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Pain Management

Much of the year 2009 and up to May of 2010 I suffered with ever worsening left shoulder pain. In May of 2010…an MRI on my left shoulder…showed a lot of tendonitis and some smaller tears. I wanted to avoid surgery because of my job, and surgery is a long healing process…After having my PRP treatment from Dr. Gamburg and his staff I have had better than hoped for results. No more pain and much greater range. Overall I would highly recommend the Montvale Surgical Center, Dr. Gamburg and his staff.
Mark P.
My PRP therapy experience was a very easy procedure. Before the treatment I was crying with every step. I was 90% pain free after just the first week, and now three months later, I’m almost 100% pain free! I love the holistic aspect of it with no drugs, no cortisone, and letting the body heal itself with a quick recovery. I would highly recommend it to others!
Darlene, NJ

STEP 1


Blood is safely drawn
from the patient’s arm.

STEP 2


The blood is then loaded into a centrifuge to spin for 15 minutes
at 3200 rpm.

STEP 3


Platelet-rich plasma is then
extracted from the vial.

STEP 4


The injured area is sterilized, anesthetized, then injected with
PRP using a sterile needle and
ultrasound guidance.

Platelet Rich Plasma (PRP) Therapy

acupuncture brochure

Platelet Rich Plasma Therapy, or PRP, is a 100% natural treatment for pain and injury. PRP Therapy has been shown to be safe and effective in treating a variety of injuries, often eliminating the need for surgery. PRP treatment is also drug-free, with a short recovery time for most patients.

What is Platelet Rich Plasma Therapy (PRP)?

Platelet Rich Plasma Therapy (PRP) is an exciting, natural, non-surgical treatment that involves the injection of healing proteins from a patient’s own blood directly into the site of injury. These growth factors then trigger the body’s natural instincts to repair itself and can often dramatically accelerate healing time.

This therapy was originally developed in the 1970’s and was administered in hospital settings, but recent technological advances have enabled PRP treatment to move into outpatient surgical centers such as Montvale Surgical Center.

Why is Platelet Rich Plasma Therapy (PRP) Used?

When the body is injured or damaged, it initiates a powerful cascade of responses designed to begin the process of healing. This repair response usually starts with the formation of a platelet-rich blood clot. Platelets then release healing proteins that go to work to heal the skin, bone and other tissues.

Certain injuries, however, can be resistant to healing due to a lack of blood flow to the area, repetitive stress, or wearing away of tissue. By injecting blood platelets into the injured area, the healing proteins go directly to the site to repair the damage.

How is PRP Therapy Done?

A small amount of the patient’s blood is drawn and placed into a filtration system where the growth factors are separated from the whole blood. This platelet rich liquid is then injected into the injured area. This highly rich platelet concentrate contains a larger amount of growth factor than found in normal blood, giving the body a potent boost to increase healing.

Conditions Platelet Rich Plasma Therapy (PRP) Treats

Shoulder & Arm Injuries
  • Rotator cuff tendonitis and partial tears
  • Golfer’s and tennis elbow
  • Elbow tendonitis
  • Ligament sprains/tears
Back Injuries
  • Facet joint arthritis
  • Sacroiliac joint pain
Hip Injuries
  • Hip girdle muscle pain or injury
  • Bursitis
  • Hamstring tendonitis and tears
Knee Injuries
  • Patellar tendonitis / tendinosis
  • Quadriceps muscle pain
  • Ligament sprains and tears
  • Bursitis
Foot & Ankle Injuries
  • Plantar fasciitis
  • Achilles tendonitis / tendinosis
  • Ankle sprains
  • Bursitis
  • Muscle strains / tears

What to Expectfrom Platelet Rich Plasma Therapy (PRP)

Montvale Health Associates has a team of board certified specialists trained to perform the PRP procedure under ultrasound and x-ray guidance. This innovative, yet relatively simple procedure usually takes less than one hour. During the procedure, blood is drawn from the patient’s arm and then loaded into a centrifuge where it spins to separate blood cells. The extracted platelet-rich plasma is then collected in a sterile syringe so it can be injected into the injured area which is locally anesthetized. The patient is then free to go home.

PRP Therapy Duration

Two to three weeks after the first PRP treatment, the doctor will evaluate the progress and determine whether more therapy is needed. Depending on the severity and duration of the injury or disorder, most patients require between one and four treatments.

As PRP therapy now gains popularity in the U.S., it is getting recognized by doctors and patients alike for having a terrific rate of success. Many believe PRP has the potential to revolutionize sports medicine, orthopedics and beyond, with new applications being discovered daily.

Talk to your referring physician to see if PRP can help relieve your pain.

Frequently Asked Questions about Platelet Rich Plasma Therapy (PRP)

Is Platelet Rich Plasma Therapy (PRP) safe?
PRP is very safe. PRP uses a patient’s own blood to stimulate the body’s natural healing process without the side effects associated with traditional cortisone injections.
Does PRP Therapy hurt?
The area will be numbed with a local anesthetic. After the area is numb and ready for treatment, there should be little or no pain. When the anesthetic wears off, there may be minor soreness at the injection site. Speak with your doctor regarding I.V. sedation for those cases where it may be deemed necessary.
Are there side effects to PRP Therapy?
Since it is made up of the patient’s own blood, there is virtually no risk of allergy or rejection.
How will I feel after PRP Therapy treatment?
The injury site may feel achy and sore for several days after injection, which is a sign that the healing response has been activated.
How soon after PRP treatment can I return to normal activities?
There may be some limitations on normal activities for the first few days to a week depending on the area of the injection. Heavy lifting and/or very strenuous exercise is generally avoided for approximately one to two weeks.
Can I take pain medication in conjunction with PRP?
Anti-inflammatory medications such as aspirin, ibuprofen or naproxen should be avoided during PRP therapy, since they may block the healing response. Tylenol or a prescribed analgesic without anti-inflammatory properties may be used if needed to control pain.
How many treatments will I need?
Many patients experience complete healing after only one treatment, although it is not uncommon to require more than two to three treatments to achieve complete relief from pain.
Is there a risk of needle contamination?
Montvale Surgical Center uses new, disposable syringes for each PRP treatment, so there is no risk of contamination.

Doctors certified to perform PRP at Montvale Health Associates include:

David Gamburg, MD

Board Certified in Anesthesiology & Interventional Pain Management
(201) 819-9393 Montvale, New Jersey
(973) 942-4449 Wayne, New Jersey

Rick Lambert, MD

Board Certified in Internal & Emergency Medicine
Certified in Acupuncture
(201) 391-8282 Montvale, New Jersey
(973) 942-4449 Wayne, New Jersey