Dr. Barik's Orthocare Clinic

Meet Our Doctor

Dr. Sanjay Barik

Orthopedic and Joint Replacement Surgeon

Dr. Barik's Orthocare Clinic

Dr. Sanjay Barik is an experienced Orthopedic Doctor in Ramdaspeth, Nagpur. He is a qualified MBBS Bachelor of Medicine and Bachelor of Surgery, MS – Orthopaedics.
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PRP In Gondia

Platelet-rich plasma (PRP) therapy is a regenerative therapy aime at promoting healing and relieving pain in joints affected by various orthopedic conditions. The procedure involves drawing a small amount of blood from the patient and processing it to concentrate platelets, which are rich in growth factors and other healing substances. Once the PRP is prepared, it is injected directly into the affected joint, such as the knee, shoulder, or hip. The growth factors contained in PRP may stimulate the body’s natural healing processes, promote tissue repair, reduce inflammation, and slow the progression of conditions such as osteoarthritis. PRP treatment is considered a minimally invasive treatment aimed at improving joint function and reducing pain, and is particularly popular in sports medicine and orthopedics.
knee replacement

PRP therapy shows promise as a nonsurgical alternative for those seeking relief from joint pain and dysfunction. Platelet concentrates in PRP release bioactive proteins that play important roles in tissue repair and regeneration. Although the effectiveness of PRP is still being studied, some studies suggest positive results, particularly in mild to moderate osteoarthritis and certain soft tissue injuries. As with any medical procedure, the appropriateness of PRP treatment depends on your specific condition. Anyone considering this treatment should consult an orthopedic surgeon to discuss the potential benefits and risks based on their individual circumstances.

What is plasma?

Plasma is the liquid component of blood, constituting a crucial part of the circulatory system. Comprising over half of the total blood volume, plasma is a yellowish fluid primarily compose of water, electrolytes, proteins, hormones, and waste products. Its diverse functions include maintaining the fluid balance, transporting essential nutrients, hormones, and gases throughout the body, and contributing to the immune response and blood clotting.

The proteins within plasma, such as albumin, globulins, and fibrinogen, play pivotal roles in regulating blood volume and pressure, immune function, and clot formation. Additionally, plasma serves as a carrier for waste products generate by metabolism, aiding in their elimination from the body. Understanding the composition and functions of plasma is fundamental to comprehending the intricate workings of the circulatory and immune systems in maintaining overall health.

What are Platelets? 

Like red blood cells and white blood cells, platelets are normal components of blood. Platelets alone have no regenerative or healing properties. Rather, they secrete substances call growth factors and other proteins that regulate cell division, stimulate tissue regeneration, and promote healing. Platelets also help blood clot. People with platelet defects or too few platelets bleed excessively from cuts.

Because there is no universally accepted medical definition of “platelet-rich plasma,” the PRP injections one patient receives may be very different from another patient’s. Discrepancies can occur for various reasons, including:

  • Patient characteristics: Blood composition (such as platelet count) may vary from patient to patient.
  • Blood processing: How a patient’s blood sample is process (such as centrifugation or filtration) affects the concentration of platelets and white blood cells in the PRP injection.
  • Additives: Doctors can concentrate substances into platelet-rich plasma that are thought to enhance PRP’s healing properties.

What does Platelet-rich Plasma Therapy do?

Ateret Rich Plasma Therapy (PRP) uses a concentrate form of a patient’s own blood to promote healing and treat a variety of medical conditions, particularly those relate to orthopedics. It is a medical treatment that reduces the symptoms of a medical condition. Although the exact mechanism is not completely understood, several possible effects of PRP therapy have been suggeste:

Anti-inflammatory: PRP has the ability to help reduce inflammation at sites of injury and degeneration. It is believe to contain potential anti-inflammatory proteins and growth factors. .

Stimulation of tissue regeneration: The growth factors in PRP stimulate the repair and regeneration of tissues such as tendons, ligaments, and cartilage. This is beneficial if tissue damage occurs.

