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Platelet Rich Plasma injections
    PRP injections are used to treat musculoskeletal injuries and tendonitis and have been popularized by use in many professional athletes (see the NY Times articles in 2009 and 2011). Many published medical papers have documented its use and found success, and further research is ongoing. PRP is used to treat both new and persistent injuries, and theoretically stimulates a healing response that is different than cortisone injections and other modalities. Often PRP can be used in situations where cortisone injections have been ineffective or contraindicated, and is safer with fewer side effects. It also is a good option for patients that are trying to avoid surgery but other options have failed.
     PRP involves an injection of your own blood to stimulate an immune response, as opposed to cortisone which decreases inflammation. PRP is performed in the office in less than 30 minutes, and the patient can resume most activities. A small amount of blood is drawn and a centrifuge used to separate the blood components. The platelet rich portion and plasma is then injected into the affected area. 
     The purpose is to stimulate an immune response by the activation of platelets and their clotting/growth factors. This can accelerate the healing process in an area that is injured or has chronic pain. Research is ongoing into the specific methods and results of this relatively new technique. We perform PRP injections during a short office visit and there is no dietary restrictions or anesthesia.
     Common conditions treated with PRP injection are: lateral epicondylitis (tennis elbow), medial epicondylitis (golfer's elbow), shoulder tendonitis and bursitis (impingement), achilles tendonitis, and many other injuries. If you are interested, please make an appointment to discuss the potential benefits of PRP therapy. 
     Dr. Lewis has considerable experience with PRP injections and this is offered for appropriate patients after an office interview and exam. 



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