Platelet-Rich Plasma (PRP) Therapy

OVERVIEW

What PRP therapy is and how it works

Your blood contains platelets, cell fragments rich in the growth factors your body naturally uses to repair tissue. PRP therapy starts with a small blood draw, which is spun in a centrifuge to separate and concentrate those platelets. The concentrated plasma is then injected directly into the area of injury, with the aim of delivering a higher local dose of growth factors than the body would route there on its own to support the healing process.

Because PRP is prepared from your own blood (an autologous treatment), there is no risk of rejection or of an allergic reaction to a foreign substance. At Columbia Pain & Spine Institute, our fellowship-trained PM&R physicians use ultrasound or fluoroscopic guidance to place the injection precisely within the targeted tendon, ligament, or joint.

CONDITIONS

Conditions PRP therapy may help

PRP is most often considered for chronic tendon, ligament, and joint problems that have not responded well to rest, activity changes, physical therapy, or other conservative care. The strength of the evidence varies by condition, so your physician will explain what PRP can realistically offer for your diagnosis.

PRP is sometimes considered for osteoarthritis or tendon problems in other joints, such as the hip or shoulder, though the supporting evidence there is more limited. Your physician will review your imaging and history to judge whether your particular injury is a good candidate.

WHAT TO EXPECT

Your PRP procedure, step by step

After and recovery

Mild soreness, swelling, or aching at the injection site for a few days is common and is part of the expected healing response; ice and acetaminophen are often suggested rather than anti-inflammatories. Most people return to normal daily activity quickly but are advised to ease back into strenuous exercise. Because PRP works gradually, any benefit tends to develop over weeks rather than immediately, and some conditions may call for a series of injections. Your physician will give you a recovery and follow-up plan tailored to your injury.

FAQ

Frequently asked questions

Is PRP made from my own blood?

Yes. PRP is autologous, meaning it is prepared entirely from a small sample of your own blood drawn at the time of your visit. Nothing from a donor or any synthetic material is added, which is why there is no risk of rejection or of an allergic reaction to a foreign substance.

How long until I notice a difference?

PRP supports a gradual healing process, so any improvement typically develops over several weeks rather than right away. Results vary by individual and by condition, and some injuries may benefit from more than one injection. Your physician will set realistic expectations for your specific diagnosis.

Is PRP covered by insurance?

Coverage varies. Many insurers consider PRP investigational for certain conditions, so it is not always covered. Our office can review your plan with you and explain any out-of-pocket costs before you decide.

Is PRP right for me?

That depends on your diagnosis, your imaging, and how you have responded to other treatments. The best way to find out is an evaluation with one of our PM&R physicians, who will review your history and discuss whether PRP is a reasonable option for you.

NEXT STEPS

Considering PRP therapy in Gresham or Portland?

Columbia Pain & Spine Institute offers PRP therapy and a full range of interventional pain procedures to patients across Gresham, Portland, and the greater Portland metro area. To learn whether PRP is appropriate for your condition, ask your physician for a referral, or contact our office with questions. Referring providers can fax records to (503) 382-8120.