Top 5 most common applications of Platelet-Rich Plasma (PRP) injections in his practice, outlining when they are effective and when alternative treatments should be considered:
Arthritis
- Overview: This is the number one most requested application for PRP. It is commonly used for osteoarthritis of the knees, shoulders, and hips.
- Success Factors: A successful cocktail requires a high platelet count (their system uses upwards of 10 billion).
- Considerations: Outcomes heavily depend on patient health and the severity of the condition. For severe, "bone-on-bone" cases, surgery or a joint replacement referral is more appropriate than PRP.
Tendon Problems
- Overview: Commonly used for tendon issues like the rotator cuff (shoulder), gluteal tendon (hip), hamstrings, patellar tendon (knee), and Achilles tendon (ankle).
-
Considerations: PRP is not always predictable. If a patient presents with a massive acute injury (e.g., a massive rotator cuff tear from a fall), traditional surgery is preferred over physical therapy or PRP.
Tennis Elbow & Golfer's Elbow
- Overview: Tennis elbow (lateral epicondylitis) occurs on the outside of the elbow and is usually caused by overuse or improper sports equipment. Golfer's elbow occurs similarly on the inside.
- Role of PRP: There is a strong baseline of literature supporting PRP as an effective treatment for both conditions.
Plantar Fasciitis
- Overview: Causes severe pain on the bottom of the heel, especially in the morning.
- Role of PRP: Most cases resolve with regular stretching, but if stretching fails, PRP is a reliable next choice.
- What to Avoid: Dr. Ohlson advises against cortisone injections because they do not offer lasting relief and can thin out the vital protective fat pad on the bottom of the foot .
Core Takeaway
Regardless of the orthopedic condition, Dr. Ohlson emphasizes that patients should choose a provider who can comprehensively weigh traditional physical therapy, surgical interventions, and PRP based on a physical examination and imaging rather than treating PRP as a one-size-fits-all solution.