PRP SAN DIEGO
Bronner Handwerger NMD     
Platelet Rich Plasma
Platelet Rich Plasma and Prolotherapy

What is Platelet Rich Plasma Treatment?


Platelet Rich Plasma (PRP) therapy offers a promising, natural solution to accelerate healing of tendon injuries and osteoarthritis, without subjecting the patient to significant risk. PRP is an emerging treatment in a new health sector known as "Orthobiologics." The philosophy is to merge cutting edge technology with the body's natural ability to heal itself.

Blood is made of red blood cells, white blood cells), plasma, and platelets. When in their resting state, platelets look like sea sponges, and when activated they form branches. Platelets were initially known to be responsible for blood clotting. In the last 20 years we have learned that when activated in the body, platelets release healing proteins called growth factors. There are many growth factors with varying responsibilities, however cumulatively they accelerate tissue and wound healing. Therefore after increasing the baseline concentration of these platelets, we are able to deliver a powerful cocktail of growth factors that can dramatically enhance tissue recovery.

Dr. Bronner Handwerger NMD has worked with many NFL and pro athletes helping them heal faster and recover quicker. He has had tremendous results. Feel free to call and discuss if PRP is right for you.

PRP History and Current Studies
PRP was initially used over 20 years ago in the dental community to enhance wound healing in cancer patients with jaw reconstruction. Soon afterward, its applications extended across many fields of medicine from cardiovascular surgery to orthopedics. Multiple studies are underway to help further refine the treatment and demonstrate its efficacy.

Gosens and Sluimer in a prospective, randomized controlled trial of 100 patients with tennis elbow found PRP beat cortisone shots in reducing pain and improving function within 24 weeks. This excellent study confirms platelet rich plasma performs better than the "gold standard" of treatment for patients with tennis elbow that don't respond to simple treatments.   



   

Additional Videos on PRP


Articles on PRP


What is Prolotherapy?
Prolotherapy is a treatment to help the body repair damaged ligaments causing pain around joints and at distant areas.  The basic tenet of Prolotherapy is that laxity of a joint causes the joint to become unstable and this causes pain.   The laxity could have occurred from trauma or years of overuse and abuse.  Or in the case of some arthritides, just use in daily living.

The concept behind Prolotherapy is the body has experienced trauma in a joint, and the ligament and support structures are damaged.  With that damage, the joint develops increased laxity.  With the increased laxity, the joint becomes unstable and the patient experiences pain at the joint and possibly at places away from the joint. 

The idea is to inject medicines into the ligaments that cause the ligaments and joints to release a cascade of healing factors that eventually repair the ligaments.   As the healing factors repair the ligaments, the joint increases in stability and the pain resolves permanently. 

The areas of injury are identified by history and physical examination.  They are identified by feeling areas that are painful and certain injuries refer pain to other areas away from the injured joint, such as, leg pain from the low back.

Next, the areas are gently injected with a medicine called a “proliferant” .  This medicine causes an inflammation to occur at the site of injection.  When the body uses its natural abilities to repair the inflammation, new fibers are created in the ligaments to help support the joint.  As this occurs, the joint becomes more stable and the pain is reduced. 

Benefits and Risks:

Benefits:The main benefits are decreased pain and increased joint stability.  With less pain and more mobility, the patient can increase activities and hopefully improve overall health.  Moreover, many surgeries can be avoided when using Prolotherapy.

Risks:The injections are placed into ligaments and joints.  Great care is taken to do this with as little pain as possible and to prevent infections.  But, pain will occur with the shots and after, although each person is different. 

The injections are done near arteries, veins, and nerves and sometimes those are touched during the procedure.  In the neck, upper, and lower back are sites that are near the spinal cord and nerves that come from the spine.  Also, in the upper back, the lung can be in proximity to the injection site.  However, with proper technique and careful placing of the needles, these sites can be avoided.

More Thoughts on Treating Pain:

Also, remember we are trying to help your body heal itself with these injections.  Prolotherapy is only one component of our pain program.  You must have good nutrition, take appropriate supplements to help rebuild joints, and detoxify your system..  Also, you must have your hormones in balance, as well as stop smoking and have a positive mental attitude. 


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