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Platelet Rich Plasma (PRP) Use in the Foot and Ankle BY A. MESSINA BYDR. DR.CARLO JOHN GOODNER
H
ealing after an injury involves a wellorchestrated and complex series of events where proteins in the blood act as messengers to regulate the entire process. Many proteins involved in the healing process are derived from small cell fragments in the blood called platelets. Platelets are small, colorless, cell fragments present in the blood. They are formed in the bone marrow and are freely passing through the bloodstream in a resting state. However, when an injury occurs, the platelets become activated and start to gather at the injury site to release beneficial proteins called growth factors. This is the beginning of the healing process. For many years, blood components derived from the patient and then delivered to the site of injury have created growing interest for use in orthopedic procedures. New research and technology have expanded the application of this therapy for use in orthopedic procedures. What is Platelet Rich Plasma (PRP)? Platelet Rich Plasma is a concentration of platelets and growth factors created from a small amount of your own blood. Increased levels of growth factors have the potential to improve signaling and recruitment of cells. What conditions can it treat? PRP can be used to treat Arthritis (foot or ankle), Ligament Injuries (acute or chronic), Tendon Injuries (acute or chronic), Joint Pain, Chronic Inflammatory Conditions, Achilles Tendonitis, Plantar Fasciitis,
Chronic Nerve Irritation (Neuritis), Shin Splints and Heel Spurs. How does the PRP process work? Our doctors will recover a small amount of blood from your arm using a small needle and a specially designed syringe. The blood then goes through a rapid spinning process that separates and concentrates the platelets and other beneficial growth factors from the blood. The entire PRP production process is usually done in less than 20 minutes. What happens after that? The injected area will be anesthetized with a local anesthetic (Lidocaine). The blood with its PRP will be injected into the area directly or with the aid of ultrasound or x-ray. Am I a candidate for treatment with PRP? Speak with our doctors and ask if PRP is right for you. We will perform an examination to determine if the use of PRP will benefit you. If you are on anti-inflammatory medications or blood thinners, your physician may temporarily discontinue the use of these until your treatment has taken place. What are the risks associated with this treatment? PRP uses your body’s own natural properties to treat your injury. Side effects utilizing PRP systems are very uncommon. Carlo A.Qualified Messina, Reconstructive DPM, is a Board Certified Foot andthe n Dr. John Goodner isna Board Foot andReconstructive Ankle Surgeon with Ankle Diplomate American Board of Foot and Ankle Surgery. He isinasports Foot and Ankle foot Foot,Surgeon, Ankle and Leg Specialists of South Florida and specializes medicine Surgeon with injuries, the Foot, Ankle andankle Leg Specialists of South Florida and specializes in treating and ankle foot and arthroscopy, lower extremity trauma, and lower infants, extremity children, teens in and adults. children, His partners are Dr. Sheinberg, Dr. Florida Al DeSimone, Dr. Fernando deformities infants, teens andRobert adults. The South Institute of Sports Moya, Dr. Alexander Bertot, Dr. David Shenassa, Dr. Michael Cohen, Dr. Franz Jones and Dr. John Medicine in Plantation is located at 220 S.W. 84th Avenue, Suite 102, Goodner. The South Florida Institute of Sports Medicine in Weston is located at 1600 Town Center 954-720-1530. practice is www.SOUTHFLORIDASPORTSMEDICINE.com. Blvd., Suite C, (954)The 389-5900 andwebsite in Pembroke Pines at 17842 NW 2nd Street, (954) 430-9901. Instagram @SouthFloridaSportsMedicine. Twitter @SFLSportsMed. The practice website is www.SOUTHFLORIDASPORTSMEDICINE.org.
