Platelet Rich Plasma Post Treatment Instructions
1. You will be very sore in about 45 minutes. Very sore as in “something is definitely wrong” level of soreness.
2. Use tramadol 50 mg tablets, 1 tablet every 4 to 6 hours as needed for pain. Stay “ahead” of the pain and don’t wait for it to get bad. These pills may make you drowsy. If they do: you should not drive or do any activity where you may hurt yourself or someone else.
3. Use the Percocet or other narcotic pain pills if you need to. These will definitely impair you and you must not drive or do any activity where you may hurt yourself or someone else. Hello ESPN on the couch. You may need these pills only at night and only for the first 1-3 days, maximum. Don’t use them if you don’t need them. They will also constipate you, so increase the fiber in your diet.
4. DO NOT USE NON-STEROIDAL ANTI-INFLAMATORY DRUGS (NSAIDs) (like ibuprofen or naproxyn), or ASPIRIN, or TYLENOL for at least the next two weeks. This is very important and will negate the effects of the therapy by inhibiting inflammation. (If you have a prescription for aspirin for a medical condition talk to me about it as your aspirin may be too important to stop.) We want the inflammation to start the healing process. Do not smoke.
5. After the first 2-3 days, the pain should calm down. You will start having “good days and bad days” where you have more and less soreness. This is a good response.
- For the first 2 days, no activity, rest only.
- On day 3 move the limb / joint through its full range of motion without resistance. Move it around.
- On day 4 – 14 start doing negative eccentric exercise with the limb. This means apply resistance while the muscle is lengthening, with no resistance while the muscle is shortening. 2 sets of 30 gentle repetitions twice a day. Gradually increase resistance. It is vital to move the limb to stimulate proper healing. Cross train for your cardio workout as you are able. (Swim, deep water running, upper body bike, recumbent bike, elliptical, walk etc.)
- If your Achilles tendon was injected, if you want you can start jogging at 2 weeks if you feel up to it.
- Formal Physical Therapy should start at 2 weeks
7. Keep track of your symptoms
8. Come in to be re-evaluated at two weeks. If you have had the condition for a long time, it will most-likely take several PRP treatments to reverse it and get back to pain-free full activity. If more injections are needed, they are usually done about every four to eight weeks. Do not use NSAIDs for the week before your next injection. Three to six injections is usual to resolve many chronic conditions.