Platelet-rich Plasma or PRP Therapy in Bend, Oregon

Jon Swift Jr., DO, brings cutting edge procedures to Central Oregon, including platelet rich plasma or PRP therapy. PRP is an powerful tool to harness the body’s own healing potential. The technology is safe, effective and has been used for years in the veterinary and dental fields. More recently, the techniques have been studied, improved and optimized for use for sports injuries and orthopedic conditions. PRP contains multiple growth factors and healing factors that can facilitate healing of injured tissue by harnessing the body’s own healing potential. PRP therapy injections make it possible for orthopedic specialists to treat difficult and refractory injuries in a way that is less invasive than surgery. This could mean a shorter and less painful recovery for patients.

Dr.Swift seems to be ahead of his time when it comes to treatments. He is a kind person who has conducted himself professionally and compassionately. I would highly recommend Dr.Swift.

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  • What is Platelet Rich Plasma (PRP) and How Does it Work?

    PRP is a concentration of platelets, which are a natural component of blood. In simple terms, blood is composed of red blood cells (which transport oxygen), white blood cells (which are involved in the immune system) and platelets (which are involved in clotting and healing). Platelets are often thought of as the body’s “first-responders” to injury. Platelets naturally circulate in the blood and are attracted to injured tissue. When an injury occurs, platelets adhere to the injured tissue, forming a clot to stop bleeding when present, and immediately start the healing process. Platelets release chemicals and growth factors that attract other cells to remove damaged tissue, stimulate new blood supply (re-vascularization), attract and activate stem cells, and stimulate protein synthesis. This process facilitates repair of damaged tissue and construction of new tissue. With PRP, doctors can harness and focus the natural healing process of platelets by injecting them accurately into the injured or painful muscles, tendons, ligaments and joints.

  • How is PRP prepared?

    PRP is prepared in a medical office, on the same day of injection. The process takes about 30 minutes. The patient’s blood is drawn (typically 55 or 110 mL, which is approximately 2 or 4 ounces, respectively) into a sterile, sealed container the had small amount of anticoagulant. Dr. Swift uses the GENESISCS PRP and PURE PRP systems. The kits are sterile and used only once. The blood is centrifuged at high speeds to separate plasma and concentrate the platelets from the rest of the blood. The process yields approximately 7-14 mL of PRP. The final concentration of platelets is about 7x the starting concentration in the blood, which means each mL of PRP has approximately 1 million platelets on average.

  • What Conditions Can be Treated with PRP?

    PRP can be used to facilitate healing and reduce pain in many injuries of muscles, tendons and ligaments in various regions, including:

    • Arm and shoulder: bicipital tendinosis, partial tears of the rotator cuff, tennis or golfer’s elbow
    • Hip: ITB syndrome, hamstring tears
    • Knees: patellar & quadriceps tendiniosis, patellar-femoral syndrome, chondromalacia patella, partially torn or strained medial and lateral collateral ligaments.
    • Ankle and foot: plantar fasciitis, Achilles tendinitis and partial Achilles tears, other foot or ankle tendinitis

    PRP can decrease pain and improve function in arthritic joints, including:

    • Knee, hip and shoulder osteoarthritis
    • Hand, wrist, foot and ankle osteoarthritis

    PRP can be used for treatment and pain reduction of certain spine and sacroiliac conditions, including facet joint arthropathy, sacroiliac joint pain and arthropathy. It has been used to treat lumbar degenerative disk disease and anular tears.

  • Is PRP Therapy Right For Me?

    Every musculoskeletal treatment starts with an appropriate orthopedic evaluation and diagnosis when possible. No treatment is 100% effective for everyone. Dr. Swift starts with with a face-to-face consultation consisting of medical history, examination and in most cases, some form of imaging (x-rays, MRI, SPECT scan, ultrasound). Many musculoskeletal ailments are initially treated with conservative measures such as: rest, NSAIDS, ice, therapy, chiropractic and acupuncture. In some cases, cortisone and other injections are used diagnostically and therapeutically. If you have already had appropriate previous diagnosis and treatment, or previous successful PRP, you may not need a full workup by Dr. Swift before proceeding with with PRP. Your current provider may directly order a PRP injection by Dr. Swift if the diagnosis is appropriate. In certain cases, Dr. Swift can also provide telephone consultations (especially in the case of out of town patients coming to Bend for treatment).

  • How Many Injections Do I Need and How Long Does PRP Last?

    Many patients experience significant results with one injection, but research suggests some patients and conditions require up to three injections for full effect. In particular, several studies on knee arthritis showed better results with more than one injection, although studies were purposely designed to compare with other treatments requiring multiple injections, i.e., three PRP injections compared to three hyaluronic acid injections. In general, Dr. Swift starts with one injection and reassess in four to six weeks.

