Busting 4 Common Myths about PRP Therapy

PRP or Platelet Rich Plasma therapy is a regenerative medicine procedure that is being used to treat a wide range of problems involving the joints, tendons, ligaments, muscle, connective tissue and cartilage.

PRP refers to blood plasma derived from the person’s own blood. PRP therapy can be used for the treatment of various injuries and degenerative conditions, promoting a healing response at the site of injection.

If you are considering PRP therapy or wondering whether it will work for you, it is important to be educated about the treatment. Here are 4 common myths about PRP therapy and the truth about them.

PRP therapy is Risky

On the contrary, PRP therapy is a minimally-invasive, low-risk treatment that has minimal side effects. Since your own blood cells and platelets are utilized, there is no chance of rejection or infection.

PRP treatment is Lengthy

PRP therapy can, in fact, speed up recovery. The procedure takes up to about an hour or two and does not have any downtime. Usually, 3 PRP injections are given in a 3-week period. Most patients start noticing relief in the injured area after the second injection.

Too Young for PRP

There is no fixed age to undergo PRP therapy, but it is commonly used for adults who are suffering from degenerative conditions and painful injuries. Your doctor at OSPI, Arizona can help you understand whether you are a good candidate for PRP therapy.

PRP is Expensive

Typically, regenerative medicine treatments are expensive. But PRP therapy is one of the more cost-effective procedures. PRP therapy helps you avoid the need for surgery and allows your body to heal naturally. Most patients recover quickly with positive results, making PRP therapy a treatment worth trying.

To learn more about PRP Therapy in Gilbert, AZ, call the best orthopedic surgeon at OSPI Arizona at Chandler, AZ at 480-899-4333.

Shoulder Instability Causes and Treatment

The shoulder joint possesses a wider range of motion as compared to any other joint in the human body. But this mobility comes with a price – less stability.

This article shares all you need to know about shoulder instability, its causes and treatment options.

Shoulder Instability

Shoulder instability is a condition affecting the GH or Glenohumeral joint of your shoulder. If you are wondering what it means, the GH joint is where the collar bone, shoulder blade and the upper arm bone come together. When the tissue holding the upper arm bone in place fails to keep the bone in place, it causes shoulder instability.

The GH joint is a ball-and-socket joint but the socket is much shallower than that in the hip joint, allowing the GH joint very little bony support. It depends upon ligaments and tendons for stability. When one or more of these is damaged, the head of the humerus may start moving too freely and slip out of the socket, resulting in shoulder instability.

Causes of Shoulder Instability

Shoulder instability can be the result of –

  • direct trauma, for example, falling onto an outstretched arm which can cause dislocation or tears in shoulder ligaments
  • congenital problems
  • repetitive strain and chronic overuse can stretch and weaken the shoulder’s ligaments and tendons, leading to instability

Pain, clicking or popping feeling, numbness during movement and tenderness are common symptoms of shoulder instability.

Treatment for Shoulder Instability

There is no common treatment for cases of shoulder instability. Treatment options would vary depending upon the severity of the underlying conditions and the intensity of pain or disability.

Conservative measures include physician-directed physical therapy and exercises, non-steroidal anti-inflammatory drugs and activity modification.

For severe cases, surgery may be required. Two types of surgery are commonly used for the treatment of shoulder instability.

  • Capsular Shift Surgery – This is an option when the joint capsule is too large. The surgeon makes a ‘tuck’ in the connective tissue which heals together, making a tighter joint capsule that holds the joint stable.
  • Bankart Repair Surgery – This is done when the joint has suffered damage to the connective tissue. The surgery repairs the ligaments that stabilize the shoulder.

Both these procedures can be done in a minimally invasive manner, causing less soft tissue trauma, less pain after surgery, and for many patients, faster recovery times.

If you or a loved one is suffering from shoulder pain, stiffness, tenderness or numbness, consult a shoulder orthopedic surgeon immediately for an accurate diagnosis and effective treatment. Any delay in treatment may worsen your condition and reduce treatment options.

To learn more about shoulder arthritis or to consult the top orthopedic surgeon in Chandler, AZ, call OSPI Arizona at 480-899-4333.

5 Most Important Facts about PRP Therapy Pain Patients should know

Platelet Rich Plasma or PRP Therapy is proving to be highly effective in treating musculoskeletal injuries, especially sport injuries, such as ligament sprains, chronic inflammation and tendon tears.  PRP therapy holds the potential to stimulate permanent healing and eliminate the need for potentially risky surgery.

