery. Consequently, blood transfusions are necessary during surgery for some of the patients. The use of PRP in these procedures has been shown to reduce the total amount of homologous blood that patients need to be transfused. Using PRP has decreases the number of patients that needed additional transfusions as well.

Back Pain Therapies

Back Pain is one of the largest medical issues in the United States, and PRP injections are a viable solution. Disc degeneration occurs when the discs between each of the vertebrae in the spine begin to wear down, harden, and lose their ability to deal with compression. This can result in other issues, such as disc herniation or nerve pinching or damage.

PRP may be able to help hinder the disc degeneration process by closing up any tears in the tissues and healing them to prevent fluid leaking. PRP may also be able to assist with tissue regrowth for any tissue that has become damaged or worn down, resulting in diminished Back Pain and more functionality in the spine.

Frequently Asked Questions About PRP Therapy

How will I know if PRP Therapy is a suitable treatment?

  1. Pain that persists for 3 months or longer (for chronic conditions).
  2. Sprains, strains, tears of muscle/ligament/tendon (acute conditions).
  3. Symptoms and physical examination results in line with diagnosis.
  4. Persistent pain despite traditional non-surgical treatment (PT, NSAIDs, activity changes, steroid injections, etc.)
  5. Pathological changes observed on diagnostic imaging: X-ray, MRI, CT, and/or ultrasound.
  6. Patient wants to postpone or avoid surgical treatment.
NYC PRP Therapy

Is PRP Therapy covered by health insurance?

Platelet-Rich Plasma (PRP) is an innovative new medical procedure, and like other medical breakthroughs like LASIK Surgery, is not yet covered by insurance. PRP Therapy is effectual and affordable. While the number of injections patients require may vary based on the severity of their condition, each injection costs hundreds, not thousands of dollars. Many Physicians offer a consultation where they can assess your condition, determine your candidacy, and tell you exactly how many injections you might need. PRP is far less expensive than most surgical co-pays, in addition to being safer and often more effective than surgery as well. Flexible financing options are available for individuals who qualify.

How long does PRP Therapy last?

PRP Therapy employs your body’s own natural properties to reduce recovery time and speed the healing process. Unlike many medical treatments that obscure symptoms or suppress your body’s pain response to an injury, PRP Therapy works to make your body heal more effectually quicker. This means you will regenerate new tissue, your own tissue, naturally. While positive results cannot be guaranteed; because PRP Therapy encourages your own intrinsic healing capacity and forms new body tissue, results are hypothetically permanent, as long as you do not exacerbate the original injury or have a degenerative condition. If symptoms do return PRP Therapy can be administered safely frequently.

Are adverse reactions possible with PRP Therapy?

Some patients experience minor swelling, pain, or bruising shortly after the injection. This is a response to blood and healing properties of the blood rushing to the area of injury that has been injected, but this is temporary. There is a slight risk of blood clotting, increased bleeding, and a chance of infection, as with any other injection based procedure.

Are there any contraindications for PRP Therapy?

Patients that are taking a high dose of a blood thinner such as Plavix, Coumadin, Warfarin, etc. have an increased risk of post procedure bleeding and hematoma. In these instances we require an INR score (blood clotting time study) to be administered prior to the procedure to guarantee safety.

Is PRP Therapy FDA-approved?

The Food and Drug Administration evaluates PRP Equipment, and is conducting further research into approving this procedure.

4 Injections That Could Relieve Your Joint Pain

If you’re one of the 30 million adults in the United States who experience joint pain, you’re well aware that the pain is frequently incapacitating. It can prevent you from staying active and even make daily chores seem daunting. What you may not realize that your Doctor can treat you with more than pills or surgery.

NYC Exosome Therapy

Based on the acuteness of your pain, injections can be another option for alleviating your joint pain and get you moving again.

These injections to try to diminish inflammation and pain in your joints. With these treatments, you typically experience fewer symptoms for several months.

There are numerous injectable options available to help treat knee pain.

Your Physician will determine which one is best based on your specific needs.

Hyaluronic Acid Injections

Use: Hyaluronic Acid Injections are usually approved only for use in the knee.

In some cases, Doctors consider a Hyaluronic Acid Injection first if you don’t have apparent signs of inflammation.

Also known as Gel Injections, Hyaluronic Acid Injections are chemically comparable to your natural joint fluid.

When you have Osteoarthritis, joint fluid becomes watery. So, this injection helps to restore the fluid’s natural properties and acts as a lubricant and a shock absorber.

