Plasma Rich Platelets and APIC Injections
Platelet rich plasma (PRP) is a therapy that utilizes a patient’s own blood to stimulate a healing response within a damaged tissue or joint. This form of therapy takes cutting edge technology and combines it with the body’s natural ability to heal itself. In this technique one’s own blood is utilized and prepared to separate the growth factors, secretory proteins, and platelets to stimulate an anti-inflammatory and often a healing response.
Its clinical applications have been utilized in orthopedic, plastic, oral, and vascular surgery. It’s orthopedic applications include injection into muscular and tendon injuries, ligament injuries , and cartilage injuries to include osteoarthritis. The composition of this PRP ultra-filtrate is varied depending on its application area.
Biologically, the platelets within this substance contain α granules that in turn possess various growth factors that can aid in the healing process. This technology has been utilized and studied since the 1970’s and is still being refined for its varied orthopedic applications. It is currently approved for use in all the major professional sports and offers a biologic alternative to corticosteroid injections. As it is composed of one’s own blood has not be evaluated by the Federal Drug Administration (FDA), and as a result has been deemed experimental by the insurance industry and is not a covered product.
Dr. Klimkiewicz has found this treatment helpful for injuries to tendons and utilizes it routinely for lateral epicondylitis or tennis elbow and patellar tendonitis. He utilizes this for osteoarthritis as well when all other traditional treatment fail. Rehabilitation programs as well as injection schedule are individual to each case presentation .
When utilized for osteoarthritis, Dr Klimkiewicz prefers the use of the APIC™ system, which selectively filters and concentrates the protease inhibitor and protein alpha-2 Macroglobuln (A2M). This specific protein has the therapeutic potential to stop cartilage breakdown, decrease inflammatory factors, and inhibit other protease enzymes that have been shown to break down cartilage and lead to osteoarthritis.
These products are presently not covered by insurance and specific price depends on treatment number and type of PRP preparation and can be furnished upon request.