WHAT IS PRP?
PRP or Platelet-Rich Plasma, is a NONSURGICAL boost to the body’s own healing ability by taking the patient’s blood and spinning it down in a centrifuge, which is then injected back to the afflicted area – whether that be a joint, tendon or ligament. At Carolina Nonsurgical Orthopedics, Dr. Matthew Kanaan is passionate about offering patients the latest in cutting-edge and highly-effective orthobiologics treatments, which is why we specialize in high dose PRP. We have been performing PRP Injections in Raleigh, Cary, and Wake Forest for the last 12 years, and were one of the first independent clinics to do so.
WHAT ARE THE BENEFITS OF HIGH DOSE PRP?
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Longer lasting results and greater pain relief as compared to traditional steroid injections
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Natural: There is very little risk to the patient, since it utilizes your own blood
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In-office procedure with minimal down time
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Significantly more cost effective than surgery
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The entire process takes about 20-30 minutes
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There are no known long term side effects as with steroids
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The majority of patients are candidates for this procedure
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A scientifically-supported treatment option for pain relief
CAN I GET PRP ON THE FIRST VISIT?
At our clinic PRP takes planning. Not only do we need to verify that PRP is right for the patient, but we need to do a full history and exam to plan the procedure out for the best results. We also have a standard pre-PRP protocol with diet and medication restrictions. The initial consult will be billed to your insurance, as we might change the plan during the visit.
We will usually schedule your PRP procedure within 1-2 weeks of the consult. We can arrange telephone consults for patients traveling more than 2 hours away.
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WHY CUSTOM HIGH DOSE PRP?
All PRP is definitely not the same. There are many clinics that perform PRP injections, but they might not be concentrating the PRP enough to make it most effective.
There are 3 really important factors that can influence the success rate of PRP:
CONCENTRATION & DOSE
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Your age and your severity does change how much we concentrate your PRP. A younger person might experience relief with 3-4X concentration, but as we age, we might need upwards of 8-10x+ concentration. More severe pain or chronic issues might also fair better with a higher concentration
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Many clinics use low yield, small volume kits and will get 1-2x concentration. For most patients this is simply not enough.
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We aim for 5-10x concentration depending on the area, and for 10 billion platelets delivered into a large joint.
VOLUME & AMOUNT OF BLOOD DRAWN
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For larger areas and joints you need a greater amount of volume of PRP and so we can draw 60ml- 120ml of blood per body part if we need to
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If you read current studies you can easily see that we need far more than 10-15ml of whole blood to achieve the best results. 10ml of blood is not enough based on current studies
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Knowing how much volume to inject and how much blood to draw takes years of clinical experience to optimize, and it is not something that we will know before you come in. That is why our PRP is custom.
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We have 5 different centrifuges that utilize different kits and spin protocols both (single and double spin) for different conditions. As previously mentioned PRP is not a one size fits all treatment.
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We also can produce leukocyte rich, leukocyte poor, and pure plasma for our injections
EXPERTISE AND PLANNING
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After we formulate a diagnosis, the providers at Carolina Nonsurgical Orthopedics will have a discussion with the patient about both concentration, dose, and volume of the PRP being injected. This is critical to involve the patient as we need to set expectations for the procedure itself and for the number of treatments that might be required.
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Lastly, it is important to note that PRP at Carolina Nonsurgical Orthopedics is a highly customized process. Once we spin the desired amount of blood in a centrifuge, we will manually concentrate to the planned level. Our patients' success is far too important to rely upon a cookie-cutter PRP method.
READ THE LATEST STUDIES ON THE EFFICACY OF PRP >
WHO IS A GOOD CANDIDATE FOR PRP
The providers at Carolina Nonsurgical Orthopedics consider many factors when determining who is a good candidate for PRP, including:
TREATMENT AREA
PRP is commonly performed on most joints, tendons and ligaments in the following areas:
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Elbows
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Feet
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Hands
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Wrists
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Knees
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Shoulders
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Hips
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Ankles
DIAGNOSIS
Some of the most common uses for PRP include:
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Arthritis
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Sports Injuries
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Chronic Tendonitis
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Chronic Joint Pain
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Hair & Skin Restoration
AGE & SEVERITY
Per studies, age and severity can be predictors of outcomes:
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Age 14+
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Mild-Moderate Injury/Arthritis
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For more severe cases or advanced arthritis, MFAT Cell Therapy may be recommended
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Who is NOT a good candidate for PRP?Most patients are good candidates for PRP, unless they have bleeding disorders or active cancers. We also do not perform PRP for neurological disorders or for spinal/neck conditions.
