Platelet Rich Plasma (PRP) Use in the Foot and Ankle

ASK THE EXPERT Platelet Rich Plasma (PRP) Use in the Foot and Ankle

BY DR. CARLO A. MESSINA BY DR. JOHN GOODNER

Healing 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.

n n Carlo A. Messina, DPM, is a Board Certified Reconstructive Foot and Dr. John Goodner is a Board Qualified Reconstructive Foot and Ankle Surgeon with the Ankle Surgeon, Diplomate American Board of Foot and Ankle Surgery. He is a Foot and Ankle Foot, Ankle and Leg Specialists of South Florida and specializes in sports medicine foot Surgeon with the Foot, Ankle and Leg Specialists of South Florida and specializes in treating infants, children, teens and adults. His partners are Dr. Robert Sheinberg, Dr. Al DeSimone, Dr. Fernando Moya, Dr. Alexander Bertot, Dr. David Shenassa, Dr. Michael Cohen, Dr. Franz Jones and Dr. John Goodner. The South Florida Institute of Sports Medicine in Weston is located at 1600 Town Center Blvd., Suite C, (954) 389-5900 and in Pembroke Pines at 17842 NW 2nd Street, (954) 430-9901. The practice website is www.SOUTHFLORIDASPORTSMEDICINE.org. and ankle injuries, foot and ankle arthroscopy, lower extremity trauma, and lower extremity deformities in infants, children, teens and adults. The South Florida Institute of Sports Medicine in Plantation is located at 220 S.W. 84th Avenue, Suite 102, 954-720-1530. The practice website is www.SOUTHFLORIDASPORTSMEDICINE.com. Instagram @SouthFloridaSportsMedicine. Twitter @SFLSportsMed.

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 CARTILAGE INJURIES

• Flat feet • Toe Walkers Microfractures, Cartilage Transplants, • • High Arches Fractures • • In Toe Out Toe Osteochondral Grafting • Growing Pains • Limping RECONSTRUCTIVE FOOT, ANKLE • Warts FRACTURES • Ingrown Nail AND LEG SURGERY Flat Foot, Bunions, Hammertoes, SERVING OUR PATIENTS FOR OVER 30 YEARS Why go to an Emergency Room? All Foot, Ankle, and Leg Fractures in Children and Adults! Ligament Repair, Achilles Tendon Tears, Arthritis Surgery SPORTS MEDICINE 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 Dr. Michael Cohen, D.P.M. Board Certified FOOT, ANKLE, & LEG SPECIALIST FOOT AND ANKLE ARTHRITIS Tendon and Ligament injuries, Heel WESTON PEMBROKE PINES PLANTATION Total Joint Replacement, Pain, Shockwave Therapy, PRP & Stem Cell 1600 Town Center Blvd. 17842 NW 2nd St.  220 S.W. 84th Ave., #102 Ankle Replacement, Arthroscopy, Fusions, Joint Realignment Injections, Arthroscopy and Tendoscopy, Shin Splints, Compartment Syndrome 954-389-5900 954-430-9901 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

New Patient . . . . . . . . . . . . . . $200 Follow Up Visit . . . . . . . . $50-$100 PRP . . . . . . . . . . . . . . . . . . . . . $600

SELF PAY RATES (Procedure cost is in addition to office visit.) Surgery Consult . . . . . . . . . . . $200 Injections . . . . . . . . . .$75 per shot Orthotics . . . . . . . . . . . . . . . . . $350 Ingrown Nail . . . . . . . . . . . . . .$125 Shockwave (3 sessions) . . . . $500 Laceration Repair . . . . . . . . . $250 (FOR CHRONIC HEEL PAIN & TENDONITIS) Casts . . . . . . . . . . . . . . . . . . . . . $175 X-Rays . . . . . . . . . . . . $50 per area Wound Care . . . . . . . . . . . $75-$125

SPORTS MEDICINE ASSOCIATES (Self Pay Rates Do Not Apply To This Practice Below) Dr. Fernando Moya, M.D. Board Certified

SHOULDER & KNEE SPECIALIST