Regenerative Medicine Trends: Revolutionizing Pain Management: The Latest on Platelet-Rich Plasma (PRP)

PRP therapy at Parkview Pain and Regenerative Institute

Platelet-rich plasma (PRP) therapy is gaining recognition as a groundbreaking regenerative medicine treatment in interventional pain management to provide chronic pain relief. PRP harnesses the body’s natural healing abilities by using a concentrated solution of platelets derived from the patient’s own blood. Packed with growth factors, PRP promotes tissue repair and reduces inflammation, making it a promising option for various chronic pain conditions.

How Does PRP Work?

The process begins with a simple blood draw. The sample is spun in a centrifuge to separate platelets from other blood components, resulting in a highly concentrated plasma. This PRP solution is then injected directly into the injured or painful area, targeting damaged tissues to stimulate healing.

What Makes "Good" PRP?

Not all PRP is created equal. PRP is most effective when concentrated at least 5x greater than normal blood. At Parkview Pain and Regenerative Institute in Park City and Salt Lake City, Utah, we use the highest quality centrifuge and processing equipment to ensure the quality of the PRP created exceeds all measures.

These are strategies that can also improved platelet production prior to a PRP procedure:

High Intensity Cardio Exercise

This may sound like a no-brainer, but it’s probably the most important key to ramping up your production of red blood cells and strengthening your immune system. Your body produces higher levels of red blood cells and you get more PRP from your blood. With a turbo-charged immune system, it works hand-in-hand to give you the best results possible.

Eat a Diet Rich in Green Leafy Vegetables

Often the hardest lifestyle change for most people to make is to change their dietary habits. Yet it is the single most important aspect of our long term health, and it isn’t even close. By introducing more green, leafy vegetables into your diet, cutting out sugary, processed, fatty foods and eating smaller portions throughout the day, you gain multiple benefits that can help your PRP procedure. You can achieve increased immunity, better circulation due to lower cholesterol, and regulated hormone levels — all beneficial to the outcome of your PRP procedure.

Don’t Smoke, Drink or do Drugs

Smoking cigarettes negatively effects the outcome of PRP procedures. Not only does it reduce the volume of PRP you can get from the same amount of blood, but the toxins in cigarette smoke impede the stem cells’ ability to function. According to the US National Library of Medicine: The documented effects of the toxic constituents of cigarette smoke — particularly nicotine, carbon monoxide, and hydrogen cyanide — suggest potential mechanisms by which smoking may undermine expeditious wound repair.

Increase B-Vitamins and Hydrate

By increasing your intake of B-Vitamins, especially Vitamin B12, and staying hydrated before your procedure, you can increase your red blood cells and hemoglobin among other benefits. The range of B-Vitamins (Thiamine, Riboflavin, Niacin, Pantothenic Acid, Pyridoxine, Biotin, Folate and Cobalamin) are all essential for your health and can be found by eating a variety of healthy plant and animal foods. You will need to supplement your B12 intake if you are vegan or vegetarian since it is mainly found in animal based foods. One great way to get a super-charged infusion of B-Vitamins, Minerals and Hydration is to come in a day or two before your procedure for a Myers’ Cocktail I.V. or a Trace Mineral I.V.

Avoid Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

Do not take aspirin, Advil, Motrin, Aleve, non-steroidal anti-inflammatory medication (NSAIDs), or Corticosteroids for up to 5 days before and after the procedure. These drugs may inhibit the stem cells natural inflammatory response. You may take acetaminophen (Tylenol, etc.) safely.

Regenerative Medicine Applications in Pain Management

PRP has emerged as a versatile therapy, addressing conditions that were traditionally challenging to treat. Among its latest applications are:

1. Joint Pain: PRP is widely used for knee, hip, and shoulder osteoarthritis, where it reduces pain and improves joint function by enhancing cartilage regeneration.

2. Tendinopathies: Chronic tendon injuries like tennis elbow or Achilles tendinitis respond well to PRP, as it accelerates tendon healing and reduces inflammation.

3. Spinal Pain: PRP injections are now used to help manage discogenic back pain, facet joint issues, and pain from nerve compression offering an alternative to steroid injections and surgery.

4. Nerve Pain: Emerging studies suggest PRP may alleviate peripheral neuropathy by regenerating nerve tissues and improving circulation.

   
   

Why PRP?

What do Tiger Woods, Rafael Nadal, Kobe Bryant, and Alex Rodriguez all have in common?  They have all used PRP to promote healing and recovery.  Athletes and non athletes alike trying to perform their best or just stay mobile and functional can benefit from PRP. Whereas steroid injections can cause local tissue weakening and systemic side effects, PRP uses the patient’s own blood so the risk of adverse reactions is minimal. It provides a non-surgical, drug-free alternative to conventional treatments offering long-term benefits without significant side effects. There is growing evidence that PRP is safe and effective for a wide variety of painful conditions.