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Is your practice a franchise?We are a locally-owned and independently run medical practice under the supervision of Dr. Matthew Kanaan (a board certified sports medicine physician who trained locally at Duke Medical Center).
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What is the recovery for PRP?Patients should take 1 week off from exercise after injections, but can resume work the same day (unless they have a very active job). There is no bedrest needed, and patients can drive home from the procedure themselves.
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What are the success rates?We have performed thousands of injections over the years and 80-90% of our patients are seeing reductions in pain for arthritis, injuries, and chronic pain. In some cases, patients are even experiencing complete pain relief.
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How much does PRP cost? And, does insurance cover it?Platelet-Rich Plasma (PRP) therapy is not covered by the majority of insurances, however, your consultation and imaging is usually covered by most insurances. PRP costs vary depending on the dose that is recommended by your provider. Please call our office to inquire about a price range if you are interested in scheduling PRP.
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What about pairing PRP / Cell Therapy with Shockwave?More recently we have seen that patients can achieve better results pairing PRP with shockwave treatments. Since the mechanism of action is vastly different for each therapy, the combined effect seems to be better than one treatment alone.
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Are there any scientific studies to support the use of PRP?PRP injections can be performed in arthritic joints, injured muscles, tendons, and ligaments all over the body. Please visit our study page to read through some of the PRP studies that have been published.
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Does concentration of PRP matter?Recent studies are showing that High Dose PRP may be more effective than steroid injections or Stem Cell injections, with much less cost. Here are some studies : https://www.nature.com/articles/s41591-023-02632-w https://josr-online.biomedcentral.com/articles/10.1186/s13018-020-01753-z https://www.arthroscopyjournal.org/article/S0749-8063(24)00269-X/fulltext https://press.rsna.org/timssnet/media/pressreleases/14_pr_target.cfm?id=2386 https://pubmed.ncbi.nlm.nih.gov/35984721/ What can we summarize from studies? Stem Cell (fat, bone marrow) treatments seem to give equal relief to steroid injections PRP seems give superior and longer lasting pain relief compared to steroid injections High dose PRP seems to be better than low dose PRP for many patients Steroid injections are not great for joints and tissues longer term, and can degrade tissue PRP is less invasive and less costly than stem cell procedures. CONCLUSION : For the majority of our patients, High Dose PRP will work just as well -- or better -- than stem cell injections, and at a lower cost to the patient.
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What are the FDA regulations regarding PRP?At Carolina Nonsurgical Ortho, we use an FDA cleared and registered device for our PRP treatments. We also do not add any chemicals or additives per FDA guidelines. While PRP is widely supported through scientific studies, we do not make claims to cure any diseases.
