Platelet Rich Plasma (PRP) Therapy

Charlottesville Orthopaedic Center

We reliably deliver innovative, personalized care tailored to your individual needs.

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At Charlottesville Orthopaedic Center, we understand that healing from an injury or managing chronic joint pain can be frustrating. If you’re looking for a non-surgical, natural approach to support your recovery, Platelet Rich Plasma (PRP) Therapy might be the solution you’ve been searching for.

What Is PRP Therapy?

Platelet Rich Plasma, or PRP, therapy is a cutting-edge regenerative treatment that uses your body’s own healing power to support recovery from musculoskeletal injuries and conditions.

Your blood contains platelets, which are rich in growth factors that help tissue heal and regenerate. During a PRP treatment, we draw a small sample of your blood, process it in a centrifuge to concentrate the platelets, and then inject that concentrated solution into the area that needs healing, such as a joint, tendon, or ligament.

How PRP Supports Orthopedic Healing

PRP therapy works by enhancing the body’s natural healing process. The growth factors in platelets reduce inflammation, stimulate tissue repair, and support new cell growth. In orthopedics, this can mean faster healing and less pain.

Some of the most common orthopedic uses of PRP include:

  • Tendon injuries, like tennis elbow or Achilles tendinitis
  • Ligament sprains and strains
  • Joint pain, particularly in the knees, hips, and shoulders
  • Mild to moderate osteoarthritis
  • And many more

Many athletes and active individuals turn to PRP as a way to recover faster without surgery, and now, you can too.

Your PRP Consultation

At Charlottesville Orthopaedic Center, your PRP therapy begins with an in-depth consultation with Dr. Nielsen to determine if you’re a good candidate for the procedure. During this initial visit, we’ll review your medical, athletic, and occupational history, focusing on how your injury has impacted your daily life. This will help us understand the root cause of your pain or dysfunction.

The injured area will be thoroughly examined, and diagnostic imaging, often using ultrasound, will be performed to get a detailed look at the affected tissues. Ultrasound is the preferred imaging method for PRP injections, as it allows us to guide the injection precisely into the damaged area. If you’ve had previous imaging done (such as X-rays, MRIs, or CT scans), please bring those reports with you to your consultation. These images will help us assess your condition and develop the best treatment plan for your needs.

After the consultation and imaging, we’ll walk you through the specifics of the PRP procedure, explaining what to expect and answering any questions you might have.

What to Expect During Your PRP Treatment

Your PRP therapy is a simple, in-office procedure that typically takes less than an hour from start to finish. It begins with a personalized consultation where our team will assess your symptoms, review any necessary imaging, and determine if PRP is the right approach for your condition.

If you’re a good candidate, we’ll draw a small sample of your blood, usually from your arm, then use a centrifuge to separate the platelets from the other components. Once the platelet-rich plasma is ready, we will carefully inject it into the targeted area, such as a joint, tendon, or ligament. In many cases, we use ultrasound guidance to ensure precision and comfort.

After the injection, most patients are able to resume light activities the same day, although we may advise you to limit strenuous exercise or heavy lifting for a short period while your body begins the healing process. You can expect to start noticing gradual improvements in pain and function within a few weeks, with continued progress over the next few months as the regenerative effects take hold.

Benefits of PRP Therapy

  • Minimally invasive: No incisions or surgical downtime
  • Natural healing: Uses your own blood to stimulate recovery
  • Low risk: Since PRP is derived from your own body, allergic reactions are rare
  • Potential to delay or avoid surgery: Especially in early arthritis or chronic injuries

PRP isn’t a quick fix, but for many patients, it offers long-term improvement without relying solely on medication or invasive procedures.

Platelet Rich Plasma (PRP) Therapy FAQs

Does PRP really work?

Yes. Much research has gone into the development of PRP-based procedures.

Who is NOT a candidate for PRP therapy?

Anyone with a cancer (such as prostate cancer or breast cancer), not in remission for at least 5 years rnrnCertain other malignancies or blood-borne diseases that you are being treated for rnrnAny current infection rnrnPatients using a high dosage of Coumadin rnrnGeneral procedural contraindication rnrnPatients with multiple medical issues may not be good candidates

What is the cost of PRP therapy?

The cost of PRP treatment may vary depending on the area being treated. Please contact us today for pricing information. Insurance companies, for the most part, will not pay for PRP. This is generally paid for out of pocket.

How long do I have to wait to return to normal activities?

How quickly you can return to your normal activities depends on the condition and body part being treated. rnrnInjections in the elbow or shoulder are placed in a sling for 48 hours to 1 week or more, and then as needed for comfort. rnrnFor the ankle (Achilles tendon, peroneal tendon, plantar fascia), you will be required to wear a walking boot for up to two weeks or more. (If the injection is on the right side, you will not be able to drive with the boot on.) rnrnIf you have an injection in your knee for osteoarthritis, you only need to rest for 24 hours, and then you can return to your normal activities. If the injection is in your patellar tendon or quadriceps tendon, your knee will be placed in a knee immobilizer for 1-2 days. rnrnAll procedures, except for possibly knee osteoarthritis, will begin therapy 1 week after the injection.