The Future of PRP

Research on PRP continues to expand its applications. Recent studies are exploring its role in treating conditions like migraines and complex regional pain syndrome (CRPS). As techniques improve and understanding deepens, PRP may redefine how we approach pain management, emphasizing natural healing over temporary symptom relief. In the future, we may use PRP more frequently as a proactive way to slow down degeneration in our joints and spine.

If you’re seeking innovative, non-invasive solutions for chronic pain, PRP therapy may be the answer. Reach out to us at Parkview Pain and Regenerative Institute to see if this cutting-edge treatment is right for you!

Parkview uses the highest quality products from Apex Biologix, based out of Salt Lake City, Utah.

Understanding Pain Management: Common Questions Answered

By John K. Hong, M.D. | 12/10/2024

Living with pain can be a daily challenge, affecting everything from your mood to your ability to work and enjoy life. If you or a loved one is dealing with chronic pain, finding effective solutions can feel overwhelming. At Parkview Pain and Regenerative Institute in Salt Lake City and Park City, Utah, we are dedicated to providing comprehensive care for individuals suffering from various pain conditions. In this blog, we will address some of the most common questions related to pain management, helping you make informed decisions about your health.

What is pain management?

Pain management is a specialized branch of medicine focused on the diagnosis and treatment of pain. It provides patients with the necessary support to relieve pain symptoms, improve quality of life, and restore function. Our approach at Parkview is to use a multidisciplinary strategy that may include medication, physical therapy, interventional procedures, and alternative therapies to address pain from multiple angles.

When should I seek pain management?

If you experience persistent pain that lasts longer than a few weeks, it’s vital to consult a pain management specialist. Chronic pain can arise from various conditions, including arthritis, fibromyalgia, neuropathic pain, and sports injuries. Early intervention is key to preventing chronic pain from significantly impacting your daily activities and overall well-being.

What types of treatments are available?

At Parkview Pain Management, we offer a broad range of treatment options tailored to your specific needs. Some common treatments include:

• Medications: Prescriptions can include nonsteroidal anti-inflammatory drugs (NSAIDs) or nerve pain medications. We generally attempt to avoid or minimize opioids which may have serious risk and side effects.

• Physical Therapy: A personalized plan can help strengthen muscles, improve flexibility, and reduce pain.

• Interventional Procedures: Techniques such as epidural steroid injections, nerve blocks, nerve stimulators, and radiofrequency ablation may be recommended to diagnose and alleviate pain effectively.

• Regenerative Treatments: These exciting treatments harness, concentrate, and target the body's natural healing abilities to repair, regenerate, and renew damaged or inflamed joints, tendons, ligaments, muscles, and nerves.

• Alternative Therapies: We also support complementary treatments like acupuncture, chiropractic adjustments, and mindfulness practices for a holistic approach.

Is pain management a long-term solution?

Pain management can be both a short-term and a long-term solution, depending on the underlying condition and individual needs. Some patients may require ongoing treatment, while others may find relief through a combination of therapies that address their pain and allow them to return to a normal lifestyle. The goal is to enhance your quality of life and functionality.

What can I expect during my first visit?

During your initial consultation at Parkview Pain and Regenerative Institute, you’ll undergo a comprehensive assessment of your medical history and pain conditions. This may include:

• A discussion of your pain history and its impact on your life.

• A physical examination to identify the source of your pain.

• Potential diagnostic imaging, such as X-rays or MRIs, if necessary.

Following the assessment, we will develop a personalized treatment plan tailored to your specific needs and goals.

How do I choose the right pain management specialist?

Selecting a pain management specialist is crucial in your journey toward pain relief. Look for a provider with experience in treating your specific condition and who employs a multidisciplinary approach to treatment. At Parkview Pain and Regenerative Institute, our experienced team prioritizes patient education and open communication, ensuring that you are an active participant in your care journey.

Conclusion

Living with pain doesn't have to be a permanent state. With the right support and treatment, you can regain control over your life. At Parkview Pain and Regenerative Institute in Salt Lake City and Park City, Utah, we are committed to providing you with the comprehensive care you need to manage your pain effectively. If you have more questions or are ready to seek help, don’t hesitate to contact us today.

By providing clear answers to these common pain management questions, we aim to empower individuals in the Salt Lake City and Park City communities to make informed health decisions. Together, we can work towards a brighter, pain-free future.

The Science Behind Neuromodulation: Unlocking the Potential of Chronic Pain Relief

By John K. Hong, M.D. | 11/8/2024

Chronic pain affects millions of people worldwide, making daily life challenging. Traditional pain management methods often fall short, leading to side effects and potential dependency. In recent years, neuromodulation has emerged as a beacon of hope for those suffering from chronic pain. This innovative approach taps into the brain's ability to adapt and offers new strategies for pain relief. In this article, we will explore the science behind neuromodulation and its promise in transforming chronic pain management.