ACCEPTING: MEDICARE •BLUE CROSS BLUE SHIELD • UHC • CIGNA • AETNA • AV MED • AMBETTER • TRICARE WORKERS COMP • ACCIDENTS/LOPS • SIMPLY • STAYWELL • SUNSHINE • BETTER HEALTH • OSCAR • MEMORIAL PHO
South Florida Institute of Sports Medicine
FOOT, ANKLE, & LEG SPECIALISTS OF SOUTH FLORIDA
OPEN DAILY FOR SAME DAY APPOINTMENTS & TELEMEDICINE DURING THE COVID19 CRISIS
PEDIATRICS
• Flat feet • High Arches • Fractures • Growing Pains • Warts
• Toe Walkers • In Toe • Out Toe • Limping • Ingrown Nail
FRACTURES Why go to an Emergency Room? All Foot, Ankle, and Leg Fractures in Children and Adults! FOOT AND ANKLE ARTHRITIS Total Joint Replacement, Ankle Replacement, Arthroscopy, Fusions, Joint Realignment
CARTILAGE INJURIES Microfractures, Cartilage Transplants, Osteochondral Grafting RECONSTRUCTIVE FOOT, ANKLE AND LEG SURGERY Flat Foot, Bunions, Hammertoes, Ligament Repair, Achilles Tendon Tears, Arthritis Surgery SPORTS MEDICINE Tendon and Ligament injuries, Heel Pain, Shockwave Therapy, PRP & Stem Cell Injections, Arthroscopy and Tendoscopy, Shin Splints, Compartment Syndrome
SERVING OUR PATIENTS FOR OVER 30 YEARS Dr. Warren Windram, D.P.M.
Board Qualified FOOT, ANKLE, & LEG SPECIALIST
Dr. John Goodner, D.P.M.
Board Qualified FOOT, ANKLE, & LEG SPECIALIST
Dr. Robert Sheinberg, D.P.M. - In Loving Memory -
Dr. Carlo Messina, D.P.M.
Board Certified FOOT, ANKLE, & LEG SPECIALIST
WESTON
PEMBROKE PINES
954-389-5900
954-430-9901
1600 Town Center Blvd.
17842 NW 2nd St.
Dr. Michael Cohen, D.P.M.
Board Certified FOOT, ANKLE, & LEG SPECIALIST
PLANTATION
220 S.W. 84th Ave., #102
954-720-1530 SATURDAY HOURS
Make Your Appointment Online at www.SouthFloridaSportsMedicine.com
FOOT, ANKLE & LEG QUESTIONS? EMAIL THE DOCTOR! DrJohnGoodner@gmail.com (Don’t Send Protected Health Information)
IMEs • Personal Injury • Worker’s Compensation Most HMOs/PPOs • All Foot Ankle & Leg Emergencies Same Day Appointments • Saturday Appointments Early Morning & Evening Appointments
SELF PAY RATES (Procedure cost is in addition to office visit.) New Patient . . . . . . . . . . . . . . $200 Surgery Consult . . . . . . . . . . . $200 Injections . . . . . . . . . .$75 per shot Casts . . . . . . . . . . . . . . . . . . . . .$175 Follow Up Visit . . . . . . . . $50-$100 Orthotics . . . . . . . . . . . . . . . . . $350 Ingrown Nail . . . . . . . . . . . . . .$125 X-Rays . . . . . . . . . . . . $50 per area PRP . . . . . . . . . . . . . . . . . . . . .$600 Shockwave (3 sessions) . . . . $500 Laceration Repair . . . . . . . . . $250 Wound Care . . . . . . . . . . .$75-$125 (FOR CHRONIC HEEL PAIN & TENDONITIS)
SPORTS MEDICINE ASSOCIATES (Self Pay Rates Do Not Apply To This Practice Below)
Dr. Al DeSimone, M.D. Board Certified SHOULDER & KNEE SPECIALIST
Dr. Fernando Moya, M.D. Board Certified SHOULDER & KNEE SPECIALIST
Dr. David Shenassa, M.D. Board Qualified HAND & WRIST SURGEON
Dr. Alexander Bertot, M.D. Board Certified SPORTS MEDICINE SPECIALIST
Dr. Franz Jones, D.O. Board Certified SPINE SPECIALIST
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