REGENERATIVE THERAPIES—PRP

PRP (Platelet-Rich Plasma) & Platelet Lysate

Platelets are best known for helping blood clot, but they also carry growth signals that help coordinate healing. PRP concentrates platelets from your own blood and places them into tissue that has stalled, weakened, or repeatedly failed under load.

Not All PRP Is the Same

PRP is not one-size-fits-all.
We customize the preparation and injection approach for the specific tissue being treated rather than using the same product for every condition.

How Treatment Is Performed

Blood is drawn and processed in-house. The selected platelet fraction is then injected under ultrasound or fluoroscopic guidance into the diagnosed structure.

Conditions We May Evaluate

  • Chronic tendinopathy and selected partial tears
  • Ligament injury or pain at attachment to bone
  • Early-to-moderate joint degeneration
  • Selected meniscus, labral, capsular, or spinal conditions
  • Tissue that has plateaued despite appropriate rehabilitation

Platelet Lysate

Platelet lysate is made from a platelet preparation with the platelets opened to release growth signals. It creates a thinner solution that may be useful around selected nerves, in the epidural space, or in other small areas.

Recovery Is Part of the Treatment

PRP commonly causes a temporary pain flare as the healing response begins. Protection is followed by staged loading and rehabilitation. The injection may start the process, but the tissue still has to organize around the forces it must eventually tolerate.

When It May Not Be the Right Fit

PRP and platelet lysate may offer limited value when there is advanced degeneration, active infection, urgent nerve compression, or tissue that is no longer capable of healing. We will recommend a different path if another treatment is more likely to restore function.

How This Fits Into a Broader Plan

PRP or platelet lysate may be used as a primary treatment, as part of a staged plan, or alongside other care. A joint may need treatment of both the joint space and supporting tissues. A nerve may need platelet lysate together with hydrodissection, movement retraining, or treatment of the tissue repeatedly irritating it.

For selected tendons, PRP may also be paired with percutaneous tenotomy. The procedure is only one part of the recovery process. Protection, progressive loading, manual and movement-based care, sleep, nutrition, metabolic health, and follow-through all help determine the outcome.

Risks and Limitations

A temporary increase in soreness or swelling is common. Results depend on the condition, how advanced the damage is, the accuracy of the target, overall health, and what happens during recovery. PRP cannot reliably repair tissue that is too severely damaged or mechanically unstable to heal. Allergic reactions are uncommon, and infection, bleeding, or injury to nearby structures are also uncommon but possible.

Frequently Asked Questions

PRP concentrates platelet signaling from blood, so a simple blood draw is sufficient to harvest what’s needed. BMAC and adipose tissue scaffolding use cells that are in high concentration either in your bone marrow or fat, so collecting these cells takes an additional procedure. The best option depends on the target and clinical goal rather than a simple “stronger versus weaker” ladder.

Some conditions are treated with one procedure; others benefit from a series or staged treatment of multiple structures. The plan is based on diagnosis and response.

PRP and platelet lysate are commonly self-pay. Costs and alternatives are reviewed before scheduling.

Could Instability Be the Missing Piece?

A focused evaluation can determine whether the painful structure needs more support—not simply less inflammation.