Platelet Rich Plasma (PRP) A new approach to treating chronic injuries
What is PRP?
Platelet Rich Plasma (PRP) is concentrated from your own blood which contains healing factors, such as white blood cells and bioactive proteins, called growth factors and stem cell markers. These cells are vital for tissue regeneration and repair. Platelets, once thought of being responsible for only clotting, have been scientifically proven to be a reservoir of these vital healing components. With advanced techniques we are able to concentrate these regenerative healing cells in a simple outpatient setting.
Normal Platelet Count
PRP Platelet Count
Platelet Rich Plasma Frequently Asked Questions
Little to No Risk Factors
PRP is from your own blood, autologous, so there is little to no risk when conducted by a trained professional. Since the cells are autologous there is no risk for an allergic or immune reaction. Side effects or complications with PRP are extremely rare. Consult your physician for more information.
The total process can last up to 30 minutes. However, the majority of time will be used for processing by a trained medical specialist.
The Healing Process
PRP signals for Stem cells and regenerative cells to repair and rebuild the damaged tissue. This accelerated healing process reduces pain, promotes increased strength, and improves overall function. The process, called the healing cascade, can be active and take place over a 4-6 week period.
Recovery After Treatment
The anesthetic used to numb the skin generally wears off in 1-2 hours. Mild pain and swelling may occur at the injection site. However, the majority of patients are able to return to usual activities with NO down time.
Long Term Outcome
Patients can expect to see significant improvement in symptoms over the course of healing time. This procedure may eliminate the need for further invasive treatments, such as surgery or prolonged use of medications. While other treatments such as corticosteroid injections may provide temporary relief and stop inflammation, PRP injections stimulate healing of the injury over a shorter time period with less side effects. Patients usually report a gradual improvement in symptoms and return of function. Many patients require two to three treatments to obtain optimal results and may even experience a dramatic return of function and relief within 2-3 months.
You must be particularly careful not to traumatize the area during this post-treatment time frame. Initially the procedure may cause some localized soreness and discomfort. Patients can apply ice and elevation as needed. Use the area as tolerated since restricting movement for an extended time can cause stiffening. Movement and massages promote circulation in the area and also assist with healing. After a week the patient will likely begin a rehabilitation program with physical therapy. Pain medication will be prescribed if needed.
A small amount of peripheral blood is taken from the patient and placed into a FDA medically approved container. This sterile disposable container is placed in a specialized centrifuge, for spinning, to separate the whole blood sample into ‘layers’ of platelet rich plasma (PRP) and red blood cells. The PRP layer is aspirated from the red blood cells and is injected or applied, under sterile conditions, into the localized area of abnormality.
After centrifugation, the whole blood is separated into a PRP layer and red blood cell layer.
Fletcher Allen Hospital [Level 1 Trauma Center]
University of Vermont – Burlington, VT
Pain Medicine Fellowship/Clinical Instructor, June 2011
UNC Hospitals [Level 1 Trauma Center]
University of North Carolina – Chapel Hill, NC
Consultant Anesthesiologist, 2010
Doctor of Medicine, May 2006
Duke Hospital [Level 1 Trauma Center]
Duke Center for Hyperbaric Medicine and Environmental Physiology
Carolinas Medical Center [Level 1 Trauma Center]
Department of Pediatrics
University of Maryland Medical Center [Level 1 Trauma Center]
Department of Anesthesiology/Division of Trauma Anesthesiology
- Florida State License
- North Carolina State License
- Vermont License – in good standing, but not renewed due to relocation.
- FMA/FOMA Low-THC Cannabis Physician Certification
- ABA – Specialty Certification in Anesthesiology
- American Academy of Addiction Psychiatry – Treatment of Opioid Dependence
- Advanced Cardiac Life Support Certified
- ABA – Pain Medicine – Eligible
- “Electroencephalography (EEG), Electromyography (EMG), and Neurophysiology in Clinical Practice” – Mayo Clinic (49.0 Hours) – 2/2015
- Florida Medical Association – Low-THC Cannabis Physician Certification – 2015
- Florida Medical Association – CME Credits (35 Hours) – 2015
- Common Sense Pain Management – University of Florida – (8.5 Hours) – 6/12
- Principles and Practice of Pain Medicine – Harvard SOM – (37.5 hours) – 6/12
- Addictions in 2011 - Mc Lean Hospital – Boston, MA – 5/11
- Informed Update for the Physician (AMA PRA Category 1 Credits: 5 hours) – 1/11
- Carolina Refresher Lectures, UNC Dept. of Anesthesiology – Kiawah Island, SC – 6/10
- Anesthesia Review and Update, Harvard Medical School – Boston, MA – 5/06
- Pain, Addiction, and the Law, UNC – Chapel Hill, NC – 4/06
- Pain, Addiction, and the Law, UNC – Chapel Hill, NC – 3/04
- Cervical, Thoracic, Lumbar Epidural Steroid Injections: Interlaminar/Transforaminal
- Cervical, Thoracic, and Lumbar Facet Joint Injections
- Cervical, Thoracic, and Lumbar Medial Branch Nerve Blocks
- Epidural Blood Patch
- Stellate Ganglion Blocks
- Radiofrequency Nerve Ablation
- Intercostal, Occipital, Trigeminal Nerve and Branch Blocks
- Lumbar Sympathetic, Ganglion Impar Blocks Sacroiliac Joint, Upper and Lower
- Extremity Joint Injections, Trigger Point Injections
- Caudal Epidural Steroid Injections and Epidural Lysis of Adhesions
- Kyphoplasty, Lumbar Discography
- Spinal Cord Stimulator Trials and Implantation
East Carolina University – Greenville, NC
Bachelor of Science, May 2000
Major: Biology (Anatomy, Physiology, and Cell Biology)
Honors: Summa Cum Laude