Platelet Rich Plasma (PRP) Therapy involves drawing a small quantity of a patient’s blood to separate the platelets. The concentrated platelets are injected back into the injured tissues, such as shoulders, hips, knees, elbows and Achilles tendons. The platelets release growth factors that aid tissue recovery.

Here are 5 most important facts you should know about Platelet Rich Plasma Therapy.

Tissue Regeneration

Research has shown that PRP therapy is highly beneficial. Ultrasound and MRI images have shown definitive tissue repair after treatment.

Surgery can also be avoided or delayed if injured tissues have been treated before the damage progresses.

Conditions that can benefit from PRP Therapy

  • osteoarthritis of the knee
  • hip and spine
  • shoulder
  • rotator cuff tears
  • pelvic pain & instability
  • back and neck injuries
  • ankle sprains
  • tennis elbow
  • tendonitis
  • ligament sprains

PRP stimulates the Body’s Healing

The human body has an excellent natural healing ability. In case of soft tissue injury, platelet cells are immediately sent to the site. Since they carry growth and healing factors, platelets begin the repair process, attracting stem cells in the process.

PRP stimulates the body’s natural healing mechanism by supplying a higher concentration of platelets, thereby enhancing the body’s natural healing ability.

PRP Therapy is Safe

Patients who have received PRP Therapy have shown significant improvement in their pain and discomfort level.

Since a person’s own blood is used during the procedure, there is no risk for rejection and infection.

PRP aids Faster Healing

PRP Therapy aids pain relief through healing, hence producing lasting results. Improvement begins within a few weeks and steadily increases as healing progresses.

To learn more about PRP therapy or to consult the top shoulder and sports medicine surgeon in Gilbert, AZ, call OSPI Arizona at 480-899-4333.

Natural Healing with Regenerative Medicine Treatments

Regenerative Medicine involves repairing and regenerating the damage in the body. These new treatments utilize the body’s natural healing powers to relieve a wide range of physical problems related to tendon, ligament, muscle, and bone damage.

Leading orthopedic and sports medicine practices, such as OSPI in Arizona, offer various regenerative medicine treatments –

  • Bone Marrow Derived Stem Cell Therapy (Your Own Bone Marrow)
  • Amniotic Fluid Stem Cell Therapy
  • Platelet Rich Plasma Therapy (PRP Therapy)

Stem cell and PRP therapy have been utilized in treating various areas of the body, including knees, hips, backs, and shoulders, that people have injured or that are affected by degenerative conditions such as rheumatoid arthritis.

OSPI has teamed up with R3 Stem Cell, the nation’s leading regenerative medicine company offering cutting edge technologies and research, to provide OSPI patients with state of the art options.

Stem Cell Therapy

Stem cell therapy involves harvesting stem cells from a human source, either the amniotic fluid or the person’s own bone marrow. Amniotic stem cells are either extracted from a willing donor’s amniotic fluid.

Once either of these fluids is harvested, the stem cells are isolated and injected into the affected area. This encourages the creation and strengthening of the affected tissue and also helps to reduce inflammation and pain.

PRP Therapy

PRP therapy involves deriving platelet rich plasma (PRP) from the person’s own blood. The PRP contains several growth and healing factors that aid healing in the damaged tissues.

Many orthopedic doctors are now utilizing stem cell and PRP therapy instead of highly invasive and risky joint replacement surgeries. Regenerative medicine treatments are relatively non-invasive, pose fewer risks and are less expensive, quick and efficient.

If you are looking for the best regenerative and sports medicine doctor in Gilbert, AZ, call OSPI (Orthopedic and Sports Performance Institute) at 480-899-4333.

Are you an Athlete and injured?

Sports or athletic injuries occur during play or practice for a sports event. Such injuries may vary in their extent and severity but require timely treatment if you want to recover fully.

If you are an athlete or if you maintain an active lifestyle, read on to learn the about the common sports injuries. It will help you recognize if you have been injured.


Sprains are the result of a ligament being stretched beyond its capacity. Wrist and ankle sprains are more common than others.


Concussions occur due to a violent blow to the head. These are common among athletes who participate in contact sports. AT the same time, concussions can also occur as a result of a fall. Some concussions may prove serious if they are left untreated and the player continues to play.

Shin Splints

Acute pain in the shin or lower leg after prolonged running can be the result of shin splints.

Runner’s Knee

Runner’s knee, as the name indicates, is caused due to years of running and the pain in the knee due to that. It is an overuse condition in which the tendons and the cartilage, around the knee cap, are worn out.

