Last week we had another patient with chronic Achilles tendon problems. We had seen her previously and treated with Shockwave, manual therapy and home exercises / rehab. This got her back walking but she could not make it back to the running without the pain returning. Following an ultrasound scan that showed a thickened tendon at the site of pain, the patient opted for a Platelet Rich Plasma (PRP) injection. Blood is removed from the patient and put in a centrifuge to separate the red blood cells from the platelets and plasma combination. In this are plenty of growth factors and all the bits that we need for repair. So all the good stuff is injected into the damaged area. The idea being that this helps promote healing but having all the right stuff in the right place. This is carried out under ultrasound guided so we can make sure we hit the right spot. You can see the needle moving into the tissue in the video and see it in the image. The patient now has to take it easy – just normal day to day activities to let the healing take effect.