The PRP therapy makes use of the knowledge that our blood contains remedies and growth factors that can initiate and support healing processes in the case of injuries or chronic diseases. The blood plasma therapy was the first very successful cell therapy in orthopedics and quickly gained in popularity, especially in the treatment of early knee osteoarthritis, as it is considered very safe and represents a natural alternative to surgery. In addition, several studies have shown that PRP has a high density of cytokines that reduce inflammation, postoperative blood loss, scarring and infection, and on the other hand, promote healing of bones, wounds, and muscle as well as soft tissue injuries. Thus, PRP treatment is a procedure that we use regularly not only in the knee but in the complete musculoskeletal structure.
When the blood platelets are degranulated after injection, various growth factors are released which have regenerative capacity. In addition, they inhibit the toxic inflammatory effect on the cartilage cells in osteoarthritis. In addition, PRP increases the synthetic activity of cartilage. Thus, PRP is considered cartilage protective.
Prof. Schoettle is known as a globally recognized specialist in the field of PRP treatment and cell therapy and looks back on many years of experience in cell and blood plasma therapy and knows exactly when and how often to use which therapy.
Since it is known that hyaluronic acid also has a healing effect on the cartilage, we prefer the combination therapy of hyaluronic acid and PRP. Depending on the extent of cartilage damage, this special blood plasma therapy is injected 3-4 times into the affected joint. At least 2 and not more than 10 days should elapse between injections to achieve optimal results.
There is no special preparation for the PRP therapy. We take 15 ml of blood, which is immediately centrifuged and the blood plasma is separated. After sterile covering and washing of the affected area, the recovered PRP is injected immediately after a short anesthesia of the surface.
After an injection, a swelling may develop in the short term because of the increase in volume, which is normally not very painful and will disappear again on the same day. A discharge or immobilization is not necessary
IN CHRONIC SPORT INJURIES / OVERLOAD SYNDROMES
A typical indication is the chronic tendon irritation such as: a jumpers knee, the tennis elbow, the achillodynia, the “runners” leg or irritation of the long biceps tendon or irritation caused by small cracks of the rotator cuff. In all these cases, the multiple infiltration of PRP and simultaneous immobilization or sparing, as well as physiotherapy with improved blood flow, may indicate a significant improvement in the symptoms and decrease in inflammation and thus in pain.
IN ACUTE SPORT INJURIES LIKE CROSSBAND GROUP
In fresh partial ruptures of the anterior cruciate ligament, it is possible to allow self-healing by multiple PRP treatment in the cruciate ligament rupture, improve local blood supply, and reduce local inflammation. At the same time a special orthosis for the protection of the cruciate ligament must be worn and a special physiotherapy be performed. Four weeks after the last PRP therapy, a new MRI and KT 2000 measurement are performed to determine the success of this treatment.
But even with other injuries such as Achilles tendon rupture or muscle tears that are cured without surgery, the blood plasma therapy is the drug of choice. Depending on the injury, the PRP treatment should be carried out 3 to 4 times, while the affected structure is treated by trained therapists in a professional manner.
PRP is also used in operations as a cure accelerator, to reduce the risk of infection and to reduce postoperative pain and inflammation.
IN CARTILAGE DAMAGE
Chronic diseases, such as osteoarthritis, are treated with a combination of hyaluronic acid and PRP, since the interaction of both methods of treatment is important here. While hyaluronic acid restores viscoelastic properties of synovial fluid in arthritic joints, ACP can reduce inflammation while ensuring that growth factors contribute to tissue reconstruction and cartilage regeneration. This was proven in a multiple award-winning, prospective, blind randomized study.
PRP can prevent inflammatory processes and their negative and toxic impact on the cartilage. In addition, PRP also reduces the formation of nitric oxide and thus the stress acting on the joint. In addition, PRP enhances the action of hyaluronic acid and decreases the metalloproteinase responsible for cartilage degradation.
This explains the healing potential and the reduction in pain in the treatment of cartilage damage and osteoarthritis. Since PRP is derived from autologous blood and this therapy is based on the body’s own mechanisms, in contrast to cortisone therapy NO side effects occur.
Since it is known that hyaluronic acid also has a cartilage-healing effect, we prefer the combination therapy of hyaluronic acid and PRP. Depending on the extent of cartilage damage, this therapy is injected 3-4 times into the affected joint. At least 2 and not more than 10 days should elapse between injections to achieve optimal results. After an injection, a swelling may develop in the short term because of the increase in volume, which is normally not painful, however, and very soon passes on the same day. A discharge or immobilization is not necessary.
Furthermore, PRP is also used in our Munich institute for skin scarring, for faster scar healing and for solving deep scars and arthrofibrosis.