Hyaluronic Acid acts as a cushion or a buffer against inflammatory cells in the joint. In some instances, it can stimulate the knee to start producing more natural Hyaluronic Acid. Some Physicians also think that Hyaluronic Acid helps diminish pain by coating nerve endings within the joint.

1 treatment, which might include between 1 and 3 injections, usually offers symptom relief for 4 to 5 months, but occasionally up to 1 year; however, pain and stiffness will return. Most insurance companies only approve 1 Hyaluronic Acid Injection every 6 months.

Side effects: There’s a 1-in-100 chance of an inflammatory reaction; however, this reaction is less likely with the newer Hyaluronic Acid Injections.

Platelet-Rich Plasma (PRP) Injections

Use: Platelet-Rich Plasma (PRP) Injections can treat Osteoarthritis joint pain, and are being methodically researched to determine their effects.

These injections use your own blood and platelets to encourage healing. Platelets contain Growth Factors and proteins that aid healing in soft tissues. Research demonstrates PRP Injections can alter the immune response to help diminish inflammation.

Side effects: Side effects include a minor risk of infection and pain at the injection site. You must stop oral anti-inflammatory medications for a brief time if you receive a PRP Injection.

Placental Tissue Matrix (PTM) Injections

Use: Placental Tissue Matrix (PTM) Injections can drastically diminish the pain associated with Osteoarthritis.

These injections contain placental tissue, which is obtained after a healthy baby is delivered from a healthy mother. Research has discovered that there is a large number of Growth Factors in placental tissue that encourage healing.

Side effects: Side effects include a minor risk of infection and pain at the injection site. The placental tissue is “immune privileged,” which means the body will not have an adverse reaction to it.

Exosome Therapy

Exosome Therapy is the latest treatment option in regenerative medicine that shows promise. Research has demonstrated that the cell-to cell communication is vital in maintaining a healthy cellular environment. Exosomes have the unique ability to function as a “messenger” within the body, transferring information from cell to cell. The healing process can be disrupted when our Stem Cells cannot communicate. This might be due to age, chronic disease, environmental factors, and genetic disorders. Exosomes play an integral role in the regulation of these communication processes.

What are Exosomes, and why are they beneficial?

Exosomes are extracellular vesicles – or small structures within a cell – released by Stem Cells in response to injuries. Exosomes deliver healthy and lost information and insert this to target cells. They serve as shuttles for genetic information and proteins to other cells. Exosomes enable cell-to-cell communication; they transport molecules that are important regulators of intracellular information between cells near and far. They transport information from place to place with different functions and purposes telling cells how and when to react.

What is Exosome Therapy?

Regenerative Medicine research has provided us with valuable insight into the functional application and purpose of Exosomes. By exposing the cells of an older organism to those of a younger organism we can see that Exosomes from the young Stem Cells are capable of rejuvenating the older cells. The ability to heal can be used in integrative therapies.

Any continuous deterioration of cells that affects tissues and/or organs are classified as degenerative disease. Stem Cells are characteristically responsible for the rejuvenation of cells. Sometimes, external factors hamper the Stem Cells from completing their function; they may not be able to provide all the necessary information for healing.

Supporting the Stem Cells with external Exosomes have a greater positive effect in the process of healing the deteriorated tissue and organs.

Exosomes from Stem Cells possess essential cell information comprised of proteins and genetic information the cell needs to function correctly. These Stem Cell derived Exosomes have also shown to assist in transferring NK Cells (Killer Cells) into T-Regulator Cells (Helper Cells);  they assist in calming an over reactive immune system and moderating it to react in a synchronized way. 

Who Might Benefit from Exosome Therapy?

Exosomes might help regulate processes within the body. Patients with chronic inflammation, autoimmune disease, Lyme Disease, and other chronic degenerative diseases might benefit from including Exosome Therapy as part of their treatment regimen. Patients with degenerative joint disease have also received relief from the use of Exosomes.

5 Types of Pain that PRP Has Shown to be Effective in Reducing and Even Eliminating

Chronic pain can be debilitating for patients. According to health economists, chronic pain costs our nation more than $635 billion each year in medical treatment and lost productivity – more than Cancer, Heart Disease and Diabetes combined. Painkillers have been the only relief medication in modern history. That’s changing with Platelet-Rich Plasma. It has emerged as one of the front runners in pain management.

NYC PRP Injections for Pain Relief

Platelet-Rich Plasma has the power to restore pleasure and normalcy for patients overshadowed by pain. It’s certainly a better option for those who’re getting by on 4 or 5 Advils a day and wondering what the long term effects might be.

Platelet-Rich Plasma Injections are totally safe. The PRP, prepared by centrifuging the patient’s blood in a special blood tube, works via a two-step process. First the injections, often guided by ultrasound, breaks up the tissues and second, the Growth Factors in the PRP help rebuild the entire tissue. This produces a healing effect and diminishes pain.

