Menu

Medical Practice

Platelet-Rich-Plasma-PRP-Injections-Debate
Why Are We Still Debating Platelet-Rich Plasma?

In the 2000s, when Platelet-Rich Plasma first started shifting its role from being a healing assistant in cardiac and orthodontic surgeries to the more leading role of healing bone grafts and joint tissues, many leading physicians claimed that the practitioners were putting profiteering before truth and science. They even said it was outright theft to charge $300 for an injection that, according to them, had an efficacy no less than placebo. That was in 2009 and the confusion back then was justifiable.

Fast forward 7 years later, in 2016, and we had the first FDA-Sanctioned, Randomized, Double-blind, Placebo-controlled Clinical Trial on Platelet-Rich Plasma for Knee Osteoarthritis which showed that PRP improved the outcome by 78% compared to 7% for placebo.

This was also confirmed by two Chinese major review studies this year, both Meta-analysis of Randomized Controlled Trials of Platelet-Rich Plasma for Knee Osteoarthritisfirst one here and the second one here.

Yet, we still see physicians here in the US – orthopedists and rheumatologists, among them – who don’t even bother to try it once on their patients!

What’s going on?

Platelet-Rich-Plasma-PRP-Injections-Debate

The Hidden Factor That’s Holding PRP Back

Platelet-Rich Plasma, as we know, contains 7X-9X concentration of platelets in a serum with a balanced ratio of plasma, leukocytes and RBC. This special mixture helps supply growth factors and other proteins that tissues can use to recruit stem cells and heal itself. This process is pretty straight-forward. Yet, we know for a fact that there are some physicians who fail to see results with Platelet-Rich Plasma, including some clinical studies performed by veterans.

Are they missing something?

We suspect it has got to do with the second part to PRP’s healing mechanism. It’s right application.

It can be summed up in the following two questions.

1. Precisely which tissue are you delivering the PRP to?
2. How are you making sure that the PRP is used by the tissues and not wasted?

This is where the science of Interventional Orthopedics come into play.

Platelet-Rich-Plasma-PRP-Injections-Debate

The Science Behind Interventional Orthopedics

On the outside, interventional orthopedics look very simple. You identify the area which needs healing, and then administer Platelet-Rich Plasma (or stem cells for that matter) to that particular area and wait for it to heal. Thinking that its this simple screws up the process for physicians who’re merely trying their luck with PRP. Because, the bulk of the Platelet-Rich Plasma treatment – the actual work that the physicians need to do – has to do with the following.

1) Identifying the exact group of tissues that are broken or degenerated (Accurate Localization),

2) Creating lesions in the damaged tissue, and

3) Delivering Platelet-Rich Plasma precisely at that location.

These advanced injections are much more effective and requires a different level of expertise.

For example, typical injections in the knee can only deliver the Platelet-Rich Plasma serum to the synovial fluid, synovial membrane and articular cartilage. The advanced injections like intraosseous infiltrations can deliver the PRP serum to the subchondral bone and the deep layers of cartilage that are affected by Osteoarthritis.

These kind of advanced injections require the use of fluoroscopic guidance for proper administration as well as proper training on the physician’s side.

Here’s one study that explains why accurate localization is linked with an improved clinical outcome Study of intra-articular infiltrations with intra-osseous injections of Platelet-Rich Plasma.

The thing is, not all physicians are trained to do it. The scope of these advanced injections are vast and warrant extensive training and expertise.

