PRP utilizes a patient’s own blood to promote a localized healing response. It is the combination of plasma and platelets, at very high concentrations (sometimes as high as 5-10 times greater than normal). Platelets contain proteins called growth factors which can be very advantageous in the healing of injuries. This process involves drawing blood from your arm and spinning it down in a special centrifuge to separate components, including platelets, plasma, red blood cells, and white blood cells. The concentrated platelets and plasma are then combined, resulting in platelet rich plasma. This can then be injected directly into the site of injury or area of arthritis. In response to the injection, your body’s immune system is stimulated, resulting in an influx of healing cells. These cells clear away damaged tissue and promote stem cells to multiply, forming new healthy tissue. Along with increased healing potential, studies suggest that PRP reduces pain and improves joint motion and function. Most importantly, PRP is safe, efficacious, and supported by the highest level of evidence (Level I studies). This healing option is not covered by insurance.

BMAC is similar to PRP in that it leverages the body’s own bone marrow stem cells to promote a more robust healing response and rebuild damaged tissue. It does this by delivering living cells directly to the area of injury. To achieve this, bone marrow is aspirated from the hip region and concentrated with a centrifuge to produce bone marrow aspirate concentrate (BMAC). These living cells are delivered via injection directly to site of injury, potentially allowing for a greater response compared to PRP. However, although numerous studies have revealed promising results, more well-controlled, high-quality studies are needed to further validate the efficacy. This healing option is also not covered by insurance.