Here are 5 widespread kinds of pain that can be managed with Platelet-Rich Plasma.

Arthritis Pain

It’s been well documented that a couple of Platelet-Rich Plasma Injections can generate a huge effect for Arthritis patients. It has the ability to:

  • Reduce inflammation, thereby decreasing degeneration
  • Promote cartilage formation.
  • Activate lubricating fluid production.

These activities in the affected site diminishes pain sensation.

As a long term effect, Platelet-Rich Plasma Injections tend to preserve the joints in more than 70 percent of the cases – as reported by a landmark study in 2013. Recent studies have reported comparable results. They discovered that a 2 or 3 injection treatment over a period of 4-6 weeks with Platelet-Rich Plasma does more benefit that similar injection treatments with either Corticosteroids or Hyaluronic Acid. Furthermore, the cartilage degeneration was drastically diminished even for patients in advanced stages of Osteoarthritis.

The researchers also determined that repeating the injections after 6 months ensured better results.

Neurological Pain

Platelet-Rich Plasma is one heck of a marvelous treatment whose healing potential is steadily increasing and seems like it’s only limited by the Physician’s imagination. The most recent of those new discoveries is in the field of nerve regeneration and the resulting neuropathic pain. Nerve fibers consisting of neurons are very delicate structures and not much has been discovered about its operating mechanism. But recently, Platelet-Rich Plasma have been shown to promote the restoration of nerve fibers.

In a study conducted at Hasanuddin University in Indonesia, Platelet-Rich Plasma was successful in nerve regeneration for patients with Leprosy Peripheral Neuropathy – a situation where all traditional treatments have failed. Which means PRP Injections are effective in restoring sensations when it has been lost. This is extraordinary news.

Then there is another study completed in Greece that demonstrates extremely encouraging mid-term results regarding PRP for treatment of Carpal Tunnel Syndrome.

All of this indicates that neuropathic pain can be eased by Platelet-Rich Plasma. This paper by a researcher at the University of Puerto Rico analyses how Platelet-Rich Plasma has been able to eliminate neuropathic pain. He reports that PRP’s ability to encourage axon regeneration is the key.

Chronic Back Pain

Chronic Back Pain and Sciatica are mysterious conditions and Physicians typically have a difficult time determining the cause. They first thing they do is to scan the lower back area for defects. When they find one, they’ll recommend surgery to correct that defect even though they have no idea if that defect is actually the cause of the pain. When they can’t find any defects, they end up baffled and send the patient away with some Advil.

In a spine health forum, a patient explains his situation which was similar. His Physician suspected the tears in L4-L5 spine segment to be the causing the pain. But there were minor tears and bulges everywhere, so the physician was baffled. The patient had to take 8 Advils a day. Unable to continue with that, the patient hesitantly tried Platelet-Rich Plasma injections. He went from being unable to sit back in office or drive in a car (even with those medications) to stopping the medications altogether and going on a family trip overseas. Truly a positive shift.

Another patient on the same forum describes how she received PRP Injections for chronic pain in the cervical spine, and has been pain-free for 2 years.

These patient testimonials are supplemented by clinical studies like this where the patients not only had experienced near complete pain relief but also were able to maintain those results for 2 years. This is remarkable for a degenerative disease, a condition that degrades over time. Here is another study completed in China and another one by Japanese researchers.

Joint Pain

In addition to back and knees, almost all other joints are being treated with Platelet- Rich Plasma. As the science of PRP progresses, the treatment is rapidly gaining popularity with more and more patients requesting it from their Physicians. After all, the procedure is incredibly straightforward and is easily understood by most. The Physicians hardly need to explain the benefits before the patient enthusiastically accepts.

Consequently, Doctors prescribe Platelet-Rich Plasma for any case of chronic bursitis – in areas like fingers, elbow, toes, hip, shoulders, neck, wrist, ankle, and hip – and the results are usually positive.

Moreover, Platelet-Rich Plasma can be – and must be – prescribed for more than 50 percent of the musculoskeletal issues that are usually treated with surgery or steroid injections.

Post-Surgical Pain

Surgical pain relief is one of the newer areas where Platelet-Rich Plasma is being used. This is principally to take advantage of the wound-healing and bone regeneration facets of PRP, but pain-relief is a very distinct beneficial outcome. Some medical perfusionists recommend Platelet-Rich Plasma after almost all surgeries including Neurosurgery, Tumor Removal surgery, Oral and Maxillofacial Surgery, Head and Neck Surgeries, Reconstructions and Cosmetic Surgery, Orthopedic/Spinal Surgery, Hand and Foot Surgery, Bone Graft Surgery, Cardiothoracic Surgery, and Bariatric Surgery.

