PRP (Platelet Rich Plasma) has been on the news lately due to the use of this therapy on athletes. However this therapy has been available for patients with joint pain for the past several years. This non surgical procedure is very famous among professional athletes due to the simplicity of the treatment and fast recovery.
The PRP procedure is performed at a doctor’s office and requires no time down or general anesthetic. 30 ml of blood is drawn from the patient, same as a regular blood draw. This blood is then centrifuged at 3,500 rpm for 10 minutes. This therapy requires a specific centrifuge that can spin at this speed. Some other offices use a regular centrifuge which will not concentrate the platelets, making the treatment less effective. The use of a low power centrifuge creates platelet poor plasma which has very limited healing cofactors.
The next step is to separate the platelets, the serum and the white blood cells. This is done by hand and is a tedious process. The solution is then mixed with some preservative free procaine 1% to be made ready for injection. The joint is then injected with this solution using a sterile technique.
The whole treatment takes less than an hour and the patient returns to their normal activities in a day or two.
Dr. Esquerdo has dedicated his career to patients. It is his primary goal to avoid surgery if possible. He also focuses on the complete body and understands
that sometimes medications are needed in some cases. His career accomplishments are many. Dr. Esquerdo managed a regular medical office for 4 years,
treating the patients with regular medications, he then proceeded to return to his passion of natural healing. That experience makes him aware of multiple
disciplinary medical treatments and complementary therapies.
Ramon Esquerdo, N.M.D., B.S. – graduated from SCNM in 2004. Dr. Esquerdo has been practicing alternative treatments since then. His own athletic injuries have made him to look into alternative treatment for his joints. He is a believer of the ability of the body to heal itself if given the proper conditions. Dr. Esquerdo has been practicing prolotherapy for over 9 years, with great success rate.
“It is sad that many patients come to see me too late, due to the lack of knowledge that they have alternatives to surgery. It is my mission to advocate for the patient and to be a pioneer in alternative treatments for pain.”
-Ramon Esquerdo, N.M.D