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

By Dr. Carlo A. Messina, DPM, Foot & Ankle Surgeon

Healing after an injury involves a well-orches- nerve irritation (Neuritis), shin splints and heel spurs. trated and complex series of events where How does the PRP process work? Doctors will recover a small amount of blood proteins in the blood act as messengers to from your arm using a small needle and a specially designed syringe. The blood regulate the entire process. Many then goes through a rapid spinning process that separates and proteins involved in the healing concentrates the platelets and other beneficial growth factors process are derived from small from the blood. The entire PRP production process is usually cell fragments in the blood called platelets. done in less than 20 minutes.

Platelets are small, colorless, cell fragments present in the What happens after that? The injected area will be anestheblood. They are formed in the bone marrow and are freely tized with a local anesthetic (Lidocaine). The blood with its passing through the bloodstream in a resting state. However, PRP will be injected into the area directly or with the aid of when an injury occurs, the platelets become activated and ultrasound or x-ray. start to gather at the injury site to release beneficial pro- Am I a candidate for treatment with PRP? The doctor will perteins called growth factors. This is the beginning of the form an examination to make a determination if the use of PRP healing process. will benefit you. If you are on anti-inflammatory medications

For many years, blood components derived from the or blood thinners, your physician may temporarily disconpatient and then delivered to the site of injury have created tinue the use of these until your treatment has taken place. growing interest for use in orthopedic procedures. New What are the risks associated with this treatment? PRP uses research and technology have expanded the application of your body’s own natural properties to treat your injury. Side this therapy for use in orthopedic procedures. effects utilizing PRP systems are very uncommon. What is Platelet Rich Plasma (PRP)? Platelet Rich Plasma is a concentration of Carlo A. Messina, DPM, is a Board Certified Foot and Ankle Surgeon, Diplomate American Board platelets and growth factors created from a small amount of your own blood. of Foot and Ankle Surgery. He is a Foot and Ankle Surgeon with the Foot, Ankle and Leg Specialists of Increased levels of growth factors have the potential to improve signaling and South Florida and specializes in treating infants, children, teens and adults. His partners are Dr. Robert recruitment of cells. Sheinberg, Dr. Al DeSimone, Dr. Fernando Moya, Dr. Alexander Bertot, Dr. David Shenassa, Dr. Michael What conditions can it treat? PRP can be used to treat arthritis (foot or ankle), Cohen, Dr. Franz Jones and Dr. John Goodner. The South Florida Institute of Sports Medicine in Weston ligament injuries (acute or chronic), tendon injuries (acute or chronic), joint pain, is located at 1600 Town Center Blvd., Suite C, (954) 389-5900 and in Pembroke Pines at 17842 NW 2nd chronic inflammatory conditions, Achilles Tendonitis, Plantar Fasciitis, chronic Street, (954) 430-9901. 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

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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

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IMEs • Personal Injury • Worker’s Compensation Most HMOs/PPOs • All Foot Ankle & Leg Emergencies

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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

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