.png)
_edited.png)
When to Use PRP Combined With Shockwave Or Laser Therapy
Platelet-Rich Plasma (PRP) and Shockwave Therapy /MLS Laser are regenerative treatments that can be paired to improve tissue healing, reduce pain, and speed recovery. PRP provides biologic growth factors, while shockwave therapy provides mechanical stimulation that enhances circulation, cellular activation, and tissue remodeling.
Clinical studies show the combination of PRP and shockwave or laser often produces superior results compared to either therapy alone.
Why Combine PRP and Shockwave /Laser?
Synergistic healing: ESWT /Laser increases blood flow and activates healing pathways, supporting PRP distribution and effectiveness.
Enhanced growth factor release: Preclinical data suggest shockwave may increase release of PRP-derived growth factors.In vitro evidence: Shockwave increased TGF-β1 and PDGF-ββ release from PRP.
Faster outcomes: Several human studies show quicker pain reduction when both therapies are combined.
Ideal Timing: When the Combination Works Best
-
Before PRP: 1 shockwave session or MLS Laser can prime the tissue for better biologic response.
-
After PRP: Shockwave /Laser can resume 7-10 days later to reinforce remodeling (can continue for 3 more treatments).
-
Chronic Injuries: Alternating PRP and shockwave /laser sessions helps maximize long-term structural healing.
**** We do give a 10% discount if PRP is purchased in combination with MLS Laser or Shockwave treatment packages ****
Conditions That Benefit Most From PRP + Shockwave / MLS Laser
-
Patellar tendinopathy
Randomized Controlled Trial: PRP + ESWT produced faster pain reduction vs PRP alone.
Link: https://pubmed.ncbi.nlm.nih.gov/39690426/ -
Tennis elbow (lateral epicondylitis)
Randomized Controlled Trial: PRP + ESWT + exercise showed superior pain and function improvement vs ESWT alone.
Link: https://pubmed.ncbi.nlm.nih.gov/39842562/ -
Rotator cuff partial tears
Prospective comparative study: PRP + ESWT improved ROM and inflammation markers more than PRP alone.
Link: https://pmc.ncbi.nlm.nih.gov/articles/PMC10820784/ -
Plantar fasciitis
Case reports in runners: Adding PRP to ESWT resulted in significant improvement and return to running.
Link:
https://www.germanjournalsportsmedicine.com/archive/archive-2023/issue-2/use-of-combined-shockwave-therapy-and-platelet-rich-plasma-injection-for-management-of-chronic-plantar-fasciitis-in-runners-two-case-reports/2. Joint Degeneration -
Knee osteoarthritis (KOA)
Human study: Combined PRP + ESWT significantly outperformed either treatment alone.
Link: https://pubmed.ncbi.nlm.nih.gov/31823552/ -
KOA with meniscus degeneration
Retrospective analysis: Combined therapy resulted in greater pain and functional improvement.
Link: https://pubmed.ncbi.nlm.nih.gov/38356839/
WHY CAROLINA
NONSURGICAL ORTHOPEDICS
-
All Providers are BOARD CERTIFIED and Specially Trained in Nonsurgical Orthopedics
-
Over 50,000+ and Counting Procedures Performed
-
Procedures Performed with Ultrasound Guidance for Accuracy and Safety
-
Local and Independent Practice That is NOT a Franchise
-
Discounts for Service Members, Teachers, and Public Servants
-
Serving Raleigh Since 2013