Episode 20: Platelet rich plasma (PRP) for running injuries with UVA PM&R Sports Medicine physician Dr. David Hryvniak

Dr. David Hryvniak is a physical medicine and rehabilitation sports medicine physician based out of Charlottesville, Virginia at the University of Virginia. He is an expert in several areas of sports medicine including sports ultrasound, running medicine, and Orthobiologics. In this episode, he shares his expertise on platelet rich plasma (PRP). PRP is a tool used by many sports medicine physicians. The goal of today's episode is to discuss the state of the science and to discuss some of the myths and facts, common clinical applications, and ways we can optimize our outcomes for patients with use of ultrasounds to guide our injections, and formulating a post PRP rehabilitation strategy.

This is an exciting topic that generates a lot of attention in our sports medicine practice and we are excited to have a leading expert in this arena share his knowledge on PRP! So let's get ready to run with Dr. David Hryvniak.

What we talked about:

4:10- Introduction to Dr. David Hryvniak 

12:25- What PRP is and how it works

17:45- Common applications of PRP for runners

20:35- Timing in the rehab process to utilize PRP

24:05- Patients that have the most success with PRP

29:15- PRP procedure

38:20- Return to run protocol after PRP

43:55- Tendons that have the highest success rate

50:05- Increase in proximal hamstring tendinopathy

53:00- Ultrasound guided PRP

55:15- Summary of PRP for clinicians and patients

59:20- The Running Medicine conference

Sponsors:

Previnex

Use the code "ReadytoRun" for 15% off your first order

Guest info:

Dr. David Hryvniak: https://uvahealth.com/provider/David-Hryvniak-1316238934 

UVA Runner's clinic: https://www.uvarunnersclinic.com/ 

Instagram: @uvarundoc

PRP references: 

-Malanga G, Ibrahim V. Scientific evidence of platelet-rich plasma for orthopedic conditions: basic science to clinical research and applications. Regenerative Treatments in Sports Medicine and Orthopedics. 2018. Chapter 7. 89-117.

-Mautner K, Malanga G, Colberg R. Optimization of ingredients, procedures, and rehabilitation for platelet-rich plasma injections for chronic tendinopathy. Pain Manag. 2011. 1(6):523-532.

-Dai WL, Zhou AG, Zhang H, Zhang J. Efficacy of platelet-rich plasma in the treatment of knee osteoarthritis: a meta-analysis of randomized controlled trials. Arthroscopy. 2017 33(3): 659-670.