Can I Draw Blood For Prp From The Hand

What is Platelet-Rich Plasma (PRP) Therapy?

Platelet-Rich Plasma, or PRP, is produced from your ain blood. This procedure involves collecting a sample of your blood and spinning it in a centrifuge to split the platelets. Blood is made up of four main components: plasma, ruby claret cells, white claret cells, and platelets. The platelets are the cells in our body that contain growth factors, which stimulate the normal wound healing process, east.g. the same manner that your skin heals afterward a scrape. With PRP, you lot create a supra-therapeutic level of your own platelets (over 500% more platelets than normal blood) so that you enhance the healing of a chronically injured tissue. The concentrated platelet rich plasma is then injected back into the injured area to stimulate healing and regeneration. All PRP injections are done nether ultrasound guidance to confirm placement of the PRP in the correct tissue.

The platelets contain healing agents, or "growth factors." Let's look at some of the growth factors and what they do:

Platelet-derived growth factor (PDGF) is a protein that helps control cell growth and partition, especially blood vessels. When more blood (and the oxygen it carries) is delivered to the site of a wound, at that place is more healing.
Transforming growth factor beta (or TGF-β) is a polypeptide and is important in tissue regeneration.
Insulin-like growth factors are signaling agents. They assistance modify the environment of the damaged joint from diseased to healing past "signaling" the immune arrangement to first rebuilding tissue.
Vascular endothelial growth factor (VEGF) is an of import protein that brings healing oxygen to damaged tissue where blood circulation might exist damaged or inadequate.
Epidermal growth gene plays a key role in tissue repair mechanisms.

Oft Asked Questions almost Platelet-Rich Plasma Therapy:

Is PRP indicated for me?

PRP therapy is indicated for injuries that have failed to heal despite traditional treatment options also as for chronic degenerative conditions. It is a viable non-surgical option to aid aid in healing tissue. It tin be performed in any musculoskeletal structure, including muscles, tendons, and joints all over the body. Some examples include: partial tendon tears, muscle strains, articular cartilage injury, mild to moderate osteoarthritis, and chronic tendon injuries.

How is PRP made?

To prepare PRP, blood is taken from your arm with a special kit like to a normal blood test. It is and so placed in a special centrifugation machine that separates the platelets from the claret in social club to exist extracted in a concentrated grade called PRP. The entire PRP Therapy takes about 30-45 minutes.

How many treatments are necessary?

This can vary depending on the status which we are treating. For some conditions patients tin can achieve successful outcomes with only one injection. In some cases, a series of three injections is required to achieve significant results. Each injection is spaced one-2 weeks apart. At that place is no limit to the number of treatments yous can accept; however, literature has shown that nigh 15% of patients exercise not encounter comeback with more than than three injections and should consider other treatments.

Are at that place any side effects with platelet-rich plasma therapy?

Since your own blood is used, there is no adventure for transmitted blood-infections. PRP has a strong antibacterial effect and so risk of local infection is minimal. Information technology is normal to have increased soreness or hurting after the procedure for an boilerplate of three days. We will offering you a medication program to help with this.

Will my insurance pay for this treatment?

Since this is a fairly new procedure, about insurance companies have not incorporated it all the same to their listing of approved procedures and practice not consider this to be a reimbursable expense. While there is growing literature to back up the apply of PRP every bit a viable therapy with patient improvements and benefits, the insurance companies nonetheless classify this treatment every bit "investigational" of "experimental" and thus will not comprehend.

What are the potential benefits of Platelet-Rich Plasma?

PRP stimulates healing of the injured tissue by activating your torso's natural healing capacity. Patients on average study more fifty% improvement in vi weeks and upwardly to 100% improvement in 12 weeks. This may eliminate the demand for surgical interventions in some cases. In addition, PRP Therapy is a minimally-invasive process that is done in the clinic; therefore, you go home the same twenty-four hour period.

What tin can I do afterwards my Platelet-Rich Plasma injection? Can I resume exercises, sports, work?

While PRP injections are minimally invasive, non-surgical procedures, it is important to remember that this is still a procedure ! In social club to achieve the proper tissue healing response that the injections can provide they must be accompanied past the proper after care including initial balance, avoidance of NSAIDs and practice, and the initiation of a defended concrete therapy program virtually 1-2 weeks after the final injection. The healing response initiated by the injections needs to be accompanied by the correct rehabilitation plan to maximize full healing and achieve improved function. Ignoring the therapy after the injection will likely atomic number 82 to suboptimal results. Recall this is non a quick-fix and will take upwardly to 3 months to complete the rehabilitation process and come across the full potential benefits.

