How PRP Treatment Works
Blood Collection & Processing
A blood sample is collected and processed in a centrifuge to prepare platelet-rich plasma. The composition depends on the processing system and protocol, including the concentration of platelets and other blood components.
Ultrasound-Guided Placement
For orthopedic treatment, we use real-time, high-resolution ultrasound to visualize the selected structures and guide injection placement. Treatment may target a joint space, tendon, ligament, or supporting tissue according to the clinical assessment.
Patient-Derived Preparation
Because PRP comes from your own blood, it reduces concerns about donor incompatibility. It does not eliminate reactions to other substances used during treatment or procedural risks such as bleeding, infection, and tissue injury.
The OWM Approach
SuperShot® PRP
SuperShot® is our enhanced PRP protocol, designed to retain and incorporate additional plasma-derived components, including extracellular vesicles carrying signaling molecules such as microRNAs.
These components participate in cellular communication. We explain the preparation and its proposed role while recognizing that greater healing potency or faster recovery compared with standard PRP requires supporting clinical evidence.
Comprehensive Joint Assessment
Our approach considers the joint capsule, surrounding ligaments, and supporting tendons alongside the joint itself. Hackett-Hemwall principles may inform treatment planning, with injection sites selected according to examination and imaging findings.
The aim is to address relevant structures contributing to symptoms and impaired function, rather than assuming that every part of a joint requires injection.
Prolotherapy & Peptide Additions
Our described PRP protocols include prolotherapy solutions and peptide preparations such as BPC-157 and thymosin beta-4 at no additional charge when incorporated into the selected treatment plan.
We review each addition separately, including its evidence, regulatory status, and potential risks. These combinations should not be presented as established methods of enhancing PRP outcomes.
Weber Laser Photobiomodulation
Selected plans may incorporate interstitial fiberoptic light delivery within the treatment area. Wavelengths described in our protocols include red, blue, green, and yellow.
We explain the proposed application before treatment, as activation of injected platelets or growth factors and improved recovery from this combination have not been established.
Clinical Applications
Joint & Connective Tissue Care
We evaluate PRP for selected tendon disorders and osteoarthritis, with evidence varying by condition and severity. Areas assessed may include:
- The spine, from cervical through sacroiliac regions
- Shoulders, including rotator cuff and labral concerns
- Knees, including osteoarthritis, meniscal concerns, and patellar tendon symptoms
- Hips and elbows
- Ankles and feet, including plantar fascia symptoms
Evidence is more developed for certain chronic tendon conditions and mild-to-moderate knee osteoarthritis. Severe arthritis, structural tears, and spine conditions require distinct consideration; symptom improvement does not necessarily indicate cartilage regeneration or closure of a tear.
PRP Hair Restoration
For selected types of hair thinning, PRP is injected into the scalp as part of an individualized hair restoration plan. Some patients experience improvements in hair density or thickness, with results dependent on the cause of hair loss and the treatment schedule.
We assess the scalp and relevant medical factors before recommending treatment, including whether other therapies should be incorporated.
PRP in Medical Aesthetics
Our aesthetic protocols may pair PRP with DermaFrac or SkinPen® microneedling to address concerns such as skin texture, acne scarring, and visible signs of aging.
We explain the role of each component and the expected recovery, recognizing that evidence for PRP’s additional benefit varies across aesthetic applications.
Treatment Schedule & Recovery
For selected orthopedic conditions, we may recommend two to three sessions approximately one month apart. The number and spacing are individualized rather than required for every diagnosis. Hair restoration and aesthetic treatments follow separate schedules.
Temporary soreness or swelling may occur after an injection. We provide guidance on activity, medications, and rehabilitation, then assess changes in pain, movement, and daily function during follow-up.
Personalized Expectations
PRP may help reduce symptoms and improve function in some patients, while others experience limited benefit. Before treatment, we discuss the diagnosis, available evidence, alternatives, and potential risks, including whether rehabilitation or surgical evaluation is more appropriate.