By expediting the time it takes to heal from the wounds of surgery, Platelet-Rich Plasma plays an essential role in assisting patients get productive as soon as possible. And when administered in conjunction with surgery, Platelet-Rich Plasma Injections are almost always paid for by the insurance provider covering the surgery.

PRP Demonstrates Potential for Diabetic Peripheral Neuropathy Treatment

Doctors and clinics that use PRP kits are employing Regenerative Medicine to treat musculoskeletal issues. They are treating people suffering from sports injuries, osteoarthritis, etcetera.

Platelet Rich Plasma and PRP Injections NYC

Could PRP provide relief for Diabetic Peripheral Neuropathy patients? According to new study published in the Pain Medicine journal, PRP Therapy could become a conventional treatment for Diabetic Peripheral Neuropathy. The study demonstrates that PRP Injections can “enhance local healing, tissue remodeling, and nerve axonal regeneration, and to improve recovery of nerve function in patients with neuropathic pain,” according to Clinical Pain Advisor’s Dr. Amit Akirov, MD.

What Causes Diabetic Peripheral Neuropathy

Diabetic Peripheral Neuropathy is fundamentally nerve damage caused by consistently high blood sugar levels. It is a common for Type II Diabetes patients who experience it via symptoms ranging from pain in the extremities to numbness and loss of sensation. Some 60 percent to 70 percent of all Diabetes patients ultimately endure Diabetic Peripheral Neuropathy to some degree.

The condition is a direct result of nerve damage. Persistently high blood sugar levels cause damage to a variety of nerves throughout the body, interfering with the ability of those nerves to carry messages to and from the brain. Diabetic Peripheral Neuropathy symptoms can range from  minor to incapacitating.

Diabetic Peripheral Neuropathy Study Overview

The study was conducted by researchers at the Assiut University Hospital in Egypt. It was conducted as a random outcome-assessor blinded study involving 60 patients with both Type II Diabetes and some level of Diabetic Peripheral Neuropathy.

Patients were randomly divided into 2 groups. The control group received only standard medical care. The study group received both PRP Injections and standard medical care. Patients were evaluated for Diabetic Peripheral Neuropathy symptoms throughout the study period and at 1-, 3-, and 6-month follow-up intervals.

Applying standard scoring methodologies, concluded that the study group patients demonstrated superior improvement from the start of treatment through the end of the 6 month follow-up. In summary, they reported less pain and discomfort associated with Diabetic Peripheral Neuropathy. The outcome of the study led the authors to deduce that “perineural PRP Injection is an effective therapy for alleviation of Diabetic Neuropathy pain and numbness and enhancement of peripheral nerve function.”

Potential Mechanism

The study’s authors did not elaborate on mechanism behind PRP’s effectiveness in treating Diabetic Peripheral Neuropathy; however, they did speculate that the injections promote local healing, including tissue regeneration and improved nerve function. Based on what we know about PRP and its Growth Factors, their speculation seems feasible.

Doctors know that the Growth Factors contained in concentrated PRP are used by the body to address injury and disease. In summary, they are tools naturally used for healing even without injections. Giving the body more tools to work with through PRP Injections should, at least in theory, enrich healing.

The study out of Egypt has revealed that PRP Therapy shows tremendous potential for treating patients suffering from Diabetic Peripheral Neuropathy. More research is needed to fully understand its mechanisms and long-term results. But based on the study results, things look good.

Relief is possible for Diabetes patients who have their quality of life restricted by Diabetic Peripheral Neuropathy. Presuming PRP Therapy proves effective, it could mean more mobility, less pain, and a more enjoyable daily experience for millions of people.

Innovative Regenerative Treatments for Knee Osteoarthritis

A recent clinical study demonstrated that Regenerative Injection Therapy (RIT) delivered considerable improvement in knee function and pain to individuals experiencing Knee Osteoarthritis. The study revealed that study participants receiving RIT treatment achieved a 29.5 percent improvement in knee pain, stiffness, and function measured according to the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC score).

Knee Regenerative Medicine in NYC

This treatment is one of several innovative options available for Knee Osteoarthritis. Osteoarthritis of the Knee usually occurs in knees that have experienced trauma, infection, or injury. The articular cartilage, which acts as a protective cushion, starts to deteriorate. These biological treatments promote the growth of new cartilage. It’s a tactic that tackles the primary cause of the condition.

