PLATELET RICH PLASMA (PRP) Ultrasound guided injectable

At Fiel MSK Center, Platelet Rich Plasma or PRP is formulated with latest evidence protocols containing a high dose of platelets, this orthobiologic has been shown to facilitate the supply of oxygen and nutrients to impaired tissue, inducing tissue repair and regeneration.

What does PRP do?

In many musculoskeletal (MSK) disorders affecting joints, tendons, ligaments, and other connective tissue, these tissues are characterized by a high number of inflammatory cells; an overexpression of inflammatory mediators; such as tumor necrosis factor-α (TNF-α) and interleukin-1 (IL-1); the presence of mast cells, T cells, reactive oxygen species, and matrix metalloproteinases; and a decreased angiogenic capacity. Meaning there is an environment of chronic inflammation with collagen degrading cells, decreased bloodflow and deminished nutrient supply causing tissue degeneration.

The foremost function of PRP therapy in chronic MSK problems is restoring the vascular architecture and repair environment of the treated area, which will facilitate the high metabolic activity of tissue repair and regeneration processes. Platelet dosing and bioformulation strategies are very important to initiate these angiogenic pathways that re-establish microvasculature networks, facilitating the supply of oxygen and nutrients to impaired tissues. This is why Fiel Musculoskeletal Center uses the latest evidence, protocols and equipment to get the best possible outcome for the patient.

If you are interested in more details, feel free to click the picture on the left which will lead to a great overview article by our colleague and friend Prof. Dr. Everts et all.

How does Fiel MSK Center perform PRP injections?

  • Protocols for preparation using the latest evidence

    • High platelet dose per ml of PRP

  • Right indication

    • Not every problem needs PRP or reacts well to PRP

  • Safe and targeted approach

    • Sterile technique with comfortable and good patient positioning

    • Ultrasound-guided by trained and highly experienced Providers

  • Pre- and post procedure expectations and instructions

    • Evidence based realistic expectations and good follow-up care

  • Fiel Musculoskeletal Center follows excellence guidelines

What conditions can be treated?

  • Osteoarthritis of the joints

  • Tendon injuries and tears

  • Ligament sprains

  • Muscle tears

  • Certain meniscus and labral tears

  • Nerve related problems

  • And more, at Fiel MSK Center you will be able to make a evidence based informed dicision based on the assessment of your problem

Who can benefit from Platelet Rich Plasma therapy?

  • Any age from child to senior

  • Any level of activity from walking the dog to Olympic Athlete

  • Any pain and body parts mentioned above, acute or chronic