Platelet-rich plasma (PRP) therapy stimulates your body’s internal healing response using platelets from your own blood. The experts at FoRM Health in Portland, OR, use PRP injections to treat a wide range of problems and concerns. Our team includes dedicated specialists depending on whether you’re dealing with aesthetic or musculoskeletal (orthopedic) conditions.
What Is PRP Therapy?
PRP is a minimally processed extract of your own blood that provides a concentrated source of platelets. These platelets play a major role in the early stages of healing after an injury, so a large dose in a specific area can speed healing after a recent injury, restart a healing response in an old injury, or balance an inflammatory response in chronic conditions such as arthritis. Ultimately, PRP can help promote healing and reduce inflammation.
For PRP injections, your doctor takes a blood sample from your arm. Then, they place the blood in a centrifuge that separates the platelets from the other blood layers. The final PRP product is then concentrated under sterile conditions to minimize the risk of contamination. The PRP solution is then injected where needed.
Conditions PRP Injections Can Treat
The doctors at FoRM Health in Portland, Oregon use PRP injections in many different situations, including:
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Arthritis
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Cartilage damage, including meniscus tears, labral tears, and chondromalacia
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Ligament damage (sprains), including to the ACL, PCL, LCL, MCL, deltoid, wrist ligaments, and more
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Tendon damage, including strains, tendonitis, tendinosis, and partial tendon tears. Includes rotator cuff injuries, Achilles tendonitis, tennis elbow, plantar fasciitis, and more
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Tennis elbow
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Muscle damage
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Whiplash
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Back pain
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Headaches
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Shin splints
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Hair loss
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Aging skin
FAQ
This depends largely on the structure injected and type of PRP solution used. A local anesthetic is used at the injection site to reduce needle/injection discomfort; this part is generally well tolerated. PRP is meant to stimulate an immune response, which starts with inflammation (and is the reason for pain during any injury). Since PRP re-stimulates this response, you may experience varying degrees of increased soreness and reduced mobility after treatment, typically for 2-5 days. This usually means the PRP is stimulating your immune response, which means it’s working.
For joint injections, such as for osteoarthritis, discomfort is typically minimal, as the PRP solution often helps modulate or reduce joint irritation.
Tylenol is generally allowed for pain relief. Low-dose opioid medications may be prescribed for certain injections (typically only needed for 2-3 days following treatment). Anti-inflammatory and steroid medications are not allowed (rare exceptions) as these interfere with a normal inflammatory and healing response.
This depends on the type of injury, location, and how long it has been since onset. As a general rule, it takes 2-3 months for the initial stages of regeneration and repair to occur. At this point, patients typically see and feel results. Repair processes can continue for many months after injections. For osteoarthritis, pain reduction can actually occur much more quickly, within a couple of weeks. And when applied for newer (recent/acute) injuries, PRP may actually speed up healing time.
Again, this varies depending on the condition. Some treatments allow for return to baseline activities within 1 week; others require slow progression and therapeutic exercises over 2-3 months. Remember, we are typically trying to stimulate an injury to heal that isn’t already healing on its own, which often requires changing or resting the activity that may be preventing full recovery in the first place. But that doesn’t mean sitting still! Physical therapy and/or targeted exercises/movements are very helpful during this process.
Yes! For certain conditions, we provide exercises in our office. For others, we have a list of quality PTs we refer to for concurrent treatment.
Aside from a small amount of local anesthetic, no other medications are used or necessary. PRP is a completely natural procedure involving the patient’s own blood, which is centrifuged, separated, and then reinjected.
Typically, 2-3 injections are needed at 4-6 week intervals, but some conditions may require only 1 treatment. A follow-up is typically done at 3 weeks to assess progress and determine timing and need for subsequent injections.
PRP is generally very safe and well tolerated with most medications or other medical conditions. Platelet or bleeding disorders, patients on immunosuppressive medications, active cancer, or infection around the site to be treated are all situations when PRP injections are generally not used. Anticoagulants (blood thinners such as warfarin/coumadin) interfere with platelet function and are relatively contraindicated. For certain patients, discontinuing these medications for a short time before and after treatment, with the prescribing physician’s knowledge and consent, may be an option.
PRP is derived from your own body, posing little danger of allergy, hypersensitivity, or foreign-body reactions. The risk of infection at the injection site is further reduced by the presence of white blood cells (components of your immune system) in the PRP. We use a clean technique throughout the process to minimize exposure to microbes (infectious agents).
While our office is located in SE Portland, Oregon, many of our patients travel from the greater Portland area, including Lake Oswego, Beaverton, Hillsboro, Tigard, Milwaukie, Happy Valley, and Oregon City, for in-office visits and procedures. We also offer virtual office visits, which allow us to provide care to anyone seeking care in Oregon, except for procedures, which must be performed in-office.
Why Choose FoRM Health for PRP Injections in Portland, OR?
The FoRM Health team has over two decades of combined experience in treating many different pain-causing conditions with PRP injections. They offer a number of advantages for treatment success (sorry, this gets technical!):
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Technique: Your PRP is concentrated and prepared using an IRB-approved, double-spin manual technique. What does this mean? Research shows a double-spin centrifugation method is superior for treatment success.
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Sterile prep: We use a laminar flow hood to ensure sterility and minimize contamination risk before reinjecting.
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Accuracy: We use ultrasound guidance for precise needle placement in most orthopedic injections.
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Comfort: For patients with needle phobias, pain sensitivity, or just general fears about injection procedures, FoRM offers Pro-NOX (opens in new tab), a patient-administered form of nitrous oxide gas that results in anxiety relief and pain dissociation while remaining fully conscious.
The physicians at FoRM Health offer free consults for anyone considering orthopedic injection procedures.
Schedule with FoRM’s PRP Specialists
Ready to find out if PRP is right for you? Contact FoRM Health at (503) 232-5653 to speak with our team and schedule a consultation. Our specialists include
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Dr. Ryan Minarik, ND, LAc (Sports Medicine Specialist)
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Dr. Brittany Krake, ND, MDR (Sports Medicine Specialist)
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Dr. Kai Herman, ND (Aesthetic Specialist).