Achilles Tendinitis

Achilles Tendonitis shows up as heel pain. It occurs when overuse causes the tendon, just above the heel, to become swollen or irritated.

What should I do if I am injured?

Since most athletes try to ensure pain and push through injury, their injuries usually become worse.

The best course of action is to seek immediate treatment if you suspect injury and experience pain. This will reduce your healing time, chance of reoccurrence, pain, and will get you back in the game quickly. Modern regenerative medicine treatments, such as PRP therapy, help to avoid surgery and allow you to recover naturally.

To learn more about PRP therapy or to consult a sports medicine doctor in Gilbert, AZ, call OSPI (Orthopedic and Sports Performance Institute) at 480-899-4333.

Suffering from an ACL Tear?

The ACL or the Anterior Cruciate Ligament in the knee can be injured in several ways:

  • Sudden stopping or change of direction
  • Abruptly slowing down while running
  • Landing from a jump incorrectly
  • Direct collision

ACL tear

The ACL is one of the four important knee ligaments. These ligaments hold the knee together.  It connects the thigh bone to the shin bone.

The ACL is a tough band of tissue that runs diagonally through the inside of the knee and gives the knee joint stability. An ACL tear is often a result of excessive stress due to one of the reasons explained above.

ACL Injury Symptoms

ACL injuries are often accompanies by a “popping” noise and/or the knee may feel giving out from under you. Other symptoms include:

  • Swelling and pain
  • Limited range of motion
  • Tenderness along the joint
  • Discomfort while walking

You may observe swelling within a day of the injury. In some cases, the swelling and the pain may subside on its own but if you attempt to return to activity, the knee is likely to remain unstable. This can result in further damage to the meniscus or the cartilage that cushions your your knee.

To learn more about ACL tear and treatment options or to consult an experienced knee doctor in Gilbert, AZ, call OSPI (Orthopedic and Sports Performance Institute) at 480-899-4333. OSPI offers modern, cutting edge treatments including minimally invasive orthopedic surgery as well as regenerative medicine, such as PRP Therapy in Gilbert, AZ.

Ever too old for Knee Replacement?

If you are wondering whether you are too old for knee replacement surgery, you should know that more than 500,000 people undergo total knee replacement in the United States alone. Generally, people with chronic joint pain and debilitating arthritis are considered candidates for total knee replacement.

Total knee replacement can help these people regain lost confidence and independence. A knee replacement can go a long way in restoring your ability to lead a normal life.

Read on to know more about knee replacement surgery and get answers to the most commonly asked questions.

Arthritis and Knee Pain

The knee joint has a layer of smooth cartilage on the ends of thigh bone, shinbone and the kneecap. This cartilage cushions the gliding surface facilitating smooth knee motion. Arthritis involves wear and tear of this cartilage. This leads to bones rubbing against each other, causing pain, inflammation, swelling and stiffness.

Total Knee Replacement

Total knee replacement involves cartilage replacement with an artificial surface, using metal and plastic implants. This creates a new smooth cushion and a functioning joint that does not hurt.

Success Rates

More than 90% patients achieve good to excellent results with pain and symptom relief and improved activity and mobility.

Candidates for Total Knee Replacement

Based on your history, physical examination, X-rays and conservative treatment results, your orthopedic surgeon will discuss with you if you are a candidate for total knee replacement surgery.

In general, you may not be a good candidate if you –


  • have poorly-controlled diabetes
  • are an active smoker
  • are morbidly obese
  • have experienced infections in the affected arthritic joint in the past

Can a person be too old for knee replacement?

Age is not a big issue if you have good overall health and wish to continue living an active life. There are cases of patients in their 90’s who get knee replacements and do well. Your orthopedic may ask you to consult your personal physician about your readiness for surgery.

To learn more or to consult an the best knee replacement doctors in Gilbert, AZ, call OSPI (Orthopedic and Sports Performance Institute) at 480-899-4333.

4 Top Reasons you can’t straighten your Knee

Knee injuries are often a result of a twisting or a direct impact injury to your leg. The severity of the injury can vary but loss of bending in the knee is common after an injury. An inability to straighten and bend your knee is a sign you have been injured badly.

Here is a look at the top reasons why you are unable to straighten your knee after an injury.


Swelling is common after injuries that cause bleeding, inflammation and pain, making it too painful to straighten the knee.

Tendon Injuries

Injuries to the quadriceps or patella tendon do not allow you to straighten the knee and also cause significant weakness. Such injuries are more common in professional sports.