To expedite healing, Exosomes are used with other cutting-edge Regenerative Treatments including Prolotherapy, Platelet-Rich Plasma (PRP) and Platelet Lysate Therapy. In certain cases, a patient’s unique medical condition or circumstance may prevent using the benefits of all treatments simultaneously. If this is the case, a custom-tailored plan is created using one or several of the treatments to achieve the best patient outcomes possible. While occasionally there is no good alternative to surgical repair, most often biologic repair provides a better option.

Exosome Therapy

Exosomes are an innovative development in Regenerative Medicine with immense potential to stimulate healing and repair. Exosomes are naturally occurring vesicles and proteins that are developed within cells. When Exosomes leave these cells, they transfer information to neighboring or distant cells. Once they reach their destination, they signal cells to regenerate, repair, and heal. Exosomes are exceptional because they provide safe, efficient treatment. They are commonly used to treat many medical conditions with outstanding results.

Exosome Therapy might provide certain advantages with regards to Regenerative Injection Therapies. For example, Exosomes don’t require bone marrow aspiration. Exosomes are externally developed, so the procedure may help patients avoid having their bone marrow used for injection therapy into their painful joint.

Exosomes easily cross cell barriers and adapt to an inflammatory environment, stimulating the healing process so patients experience relief, reduced pain, and swelling.

Platelet-Rich Plasma

Platelets activates tissue repair by releasing Growth Factors. These Growth Factors start the healing process by attracting cells that aid in healing. Platelet-Rich Plasma Therapy intensifies this process by delivering a higher concentration of platelets. The therapy involves a small sample of the patient’s blood placed in a centrifuge to separate the platelets from the other blood components. The concentrated PRP is then injected into and around the point of injury, bolstering the body’s natural healing. Our PRP process is unique. Since our samples are all hand processed, we are able to produce PRP without contaminating red and white cells, which can hinder repair. This same special process also allows us to customize the concentration and volume for each individual and each injury type. This vastly improves results.

Platelet Lysates

Platelets in the blood deploy powerful Growth Factors that assist in the healing process. Typically this happens gradually over time, but through the creation of a Platelet Lysate solution, a high concentration of Growth Factors can be immediately released into the body. The upshot is a focused, quicker healing process. Furthermore, there are areas of the body where using traditional PRP can generate too much inflammation. Platelet Lysates are a better option where inflammation may become an issue.

Regenerative Injection Therapy to Regain Knee Function

These regenerative treatments are a promising revolution in the treatment of knee osteoarthritis. Although they are not a “cure,” these treatments can decelerate advancement of the disease, drastically diminish pain and restore knee function and mobility. When coalesced with short term knee bracing and physical therapy, the effects of this approach can be significantly amplified to reestablish quality of life to most patients.

Platelet-Rich Plasma Treatment for Knee Pain

If you are one of the many millions of active people who endure troublesome knee pain, there is a medical approach that has the potential to bring long-lasting relief in a short time frame. It’s called Platelet-Rich Plasma (PRP) treatment. PRP is a regenerative, effective way to eliminate the pain without expensive, complex surgeries.

NYC PRP Knee Treatment

Our Doctors specialize in PRP treatment for the knee. We work to get your knee back to its optimum level of function without pain. The fundamental goal is to help you resume the active lifestyle you had before knee pain became an issue.

How PRP Alleviates Knee Pain and Reduces Recovery Time

Human blood features some rather remarkable, built-in healing properties. Tiny structures in blood, alongside red and white cells, are platelets. Platelets that cause your blood to clot when your skin is cut. They do something far more essential: platelets have the ability to release a powerful group of Growth Factors after an injury. Damaged tissue and injured cells are capable of rebuilding themselves to their full aptitude.

We use PRP to isolate all the beneficial capabilities of your blood’s platelets. By removing and separating blood plasma that contains huge concentrations of platelets, PRP treatment is able to promote rapid healing, decrease localized inflammation and reestablish functional ability to the knee. The fundamental process of PRP is injecting your own blood’s platelets into the injured areas around your knee.

Diagnosing Your Primary Source of Pain

Knee pain can be complicated and is occasionally difficult to diagnose. That’s because there are various symptoms and underlying causes. In addition to generalized pain in the knee and its surrounding areas, many active and athletic people experience symptoms that include:

  • Knee instability.
  • Swelling in the affected area.
  • Joint stiffness in the entire knee.
  • Popping sounds and clicks when the knee is moved.
  • Inability to move the knee of straighten it.
  • Widespread redness of the skin in the knee and surrounding area.
With a multitude of symptoms, what’s the best way to diagnose the true cause of knee pain? Our specialists identify the underlying cause by performing in-depth physical exams, inquiring about lifestyle habits that could contribute to pain, and evaluating bio-mechanical aspects of the knee and a patient’s entire body. Exams also include checking for specific levels of pain, range of motion, joint stability, swelling and any functional impairments.