Pre-Procedure Instructions

Stop anti-inflammatory (NSAIDs) medications v days prior to process (e.m. ibuprofen, naproxen, celebrex, etc.).
You cannot exist on whatever blood thinners (Coumadin, Eliquis, Xarelto, Plavix, Pradaxa) earlier your injection. Y'all must clear stopping any of these medications with your cardiologist earlier being considered a candidate for PRP injection.
Brand certain to drinkable plenty of water pre-procedure, up to 1 gallon, if possible. This assists with the ability to draw acceptable blood for your procedure.
Depending on the condition we are treating, you may be asked to perform 15-20 minutes of practice prior to your procedure as some literature suggests increased growth factors in samples after exercise. Plan to spend at least 45 minutes to over an hour at the clinic for your procedure.
If you are concerned almost driving dwelling house after your procedure, bring a family member or friend for your appointment.

Post-procedure Instructions

We recommend having someone drive you home after the procedure.
Blood thinners (eastward.g. Aspirin, Plavix, Coumadin, etc.) may exist resumed 24 hours afterward the procedure.
Avoid anti-inflammatory medications for six weeks after the procedure (e.g. ibuprofen, naproxen, celebrex, etc.).
Increased irritation in the affected area may occur after your PRP injection. This is part of the healing process. Ice the affected area three to 4 times per day for xv minutes for the side by side three days. You may take Actress Strength Tylenol every bit needed for hurting.
You lot may experience an increase in hurting and soreness after the numbing wears off for 2-v days after your handling. The initial inflammatory phase lasts seven days and the secondary stage can last up to 14 days.
If you develop fever, persistent redness and swelling at the site of injection, call the function at 813-684-2663. These may be a sign of infection.
The most of import part of the PRP Therapy is that you follow the Mail-procedure instructions in order to optimize the healing of the tissue and subtract the run a risk of causing further harm. Limit movement of the treated area for the first three days later on the procedure. Avoid lifting or any strenuous action for the first seven days. If a splint was provided, you should habiliment it during the first 7 days. A mail-PRP rehabilitation program will be provided to yous to complete with your concrete therapist. On average, sports-related drills are begun at eight weeks from the process, and return to play of sports without restrictions usually occurs at 12 weeks from the procedure.

Postal service-PRP Rehabilitation Protocol

Phase	Length of Time	Restrictions	Rehabilitation
Phase I Tissue Protection	Day 0-vii	WBAT, NWB if too painful No exercise Avoid NSAIDs Heat area BID, limit ice	Relative residual Gentle AROM Use sling or splint (if applicable) Extra force Tylenol for pain
Phase 2 Early tissue healing, collagen germination	Days 8-14	Total weight bearing Avoid NSAIDs Limited water ice	Initiate light aerobic exercises ROM to affected area Stretching and cadre strengthening
Phase 2 Early tissue healing, collagen germination	Weeks ii-6	Avert NSAIDs Express ice Avoid eccentric exercises	Progress weight bearing activities Low weight, high repetition isometrics Soft tissue work to surface area treated with CFM, IASTM, and "Dynamic" stretching
Stage 3 Collagen strengthening	Weeks half-dozen-12(+)	Avoid NSAIDs Limited water ice Later on 12 weeks if not 75% improvement consider repeat injection	Initiate eccentric exercises Plyometrics, closed chain exercises, sport-specific and proprioceptive training Progress back to sport if pain three/10 and closer to 12 weeks

Dr. Mark Sando is an internationally recognized orthopaedic surgeon specializing in sports medicine, arthroscopy and injuries of the shoulder, knee and hip. He earned his medical degree from Case Western Reserve Academy School of Medicine and completed residency at the University of Maryland Medical Center and R Adams Cowley Stupor Trauma Centre. Later on residency, Dr. Sando went on to complete subspecialized grooming in Sports Medicine as a fellow at the prestigious Kerlan-Jobe Orthopaedic Clinic in Los Angeles, CA under the management of Dr. Neal ElAttrache. He has worked with numerous college able-bodied programs and professional teams including the world champion Los Angeles Kings, Los Angeles Lakers, Los Angeles Dodgers, and Los Angeles Sparks. Dr. Sando has been with the Orthopaedic Medical Group of Tampa Bay since 2015. Full Bio