Platelet-Rich-Plasma-PRP-Injections-Debate

To continue with the example of the knee, most physicians are proficient only in the superomedial or anteromedial/anterolateral injections to the knee. However, advanced Platelet-Rich Plasma injections can deliver the PRP to precise locations like…

  • Medial collateral ligament (MCL)
  • Posterior cruciate ligament (PCL)
  • Anterior cruciate ligament (ACL)
  • Lateral collateral ligament (LCL)
  • Patellar ligament (PL)
  • Quadriceps tendon
  • Patellar tendon
  • Medial meniscus
  • Anteromedial joint line (AMJL)
  • Medial midpatellar (MMP)
  • Superomedial patellar (SMP)
  • Anterolateral joint line (ALJL)
  • Lateral midpatellar (LMP)
  • Superolateral patellar (SLP)
  • Lateral suprapatellar bursa (LSB)
  • Infrapatellar (IFP)
  • Lateral meniscus
  • Subchondral bone
  • Femur bone

Most physicians, instead of getting highly proficient in identifying and administering precise PRP injections, they get concerned over the relative lack of protocols for PRP Injections. They get carried away by details like the frequency of the injection, the leukocyte levels, and red blood cells, when the fact is… as long as you get the platelet concentration right (5X-9X baseline), the therapeutic effects are guaranteed. The frequency and the presence of Leukocytes are minor factors that have little to no impact on the outcome.

The most important factor is physician training for advanced injections under Ultrasound or Fluoroscopy.

If It Works For Knee Osteoarthritis, It Probably Works For Other Degenerative Diseases

There is another concern among some physician who claim that there’s no evidence for the particular condition that they’re treating. For example, let’s say they’re treating Spinal muscular atrophy in a patient and see that there has been no study that proves Platelet-Rich Plasma is a good candidate.

Does that mean it won’t work? Absolutely no.

It just means no one has ever studied it in detail. The working mechanism behind Platelet-Rich Plasma is so universal that if it works for the knees, it will work for the spine and other similar areas of the body as well. In fact, there is almost no part of the body that is not currently known to have a therapeutic effect upon application of Platelet-Rich Plasma – nerves, joints, muscles, skin, hair, and even the eyes are treated by PRP.

By the way, if you’re wondering if there really is a study on Platelet-Rich Plasma for Spinal Muscular Atrophy, here is one from Egyptian researchers.

Platelet-Rich-Plasma-PRP-Injections-Debate

Does Age Play A Role?

We’ve noticed that age does not have a correlation with the effectiveness of Platelet-Rich Plasma injections. It works just the same for the young and old.

However, the one thing that do have a correlation is the degree to which the disease has advanced.

The more advanced the disease, the less likely that Platelet-Rich Plasma can reverse its course. That is the reason why we recommend physicians treat Platelet-Rich Plasma as a first-line treatment for all possible conditions. It has already shown to be much more effective than both Cortisone and Hyaluronic Acid injections.

Platelet-Rich-Plasma-PRP-Injections-Debate

Education in Advanced regenerative-medicine injections

So, back to the single biggest needle-mover when it comes to Platelet-Rich Plasma injections: ACCURATE LOCALIZATION. This means the physicians must undergo advanced training for this type of injections.

And there are not many options available until recently.

Platelet-Rich-Plasma-PRP-Injections-Debate

Thankfully, we now have the Interventional Orthopedics Foundation (IOF) foundation – the first non-profit in the US dedicated to providing training for core injection skills. According to IOF, only 1% of the physicians in the US are trained to do these advanced injections. And chances are you may not have been trained.

With IOF, you can get trained for that in a real medical setting with skilled instructors and support staff.

According to the IOF website, they can train you on:

  • Injections for the healing of bone, tendon, ligaments, muscle or cartilage.
  • Accurate localization of these injections on damaged structures using image guidance.
  • New tools that facilitate percutaneous tissue manipulation.

This is a wonderful non-profit education initiative by Christopher J. Centeno, MD, Gregory Lutz, MD, Don Buford, MD and Richard D. Striano D.C., RMSK, all leading players in the regenerative medicine field.

Here’s a video you can watch to learn about IOF foundation.

And check out the IOF membership information here.

One last thing…

Platelet-Rich Plasma Standardization

As a Platelet-Rich Plasma practitioner, you’ll be out on the leading-edge. You’ll discover things that others may not be aware of. And you’ll have the opportunity to publish your findings. That’s when you’ll think of a standardization. By then, it’s too late. You’ve already performed a lot of injections and your data in unstandardized.