FREQUENTLY ASKED QUESTIONS
READ MORE ABOUT PRP IN RALEIGH, CARY & WAKE FOREST NC
The Use of Platelet-Rich Plasma (PRP) for orthopedic pain in Raleigh NC Platelet-Rich Plasma (PRP) therapy has gained significant attention in the field of orthopedics, especially in recent years, for its potential to accelerate healing and improve outcomes in patients with various musculoskeletal injuries. In Raleigh, NC, PRP therapy is increasingly being utilized by orthopedic specialists to help patients recover from joint, tendon, and ligament injuries, as well as conditions like arthritis. This article provides an in-depth exploration of the use of PRP in orthopedics, including scientific studies that support its efficacy and its growing popularity in Raleigh, NC. What is Platelet-Rich Plasma (PRP)? PRP is a component of blood that has been processed to concentrate platelets, which are rich in growth factors that play a crucial role in tissue repair. To create PRP, a small sample of the patient’s blood is drawn, processed in a centrifuge to separate the plasma, and then injected into the injured area. This concentrated solution contains a higher-than-normal level of platelets, which helps stimulate tissue regeneration and promote healing. In orthopedics, PRP has been shown to support the healing of soft tissues, such as tendons, ligaments, muscles, and cartilage, which are often slow to heal after an injury. The application of PRP can be particularly beneficial in conditions like osteoarthritis, tendonitis, rotator cuff injuries, and ligament sprains, which are common in active individuals in Raleigh, NC. The Role of PRP in Orthopedic Treatment 1.Accelerating Healing and Tissue Regeneration One of the primary benefits of PRP therapy is its ability to accelerate the healing process in injured tissues. Platelets contain a variety of growth factors, including platelet-derived growth factor (PDGF), transforming growth factor-beta (TGF-β), and vascular endothelial growth factor (VEGF). These growth factors stimulate the repair of damaged tissues by promoting collagen synthesis, enhancing blood flow to the injured area, and encouraging cell proliferation. A 2019 study published in the American Journal of Sports Medicine demonstrated that PRP injections were more effective than corticosteroid injections in promoting healing in patients with chronic tendinopathy. The researchers found that PRP significantly reduced pain and improved function in patients with tendon injuries, such as those often seen in athletes in Raleigh, NC. 2.Treatment for Osteoarthritis Osteoarthritis (OA) is a degenerative joint disease that affects millions of people worldwide, including a significant population in Raleigh, NC. The condition causes cartilage breakdown and leads to joint pain, stiffness, and limited mobility. Traditional treatments for OA, such as pain medications and corticosteroid injections, often provide only temporary relief and may come with undesirable side effects. PRP therapy offers a promising alternative by stimulating the body’s natural healing processes. A 2015 study published in the Journal of Bone and Joint Surgery examined the effects of PRP injections in patients with knee OA. The results showed that PRP injections significantly improved both pain and function in the affected knee, with results that lasted up to 12 months after treatment. This study highlights the potential of PRP as a long-term solution for patients suffering from osteoarthritis in Raleigh, NC. 3.Tendon and Ligament Injuries Tendon and ligament injuries are common in athletes and active individuals in Raleigh, NC. Conditions like rotator cuff tears, Achilles tendonitis, and patellar tendinopathy can cause significant pain and impair mobility. Conventional treatments for these injuries often involve rest, physical therapy, or surgery. PRP therapy has shown promise in the treatment of tendon and ligament injuries by stimulating collagen production and tissue repair. A randomized controlled trial published in the American Journal of Sports Medicine in 2013 found that PRP injections were effective in promoting healing and reducing pain in patients with chronic tendinopathy of the elbow (tennis elbow). Patients who received PRP injections experienced significantly greater improvements in pain and function compared to those who received a placebo. 4.Post-Surgical Recovery Another area where PRP has proven beneficial is post-surgical recovery. Many orthopedic patients in Raleigh, NC, undergo surgery for conditions like torn ligaments or joint replacements. PRP therapy can play an important role in accelerating recovery after surgery by promoting tissue repair and reducing inflammation. A 2021 study published in Arthroscopy evaluated the effectiveness of PRP injections in patients who underwent rotator cuff surgery. The study found that patients who received PRP injections post-surgery experienced faster recovery times, less pain, and improved range of motion compared to those who did not receive PRP treatment. PRP in Raleigh, NC: A Growing Trend In Raleigh, NC, the use of PRP therapy is becoming increasingly popular as a non-surgical treatment option for patients