The basics
What is PRP therapy?
Platelet-Rich Plasma (PRP) therapy concentrates your own platelets and growth factors — extracted from a simple blood draw — and injects them precisely at the site of injury. It aims to stimulate and support the body's natural repair process, without the need for surgery.
Response to PRP varies between individuals, and improvement in symptoms is not guaranteed. Whether PRP is suitable for you is decided at your consultation.
Step by step
The treatment process
- Step 1
Assessment and diagnosis
A formal evaluation and diagnosis, after which an individualised treatment plan is discussed with you.
- Step 2
Blood draw
Blood is drawn from your arm, much like a routine blood test.
- Step 3
Preparation
Your blood is spun in a centrifuge (a machine that separates blood into its parts) to concentrate the platelets. The concentrated platelets are collected in a sterile syringe.
- Step 4
Ultrasound-guided injection
The PRP is injected into the injured tissue while Dr. Ganda watches on ultrasound in real time, so it reaches exactly the right spot.
Indications
Conditions treated with PRP
- Osteoarthritis and joint painRead the knee guide
- Tendon injuries and long-standing tendon pain (tendinopathy)Read the tendon guide
- Muscle injuries and tears
- Ligament sprains or tears (e.g. MCL, LCL of the knee)
- Tennis or golfer's elbow (epicondylitis)Read the tendon guide
- Heel and arch pain (plantar fasciitis)
- Chronic inflammatory soft-tissue conditions
Your treatment plan
How many PRP injections are needed?
Most patients need a course of three PRP injections, spaced about one week apart, with your progress reviewed at each visit. Injections are combined with an exercise or physiotherapy programme, which is an important part of your recovery.
For joint conditions such as osteoarthritis, the course is completed with one injection of hyaluronic acid — a gel-like substance that lubricates and cushions the joint (sometimes called viscosupplementation).
Your treatment plan is individualised and fully discussed at your first consultation.
Safety
Is PRP safe?
PRP is considered a safe procedure with a low risk of complications. Because it is made from your own blood, there is no risk of rejection or of catching a disease from donor products. As with any injection, there is a small risk of infection; this is rare, and strict sterile technique is used to prevent it.
Recovery
What to expect after treatment
After each injection you may have mild swelling, soreness and stiffness at the injection site. This is expected — it is part of the healing response PRP is designed to trigger — and usually settles within 2–3 days with rest, elevation and ice. Paracetamol (e.g. Panado) is fine for discomfort.
You can return to normal daily activities straight away. Return to strenuous or competitive sport happens gradually, once healing and strengthening have progressed through your rehabilitation programme.
Aftercare
Post-treatment guidelines
- For the first 48 hours, avoid strenuous activity and sport — such as running, hiking, swimming or dancing — and anything that increases your pain.
- Until your next session, avoid high-load or impact exercise involving the treated area. Walking, daily activities and the rehab exercises prescribed for you are fine.
- You can usually drive afterwards. If your right leg was treated and it is sore, arrange a lift home.
- Avoid anti-inflammatory medicines (e.g. ibuprofen, diclofenac, Disprin/aspirin) for 1 week before and 2 weeks after each injection, as they can reduce the effect of PRP — unless they have been prescribed to you for another condition.
- Paracetamol (e.g. Panado) is safe to take for pain.
On a blood thinner?
If you take a blood thinner (e.g. clopidogrel, warfarin, or daily aspirin), please tell Dr. Ganda before your appointment. Do not stop taking it unless your prescribing doctor advises you to.
When to contact us
Contact the practice urgently if you develop any of the following after an injection:
- Fever or feeling unwell
- Increasing redness, warmth or swelling around the injection site
- Pus or discharge from the injection site
- Pain that is getting worse after 3 days, rather than settling
Call +27 65 628 5770. If you cannot reach the practice, go to your nearest emergency unit.
Please note
Whether PRP is appropriate for your condition remains the clinician's decision. If it is not, Dr. Ganda will discuss suitable alternative treatments with you.
Patients on blood thinners, anti-inflammatories or other chronic medication are screened before treatment, as some medicines affect how platelets work. Your treatment plan, including all costs and possible side effects, is fully discussed at your first consultation.
Questions
Frequently asked questions
Does a PRP injection hurt?
Most patients describe the blood draw and injection as similar to a routine injection. Mild soreness, swelling and stiffness at the injection site for 2–3 days afterwards is common and is part of the healing response.
How many PRP injections will I need?
Most patients need a course of three injections, about one week apart. For joint conditions such as osteoarthritis, the course is completed with one hyaluronic acid injection.
How long does it take for PRP to work?
PRP works by stimulating your body's own repair process, so any improvement is gradual rather than immediate. Response varies between individuals and improvement is not guaranteed. Your progress is reviewed at each visit, and results are best when PRP is combined with a structured exercise or physiotherapy programme.
Can I take anti-inflammatories after PRP?
No — avoid anti-inflammatories such as ibuprofen, diclofenac and Disprin/aspirin for 1 week before and 2 weeks after each injection, as they can reduce the effect of PRP. Paracetamol (e.g. Panado) is fine. If you take a blood thinner, tell Dr. Ganda before your appointment and do not stop it unless your prescribing doctor advises you to.
Is PRP covered by medical aid?
PRP is often not covered by medical aids, so please check with your scheme. All costs are discussed with you at your first consultation, before any treatment starts.
Is PRP right for my injury?
Not every condition is suited to PRP. Dr. Ganda will assess your injury, confirm the diagnosis, and discuss whether PRP is appropriate — or which alternative treatments would serve you better.
Where is PRP therapy done?
PRP treatment is performed by Dr. Janesh Ganda at 55 Scott Road, Observatory, Cape Town. Consultations can be booked via WhatsApp.
