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Why Platelet Rich Plasma?

PRP stands for platelet rich plasma. It is your own blood that has been treated by spinning in a centrifuge, until the platelets have been separated from the red-blood cells and are concentrated in a portion of blood called plasma.

Dr. Midla is aware, according to the World Health Organization, that soft tissue injuries including tendon and ligament trauma represents 45% of all musculoskeletal injuries. The continued popularity of sporting activities has brought with it an epidemic of musculoskeletal disorders focusing on tendons. Additionally, modern imaging techniques, including musculoskeletal ultrasound, have provided clinicians with further knowledge of these injuries.

What conditions does PRP treat?

PRP is a non-surgical procedure for treating such conditions as tennis and golfers elbow, achilles tendon / heel spur, meniscus injuries of the knee, ligament injuries and more.

How the treatment is performed:

PRP preparation

The procedure in detail involves a 30-60 ml of venous blood draw using aseptic technique from an anticubital vein of the patient. An 18g or 19g butterfly needle is advised, in efforts of avoiding irritation and trauma to the platelets, which are in a resting state. The blood then is placed in a FDA approved device and centrifuged for 15 minutes at about 3,200 rpm. Afterwards, the blood is separated into platelet poor plasma (PPP), RBC and PRP. Next the PPP is extracted through a special port and discarded from the device. While the PRP is in a vacuumed space (10x above the platelets baseline), the device is shaken 30s to resuspend the platelets. Afterwards the PRP is withdrawn. Depending on the initial blood draw, there is approximately 3cc to 6cc of PRP available.

Injection procedure:

The PRP is then injected under sterile conditions utilizing a dynamic musculoskeletal
ultrasound to reach the target area within 1mm.  The patient receives the PRP injection with or without approximately 1cc of 1% lidocaine and 1cc of 0.25 Marcaine directly into the area of injury. The patient is observed in the supine position for 15-20 minutes. The patient is given post procedure instructions.

Am I a candidate?

After your first evaluation Dr. Midla will decide if you need additional testing i.e.; X-rays, MRI, and ultrasound. If your results confirm a positive finding then you are most likely a candidate.

What next?

Once you have been considered for a PRP injection our scheduling department will contact your insurance company for prior approval. Once we have the approval you will be notified and scheduled for your procedure.


In this challenging financial environment, consideration must be given to the cost of medical care.

Cash discounts: Atlas fully realizes how high medical care and deductibles may be, we are sensitive to how much a patient is expected to pay. Patients who pay at the time of service with cash, credit cards or checks are given a substantial discount on their treatment.

It is also worth noting that when taking into account the cost of alternative treatments, time lost on prolonged therapy, the cost of medications and even the possibility of eventual surgery, PRP can often be a financially attractive alternative.

Additional Information: