PRP treatment reduces pain, tendons, muscles and joints.

PRP is a high concentration of platelets. extracted from his own blood to be injected to treat deterioration Slight or partial injury Whether it is tissue around the structure, bone joint surface, bone hernia, tendon that has not yet deteriorated. to stimulate wound healing help repair cells Restore condition to near normal use PRP injections can help relieve pain. Promotes healing and helps delay joint replacement surgery

PRP injections can be injected into all parts. It can be injected into any area, such as torn muscles, joints, bones, around tendons, or even intramuscularly. Because there is no danger of it causing an infection because the platelet-rich plasma is an autologous rejection or the patient’s own blood.

1. Get enough sleep Eat all 5 food groups
2. refrain from alcoholic beverages
3. Drink plenty of water, about 1-2 liters before receiving the PRP injection treatment to make the blood thicker, less viscous, and easier to draw blood.
4. Refrain from taking vitamins before injection / refrain from taking antibiotics that have been taken for a long time.
5. Do not take ASAs or NSAIDs, such as aspirin, pain relievers, as they may contaminate your blood. and inefficient
6. If you have congenital diseases such as diabetes, gout, high cholesterol These diseases should be kept in near normal condition before injecting the PRP because they affect the viscosity of the blood. The compounds within the blood are impure. This will cause the effectiveness of the treatment to deteriorate.

The mechanism of action of PRP or platelet-rich plasma is to stimulate the body to have inflammation in the injection area, which can be inflammation, pain, tightness, therefore, during the first 48 hours after the injection. injection. It will be like a general inflammation, which has the following methods of treatment.

1. cold compress to reduce pain
2. Try to avoid using the PRP injection site.
3. If there is a lot of pain You can take paracetamol pain reliever. Do not take NSAIDs, anti-inflammatory drugs, steroids, as they inhibit the factors that the body produces and suppress the immune system, reducing the effectiveness of PRP.

The number of treatment sessions with PRP injections depends on the patient’s condition, i.e. injections to treat degeneration. muscle tear injury Tear in the knee joint or herniated disc, skin with arthritis, torn knee ligament, which can be classified as follows

1. injection to treat deterioration It is a time-consuming treatment. Do it once, it may not disappear immediately. Therefore, it must be injected at least 3 times to increase the quantity to effectively repair the problematic part.
2. Injections for the treatment of minor muscle injuries Therefore, it can perform Single Shot PRP 1 time and perform ultrasound after injection. to see if the injected muscle has repaired itself better
3. Injection to treat a tear in a joint that makes connection difficult. It is a treatment that must be continued. Therefore, it should be injected continuously at least 3 times.

If the patient has no side effects or inflammation. It can be injected once a week To allow the body to rest and the body state has returned to normal levels. Therefore, the stimulus was injected again. Injecting too small a distance can cause a lot of inflammation in the body. Increased pain at the injection site

• Patients in the early-stage joint degeneration group The spot is not very deformed. Surgery is not yet necessary.
• Older people with early-stage osteoarthritis Treatment with PRP will help slow the symptoms of deterioration. and reduce pain without surgery
• Athletes with cartilage injuries but few symptoms There is a hole in the shallow cartilage area. The width of the cartilage fossa is not too wide. with less blood making binding difficult This allows the cartilage to connect more easily and balance the joints better.

Therefore, the PRP is suitable for patients who wish to treat degeneration, injury, tendon or muscle tear. for symptoms to improve and return to near normal without surgery is one of the treatment options. However, there is a limitation, namely, it does not have to be very warped and there is no friction to the extent that the injected PRP is disturbed to the extent that it does not benefit from the PRP injection.

The results of the treatment may vary from person to person. Because each person has a different immunity. Therefore, the influencing factors is the general physical health of those receiving the treatment whether it is healthy or not. Is the innate repair of the patient’s immune function and white blood cells good or not? Whether the immune system and the immune system are functioning well. it will make the repair mechanism more efficient. see results quickly But if the person being treated has a congenital disease such as SLE, take steroids for a long time The results and effectiveness of the treatment may also be reduced.

Most of the time, PRP will help stimulate self-repair. Therefore, it is not possible to say how long the treatment will last, but it can help balance and help repair problem areas. stimulate body regeneration If symptoms improve, there is no need to return for repeated PRP injections, but if pain persists, PRP injections can be resumed to encourage repair.

1. People with underlying medical conditions such as cancer, anemia, rheumatoid arthritis, or HIV infection.
2. People taking ASAs or NSAIDs, such as aspirin or antiplatelet drugs.
3. People with blood clotting disorders
4. be at least 15 years of age

Article by: Dr. Peerapat Ruchiwit
spine and joint surgeon Specialist in laparoscopy and sports medicine, Samitivej Srinakarin Hospital