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PRP (Platelet Rich Plasma)

The human body has a natural ability to heal itself from most injuries. A large part of this ability lies in the healing potential of the growth factors found in our platelets, which is a component of human blood. The technological advancement in separation and concentration allows a patient’s blood platelets to be injected into body organs that need regeneration. PRP – It is an amazingly elegant tissue regenerative technology being applied now in the medical field.
What is Platelet Rich Plasma (PRP)?
Although blood is mainly a liquid (called plasma), it also contains small solid components (red cells, white cells, and platelets.) The platelets contain hundreds of proteins called growth factors which are crucial in the healing of injuries.

PRP is basically plasma with many more platelets than what is typically found in blood. The concentration of platelets and thereby, the concentration of growth factors can be 5 to 10 times greater (or richer) than usual.

How is PRP prepared?
To develop a PRP preparation, blood must first be drawn from a patient. The platelets are separated from other blood cells and their concentration is increased during a process called centrifugation. The increased concentration of platelets is then combined with the remaining blood.
How is PRP administered?
PRP can be carefully injected directly into the body areas that are painful and are in need of regeneration. A mixture of PRP and local anaesthetic can be injected directly into this inflamed tissue. Afterwards, the pain in​ the area of injection may actually increase for the first week or two, and it may be several weeks before the patient feels a beneficial effect.
Risks & Side Effects
Risks associated with PRP are minimal: There may be increased pain at the injection site, but the incidence of other problems — infection, tissue damage, nerve injuries — appears to be no different from that associated with cortisone injections.
What conditions are best suited with the use of PRP?
PRP is best suited for applications in Muscle, Tendon & Joint Injuries.

Other Treatment Options for Pain Management

Orthvisc Treatment

What is Orthvisc?

ORTHVISC is an ultra-pure, high molecular weight injectable hyaluronic acid (HA) visco supplement used to treat joint pains. It is comprised of highly purified sodium hyaluronate (NaHA) in physiologic saline, and it is both biocompatible and resorbable.

How is Orthvisc administered?

ORTHVISC is provided in a single-use syringe, and it is injected into the joint in a series of 3 intra-articular injections spaced one week apart.

Is the treatment painful? Are there any downtime?
It should be noted that pain or swelling may occur after the injections but will normally diminish after a short period of time. It is recommended that the patient avoid strenuous activities or prolonged weight-bearing activities for 48 hours.
What are the risks involved?
Some patients experienced discomfort at the local injection site and in some cases some patients complained of arthralgia, back pain, and headaches.
What is the treatment protocol?

Orthvisc is best administered as a series of 3 weekly injections. With the treatment plan, it can produce beneficial effects that last up to 26 weeks.

What conditions are best suited for the application of Orthvisc? Where can Orthvisc be applied?

Orthvisc is best suited for patients who are in the early to moderate stages of persistent joint pains. Orthvisc treatment is​ best suited for shoulder, knee, elbow and ankle joint pains.

What is Radial ShockWave Treatment (RSWT)?
Shockwave Therapy is a multidisciplinary device used in Orthopaedics & Sports Medicine. It is a non-invasive treatment that involves creating a series of low energy acoustic wave pulsations that are directly applied to an injury through a person’s skin via a gel medium to provide fast pain relief and mobility restoration. There is no need for surgery or painkillers, making it an ideal therapy to speed up recovery and cure various indications causing acute to chronic pain.

Shockwave Therapy is used in the treatment of many musculoskeletal conditions, primarily those involving connective tissues such as ligaments and tendons. It is an effective treatment method that helps in chronic pain on shoulders, back, heel, knee and elbow that is caused by a sports injury, overuse, or repetitive strain. The beneficial effects are often seen after 1 to 3 sessions.

What sets this treatment apart from traditional treatments is that it treats the musculoskeletal pathology instead of just offering symptomatic relief. If performed by physicians​/therapists, extracorporeal shock wave therapy has virtually no risks or side effects.

How is the RSWT performed?
The doctor will first localise the painful region by palpation and mark the area of the pain. Gel is then applied to the treatment area to allow conduction of shockwaves into the body. The therapist will start the treatment. Shockwaves are generated by the applicator and moved over the painful region in a circular motion.
Benefits of shockwave therapy treatment:
Cost-efficient
Non-invasive
No anaesthesia or painkillers required
Minimal risks of side effects
Help​ reduce chronic and acute pain
Where can RSWT be applied on?
Shockwave therapy can be administered on the following areas:

Feet – Heel spurs, plantar fasciitis, Achilles tendonitis
Elbow – Tennis and golfer’s elbow
Shoulder – Calcific tendinosis of rotator cuff tendons, frozen shoulder
Knee – Patellar and quadriceps tendonitis
Hip – Bursitis
Lower leg – Shin splints
Upper leg – Iliotibial band friction syndrome
Back pain – Lumbar and cervical spine regions and chronic muscular pain

How long is a session of RSWT?
One session takes about 10-15 minutes depending on the disorder or grade of the condition.

Contact Us today at +65 8780 8277 for more information about our regenerative treatment plans.

Dr. GERALD TAN

Dr Gerald Tan graduated in 1993 with the double degree of M.B.,B.S. from the prestigious National University of Singapore. He is a MOH accredited family Physician with special interest in Regenerative Medicine and aesthetic Medicine. His expertise include Visco supplementation for Osteoarthritic joints. He has been treating osteoarthritis knees with gel injections for the past ten years and is proficient in this procedure.

He is also a trainer for this procedure, teaching other doctors the finer points of this treatment. In the area of Aesthetic Medicine, he has over 10 year’s experience (since 2007) with the use of ‘btx’ and filler injections and various thread lift procedures. His expertise also covers various Laser treatments for both face pigmentation, scars, pores, acne and body sculpting. He is also familiar with the Fotona laser snore reduction and eye bag reduction treatments.

He is one of the few doctors practising non-surgical Laser Vaginal Tightening which can help cases of urinary incontinence as well. He has experience with Fat Transfer and HairGrowth/Transplant procedures as well. His Regenerative Medicine experience also covers the area of Sports Medicine with the use of PlateletRich Plasma to heal Acute Muscle Injuries. A strong believer in PreventiveMedicine, he has given numerous health care prevention talks to various companies and has written an e-book entitled “Medicine doesn’t cure the common flu, common sense does! How to prevent illnesses the non-medicine non-therapy way.” An all-rounded doctor who loves to pay attention to the needs of his patients.

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277 South Bridge Road, Singapore 058826

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