Pro Medical SA is a group of Medical Practices in Adelaide that offers state of the art facilities with the aim of delivering the highest level of patient care. Our Adelaide General Practitioners have a focus on Family Medicine encompassing all age groups.

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Pro Dental SA is an Adelaide Family Dental Surgery that places an emphasis on preventative care and maintenance. Our Adelaide Dentists are focused on delivering high quality treatments and services in a relaxed and family friendly environment.

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This service is available at:

Kidman Park

Pro Physio SA is an Adelaide Physio and Pilates Practice that is focused on providing the very best physiotherapy treatment, intervention and rehabilitation.


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Pro Podiatry SA is an Adelaide based Podiatry and Orthotic Practice. With an emphasis on communication and education, our Adelaide Podiatrists can help devise a management plan to help treat and resolve a range of complex foot and ankle conditions.

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Pro Psychology SA is an Adelaide Psychology Practice, that prides itself on a commitment to professional quality care to achieve the best possible outcomes and goals for individuals, couples and families.

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Pro Nutrition SA is an Adelaide based Dietetic Practice. We aim to provide optimal patient care with an emphasis on dietary advice & education by providing tailored recommendations that are specific to each patient's needs.

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Pro Remedial SA is an Adelaide Remedial Massage Practice that is focused on assisting patients in all aspects of Remedial Massage, Sports Massage and Therapeutic Massage, including Sports Injury Management, Positional Release, Cupping Therapy, Acupressure and Lymphatic Drainage.

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Pro Studio SA is an Adelaide based Pilates Studio, Gym and Rehabilitation Facility. Pro Studio SA offers a safe environment for individuals looking to implement a program of muscular strengthening, conditioning and/or specialised rehabilitation under the careful instruction of our team of Physiotherapists, Exercise Physiologists and Personal Trainers.

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Kidman Park

Pro Exercise SA is an Adelaide based Exercise Physiology Practice that focuses on prevention and treatment of injury and chronic illness through structured exercise participation.




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Kidman Park

Platelet Rich Plasma Injections in Adelaide

Introduction

Platelet-rich plasma (PRP) injection is a non-operative, injectable management option for a number of musculoskeletal problems, including osteoarthritis.  Research is now revealing that PRP is now significantly more superior compared to other injectable options including hyaluronic acid and steroids.[i],[ii],[iii],[iv]  Furthermore, given its autologous nature, PRP has very small risk and adverse reaction profile.  With these facts in mind, PRP has attracted an increasing amount of interest.

How does it work?

Our blood is predominantly comprised of red blood cells, white blood cells, platelets and plasma.  Activated platelets have the natural ability to accentuate healing and anti-inflammatory effects by releasing a number of growth factors and alter pro-inflammatory pathways.[v]  By concentrating the number of activated platelets, we can concentrate their natural abilities to manage suitable musculoskeletal conditions.

Suitable Conditions that can be managed at Pro Health Care:

  • Mild osteoarthritis in the knee, shoulder, ankle and hip
  • Mild inflammatory arthritis (e.g. Rheumatoid arthritis)

Administration

There are a number of PRP preparation and administration systems currently available on the market.  This may be a reason for its variable results.

At Pro Health Care, we have conducted research and found that Arthrex currently produces one of the most cost-effective systems.  Utilising Arthrex’s double syringe mechanism, blood is withdrawn from the patient in a closed fashion.  The double syringe is run through a centrifuge which separates the PRP from other blood constituents.  The PRP is then extracted and injected into the pathological area.

How many injections do I need?

A single injection of PRP can make a positive difference in pain control and activities of daily living for patients with osteoarthritis.[vi]  There is also early evidence to suggest that three injections, four weeks apart is more superior than a single injection for mild osteoarthritis.[vii]

Expectations

The injection should take approximately 15-20 minutes to prepare and administer.  You may return to your normal activities as tolerated, immediately after the injection.

Your musculoskeletal symptoms should improve within three to six months after the first injection.  The symptom improvement can be variable and in some rare instances, there may be no improvement.

Side effects from PRP include infection and a temporary increase in pain after the injection.  This post-injection pain should subside within 1-2 weeks.  With this in mind, it is recommended that Panadol be taken 1 hour prior to injection and as required post-injection.  It is also important to abstain from alcohol and anti-inflammatory medications (e.g. Neurofen/Mobic/Celebrex) from at least 48 hours prior to injection.

Arranging an Appointment

PRP injections are currently being offered at our Norwood clinic by Dr. Joshua Yee.  Appointments can be arranged online or by calling our clinic on 8431 5506.

Please be aware that an appropriate assessment of the area will need to be performed before administering the PRP which may require new tests and/or imaging scans.  PRP will be administered on a subsequent consultation as opposed to the initial assessment. For this reason, it is advisable that any scans or test results be bought along to assist with your consultation.

There is no need for a referral and the initial consultation is fully Medicare rebatable.

Cost of the Procedure

Cost of the first PRP Injection is $200. The injection is not rebatable from Medicare. Should you decided to trial subsequent injections three weeks apart, a discount will be applied.

 

References

[i] Cole BJ, Karas V, Hussey K, et al. Hyaluronic Acid Versus Platelet­Rich Plasma: A Prospective, Double­Blind Randomized Controlled Trial Comparing Clinical Outcomes and Effects on Intra­articular Biology for the Treatment of Knee Osteoarthritis. Am J Sports Med. 2017 Feb;45(2):339­346.

[ii] Meheux CJ, McCulloch PC, Lintner DM, et al. Efficacy of Intra-articular Platelet-Rich Plasma Injections in Knee Osteoarthritis: A Systematic Review. Arthroscopy. 2016 Mar;32(3):495-505.

[iii] Mi B, Liu G, Zhou W, et al. Platelet rich plasma versus steroid on lateral epicondylitis: meta-analysis of randomized clinical trials. Phys Sportsmed. 2017 May;45(2):97-104.

[iv] Raeissadat SA, Rayegani SM, Hassanabadi H, et al. Knee Osteoarthritis Injection Choices: Platelet- Rich Plasma (PRP) Versus Hyaluronic Acid (A one-year randomized clinical trial). Clin Med Insights Arthritis Musculoskelet Disord. 2015 Jan 7;8:1-8.

[v] Xie X, Zhang C, Tuan RS. Biology of platelet-rich plasma and its clinical application in cartilage repair. Arthritis Res Ther. 2014 Feb 25;16(1):204.

[vi] Muchedzi TA1, Roberts SB2. A systematic review of the effects of platelet rich plasma on outcomes for patients with knee osteoarthritis and following total knee arthroplasty. Surgeon. 2018 Aug;16(4):250-258.

[vii] Glynn LG1, Mustafa A1, Casey M1, Krawczyk J, et al. Platelet-rich plasma (PRP) therapy for knee arthritis: a feasibility study in primary care. Pilot Feasibility Stud. 2018 Jul 4;4:93.

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