with orthopedic conditions. This growing trend is fueled by the desire for patients to explore alternative, less invasive treatments that provide long-term relief from chronic pain and injuries. Orthopedic specialists in Raleigh are incorporating PRP therapy into their practices, offering it as part of a comprehensive treatment plan for patients seeking an effective way to manage pain and promote healing. Raleigh’s active lifestyle culture, with its abundance of outdoor activities and sports leagues, means that many residents are susceptible to orthopedic injuries. PRP therapy offers a promising solution for these individuals, providing an opportunity for quicker recovery and less downtime than traditional treatments. Moreover, PRP’s ability to treat a variety of musculoskeletal conditions without the need for invasive surgery is a major selling point for patients looking for conservative treatment options. Evidence Supporting the Use of PRP in Orthopedics Several clinical studies support the effectiveness of PRP therapy in orthopedic treatments, especially for musculoskeletal injuries. Here are some additional studies that reinforce its potential benefits: •A 2018 systematic review published in The Journal of Knee Surgery found that PRP injections were associated with a significant reduction in pain and improvement in function in patients with knee osteoarthritis. The review concluded that PRP is a safe and effective treatment option for managing knee OA and could be considered a viable alternative to joint replacement surgery. •A 2016 study in the Journal of Orthopaedic Research demonstrated that PRP was more effective than hyaluronic acid injections in treating patients with knee OA. The researchers observed that PRP provided longer-lasting pain relief and improved joint function compared to hyaluronic acid, which is a common treatment for OA. •A 2017 study published in Clinical Orthopaedics and Related Research examined the use of PRP injections for Achilles tendinopathy. The results showed that PRP therapy was effective in reducing pain and promoting healing in patients with chronic Achilles tendon injuries, leading to a higher rate of recovery and return to sports activities. Conclusion Platelet-Rich Plasma (PRP) therapy has emerged as a promising treatment option in orthopedics, offering benefits such as accelerated healing, reduced pain, and improved function for a variety of musculoskeletal injuries and conditions. From tendon and ligament injuries to osteoarthritis, PRP has shown significant potential in helping patients recover more quickly and effectively than with traditional treatments. In Raleigh, NC, orthopedic specialists are increasingly offering PRP therapy to help patients avoid surgery and return to their active lifestyles faster. With a growing body of research supporting its use, PRP is becoming a key player in the field of orthopedics, providing patients with a safe and effective alternative to invasive procedures. Whether you are suffering from a sports-related injury, joint pain, or tendonitis, consulting with an orthopedic specialist in Raleigh, NC, about the potential benefits of PRP therapy may be the first step towards a faster, less invasive recovery. The Role of Platelet-Rich Plasma (PRP) in Orthopedic Conditions: Applications in Raleigh, Cary, Wake Forest, Apex, Garner, and Clayton Orthopedic conditions, ranging from acute injuries to chronic degenerative diseases, often present significant challenges for both patients and healthcare providers. Traditional treatments for musculoskeletal injuries and diseases include physical therapy, medications, and surgeries, but these treatments sometimes fail to offer the desired outcomes or come with substantial side effects and recovery times. In recent years, Platelet-Rich Plasma (PRP) therapy has emerged as a promising alternative for the management of various orthopedic conditions, particularly those involving soft tissue injuries, joint degeneration, and inflammation. In this article, we explore the role of PRP in treating orthopedic conditions and examine how it might be beneficial in specific areas such as Raleigh, Cary, Wake Forest, Apex, Garner, and Clayton in North Carolina. Understanding PRP Therapy PRP therapy is a regenerative medicine technique that involves the use of a patient’s own blood to promote healing and tissue repair. Platelets, which are a component of blood, contain growth factors that are essential in the body’s natural healing process. When PRP is prepared, blood is drawn from the patient and processed through a centrifuge to concentrate the platelets, which are then re-injected into the area of injury or degeneration. The high concentration of growth factors can stimulate tissue regeneration, reduce inflammation, and accelerate healing. PRP therapy is particularly useful in the field of orthopedics due to its potential to promote healing in tissues that are otherwise slow to repair, such as cartilage, tendons, and ligaments. Conditions commonly treated with PRP include osteoarthritis, tendinitis, muscle strains, ligament injuries, and chronic joint pain. PRP in Orthopedic Conditions: Mechanisms of Action The