How long does it take for PRP therapy to “work”?

PRP does not offer quick pain relief. Pain gradually subsides as the injured tissue repairs and pain-relieving factors activate. This can take weeks or months, but when successful, the effect is lasting. If relief is not sufficient at 3 months, a second injection may be performed. Maximum effects are usually seen at 6-9 months. Some knee joints may require two injections in closer succession.

Are there any side effects or complications of PRP?

No serious complications have been reported related to PRP. Like any injection, there is a risk of infection or damage to a nerve or blood vessel. However, there is not a risk of adverse reaction to the platelets the way there is to a medication (ex., corticosteroids)

Can I drive home after the PRP injection?

If the injection is in your right knee or ankle tendons, you should bring a driver. If the injection is located in any other body part, you may drive yourself home after the injection.

Can I take my normal medications before and after the injection?

Do not take anti-inflammatory medication such as Advil, Aleve, Motrin, Ibuprofen, Mobic, Naproxen, Nabumetone, or Diclofenac for 7 days prior to the injection and several weeks after the last injection. Pain medication will be prescribed the day of the procedure to be taken as needed. A regular aspirin regimen (81mg/day) is ok. Tylenol/Acetaminophen is allowed.

What is the “typical” response to PRP treatment?

Research and clinical experience suggest that PRP can successfully treat pain from chronic degeneration and tears of tissue tendons, and pain from mild to moderate joint articular cartilage degeneration. It is important to understand that PRP isn’t a miracle cure. The Hospital for Special Surgery in NYC estimates that their success rate for the platelet-rich plasma treatment, or PRP, is between 60 and 75 percent. (success=>50% relief of pain) rnrnThe Mayo Clinic claims an 80% success rate. However, for a minimally invasive procedure in injuries/conditions that are notoriously hard to heal, that’s pretty impressive. rnrnUltrasound guidance is essential to the accuracy of placement and enhancing the efficacy of the injection.

What if I don’t get a good enough response with PRP treatment?

Then bone marrow stem cell therapy or surgical treatment might be the next step.

Who is an ideal candidate for PRP Therapy?

PRP therapy is advised for patients with moderate osteoarthritis in the hip, knee or shoulder or chronic tendonitis in the elbow or ankle, and others. Typically the patient has failed conservative treatment options such as rest, medication, and physical therapy.

Schedule Your Consultation Today

Ready to learn if PRP therapy is right for you? Call Charlottesville Orthopaedic Center or fill out an online form to get started.  We proudly serve Charlottesville and the surrounding Central Virginia communities.

Our Providers

The providers at Charlottesville Orthopaedic Center are highly skilled and experienced in their respective specialties.

Dr. David Nielsen, D.O.

Orthopedic Surgeon

Natalie Smith, PA-C

Physician’s Assistant

Dr. Matt Connor, DPT

Physical Therapist

Dr. Cory Merva, DPT

Physical Therapist

Patient Resources

Explore our Patient Resource center for helpful information about our expert team, comprehensive services, informative blog, and how to easily connect with us.

Complimentary Movement Screening

Charlottesville Orthopaedic Center offers complimentary movement screenings to assess your movement, identify imbalances, and help prevent injuries. Whether you’re active, recovering, or want to move better, our expert phsycial therapists provide personalized recommendations for your long-term mobility and wellness.

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What Our Patients Say

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Mike

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Dr. Nielsen and his team are great! I’m relatively new to the Charlottesville area and have been very frustrated by the long wait times for medical appointments and then the brevity of those appointments once they finally arrive. Dr. Nielsen and his team are the opposite. They go above and beyond spending more than ample time with you, clearly explaining their diagnosis and answering any questions you may have. I highly recommend them.




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Mary

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I cannot say enough great things about Charlottesville Orthopaedic Center! I fell and broke my wrist, called my PC and they suggested them. Natalie was awesome! The first broken bone I have ever had and I was quite nervous. The techs were great with X-rays and fitting me with a cast. After a few months of appointments I am on the road to recovery!! The ladies at the front desk are always friendly and make me feel welcome too. It is nice to know of such a great practice here in Charlottesville. Kudos!!

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Sabrena

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We can’t recommend Dr. Nielsen and his team enough. They represent the best in medical care and kindness to others. They are truly excellent in providing healthcare services. With him, you will find a health partner, a supportive friend on your health journey, and continuous support in your pursuit of well-being.

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Tyler

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The best ortho in the state. Got my son in right away and is a very caring crew. Professional and clean atmosphere. Would recommend to anyone.

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Thea

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Highly recommend Charlottesville Orthopedic Center for PT. They are the best! Very knowledgeable, detailed, patient, caring and they listen. I had shoulder and knee issues. Matt was my physical therapist and I would definitely go back if I ever need more therapy. Thank you so much for all your help.