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PRP for ACL Tears & Sprains

Platelet-Rich Plasma for ACL Injuries in broomfield & Denver, Colorado

ACL Tears

ACL tear Repair vs Reconstruction
Figure 1

The ACL is one of the main ligaments of the knee. Its most important role is to prevent your tibia (shin bone) from moving forward on your femur (thigh bone). ACL injuries commonly occur when you twist or rotate while running, planting, and stopping suddenly or landing hard on your leg after a jump. However, sometimes people without any of these factors involved will also get this injury. Athletes are at high risk for ACL tears because they often play sports that require quick starts, stops, and jumps. If you tear your anterior cruciate ligament (ACL), it usually means surgery followed by months of downtime before you can return to activities like basketball, skiing, or soccer. However, PRP has been shown to be an effective treatment option for mild forms of ACL tears.

PRP Injections into the ACL

“PRP” is short for platelet-rich plasma, and it is autologous blood with concentrations of platelets above baseline values (1). Platelet-rich plasma (PRP) has been growing in popularity since it was discovered to have the potential to improve overall joint function, decrease pain and inflammation, and help the body repair itself via injections into damaged or diseased joints. PRP treatments are a type of regenerative medicine that uses your blood’s healing factors to help the body heal itself by injections of PRP into injured tissues. It is commonly used in regenerative orthopedic therapies for muscular strains or tears, ligament tears, tendon ruptures, minor arthritis, and joint instability.

There have been more than 30 randomized controlled trials of PRP, and it has been shown to help the body heal itself by its stimulating effect on the stem cells within the targeted area. In fact, our own Dr. Chris Centeno has used the analogy of “expresso shots” to explain how PRP and our patented Platelet Lysate work within and with the body.

Grade 1 Tears

A partial-thickness ACL tear is where only a portion of the ACL is torn.  On ultrasound or MRI, a portion of the ACL would be torn but the remaining fibers would be normal. These types of tears can be treated with ultrasound-guided PRP or bone marrow concentrate.

Grade 2 Tears

A grade 2 ACL tear involves a tear that extends across the entire ACL and therefore is referred to as a full-thickness tear.  The ligament has not pulled apart or snapped back upon itself and therefore is referred to as non-retracted. These types of tears can be treated with ultrasound-guided PRP or bone marrow concentrate.

Grade 3 Tears

A grade 3 tear is a full-thickness tear that extends across the ACL and, unlike a Grade 2, the ligament has pulled apart. This means that the two pieces of the ligament have pulled apart or maybe even snapped back like a rubber band.  This type of tear requires surgery.

Why Regenexx PRP Mixtures Are Superior

In most clinics that offer PRP therapies, the method of developing PRP involves removing a patient’s blood and running it through a simple bedside centrifuge machine to separate the plasma and concentrate the blood platelets, which are then immediately extracted and used as the injectate. These devices are not great at getting rid of unfavorable cells from the resulting mixture. Our lab tests show that white and red blood cells have an inhibiting effect on the same stem cells the platelets are attempting to stimulate and might cause excessive inflammation following the injection.

Our PRP is purer, concentrated, and customizable because it is produced in a laboratory setting by an experienced technician who can separate and concentrate all the blood’s good components and remove the unfavorable ones.

Invented at Centeno-Schultz Clinic, Regenexx’s Super Concentrated PRP procedures are an advanced type of PRP therapy that uses lab-processed PRP mixtures that have been found to provide up to 10 – 40 times more platelet concentrations than the traditional “bloody” PRP. Our PRP, due to its high levels of platelets, has an amber color (see image below).

Regenexx-SCP – the trusted PRP for ACL tears and sprains
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Our Doctors That Treat ACL Injuries

PRP injection procedures in Denver and Broomfield, Colorado clinics are performed by the following Interventional Orthopedics doctors:

Christopher J. Centeno, MD

Christopher J. Centeno, M.D. is an international expert and specialist in Interventional Orthopedics and the clinical use of bone marrow concentrate in orthopedics. He is board-certified in physical medicine and rehabilitation with a subspecialty of pain medicine through The American Board of Physical Medicine and Rehabilitation. Dr. Centeno is one of the few physicians in the world with extensive experience in the culture expansion of and clinical use of adult bone marrow concentrate to treat orthopedic injuries. His clinic incorporates a variety of revolutionary pain management techniques to bring its broad patient base relief and results. Dr. Centeno treats patients from all over the US who…

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John Schultz, MD

My passion and specialization are in the evaluation and treatment of cervical disc, facet, ligament and nerve pain, including the non-surgical treatment of Craniocervical instability (CCI). I quit a successful career in anesthesia and traditional pain management to pursue and advance the use of PRP and bone marrow concentrate for common orthopedic conditions. I have been a patient with severe pain and know firsthand the limitations of traditional orthopedic surgery. I am a co-founder of the Centeno-Schultz Clinic which was established in 2005. Being active is a central part of my life as I enjoy time skiing, biking, hiking, sailing with my family and 9 grandchildren.

