Joint Injections & Pain Management
Injection of autologous Platelet-Rich Plasma (PRP), steroids, and hyaluronic acid for injured or damaged joints and tendons.
Platelet-Rich Plasma Injections
What is Autologous Platelet-Rich Plasma (A-PRP)? Autologous Platelet-Rich Plasma (A-PRP) was first developed in the 1970s and has gained popularity since the 1990s being applied to many different medical fields including cosmetic surgery, dentistry, sports medicine and pain management. It is defined by a limited volume of plasma (blood minus the red blood cells and granulocytes), and contains concentrated platelets, a large pool of growth factors, and proteins that have been found to enhance wound healing and repair in injured tendons, ligaments and joints. These structures, when injured, take a very long time to heal due to limited blood supply and low cell density.
The growth factors contained in A-PRP are released from granules in the platelets and when activated, stimulate repair of injured tissues through a variety of physiological mechanisms. Sports medicine physicians, primary care physicians and orthopedic surgeons throughout Europe, the United States and Canada are increasingly using A-PRP as a means to enhance the healing of injured tendons and ligaments, and to delay artificial joint replacement by years.
Steroid injections into injured or degenerated joints, or around injured tendons can provide anywhere from several weeks to up to six months of relief. This procedure can be done using surface anatomoical features recognizable by an experienced injecting physician. Usually xylocaine (an injectable local anesthetic) is mixed with the steroid to increase the comfort of the injection.
Synvisc® Injections (Viscosupplementation)
Synvisc® injections (elastoviscous fluid containing hyaluronic acid) also known as viscosupplementation - are done commonly for Osteoarthritis of the hip or knee. Injections are done weekly for a total of three injections (Synvisc One® is a one-time injection), and repeated every six months to a year. This restores and rejuvenates the joint fluid and nourishes the damaged joint cartilage. These injections will help to delay joint replacement by several years and can be performed in patients with mild to moderate disease. For advanced osteoarthritis of the joint, this option is not recommended.
The Joint Clinic-TM uses ultrasound guidance to inject this product into the hip. The product may be injected into the knee using surface anatomical features recognizable by our experienced physician injectors.
Please contact our Clinic for further details.
Most third-party insurance plans cover the cost of the steroid, Synvisc® in which case, a prescription is provided for you prior to injection.