To avoid this, consider using a standard for the preparation of Platelet-Rich Plasma.

We suggest using the latest MARSPILL classification for Platelet-Rich Plasma developed jointly by Brazilian and US researchers.

The lack of standardization is the main culprit when it comes to debates over the efficacy of Platelet-Rich Plasma. We would love to see more and more researchers and everyday practitioners accepting a common standardized classification system for PRP.

Here’s the chart for the MARSPILL classification.

Platelet-Rich-Plasma-PRP-Injections-Debate

And you may also want to check out the DRPRP Kit for the most ideal concentration of Platelet-Rich Plasma.

Platelet-Rich-Plasma-PRP-Injections-Debate

PRP INJECTIONS MEDICAL PRACTICE
Why Add PRP Injections To Your Medical Practice? [Infographic]

Many physicians we know claim that PRP Injections have saved their practice. Some of them even say that PRP helped them fall in love with medicine again. Because for the first time in modern medical history, we have a treatment that’s 100% autologous and natural with zero side effects that can aid healing for a variety of medical conditions. Nothing else comes close.

PRP INJECTIONS MEDICAL PRACTICE

While the above is a solid reason for you to start offering Platelet-Rich Plasma in your practice, there are a few other reasons too. Let’s go through them.

  1. It’s extremely simple procedure – and easy to get started: If you choose us, for less than $3000 investment, you can get started with Platelet-Rich Plasma (enough for your first 10 treatments). Plus we’ll train you on everything you’ll need to know as well as provide marketing support.
  2. It’s not just a fad – this treatment is here to stay: For those who’re choosing to “wait and see,” Platelet-Rich Plasma is showing no signs of slowing down. The PRP market is expected to hit about $452 million dollars in 2024. That’s a 12.5% compounded annual rate of growth from just $160 million dollars in 2015.
  3. Your patient satisfaction will skyrocket: In certain categories, the satisfaction rate for patients who’ve gotten PRP treatments is as high as 95%. The treatments surprise the patients with the results – most of them can’t believe they can have a genuine reversal of their condition with such a simple, non-invasive and no-down-time procedure as PRP.

Right now, the time is ripe for you to become a Platelet-Rich Plasma Specialist in your field. There is much research to be done in multiple aspects of PRP treatments ranging from research around combining PRP with other treatments and the composition of PRP itself. Since there is no standard in this, you’ll be creating the standards yourself.

We need you to be the pioneer in this field. Platelet-Rich Plasma, literally, is a turning point in American medical history. And we don’t want you to miss it.

Here’s an infographic that we’ve made as a reminder to this fact:

Infographic: Why Add PRP To Your Medical Practice?

PRP Injections Why Should You Add Them

A great variety of treatments with just one tiny investment

The beauty of Platelet-Rich Plasma is that it has become virtually indispensable in almost all fields of practice. Urology, sports medicine, pain management, skin rejuvenation, eye care, spine care, hair care, these are the most prominent fields. And those physicians who’ve embraced PRP Injections are seeing high patient retention rates too.

So are you considering Platelet-Rich Plasma?

PRP INJECTIONS MEDICAL PRACTICE

Women Surgeons #ILookLikeASurgeon
Who Else Tried This New Yorker Challenge For Women Surgeons?

In more ways than one, in the field of surgery women surgeons are a minority.

This is a stark contrast to medical school enrollments where almost 50 percent are women. Yet, in the field of surgery there are may 10-20 percent women.

Now, I’ve been in the medical industry for so long, and I don’t believe external factors – or male domination specifically – has anything to do with them, females, not becoming surgeons.

Perhaps, it has to do with the emotional makeup of women. Maybe they don’t fancy a career as a surgeon. Maybe they dislike blood and cutting people up.

Of course, that’s a big (and vague) generalization.

