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Platelet Rich Plasma (PRP) to Enhance Rotator Cuff Healing

//Platelet Rich Plasma (PRP) to Enhance Rotator Cuff Healing

Enhancing Rotator Cuff Healing with Platelet Rich Plasma (PRP)

by Dr. Richard Bartholomew

What is Platelet Rich Plasma (PRP) or PRP Therapy?

Platelet Rich Plasma (PRP) also known as PRP Therapy is an exciting new technology emerging in orthopedics and sports medicine. PRP is a sample of autologous blood with concentrations of platelets above baseline values. Platelets play an instrumental role in the normal healing response via local secretion of growth factors and recruitment of reparative cells.

How is PRP Obtained?

PRP is obtained from approximately 15-30cc of the patient’s blood and using a centrifuge to separate RBC’s, leukocytes, and platelets. With further concentration, plasma is divided into platelet-poor and platelet-rich portions. After isolation, PRP is administered with an activating agent such as calcium chloride and/or thrombin immediately before the PRP injection, initiating platelet activation, clot formation, and growth factor release at the injection site. Platelets contain seven key growth factors: TGF-B, VEGF, IGF I & II, ECGF, PDFG-A&B, FGF, and EGF. Several studies have demonstrated increased collagen gene expression and increased production of vascular endothelial growth factor.

Orthopaedic Shoulder Specialist, Dr. Bartholomew is using Platelet Rich Plasma (PRP therapy or PRP injections) to enhance Rotator Cuff healing.

PRP Injection

A PRP Injection for the treatment of muscle, ligament, and tendon injuries is currently gaining widespread use. Promising data shows quicker recovery times and stronger healing at the repair site in areas; such as lateral epicondylitis, patellar tendinopathy, ligament tears, and Achilles tendinopathy to name a few. As well, there are encouraging studies and ongoing investigations into using PRP for stronger and quicker healing of the rotator cuff after arthroscopic repair.

Shoulder Injection with PRP Enhances Rotator Cuff Healing

This exciting technology is showing promising results with rotator cuff healing and return to activities more quickly by creating a more favorable biological environment for tendon-to-bone healing. Used in conjunction with minimally invasive arthroscopic techniques, we may see even better results for the more challenging large and massive rotator cuff tears as well as revision repairs.

Schedule your PRP Injection with our shoulder expert, Dr. Bartholomew.

Call Bone and Joint Specialists at (248) 673-0500.


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Orthopedic Specialties



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Dr. Richard Bartholomew, orthopedic surgeon, is a graduate of Michigan State University College of Osteopathic Medicine. He completed his training in Orthopedic Surgery at St. John Oakland Hospital where he served as chief resident. Dr. Bartholomew is currently an associate clinical professor of orthopedic surgery at Michigan State University and associate director of the orthopedic residency program. Dr. Bartholomew has lectured extensively on reconstructive techniques and has had several articles published. He is a shoulder specialist and knee specialist focusing on joint replacement and reconstruction, including minimally invasive procedures, and arthroscopic surgery.
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