Improve Blood Circulation: PRP improves blood flow to the treatment area, promoting the delivery of oxygen and nutrients important for tissue healing.

Cartilage Repair: In orthopedics, PRP is often used to treat diseases such as osteoarthritis. This treatment is thought to promote cartilage regeneration, improve joint function, and reduce pain.

Pain Relief: Some studies suggest that PRP therapy may have analgesic effects by modulating pain receptors, thereby providing relief to individuals with chronic pain conditions.

Promotes Healing: PRP is designe to accelerate the natural healing process by concentrating and delivering higher amounts of platelets and growth factors to the injured or affected area.

How is platelet-rich plasma made?

The most common method of preparing PRP is by centrifuging a patient’s blood sample. A vial of blood is place in a centrifuge and spun at extremely high speeds. When rotate, the blood separates into layers.

  • The red blood cells, which are about 45% of the blood, are forced to the bottom of the vial.
  • White blood cells and platelets form a thin intermediate layer called the buffy coat and make up less than 1% of the centrifuged blood.
  • “Platelet-poor” plasma, or plasma with a low platelet concentration, forms the remaining upper layer of approximately 55% of a centrifuge blood sample.

Once the centrifugation process is complete, the doctor or medical technician removes the vial from the centrifuge and prepares her PRP solution for injection. Centrifugation speed and time may vary. Differences in centrifugation speed and time affect the composition of PRP. There is no clear consensus as to which centrifugation method provides the best results in the treatment of osteoarthritis.

Pros and Cons of PRP Treatment

Pros :

  • Minimally invasive: PRP treatment is a minimally invasive procedure that is usually performed in an outpatient setting, reducing the risks associated with more invasive surgeries.
  • Autologous Source: PRP is derived from the patient’s own blood, minimizing the risk of allergic reactions, infection, or rejection.
  • Natural Healing: PRP stimulates the body’s natural healing processes and promotes tissue repair and regeneration.
  • Versatility: PRP is used in a variety of medical specialties, including orthopedics, sports medicine, dermatology, and dentistry.
  • Reducing inflammation: The anti-inflammatory properties of PRP reduce inflammation at the treated area, thereby reducing symptoms caused by inflammatory components.
  • Promoting Healing: PRP therapy accelerates the healing process by delivering concentrated growth factors to the site of injury.
  • Customizable Treatment: The platelet concentration of PRP can be tailored to the patient’s specific needs and disease severity.
  • Minimal side effects: Because PRP is extracted from the patient’s own blood, the risk of side effects or side effects is minimal.
  • Analgesic Potential: PRP therapy provides analgesic effects by modulating pain receptors and may relieve chronic pain conditions.

Cons:

  • Variable Effectiveness: The effectiveness of PRP treatment varies from person to person and disease to disease. Not all patients experience the same effects.
  • Limited Scientific Consensus: Although promising, research remains to establish standardized protocols and clearly understand the effectiveness of PRP in various medical applications.
  • Multiple Sessions: Depending on your condition, multiple PRP sessions may be required for optimal results, which can increase overall treatment time and cost.
  • Temporary Discomfort: Patients may experience temporary discomfort such as swelling, bruising, or mild pain at the injection site.
  • Not a panacea: PRP treatment may not be a panacea and its effectiveness may be limited in certain diseases or advanced stages of the disease.
  • Not uniformly regulated: Regulations regarding the preparation and administration of PRP may vary, and not all his PRP preparations meet the same quality standards.
  • Patient-Specific Response: An individual patient’s response to PRP treatment may be unpredictable and results will vary depending on a variety of factors, including the type of condition being treated.

Pre-Injection Precautions

  • Avoid corticosteroid medications for 2 to 3 weeks prior to the procedure
  • Stop taking non-steroidal anti-inflammatory drugs (NSAIDs), such as aspirin or ibuprofen, or arthritis medications such as Celebrex, a week prior to the procedure
  • Do not take anticoagulation medication for 5 days before the procedure
  • Drink plenty of water the day before the procedure
  • Some patients may require anti-anxiety medication immediately before the procedure