PRP Procedure Protocol

1. Stop all anti-inflammatory medications for 3-7 days prior to injection (eg: Advil, Aleve, Naprosyn, Voltaren, Toradol, Celebrex, Arthrotec, etc)
2. Avoid intense exercise for 48 hours prior to the procedure.
3. On the day of your appointment the physician will remove 15-30cc of blood from your arm into a syringe which gets placed into a centrifuge to spin the blood for 5-15 minutes to concentrate the platelets to make the PRP that contains growth factors to accelerate tissue & joint healing.
4. The area of skin superficial to your injury being injected with PRP will be frozen with xylocaine prior to the PRP injection to improve your comfort.
5. NO ICE applied to the area of injection for the next 48 hours, but Tylenol products are recommended for pain relief, as well as heat if desired.
*Please do not take any anti-inflammatory medications for 1-2 weeks after the injection (ASA for heart condition is permitted).
6. Relative rest to avoid strenuous activities with the affected limb for 48 hours after the injection.
7. You may experience discomfort at the site of injection for several days. Discuss the possible use of crutches or a brace/splint/sling with your sport medicine physician.
8. Do not expect an immediate response to PRP as the response may take a few weeks to fully develop.
9. Discuss whether a repeat injection 4-weeks later should be considered and the recommended interval between injections.
10. Please monitor for infection and call the clinic immediately if you have persistent swelling, pain, if you feel unwell, or if you develop a fever after the injection.
11. Follow up appointment should be booked in ___________.

I have discussed the relative contraindications of PRP with my physician and can confirm that I do not have any of the following conditions:
 Pregnancy
 History of a low platelet count or low haemoglobin level (anemia)
 Current Anticoagulant therapy (eg. Coumadin, Plavix)
 Active infection at the site of injection
 Local tumor at the sight of injection, metastatic disease (cancer)

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Signature of Patient/Guardian