I’m fascinated by the recent trend among women surgeons to replicate the April 3 cover of New Yorker – it has become a global phenomenon.

Have you or colleagues tried it too?

This is a great organic campaign to inspire more women to consider joining the surgeon community.

Spread the word.

Women Surgeons #ILookLikeASurgeon4

How should you do it?

Twitter is already flooded with photos from the campaign. Just search for #NYerORCoverChallenge and you’ll find many. Basically, you snap you your fellow female surgeons done in work attire typically over the operating table under the bright light above.

Here are some of the examples of how people have done.

An Encouraging Look At The Movement

Although the career of a surgeon is a particularly challenging, do women get the support they need to progress in their career? Do our world-class medical facilities offer the flexibility the women need? Is the environment more open and tolerant. Do they get to express openly their intuition and feelings?

Maybe it’s not.

Or maybe as this writer complained in her Huffington Post article that they are constantly being mistaken for a nurse, it’s the attitude of the general public that has to change.

I firmly believe no one is deliberately trying to keep women from being a leader in surgery.

But no one can deny that we have room for growth when it comes to accommodating and encouraging women surgeons to become high performers in this area.

Women Surgeons #ILookLikeASurgeon4

The fact is women surgeons had been reported as far as 3500 BC. Ancient Egyptian paintings in caves and tombs showed that some of the leaders in the medical field were indeed women.

And in colonial times, daughters of surgeons were actually trained to be surgeons. We also have our Mary Edwards Walker back in 1863 who became the first female surgeon in the US, then employed by the U.S. Army, and also the only woman to receive the Medal of Honor.

More history about the role of women in surgery can be found in this video, (also embedded down below.)

7 BIGGEST HEALTHCARE TRENDS IN THE US
7 Biggest Healthcare Trends In The US [INFOGRAPHIC]

Without doubt health is every American’s biggest concern. We’re more health-conscious than ever before and our growing demands need more innovative solutions. Healthcare spending is on record levels whether you account for ACA spending or not. But I guess, overall, we’re seeing more transparency with more informed patients. These are the 7 major trends we’re seeing in American Healthcare. Perhaps, these are going to dramatically push the needle on life-expectancy. At least I hope so.

The 7 Biggest Healthcare Trends In The US

1. MICRO CLINICAL TRIALS
2. WEARABLE TECHNOLOGY
3. TELEHEALTH CARE SERVICES
4. 3D-PRINTED BIOMATERIALS
5. CLOUD COMPUTING HEALTHCARE DATA
6. REGENERATIVE MEDICINE GOES BIG
7. HYBRID SURGERY ROOMS

Download the infographic for more information.

Healthcare Trends on AMERICAN MARKET

 

DrPRP USA’s Guide To Medical Practice Marketing [INFOGRAPHIC]

Building a successful medical practice is not hard. Even though there are a lot of physicians out there offering their services, most of them have no clue or interest about marketing their medical practice. Since you’re reading this, I can assume you’re different.

You know your medical practice is just like any other entrepreneurial venture. You continuously market your services to potential clients in order to get consistent business. But that doesn’t even remotely mean that you should take your focus out of providing excellent care and service to your current patients. Far from the contrary. When you have consistent system that brings clients — clients that you desire — to your office, your increased peace of mind directly translates to better patient experience. 

With that said, here are the…

Six Steps To Effective Medical Practice Marketing

Step 1: Think Different
Step 2: Auto Referrals
Step 3: Daily Exposure
Step 4: Smart JVs
Step 5: Give Aways
Step 6: Systemize

Learn more about each step in the infographic below:

DrPRP USA's Guide Medical Practice Marketing

drprp Platelet-Rich Plasma prp kit samples

Dr. PRP Kit Samples — Order Yours Now

Once you enter your email and confirm you'll receive the link to order your samples. Plus, you'll also be subscribed for updates and news from the Dr. PRP USA team. 

You have Successfully Subscribed!