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John Pitts, M.D.

Dr. Pitts is originally from Chicago, IL but is a medical graduate of Vanderbilt School of Medicine in Nashville, TN. After Vanderbilt, he completed a residency in Physical Medicine and Rehabilitation (PM&R) at Emory University in Atlanta, GA. The focus of PM&R is the restoration of function and quality of life. In residency, he gained much experience in musculoskeletal medicine, rehabilitation, spine, and sports medicine along with some regenerative medicine. He also gained significant experience in fluoroscopically guided spinal procedures and peripheral injections. However, Dr. Pitts wanted to broaden his skills and treatment options beyond the current typical standards of care.

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Jason Markle, D.O.

Post-residency, Dr. Markle was selected to the Interventional Orthopedic Fellowship program at the Centeno-Schultz Clinic. During his fellowship, he gained significant experience in the new field of Interventional Orthopedics and regenerative medicine, honing his skills in advanced injection techniques into the spine and joints treating patients with autologous, bone marrow concentrate and platelet solutions. Dr. Markle then accepted a full-time attending physician position at the Centeno-Schultz Clinic, where he both treats patients and trains Interventional Orthopedics fellows. Dr. Markle is an active member of the Interventional Orthopedic Foundation and serves as a course instructor, where he trains physicians from around the world.

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Matthew William Hyzy, D.O.

Doctor Hyzy is Board Certified in Physical Medicine and Rehabilitation (Physiatry) and fellowship-trained in Interventional Orthopedics and Spine. Dr. Hyzy is also clinical faculty at the University of Colorado School of Medicine in the Department of Physical Medicine and Rehabilitation; In addition, Dr. Hyzy is an Adjunct Clinical Assistant Professor at The Rocky Vista University College of Osteopathic Medicine. Dr. Hyzy also maintains an active hospital-based practice at Swedish Medical Center and Sky Ridge Medical Center. He is also recognized and qualified as an expert physician witness for medical-legal cases and Life Care Planning. He is published in the use of autologous solutions including…

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Brandon T. Money, D.O., M.S.

Dr. Money is an Indiana native who now proudly calls Colorado home. He attended medical school at Kansas City University and then returned to Indiana to complete a Physical Medicine and Rehabilitation residency program at Indiana University, where he was trained on non-surgical methods to improve health and function as well as rehabilitative care following trauma, stroke, spinal cord injury, brain injury, etc. Dr. Money has been following the ideology behind Centeno-Schultz Clinic and Regenexx since he was in medical school, as he believed there had to be a better way to care for patients than the status quo. The human body has incredible healing capabilities…

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Mairin Jerome, MD

Mairin Jerome, MD

Dr. Mairin Jerome is a physiatrist with subspecialty fellowship training in Interventional Orthopedics and Regenerative Medicine. This subspecialty serves to fill the gap for patients who are interested in therapeutic options that lie between conservative treatment and surgery. Dr. Jerome uses regenerative medicine techniques, including prolotherapy and orthobiologics, via X-ray or ultrasound guidance to precisely deliver injections to areas of musculoskeletal injury or degeneration. Orthobiologics refers to tissue harvested typically from a person’s own body, such as platelets (platelet-rich plasma, PRP) or bone marrow, for use in treating painful musculoskeletal conditions. The goal is to stimulate the body’s healing mechanisms to improve pain, function, and decrease inflammation.

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Read more about ACL Injuries

ACL Tears

The Anterior Cruciate Ligament (ACL) is one of four major ligaments in the knee. It is an important stabilizer of the knee and prevents the shin bone (tibia) from sliding in front of the thigh bone (femur). The ACL is susceptible to injury. It is most likely to be injured during activity or by impact. A torn ACL is a common injury for athletes at all levels, but it is most common for people who are active or who experience impact injuries to the knee. ACL injuries can happen to anyone of any age, condition, or ability, and it can be injured in many ways. Examples include abruptly changing direction, slowing down while running, landing incorrectly, or getting struck by someone or some object.

Read More About ACL Tears

References:

  1. Jones IA, Togashi RC, Thomas Vangsness C Jr. The Economics and Regulation of PRP in the Evolving Field of Orthopedic BiologicsCurr Rev Musculoskelet Med. 2018;11(4):558-565. doi:10.1007/s12178-018-9514-z