There are dozens of injuries and specific conditions that can cause serious knee pain in active individuals. Common causes of knee pain include:

  • A Torn Meniscus.
  • Baker’s Cyst.
  • Chronic or acute pain in the patella.
  • An MCL sprain or an injury to the ACL.
  • Diseased cartilage.
  • Arthritis of the joint.
  • Kneecap dislocation.
  • Syndrome of the ITB (Ilio-tibial Band).

After the examination, our team will solidify their assessment by performing one or more imaging tests. Typically, imaging includes ultrasound procedures applied directly to your knee to produce a “live image” that reveals joint swelling and a wide range of information about the soft tissues surrounding the knee. In some cases, especially when a serious injury is discovered, we’ll order an MRI to confirm our diagnosis.

Which Knee Injuries and Conditions Does PRP Treat

PRP provides relief for a vast array of injuries and conditions, not just to the knee but to numerous areas of the body; however, for those whose specific complaints involve the knee, some of the more common conditions that PRP can effectively work for include Muscle Injuries, Common Bursitis, multiple types of Osteoarthritis, Muscle Tears, Tendinosis, Tendinitis, Tendon Tears, and more.

PRP Case Study of the Knee

One of our recent patients was a man in his mid-50s who was an active athlete. He frequently competed in sporting events at the senior level, including various track and field meets. When he came to our office, he complained of intense knee pain that he believed was caused by Arthritis.

He had already tried to get relief with cortisone injections from his regular doctor, as well as with anti-inflammatory drugs and even Arthroscopic Surgery. After all that, his pain continued to bother him during light jogging sessions and occasionally afterward. He visited our office to identify the primary cause of his pain and hopefully eliminate it once and for all with PRP treatment, which he had read about on a health website.

Our team conducted a complete physical exam in addition to an ultrasound of the musculoskeletal areas where he was experiencing pain. We discovered several abnormalities in the knee area. In addition to his existing Arthritis, these abnormalities were the source of much of the pain he had during his daily jogs.

We administered a short series of PRP injections to several areas around the patient’s knee, particularly to the patellar tendon, knee joint, medial meniscus and pes anserine (knee tendon) bursa.

A week after the PRP injections, the patient was completely pain free and had a full range of motion in both knees and both ankles. Furthermore, he was able to jog daily pain-free. A follow-up visit several months later enabled our team to help the patient deal with a tear he had in his rotator cuff. In a short amount of time, the tear was fully healed and he no longer experienced any pain, Arthritis-related or otherwise, in or around his rotator cuff.

Is PRP Right for You?

It’s clear that PRP is one of the most promising new treatments for people who experience knee pain. This relatively new procedure has already delivered positive results to thousands all over the world. When you visit our office for a PRP consultation, we will carefully review your prior symptoms and entire medical history. Our Knee Specialists will help you determine if PRP is the best way to achieve long-term relief for your specific condition.

How Does Regenerative Injection Therapy Work?

Regenerative Injection Therapy (RIT) is a targeted treatment for chronic pain related to unhealed injuries around:

  • Cartilage
  • Joints
  • Ligaments
  • Muscles
  • Tendons
NYC PRP Injection

Regenerative Injection Therapy primarily treats joint and chronic pain, as well as muscle injuries. Treatments encompass the injection of a natural solution, some including your own plasma, into the affected muscle tissue.

Regenerative Injection Therapy helps repair your tendons and ligaments by promoting healing and new, healthy tissue to form.

New York City Regenerative Injection Therapy Benefits

When you injure tissue, it sends a signal to the body to facilitate the healing process.

As part of this process, your body removes damaged tissue and replaces it with new, healthy tissue, creating a painful inflammatory state.

Anti-inflammatories or steroids treat the pain of inflammation, but may restrict the healing process.

Regenerative Injection Therapy duplicates the normal, tissue-healing process by injecting a substance into the tissue that activates your body’s natural healing capacity.

Regenerative Injection Therapy benefits include:

  • Increased movement and functional ability.
  • Improved muscle strength.
  • Reduced pain levels.
  • Feasible substitute to prescription medication or surgical procedures.