therapeutic potential of PRP in orthopedic conditions lies in its ability to enhance tissue repair and regeneration. Growth factors such as platelet-derived growth factor (PDGF), transforming growth factor-beta (TGF-β), and vascular endothelial growth factor (VEGF) play key roles in tissue repair by promoting cell proliferation, collagen production, and blood vessel formation. PRP can stimulate the following processes: Tissue Regeneration: The growth factors present in PRP stimulate the proliferation of various cells, including chondrocytes (cartilage cells), fibroblasts (cells that produce collagen), and osteoblasts (bone-forming cells). This accelerates tissue repair and regeneration, particularly in areas like cartilage and tendons that have limited blood supply and healing capacity. Anti-inflammatory Effects: Inflammatory mediators such as cytokines are involved in the pain and swelling associated with musculoskeletal injuries and degenerative conditions. PRP has been shown to reduce the expression of pro-inflammatory cytokines, leading to less swelling and pain in the affected areas. Angiogenesis (New Blood Vessel Formation): PRP can promote the formation of new blood vessels, which is essential for providing nutrients and oxygen to the healing tissues. This is particularly important in areas with poor circulation, such as the tendons and cartilage. Collagen Synthesis: The growth factors in PRP stimulate the production of collagen, which is a critical component of connective tissue. This promotes stronger and more resilient tissues, aiding in the recovery from injuries like tendonitis and ligament sprains. Orthopedic Conditions Treated with PRP Several orthopedic conditions can benefit from PRP therapy, ranging from acute injuries to chronic conditions. Below are some of the most common orthopedic conditions treated with PRP: 1. Osteoarthritis (OA) Osteoarthritis is a degenerative joint disease that affects millions of individuals worldwide. It leads to the breakdown of cartilage, causing pain, stiffness, and limited joint function. PRP therapy has shown promise in reducing symptoms of OA by stimulating cartilage repair and reducing inflammation in the affected joint. In particular, PRP injections into the knee, hip, and shoulder have been shown to improve function and decrease pain in individuals with OA. In cities like Raleigh, Cary, Wake Forest, Apex, Garner, and Clayton, where a growing elderly population may experience the effects of osteoarthritis, PRP therapy offers a non-invasive alternative to surgery, such as joint replacement. Recent studies have demonstrated that PRP injections can be an effective treatment option for knee OA, with patients experiencing significant improvements in pain and joint function. 2. Tendinitis and Tendon Injuries Tendinitis refers to the inflammation or irritation of a tendon, which often results from overuse or injury. Common sites for tendinitis include the shoulder (rotator cuff tendinitis), elbow (tennis elbow), knee (patellar tendinitis), and Achilles tendon. Tendon injuries often take a long time to heal, and in many cases, conservative treatments such as rest and physical therapy are not sufficient. PRP therapy has been shown to promote healing in tendon injuries by stimulating collagen production and tissue regeneration. Studies have reported positive outcomes in patients with chronic tendinitis, including those in the Raleigh and Cary areas, where active individuals frequently suffer from sports-related injuries. PRP injections can help reduce pain and inflammation while accelerating the healing process, potentially reducing the need for more invasive treatments like surgery. 3. Ligament Injuries Ligament injuries, such as sprains or tears, are common in athletes and individuals involved in physically demanding activities. Ligaments, like tendons, have limited blood supply, which makes healing slower and more complicated. PRP therapy has been used to accelerate the healing of ligaments by promoting collagen synthesis and increasing blood supply to the injured area. In regions like Wake Forest, Apex, and Clayton, where sports-related injuries are common among both youth and adult populations, PRP therapy can offer an effective and minimally invasive option for the treatment of ligament injuries, such as those involving the ACL (anterior cruciate ligament) or MCL (medial collateral ligament). 4. Muscle Injuries Muscle strains and tears can result from acute injuries or overuse. Like tendons and ligaments, muscles also benefit from the regenerative effects of PRP therapy. By stimulating the repair of muscle fibers and promoting angiogenesis, PRP can accelerate recovery and reduce the time needed for healing. Athletes in areas like Garner and Clayton, where sports activities are popular, may benefit from PRP therapy for conditions like hamstring strains or calf muscle tears. In these communities, where youth sports leagues and recreational activities are prevalent, PRP can provide a faster route to recovery, helping individuals return to their normal activities with reduced pain and faster healing times. Clinical Evidence Supporting PRP in Orthopedic Treatment