Platelet-rich plasma (PRP) is a non-surgical treatment utilized for a wide range of musculoskeletal injuries and pain.  PRP is one of several types of Regenerative Injection Therapies (RIT), with dextrose prolotherapy and stem cells being two different types.
Initially described for use in oral and maxillofacial surgery, PRP is a refined product of autologous blood with a platelet concentration higher than that of whole blood.  Platelets are essential in the injury response, as they release growth factors that initiate and modulate wound healing.  Concentrating the platelets and growth factors to optimal levels improves the signaling and recruitment of your mesenchymal stem cells (MSC’s), which significantly helps to resolve your injured and painful areas.
The injection approach for PRP is nearly identical to dextrose prolotherapy; the difference is the injected solution. 


PRP is a concentration of platelets and growth factors isolated from your blood.  When this is injected back into an injured area, a new healing cascade is initiated, allowing your body a second chance to heal.  As the platelets organize in the clot they release a number of enzymes and growth factors to promote healing and tissue responses including attracting stem cells to repair the damaged area. As a result, new collagen begins to develop. As the collagen matures it begins to shrink causing the tightening and strengthening of the damaged area.
To collect PRP, a small volume of blood is obtained, usually between 20-60cc.  This sample then goes through a rapid spinning process that concentrates the platelets and other beneficial growth factors into a layer that can then be removed from the blood.  Once removed from the blood, the PRP portion is injected back into your injured areas which then stimulates the new healing response.  The entire PRP process including injection is usually completed within 60-90 minutes.
Similar to dextrose prolotherapy, PRP has a very safe profile, and side effects are rare. 


• Cervical and Lumbar Degenerative Joint Disease (Osteoarthritis)
• Rotator Cuff Tears
• Ligament Tears
• Low back pain (facet syndrome, sacroiliitis, etc.)
• Cervical neck pain & instability
• Chronic headaches/migraines
• Plantar fasciitis
• Golfer and Tennis Elbow
• Runner and Jumpers Knee
• Meniscus Tears

Note: Some of the conditions listed above may respond more favorably to perineural injection therapy, prolotherapy, or stem cell therapy.


What are the risks and side effects?
Because PRP uses your body’s natural properties to treat your injury, side effects from utilizing platelet treatments are very uncommon. Some patients are sorer for 24-72 hours post-injection. However, this is a normal part of the healing process.
How many treatments will I need?
While each person and condition are different, the majority of patients require 2-3 injections, spread out every 6-12 weeks, for complete resolution of pain.
Am I guaranteed results?
Like all medical procedures, PRP procedures have a success and failure rate. An initial consultation with Dr. Timmermans will determine if you are a good candidate. If you are deemed to be a good candidate, our success rate is between 80-90% after several treatments.
How soon can I return to activity?
After the procedure, we recommend minimal activity for the first 3-7 days, followed by light activity for another seven days, followed by increasing intensity on a weekly basis for another 2-4 weeks. You should be back to full activity within 4-6 weeks. Other therapies offered by Regenerative Performance, such as oral and intravenous supplementation, can speed the healing process.
What is the cost?
Because each person will have a unique condition requiring treatment, the procedure protocol will vary from person to person. This means that the price of procedures can vary considerably from patient to patient. An evaluation will give you a better idea of condition, treatment, and costs specific to your situation.
Does insurance cover this procedure?
Along with other regenerative injection therapies, PRP is not covered by insurance.
How can I prepare for the injection?
We recommend no corticosteroids (inhaled, topical, oral or injection) or blood thinners (e.g. Aspirin) for 4-6 weeks before the procedure and no anti-inflammatory medications (Ibuprofen, Advil, etc.) for one week before the procedure.
How do I get started?
You can get started by booking an appointment with Dr. Timmermans by calling (520) 800-4355.