Common Conditions Treated with Regenerative Injection Therapy

  • Achilles Tendonitis
  • ACL Injuries
  • Biceps Tendinosis
  • Golfer’s Elbow
  • Iliotibial Band Syndrome
  • Ligament Injuries
  • Osteoarthritis
  • Rotator Cuff Injuries
  • Sports Injuries
  • Tennis Elbow

Regenerative Injection Therapy Treatment Options

Platelet-Rich Plasma

Platelet-Rich Plasma (PRP) is facilitated by injecting a biological concentrate of your own platelets, called a tissue graft, into the damaged area using ultrasound-guided injection technology. The graft is embedded into your damaged or diseased tissue to accelerate recovery.

To grow the tissue graft, we draw your blood—comparable to a routine blood test—and place it in a special centrifuge machine. This machine creates a tissue graft of platelets, rich in Growth Factors and inflammatory mediators essential for healing wounds.

Since the PRP Graft includes at best 6 times the concentration of your own platelets and Growth Factors, it helps expedite tissue repair and regeneration.

Most people require 2 to 3 injections every 6 to 8 weeks.

Your NYC Regenerative Injection Therapy Appointment

During your Regenerative Injection Therapy appointment, the Doctor will apply a local anesthetic to the site where he or she will inject the solution.

After your appointment, it is normal to feel small amounts of pain or soreness, and experience inflammation at the injection site. Do not engage in any rigorous activity immediately after your appointment or while you are undergoing injection treatment.

Doctors advise taking acetaminophen for the pain, and applying ice or heat as needed. Any discomfort usually lasts up to 5 days. If your pain persists, make a follow up appointment before your next injection appointment.

Can a Chiropractor Correct Scoliosis?

“Can a Chiropractor correct Scoliosis?” It’s a common inquiry from potential patients and skeptics alike. We frequently hear this question from people who have had a bad experience with a Chiropractor (or two) in the past. Perhaps they were promised something that wasn’t delivered. Or perhaps their Chiropractor wasn’t clear about what they were actually promising from the onset.

Scoliosis Treatment NYC

We think that a Chiropractor can help you drastically improve your quality of life. But answering the question, “Can a Chiropractor correct Scoliosis?” necessitates further investigation.

Creating Expectations Around “Correcting” Scoliosis

It’s imperative to understand from the onset that Scoliosis is completely treatable. But it isn’t technically “curable.” Scoliosis is sometimes compared to Diabetes since it’s a condition that necessitates ongoing care. It’s essential to reexamine your thinking from the short term to the long term. This is going to be an ongoing battle that you’ll probably be fighting the rest of your life.

With that in mind, if you find the right approach to managing your Scoliosis, you can live a wonderful life with minimal limitations. As long as you stay dedicated to the plan you develop with your doctor, you can significantly enhance the quality of your life without bracing or surgery.

Treatment options that promise a quick fix for Scoliosis unfortunately seldom deliver meaningful results. It’s easy to promise a quick fix, but it’s a lot harder to actually deliver. Many of these approaches ultimately have little impact on quality of life and, more often than not, actually markedly exacerbate a patient’s situation.

All Chiropractors Aren’t Equivalently Trained to Assist

Scoliosis is a unique condition that requires a unique approach. Regrettably, many Chiropractors try to treat Scoliosis as they would any other spinal condition. But with Scoliosis, that won’t yield the desired results.

Identifying Scoliosis

We often remark, “you can’t be a better clinician than you are a diagnostician.” What we mean is you can’t treat something you can’t effectually diagnose. Most Chiropractors simply aren’t trained or equipped to effectively diagnose issues related to Scoliosis. Consequently, it’s easy to miss the underlying root causes, in addition to related issues such as instability of the surrounding ligaments.

Successful diagnosis is a central piece of developing a treatment plan that’s right for you and apt to provide results. From there, you can move into treatment.

Treatment for Scoliosis

Conventionally, Chiropractors look for “stuck” joints in the spine and try to make them “unstuck.” But with Scoliosis, joint mobility isn’t the major issue. It’s the location of the joints that’s off. Treating Scoliosis with a conventional Chiropractic approach can actually place more pressure on the spinal joints, exacerbate the surrounding nerves and cause Scoliosis worsening over an extended period.

First and foremost, the joints of the spine must be repositioned. But for any long term benefit to occur, there’s a whole lot more that needs to accompany this repositioning. Your muscles need to be relaxed. Your brain needs to be retrained to use the muscles and spinal joints differently than it’s become accustomed to. In order for Scoliosis to be effectively treated, all of these things need to be happening together. In practice, this usually means Scoliosis Massages, stretches and exercises, in addition to Scoliosis-specific adjustments.

Spinal Rigidity

We examine how rigid the spine is that we’re working with. This gives us a sense of how much preliminary work needs to transpire before we can successfully begin repositioning the spine.

