PRP Orthopedic
Injection
Training

• Blood draw technique, tube types, and anticoagulant selection — what affects your PRP quality before the centrifuge runs
• FDA-cleared PRP centrifuge systems: the operating protocol, RPM settings, spin duration, and buffy coat harvest technique
• Visual PRP quality assessment: what a well-prepared product looks like, and the signs of contamination, hemolysis, or poor separation
• Activation: calcium chloride protocol, when to activate vs. inject unactivated, and what activation does to platelet release kinetics
• Injectate volume by joint: standardized volumes for knee, shoulder, elbow, and foot/ankle injections
• Storage, timing, and the processing-to-injection window — why ambient temperature and delay degrade therapeutic yield

Each attendee performs a full blood draw, centrifuge run, and PRP harvest during the course. You understand PRP preparation because you do it — not because you watched a video.

• Shoulder anatomy review from an injection-planning perspective: the subacromial space, glenohumeral joint, and biceps tendon sheath
• Physical exam findings that indicate PRP candidacy vs. findings that require surgical referral first
• Subacromial/bursa injection: landmark-based posterior approach, needle angulation, and the landmark technique for bursa entry confirmation
• Glenohumeral joint injection: posterior approach for OA and labral pathology — a technically demanding injection with significant safety requirements
• Biceps tendon sheath injection: approach, needle placement for tendinopathy and tenosynovitis, volume, and risk of tendon rupture from intratendinous injection
• How to review an MRI report to confirm candidacy — grade II vs. III rotator cuff tears and the PRP decision point

• Elbow anatomy: the common extensor and common flexor origins, their attachment points, and why tendinopathy occurs at these specific locations
• Lateral epicondylitis (tennis elbow): consistently one of the strongest evidence-based PRP indications — palpation exam, diagnosis confirmation, and injection technique
• Injection technique for lateral epicondyle: multiple-pass (peppering) approach vs. single injection, depth, and volume
• Medial epicondylitis (golfer's elbow): approach, the critical awareness of the ulnar nerve, and safe needle angulation
• Differentiating epicondylitis from radial tunnel syndrome, cubital tunnel syndrome, and referred cervical pain — what you treat vs. what you refer

Lateral epicondylitis is one of the most studied PRP indications in the literature. Multiple RCTs show PRP superiority to corticosteroid at 6 and 12-month follow-up.

• Knee physical exam for PRP candidacy: grading OA severity from a weight-bearing X-ray and the Kellgren-Lawrence grading scale
• Intra-articular knee injection: medial parapatellar approach and lateral parapatellar approach — technique, patient positioning, and effusion aspiration before injection
• Knee OA patient selection: Grade I–III OA is the PRP sweet spot — Grade IV (bone-on-bone) is a surgical referral, not a PRP candidate
• Ligament injuries (MCL, LCL, PCL): periligamentous PRP technique for grade I–II sprains, injection landmarks, and the rationale for peritendinous rather than intratendinous placement
• Patellar tendinopathy (jumper's knee): palpation exam, injection approach, and the evidence for PRP in this common athletic complaint
• Meniscal tears: what the evidence supports for PRP (peripheral, non-complex tears in younger patients) and what it does not

• Achilles tendinopathy: midportion vs. insertional — different presentations, different injection approaches, different prognoses with PRP
• Achilles injection technique: peritendinous approach, why intratendinous injection is avoided, volume distribution, and the risk of rupture with direct tendon injection
• Plantar fasciitis: one of the most common and treatment-resistant musculoskeletal complaints — the PRP approach and how it compares to steroid in long-term outcome data
• Plantar fascia injection technique: medial heel approach, depth guidance based on body habitus, multiple-pass technique vs. single deposit
• Ankle ligament injuries (ATFL, CFL): PRP for recurrent sprain and chronic lateral ankle instability — patient selection and injection landmarks

• Introduction to musculoskeletal ultrasound: machine setup, probe selection, and the in-plane vs. out-of-plane needle approach
• Ultrasound identification of key anatomical structures — tendon, bursa, joint capsule, and effusion — and how imaging guides injection accuracy
• Contraindications to PRP orthopedic injection: active infection, bleeding disorders, full anticoagulation, platelet dysfunction, and active cancer
• Post-injection management: the expected 24–72 hour inflammatory response (normal), ice protocol, activity modification, and return-to-sport timelines
• Pricing PRP orthopedic services in the Phoenix market: current cash-pay range by joint, package pricing strategies, and how to handle patients who ask "why not insurance?"
• Protocol library: all documentation templates, consent forms, pre/post-care instructions, and the post-injection monitoring protocol are included