What to do before the injections?
1. Avoid ibuprofen, naproxen sodium, etc. (NSAIDS) for 3 days before injections. If taking rofecoxib (Vioxx), celecoxib (Celebrex), valdecoxib (Bextra), SAM-E, Red Deer Velvet, usage must be stopped 5-7 days before injections.
2. No alcohol usage 72 hours before your scheduled PRP injection.
3. Smoking cessation (quitting) permanently and at once is strongly recommended as smoking decreases the effectiveness of the injection healing, potentially increases the number of injections and could make the entire procedure unsuccessful.
4. Some patients prefer to take preventative pain medications or antianxiety medications before injections. Discuss this with your doctor before injections or with your referring doctor if you are scheduled to have injections on your first visit.
a. Pain medications (nonNSAIDS) can be used 1 hour preinjection.
c. DO NOT DRIVE IF PREMEDICATING FOR INJECTIONS AS YOU WILL BE OPERATING UNDER THE INFLUENCE.
5. Bring pain medications (nonNSAID) with you so post-injection pain management can be clarified.
6. If premedicating, having a driver is a must. In general, having someone with you to drive you home is preferable.
7. If you have a long ride home (greater than 30 minutes), bring an ice pack and consider frequent stops on the way home to maintain flexibility and reduce swelling/pain.
8. If you have a heart murmur, heart valve, heart valve disease, an artificial hip or knee (or internal prosthetic of any kind) alert your doctor as this could make you a candidate for premedication with antibiotics.
What to do after injections?
1. Pain is a normal, and expected after injections, especially the first 2-4 days due to the inflammatory response generated by the injections that stimulate the initial healing process. The goal of PRP is to trick your body's healers into thinking you just sustained an injury so the inflammation, while painful, is good.
2. Avoid NSAIDs (ibuprofen, naproxen sodium, etc.) for 3 weeks, as this will block the inflammation and subsequent healing process making the injections ineffective.
3. Use pain medications as directed. Tylenol and other medications containing acetaminophen are the ONLY acceptable painkillers you can use. If you're still unsure about what painkillers you can use, consult your provider.
4. After the first 3-4 days, controlled movements of the joint or limb that was injected is a good idea. Normal activities, if not already resumed, should be resumed. It is important to initiate movement of the injected area as this will help the healing process.
5. After the first week or so, return to routine exercise, but do not initiate new exercise if not currently working out regularly. We strongly recommend you walk and return to normal activity as soon as possible to encourage good range of motion and to minimize swelling.
6. Alcohol is not recommended in the first 72 hours after receiving PRP.
7. Ice is acceptable over injection area, but avoid heat for the first 3 days.
8. No public water sources (lakes, hot tubs, pools) for the first 2 days.
9. Call if redness/problems occur in the first few days after recieving the injection(s).
10. Please remember that pain and swelling are usually anticipated and normal parts of the first 2-4 days after injections, especially in arms (fingers), legs (ankles/toes) and joints after injections.
11. You will have good days and bad days in the first weeks following the injection. The real benefits of PRP will be noticed around 4-6 weeks after the injection and follow up appontments will be scheduled for that time.