But we concentrate on more than just discs, muscles and bones. We also consider the nerves in your spine. We consider at how much tension is being placed on these nerves. Some theories of Scoliosis believe it develops to relieve tension being placed on the nerves of the spine. While there’s debate about nerve tension as a root cause of Scoliosis, we believe it’s a major player not only in the shape of the spine, but also your quality of life. By relieving nerve tension, we can help you feel better more quickly as we move work to treat the shape of your spine.

Sensorimotor Integration

Sensorimotor Integration (or “SMI”) indicates how well your brain is able to communicate with your body. Miscommunication between the brain and body can cause all kinds of issues, including Scoliosis. Correcting Scoliosis requires us to retrain the brain to use the body, especially the spine, in ways it’s grown unaccustomed to.

This assessment typically includes a series of balance-related tests to see how well things are aligned from the onset. We repeat these tests throughout a standard treatment to gauge improvement. This is a major aspect of treatment that many conventional Chiropractors miss when it comes to successfully treating a patient with Scoliosis.

Patient’s Commitment

This is possibly the most important aspect we consider when ascertaining how much progress we’ll be able to make with a new patient with Scoliosis. Your dedication level will be one of the most important factors in how much enhancement you’ll see in your quality of life.

Treating your Scoliosis is like a visit to the Dentist. Most of the “hard work” when it comes to oral hygiene doesn’t occur at the Dentist’s office. It occurs in your own home. The same is true when treating your Scoliosis. If you remain committed to your treatment plan, you’re much more apt to experience the benefits of Chiropractic procedures.

Benefits of Chiropractic Care During Pregnancy

Chiropractic Care is health management for the spinal column, discs, related nerves and bone geometry without drugs or surgery. It encompasses the art and science of adjusting misaligned joints of the body, particularly of the spine, which reduces spinal nerve stress and encourages health throughout the body.


How safe is Chiropractic Care during pregnancy?

There are no recognized contraindications to Chiropractic Care throughout pregnancy. All Chiropractors are trained to work with women who are pregnant. Investing in the fertility and pregnancy wellness of women who are pregnant or trying to conceive is conventional care for most Chiropractors.

A select few Chiropractors are interested in prenatal and postnatal care and obtain additional training. Following are designations of Chiropractors who have taken advanced steps in working with patients on infertility and pregnancy wellness.

  • DACCP – Diplomate with ICPA reflecting the highest level of advanced training.
  • CACCP – Certified with the ICPA reflecting advanced training.
  • Member of ICPA reflecting special interest.
  • Webster Certified – trained to work precisely with pelvic balance in pregnancy.
Chiropractors that have been trained to work with pregnant women may use tables that adjust for a pregnant woman’s body, and they will use techniques that avoid unnecessary pressure on the abdomen.

A Chiropractor who is trained in the requirements of pregnant women will also provide you with exercises and stretches that are safe to use during pregnancy.

Reasons to have Chiropractic Care during pregnancy

Throughout pregnancy, there are several physiological and endocrinological changes that transpire in preparation for creating the environment for the developing baby.

The following changes can cause a misaligned spine or joints:

  • Protruding abdomen and increased back curve.
  • Pelvic changes.
  • Postural adaptations.

Creating pelvic balance and alignment is another reason to obtain Chiropractic Care during pregnancy.

When the pelvis is misaligned, it may decrease the amount of room available for the developing baby. This restriction is called intrauterine constraint.

A misaligned pelvis can also make it difficult for the baby to achieve the best possible position for delivery.

This can impact the mother’s ability to have a natural, non-invasive birth. Breech and posterior positions can hinder the natural ease of labor and lead to interventions such as c-sections.

The nervous system is the master communication system to all the body systems including the reproductive system. Keeping the spine aligned helps the entire body function more effectively.

What are some of the benefits of Chiropractic Care during pregnancy?

Chiropractic Care during pregnancy can provide benefits for women who are pregnant.

Possible benefits of Chiropractic Care during pregnancy include:

  • Maintaining a healthier pregnancy.
  • Managing nausea symptoms.
  • Reducing the time of labor and delivery.
  • Alleviating back, neck or joint pain.
  • Preventing a potential cesarean delivery.

Chiropractors and pregnancy: Inquire with your health care provider

As more women are interested in the benefits of Chiropractic Care during pregnancy, more health care providers are seeking trained Doctor of Chiropractic in their communities to refer their pregnant patients to.

Talk about these options with your health care provider. If they are not yet familiar with Chiropractic Care in pregnancy, ask them to research its many benefits.

Search for options that encourage your body’s natural abilities to function and find a team of providers who will honor your choices.