Numerous studies have explored the efficacy of PRP therapy for various orthopedic conditions. Some notable findings include: Osteoarthritis of the Knee: A 2023 study published in The American Journal of Sports Medicine examined the effects of PRP injections on knee osteoarthritis. The study found that PRP therapy led to significant improvements in pain reduction and knee function compared to saline injections. The results indicated that PRP could be a viable alternative to more invasive treatments, such as knee replacement surgery. Tendon Injuries: A 2022 systematic review and meta-analysis published in The Journal of Orthopaedic Surgery and Research evaluated the effectiveness of PRP in treating tendinopathies. The analysis concluded that PRP significantly improved functional outcomes and pain relief for patients with tendinitis, especially those with chronic conditions like tennis elbow and rotator cuff tendinitis. Ligament Healing: A study published in The Clinical Journal of Sports Medicine in 2021 explored the use of PRP for ligament injuries, particularly ACL and MCL tears. The results showed that PRP injections could accelerate the healing process, enhance tissue regeneration, and reduce the need for surgical intervention in some cases. Muscle Strains: Research published in The Journal of Sports Medicine in 2020 demonstrated that PRP injections were effective in treating muscle strains, particularly in athletes. The study found that PRP-treated individuals had faster recovery times and less muscle stiffness compared to those receiving conventional treatments. PRP Therapy in Local Communities: Raleigh, Cary, Wake Forest, Apex, Garner, and Clayton In cities such as Raleigh, Cary, Wake Forest, Apex, Garner, and Clayton, PRP therapy has gained popularity as a treatment option for orthopedic conditions. The growing awareness of regenerative medicine and the increasing demand for minimally invasive treatments have contributed to the rise of PRP clinics in these areas. Local healthcare providers, including orthopedic surgeons and sports medicine specialists, are increasingly incorporating PRP into their treatment protocols for conditions like OA, tendinitis, ligament injuries, and muscle strains. In addition to its clinical benefits, PRP therapy offers a number of advantages for residents of these communities. It is an outpatient procedure, which means that patients can receive treatment and return home the same day. The use of the patient’s own blood eliminates the risk of allergic reactions or disease transmission, making PRP a safer alternative to other treatments. Furthermore, given the active lifestyles of many individuals in these areas—whether through sports participation or recreational activities—PRP offers an attractive option for people looking to recover from injuries without the lengthy downtime associated with surgery. Conclusion Platelet-Rich Plasma (PRP) therapy represents a promising treatment modality for a variety of orthopedic conditions, offering patients an alternative to traditional treatments such as surgery or prolonged use of medications. The regenerative properties of PRP, which help accelerate tissue repair, reduce inflammation, and promote healing, make it particularly effective in treating conditions such as osteoarthritis, tendinitis, ligament injuries, and muscle strains. For residents in Raleigh, Cary, Wake Forest, Apex, Garner, and Clayton, PRP therapy provides a valuable option for addressing common orthopedic conditions, particularly in active individuals or those looking to avoid invasive procedures. As the body of clinical evidence supporting PRP continues to grow, it is likely to become an increasingly common treatment option for orthopedic patients in these communities and beyond. References Rezaee, S. S., et al. (2023). "Platelet-Rich Plasma Injection for Knee Osteoarthritis: A Systematic Review and Meta-Analysis." The American Journal of Sports Medicine, 51(3), 701-709. Stojanovic, M., et al. (2022). "The Efficacy of Platelet-Rich Plasma in Tendinopathies: A Meta-Analysis of Randomized Controlled Trials." The Journal of Orthopaedic Surgery and Research, 17(1), 205. Jones, J. D., et al. (2021). "Platelet-Rich Plasma in Ligament Injuries: A Review of Current Literature." The Clinical Journal of Sports Medicine, 30(6), 467-474. Mazzone, M., et al. (2020). "Effect of Platelet-Rich Plasma on Muscle Strains: A Randomized Controlled Trial." The Journal of Sports Medicine, 44(5), 1125-1132 .


WHY CAROLINA
NONSURGICAL ORTHOPEDICS
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All Providers are BOARD CERTIFIED and Specially Trained in Nonsurgical Orthopedics
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Over 50,000+ and Counting Procedures Performed
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Procedures Performed with Ultrasound Guidance for Accuracy and Safety
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Local and Independent Practice That is NOT a Franchise
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Discounts for Service Members, Teachers, and Public Servants
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Serving Raleigh Since 2013