PRP Injections - Orthopedic Indications

What is PRP? How does PRP work?

Platelets are blood cell fragments that are rich in growth factors. When an injury occurs, platelets rush to the injury site and release growth factors to start the healing process. Platelets can be drawn from a patient’s own blood and concentrated. This is called platelet rich plasma or PRP. PRP can be injected into an injured ligament, muscle, joint or into the spine. PRP injections lead to healing by stimulating new collagen production resulting in healthier, stronger tissue, reduced pain and improved function. 

Listen to Dr. Carter explain how PRP works and what make customized, high-dose PRP treatments work better and last longer than others.

PRP for Spine and Orthopedics - What's the evidence that it works?

What is customized, high-dose PRP?
Not all PRP is the same!

There are many different PRP systems that generate different concentrations and different types of PRP (leukocyte-rich PRP. leukocyte-poor PRP, platelet rich fibrin/PRF, platelet lysate). The type and the dose of PRP used should be chosen based on the type of injury, the patient’s age and other factors. Studies show higher platelet counts are more effective for orthopedic conditions. Most PRP systems concentrate platelets about 5 times over one’s own baseline level or platelet counts in the millions to low billions, with the need for multiple treatments. Dr. Carter customizes the preparation of PRP using a multiple-spin protocol to generate high-dose PRP. Her treatments are done with platelet concentrations up to 25-30 times over baseline and total platelet counts and doses ranging from 9-24 billion platelets to achieve the best results possible with only one treatment.

PRP is an office-based treatment. Ultrasound or x-ray guidance is strongly recommended to ensure precise treatment. The injured area should first be anesthetized with a non-toxic anesthetic before the actual PRP injection is done. The entire procedure takes about an hour. 

Not everyone is a good candidate for platelet rich plasma. A proper medical and orthopedic evaluation with imaging is recommended to avoid a waste of time and expense.

Hear CBS Sports Analyst and former NFL Linebacker Brian Jones describe his successful response to a single PRP treatment for a rotator cuff tear in his shoulder and a successful bone marrow stem cell therapy for a meniscal tear and arthritis in his knee. Both treatments were done by Dr. Alicia Carter.

Why choose Dr. Alicia Carter, MD?

There are different types of PRP and different doses. 

  • Dr. Carter is a board-certified sports medicine, Castle Connolly Top Doctor (top 7% in the USA). She has been helping professional athletes and performing artists with regenerative medicine for over 15 years.
  • Dr. Carter’s system can generate high-dose PRP up to 25-30 times above baseline levels. Most providers generate PRP about 5 times above baseline.
  • Over 90% of Dr. Carter’s patients need only 1 injection to reach their treatment goals; not a series of 2-3 treatments recommended elsewhere.  
  • The entire procedure is done with ultrasound or x-ray guidance by Dr. Carter – including the blood draw and PRP processing (not a nurse or assistant).
  • Dr. Carter designs a customized rehabilitation protocol that her patients can do on their own or with a PT/trainer. 
  • Dr. Carter has some of the best outcomes. Patients who received PRP elsewhere eventually come to see Dr. Carter when their treatments don’t work or don’t last.
Patients “shopping” for the lowest PRP fee – a low fee usually means multiple treatments. Ask if a board-certified sports medicine, orthopedist or physiatrist MD/DO will be doing your injection, with x-ray or ultrasound guidance and the concentration of the PRP.

Dr. Carter discusses the use of PRP for back pain and why a comprehensive approach works best for any orthopedic condition.

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Why choose Dr. Alicia Carter?

There are different types of PRP and different doses. 

  • Dr. Carter is a Top Doctor and a regenerative medicine expert. She has been using PRP to help her patients, including professional athletes and dancers, for over 15 years.
  • Dr. Carter uses the newest generation PRP system available and customizes the PRP for the patient. Her patients typically need only 1 injection; not a series of 2-3 treatments recommended elsewhere.  
  • The entire procedure is done by Dr. Carter – not a nurse or physician assistant.
  • Dr. Carter prescribes and uses medication to control injection-related pain before, during and after the procedure for minimal discomfort.
  • Patients of Dr. Carter’s are given a complete treatment plan, not just the injection.
  • Dr. Carter has some of the best outcomes and her treatments last much longer than most. How do we know? Dr. Carter often sees patients who had PRP elsewhere. When their treatment does not work as expected or don’t last, those same patients eventually come to see Dr. Carter.
* A caution to patients “shopping” for the cheapest PRP price – a cheap price is often associated with a poor response. Be sure to ask if a doctor will be doing your injection, how many injections you will need under their care, and the total cost for all treatments.

Dr. Carter discusses the use of PRP for back pain and why a comprehensive approach works best for any orthopedic condition

Our Services

Dr. Carter has an excellent safety record and has taught injection techniques all across the country. Her expertise spans multiple areas including back and spine pain, joint and muscle plan, as well as PRP injections, and stem cell therapy injections.

Dr. Carter’s regenerative medicine protocols (platelet rich plasma and stem cell therapies) are backed by the latest scientific data.  Her pre-and post injection rehab programs and treatment plans are unique and specifically tailored to the individual patient’s goals and objectives.

Fitness and sports enthusiasts of all levels, from weekend warriors to professional athletes have benefited under Dr. Carter’s care.  Performing artists with career-threatening injuries have been able to return to their profession with Dr. Carter’s holistic approach to treatment. 

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