PRP Knee and Hip Injections

An Innovative Treatment for Joint Pain

Understanding Platelet-Rich Plasma Therapy

Platelet-rich plasma (PRP) knee injections, specifically Arthrex ACP PRP therapy, also known as Autologous Conditioned Plasma (ACP) therapy, utilise the body's natural healing properties to repair damaged tissues. This treatment takes advantage of the rich plasma derived from the patient’s own blood, containing vital growth factors that promote healing and recovery. PRP therapy uses an innovative approach widely recognized in regenerative medicine, to treat painful conditions such as knee osteoarthritis, hip osteoarthritis, muscle tears and tendon injuries or tendon overuse, involving the patella and gluteal areas.

The primary goal of PRP therapy is to reduce pain, improve joint function, and potentially halt or even repair cartilage damage. This treatment is particularly beneficial for patients dealing with chronic pain caused by osteoarthritis in the joint (wear and tear) or tendonopathy (painful swollen tendons), allowing them to regain activity and enhance their quality of life.

What Does a PRP Procedure Involve on The Day?

The PRP injection procedure is typically performed by Dr Imbuldeniya in his outpatient clinic at The Lanserhof Clinic in Mayfair. The setting in Central London has state of the art facilities and is a convenient option for patients travelling from all areas of London and the surrounding home counties. Here’s a step-by-step breakdown of how the process works:

Hydration:

PRP therapy works better if you stay well hydrated 24 hours beforehand

Avoid NSAIDs for 2 weeks:

These medications such as aspirin, ibuprofen, naproxen and celecoxib affect platelets and can prevent the growth factors in PRP from working properly, which could make the injection ineffective.

Avoid blood thinners 48 hours before the procedure:

These medications are important but can increase bleeding after the injection, Coumadin, Eliquis, Xarelto, Plavix, and Pradaxa.

Blood Sample Collection:

A small blood sample is drawn from a vein in your arm, similar to a routine blood test. This sample is crucial for the subsequent steps.

Centrifugation:

The collected blood is placed in a specialised machine called a centrifuge. This device spins the blood at high speeds to separate and extract the platelet-rich plasma. The process allows for the concentration of growth factors, which are essential for promoting healing.

Injection:

The concentrated ACP (Autologous Conditioned Plasma) is then injected back into the affected knee or hip joint or surrounding tendons. This targeted approach ensures that the healing properties of the platelets are delivered directly to the site of injury.

Treatment Schedule:

Typically, the treatment is administered in a series of three injections, each spaced two to three weeks apart. This protocol maximises the therapeutic benefits and allows for optimal healing.

Since PRP treatment is derived from the patient’s own blood, it carries a very low risk of adverse side effects or allergic reactions. Patients often find the process straightforward and well-tolerated, leading to significant improvements in their condition.

How PRP Therapy Works

The healing of injured or inflamed tissue involves a complex and precisely regulated series of natural processes within the body. Key players in this process are thrombocytes, or platelets, which release growth factors at the site of injury. These growth factors and cytokines initiate the restoration of damaged tissue and inhibit painful inflammatory processes.

PRP therapy is rooted in our understanding of these biological processes. With its high concentration of growth factors, PRP injections act as a natural method of supporting the body’s self-healing capabilities. The rich plasma injections promote tissue regeneration, reduce inflammation, and enhance the healing process, making it a valuable option for patients experiencing conditions such as:

Knee and Hip Osteoarthritis:

PRP therapy can alleviate the symptoms of knee and hip osteoarthritis, helping to manage pain and improve joint function.

Tendon Injuries:

Conditions like tendonitis or tendonopathy can benefit from the regenerative properties of PRP, which supports healing and recovery.

Muscle injuries:

PRP can help enhance repair of muscle tissue damaged during sporting activity or overtraining.

Meniscus and cartilage knee surgery:

More and more, PRP is being used to successfully increase the chances for important damaged tissues to heal during reparative surgical procedure by providing a favourable biological environment.

Benefits of PRP Knee and Hip Injections

PRP knee injections offer several advantages for patients struggling with musculoskeletal conditions:

Natural Healing:

As the treatment uses the patient’s own blood, it minimises the risk of complications or adverse effects associated with foreign substances.

Minimally Invasive:

Unlike surgical interventions such as knee replacement or arthroscopy, PRP therapy is a non-invasive procedure that can often be completed within a short appointment.

Quick Recovery:

Many patients can return to their normal activities shortly after the procedure, making it an attractive option for those seeking fast relief.

Versatile Applications:

PRP therapy is effective for a range of conditions, including arthritis, tendon injuries, and even fractures.

Considerations and Side Effects

While PRP therapy is generally safe, it’s essential to consider the following:

Potential Side Effects:

Although rare, some patients may experience mild side effects, such as swelling, bruising, or discomfort at the injection site. These effects typically resolve quickly. Some patients can also experience a temporary increase in pain for 48 hours.

Individual Response:

The efficacy of PRP injections can vary from patient to patient, depending on the severity of the condition and individual healing responses. Therefore, discussing expectations with a healthcare provider is crucial.

Complementary Treatments:

PRP therapy can often be combined with other treatments, such as hyaluronic acid injections or physical therapy, or surgery to enhance overall outcomes.

The Role of PRP in Osteoarthritis Management

Knee osteoarthritis is a prevalent condition that can significantly impact an individual’s quality of life. The degeneration of cartilage in the knee joint leads to pain, stiffness, and reduced mobility. PRP therapy offers a promising approach to managing osteoarthritis symptoms by addressing inflammation and promoting cartilage repair.

Many studies have shown that patients receiving PRP knee injections report significant improvements in pain relief and joint function compared to those receiving standard treatments. This regenerative approach aligns with current recommendations for managing osteoarthritis, providing a viable alternative to traditional pain management options, including anti-inflammatory medications.

PRP and Regenerative Medicine

As part of the broader field of regenerative medicine, PRP therapy exemplifies a shift towards innovative, patient-centred approaches to healing. The focus on using the body’s own biological materials for repair reflects a growing understanding of the body’s natural healing processes.

The benefits of PRP therapy extend beyond mere symptom relief; it addresses the underlying issues contributing to joint pain and dysfunction. By harnessing the power of rich plasma and its growth factors, patients can experience a more comprehensive healing journey.

Seeking Professional Guidance from a PRP injection specialist

If you’re considering PRP knee or hip injections, it’s essential to consult with an experienced, highly qualified healthcare provider such as a Fellowship Trained Specialist Orthopaedic Consultant Surgeon. They can evaluate your condition, discuss potential benefits and risks, and create a tailored treatment plan that aligns with your health goals.

Conclusion: A Path to Recovery to Try and Avoid Knee or Hip Surgery

In summary, the PRP knee and hip injections provided by Dr Imbuldeniya and his team, represent a significant advancement in the treatment of joint pain, particularly for conditions like osteoarthritis and tendon injuries. By utilising the body’s natural healing properties, this innovative therapy can lead to sustained pain relief, improved joint function, and enhanced quality of life for patients.

If you’re struggling with knee pain or looking for effective treatment options, don’t hesitate to reach out to us at The West London Knee and Hip Clinic. Our experienced team is here to provide personalised care and guide you through your recovery journey. Our main clinic is in Mayfair but we also have locations in Chiswick and Brentford for consultation and assessment.