Understanding Neuromodulation

Neuromodulation is technology that acts directly upon nerves. It is the alteration—or modulation—of nerve activity by delivering electrical or pharmaceutical agents directly to a target area.

For example, neuromodulation targets specific areas in the nervous system linked to pain perception. This localized approach provides a compelling alternative to traditional pain relief methods that often rely on medications and more invasive procedures and surgery.

Types of Neuromodulation Techniques

Multiple neuromodulation strategies are available or are being actively researched.

Spinal Cord Stimulation (SCS)

Spinal Cord Stimulation (SCS) involves inserting a device that emits electrical impulses to the spinal cord. These impulses disrupt pain signals before they reach the brain. SCS can substantially reduce pain in individuals with conditions like failed back surgery syndrome, complex regional pain syndrome, and diabetic peripheral neuropathy. The technology behind SCS has rapidly Improved over the past decades. In the past, traditional SCS stimulation could be felt as a light tingling or buzzing sensation in the area of pain. More recently, newer advanced stimulation is now "invisible" or what is called parasthesia free stimulation. With these newer, advanced stimulation programs, painful conditions can be even more effectively managed.

Peripheral Nerve Stimulation (PNS)

Peripheral Nerve Stimulation (PNS) is similar to SCS but focuses on specific peripheral nerves. Small electrodes are placed near these nerves to send out gentle electrical pulses, providing relief for localized pain. PNS can be utilized to treat a variety of painful conditions including chronic shoulder, lower back, knee, and foot pain.

Intrathecal Drug Delivery

This method allows precise administration of medications directly into the cerebrospinal fluid surrounding the spinal cord. By bypassing systemic circulation, intrathecal drug delivery can offer effective pain relief with lower doses, resulting in fewer side effects.

The Mechanism of Action

While researchers continue to investigate how neuromodulation alleviates chronic pain, some theories stand out.

Gate Control Theory

According to the Gate Control Theory, the spinal cord functions as a "gate" that either allows or blocks pain signals from reaching the brain. Neuromodulation techniques can potentially close this gate, leading to a lower perceived intensity of pain.

Neuroplasticity

Neuroplasticity refers to the brain's capability to reorganize itself by forming new neural connections. Neuromodulation can help facilitate this change, retraining the brain’s response to pain. For instance, patients using neuromodulation may develop a higher tolerance to pain over time, thanks to these adjustments.

Benefits of Neuromodulation for Chronic Pain

Neuromodulation provides distinct advantages as a treatment option, setting it apart from traditional methods.

Reduced Dependence on Opioids

In chronic pain management, many rely heavily on opioids, which can be addictive and have significant side effects. Neuromodulation offers effective pain relief without these risks. For many patients, transitioning to neuromodulatory techniques can lead to a 40% decrease in opioid consumption.

Targeted Approach

Neuromodulation techniques are precise, focusing directly on pain transmission areas. This focused treatment allows for a more tailored approach, enhancing pain management to meet individual patient needs.

Fewer Side Effects

Compared to systemic medications, neuromodulation generally results in fewer side effects. This is due to its localized effects, often allowing for lower dosages and targeted therapies, which can improve patient compliance and comfort.

Potential to Improve Quality of Life

Effective pain management through neuromodulation can lead to an enhanced quality of life. Many individuals report regaining the ability to participate in daily activities, socialize, and work—activities that chronic pain previously made difficult.

Considerations and Future Directions

While promising, neuromodulation is not suitable for everyone. Each patient should carefully assess the potential benefits and risks. Consulting with a healthcare professional is essential to determine the best treatment approach for each case.

Research is continuously evolving in this field. Scientists are working on refining neuromodulation techniques, improving device technology, and exploring new applications for chronic pain management. Clinical trials will help identify the effectiveness of these methods across various demographics and pain conditions.

A New Era for Chronic Pain Relief

Neuromodulation represents a breakthrough in chronic pain management, moving away from traditional methods. By better understanding the complexities of the nervous system, neuromodulation provides pathways to enhance patient care and improve outcomes for those suffering from debilitating pain.

As our knowledge of neuromodulation grows, we can expect further advancements that not only alleviate pain but profoundly enrich the lives of individuals battling chronic conditions. If you or someone you know is facing chronic pain, exploring neuromodulation could be a valuable step toward recovery.

Through ongoing research and open discussions, we can unlock the full potential of neuromodulation, enabling individuals to reclaim their lives from chronic pain.

Dr. John Hong and Parkview Pain & Regenerative Institute are experts and utilizing neuromodulation to treat numerous chronic pain conditions.

To learn more about the treatments offered at Parkview, click here:

For a more in depth dive into SCS, click:

https://www.neuromodulation.com/spinal-cord-stimulation