    Treatment effect duration is variable depending on type of problem, severity of problem, patient activity and health issues. In the case of a sports/soft tissue injury, the PRP may facilitate complete healing, which never again becomes symptomatic. In the case of a painful degenerative conditions such as knee arthritis, PRP does not “heal” or reverse the arthritis, but the growth factors to make the internal environment of the joint temporarily healthier and less painful for an extended period of time. Times vary widely depending on initial severity, patient health, activity and expectations, with average duration of about one year. As in all treatments, there are unfortunate instances when some patients do not respond to PRP and have little or no benefit.

Get back to living your life without pain in beautiful Bend, Oregon. Learn more about the treatments available and how regenerative musculoskeletal medicine
can help your body heal.

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Stem Cell Therapy for Arthritis and Sports Injuries

Stem cells are the body’s ultimate building blocks, with unmatched healing potential. They are undifferentiated cells that have the ability to transform into a variety of different cells and have the potential of rebuilding damaged tissue, including cartilage, muscles, tendons and ligaments. Stem cells are present in significant numbers in our own bone marrow and adipose (fat) tissue. Trained physicians can safely and legally harvest adult stem cells in a medical office procedure room with sterile techniques, for use in same-day regenerative procedures.

At Desert Orthopedics, Dr. Swift can obtain bone marrow rich in stem cells with very little discomfort. This procedure takes about 45 minutes. Dr. Swift uses the Marrow Cellution aspiration needle technique as well as Emcyte Genesis Pure Bone Marrow Concentrating systems. These stem cells are obtained via bone marrow harvesting through a needle from the patient’s pelvis (iliac crest), which is a great source of marrow and has plentiful amounts of stem cells. Bone marrow stem cells are then injected accurately into the treatment area with ultrasound or fluoroscopic (x-ray) guidance.

Platelet Rich Plasma (PRP) is frequently injected at the same time to provide additional growth factors to activate the stem cells. This combination is synergistic, like planting seeds (stem cells) with fertilizer (PRP growth factors). Stem cell injections are sometimes followed several weeks later with another PRP injection to maximize healing potential with another round of growth factors.

Get back to living your life without pain in beautiful Bend, Oregon. Learn more about the treatments available and how regenerative musculoskeletal medicine
can help your body heal.

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Health TX Procedure

Cutting edge treatment for tendon injuries and plantar fasciitis

Tenex Health TX is a minimally invasive procedure specially designed for those who are suffering from pain associated with tendon damage,. This type of pain includes tennis or golfer’s elbow, Achilles tendonitis, certain rotator cuff and patellar tendon disorders, and plantar fasciitis. The Tenex Health TX procedure uses ultrasound imaging to view and remove damaged tissue. Removing the damaged tissue allows the tendon to heal properly and relieve pain. In surgical terms, this is a percutaneous tenotomy. Dr. Swift is one of a only a few providers in the northwest (and the only provider in Central Oregon) currently performing the Tenex Health TX procedure.

Based on technology developed in collaboration with the Mayo Clinic, the Tenex Health TX has been used to treat over 15,000 patients safely and successfully.

The procedure is performed using local anesthetic to numb the area; patients are awake and alert. During the procedure, ultrasound imaging is used to identify the location of the damaged tissue. Once located, a small instrument, the size of a toothpick, is inserted into the damaged tendon. This is performed with continuous ultrasound guidance. The instrument delivers ultrasonic energy specifically designed to cut, break up and remove damaged tissue safely and quickly without disturbing the surrounding healthy tendon tissue. The Tenex Health TX procedure is also able to remove bone spurs at the affected joint that contribute to the patient’s pain or reduction in activity.

Common treatment options such as rest, pain medication, cortisone injections or physical therapy address the pain, but not the damaged tissue, the source of the tendon pain. An open surgical procedure removes the damaged tissue, but carries the risk of invasive procedures, including damage to the surrounding healthy tissue and a lengthy recovery time with restricted activity.

Unlike conventional treatment methods, the Tenex Health TX procedure replicates the goal of an open surgical procedure by removing the damaged tissue with minimal invasion.

The entire procedure usually takes approximately 30 minutes and requires only an adhesive bandage to close the micro-incision. Unlike traditional, open surgeries that may require several months of recovery, the Tenex Health TX procedure recovery period is on average a one to two month timeframe. Following the short recovery, a full return to the patient’s normal activities is expected.

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Get back to living your life without pain in beautiful Bend, Oregon. Learn more about the treatments available and how regenerative musculoskeletal medicine
can help your body heal.

contact us