Having successfully treated patients with PRP and also receiving the treatment himself, Dr. Alan Hirahara, MD, FRCSC is an advocate for the healing power of the orthobiologic treatment.
“There is level one evidence that PRP is very effective in DJD, superior to HA, superior to placebo, and superior to cortisone,” he says. “Level one evidence that PRP is better in patellar tendinopathy and partial rotator cuff tears. PRP promotes stem cell migration and proliferation because that’s its job. Platelets, with their release of alpha granules, promote proliferation and migration of the stem cells, which do the work.”
For Carter Lescault, injuries from over working out resulted in severe elbow pain that months of conservative treatment failed to resolve.
“The past surgeons I had been working with did not use ultrasound,” says Carter concerned about the efficacy of those costly procedures. “I got a PRP injections six months ago and the surgeon did not use ultrasound. They felt around where the lateral epicondyle was and injected into where they thought, to their best knowledge, the tendon was. But did they actually get it into the tendon, into that space? It certainly didn’t heal. The pain didn’t go away. Understanding that Dr. Hirahara used ultrasound, he could see, while he was putting the needled in, exactly the site that he needs to go into. And, when he started injecting into the site, I could feel it filling up. I know that’s going to start the healing process.”
Dr. Hirahara is also a proponent of using ultrasound guidance to ensure the expensive treatments get to the right place. Watch this video to see him treat a patient for suffering from lateral epicondylitis with PRP using a Clarius L15 HD High-Frequency Linear Scanner.