Meniscus Tear

A tear in which the torn piece of meniscus flips into the center of the knee joint, can lock your knee and prevent it from straightening.

ACL Tear

ACL tear do not cause the knee to be locked but it hurts too much to straighten it. Within a few days, the swelling will reduce and you may be able to straighten your knee. But sometimes ACL tear is accompanied by a meniscus tear. In such cases, it will be hard to straighten the knee and you should see an orthopedic surgeon.

If you have suffered an injury to your knee and are not able to straighten or bend your knee, it could be due to a severe knee injury. Consult an orthopedic surgeon to find out the root cause and begin treatment.

To learn more or to consult the best orthopedic surgeons in Mesa, AZ, call OSPI (Orthopedic and Sports Performance Institute) at 480-899-4333.

Rehab Exercises after Total Knee Replacement

Once you return home after a total knee replacement (TKR), you will need to perform certain exercises to prevent complications, improve motion of the knee, and build strength. Most people have weak leg muscles before surgery because they were not used much due to knee problems. Now that surgery has corrected this knee problem, you will need to have a regular exercise regimen.

Exercise Program

A regular exercise program is used to strengthen weak leg muscles. Your success with rehabilitation relies on your willingness to follow the exercise program developed by your physical therapist. You should perform these exercises 2-3 times each day after surgery. Each exercise must be done 10 times, starting out, and you gradually increase the repetitions by 5 times each week until you reach 20 repetitions. Your schedule will be:

  • Week 1 – 10 repetitions
  • Week 2 – 15 repetitions
  • Week 3 – 20 repetitionsheel-slides

Ankle Pumps and Circles

  • Bend both ankles up, pulling toes toward you.
  • Bend both ankles down, pointing toes away from you.
  • Rotate each foot clockwise and then counterclockwise while keeping toes pointed to the ceiling.

Heel Slides (Knee and Hip Flexion)

  • Bend the hip and knee by sliding the heel up toward buttocks while keeping the heel on the bed.
  • Slide heel back down again while keeping kneecap pointed at the ceiling.
  • Repeat with opposite leg.

Thigh Squeezes (Quadriceps Sets)

  • Tighten muscles at the front of the thigh by pushing the back of your knee down on the bed.
  • Hold for 5 seconds, then relax.
  • Repeat with opposite leg.

Leg Slides (Abduction/Adduction)

  • Slide leg out to the side while keeping kneecap pointed toward ceiling.
  • Slide leg back to the starting position.
  • Repeat with opposite leg.

Lying Kicks (Short Arc Quadriceps)

  • Lie on back with a rolled blanket under your knee.
  • Straighten knee and hold for 5 seconds.
  • Lower leg down slowly and relax.
  • Keep back of knee in contact with blanket.
  • Repeat with opposite leg.

Straight Leg Raises

  • b7a636bc5a5da7a0eafbb497fb8cac4eBend leg with foot flat on the bed.
  • Raise opposite leg up 12 inches with knee straight.
  • Hold for 5 seconds.
  • Slowly lower leg and relax.
  • Repeat with other leg.

Knee Bending (Sitting Knee Flexion)

  • Sit on a chair.
  • Bend knee back as much as you can and hold for 10 seconds.
  • Return to starting position and relax.
  • Repeat with other leg.

Sitting Kicks (Long Arc Quads)

  • Sit on a chair.
  • Lift foot and straighten knee as much as possible.
  • Keep knee level as if you are holding a tray on your lap.
  • Hold for 5 seconds.
  • Lower leg down slowly and relax.
  • Repeat with other leg.

Prolonged Knee Stretch

  • Sit on a chair.
  • Bend knee back as much as possible.
  • Scoot your body forward to increase the stretch.
  • Hold for 30-60 seconds.

Knee Straightening Stretch

  • Sit on a chair with your heel up on a footstool or chair in front of you.
  • Hold this for 30-60 seconds.
  • Repeat with other leg.

Knee Dangling/Swinging

  • Sit on a high chair or bed so that feet don’t touch floor.IMG_5017
  • Bend knees and swing surgical leg back and forth.
  • Do this for 2-3 minutes.

Heel Digs (Hamstring Sets)

  • Bend surgical knee.
  • Tighten muscle at back of thigh by digging heel into the bed.
  • Hold for 5 seconds.
  • Repeat with other leg.

Buttock Squeezes (Gluteal Sets)

  • Tighten buttock muscles by squeezing.
  • Hold for 5 seconds and relax.