Many tissue damages in humans due to injury or aging heal when the appropriate environment is provided. The most effective cells in healing are platelets, which are small components of the blood. After damage, platelets initiate and accelerate healing events by releasing many different growth factors in the vesicles they contain into the injured area. The use of platelets in different treatments as an accelerator of tissue healing began in the 1970s. In orthopedics and traumatology, PRP (Platelet Rich Plasma) is used with successful results in the treatment of complaints related to both new and old injuries and degenerative joint deteriorations. It has been shown by studies in different disciplines that it provides similar or superior benefits to many other treatments in cases of cartilage damage in large joints, most commonly the knee, inadequate healing due to muscle and/or tendon injuries, and long-term and severely painful skeletal system disorders. The diagnoses where PRP treatment is most frequently used in orthopedics and traumatology are: knee-ankle-elbow and shoulder osteoarthritis, cartilage injuries, Achilles tendon problems (partial tears, tendinosis and tendinitis), heel spur (plantar fasciitis), medial and lateral epicondylitis (golfer's elbow). and tennis elbow), shoulder tendinitis and tendon ruptures, patellar tendinitis and ankle ligament ruptures.
PRP application is increasingly gaining ground in treatments with natural healers, which are used more and more frequently in recent years. It can be used alone or in combination with other treatments, increasing the chance of success. Since the person's own blood cells are used, when prepared and applied by competent people in an appropriate environment, there are much fewer undesirable effects than many other treatments. In practice, blood taken sterile from a vein using simple methods is subjected to a series of procedures that take approximately 15 minutes. The cell and liquid parts of the blood are separated from each other after the spinning process. The part rich in platelets is taken into the application syringe and administered to the treatment area after it is prepared sterile. In order to ensure that the growth factors contained in platelets appear more easily and intensively, the blood cells obtained by chemical or physical methods are used. tive PRP has been shown to be more successful, especially in sports injuries and tendon problems. Physical methods can be preferred as they do not require chemicals to make PRP more effective. For this purpose, keeping it at a certain temperature for 16-24 hours or using light of certain wavelengths can be used. With the advantage of same-day application, the light activation process, which requires 4-6 minutes of additional time, is preferred by most patients and practitioners.
PRP treatment is performed after very careful evaluations in patients with bleeding disorders and those using blood thinners and anticoagulants. should be implemented. Infection in the area where it will be applied prevents PRP treatment. The treatment itself can rarely cause inflammation, which lasts for a day or two. For this reason, it would be appropriate to rest the area for at least a few days after PRP and activated PRP injection.
In many diseases and injuries, PRP applications alone or in combination with other treatments reduce the amount of medication use, shorten the time to return to work and daily life. It can advance or eliminate possible surgeries. It rarely needs to be applied more than once. However, it should be kept in mind that there may be situations where a natural recovery is not expected or where delaying the best known treatments would be harmful, and PRP application may not be the only solution for every disease and patient. The most appropriate treatment decision should be made jointly by the patient and the doctor, considering the possible benefits.
Wishing you healthy and happy days
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