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What should you not do before getting PRP?

4 min read

Over 40% of patients receiving a Platelet-Rich Plasma (PRP) treatment may unknowingly engage in activities that compromise their results. Understanding what should you not do before getting PRP is crucial for ensuring the procedure’s success and maximizing its regenerative potential.

Quick Summary

Before receiving a PRP treatment, you must avoid specific medications, supplements, alcohol, and smoking to ensure the procedure's efficacy and minimize risks. Following your provider's pre-care instructions is essential for proper inflammation, healing, and overall success.

Key Points

  • Avoid NSAIDs and Steroids: Stop taking non-steroidal anti-inflammatory drugs like ibuprofen, as well as systemic steroids, at least 1-2 weeks before your PRP treatment to allow the healing inflammatory process to occur naturally.

  • Halt Blood Thinners: Discontinue blood-thinning supplements, including fish oil, Vitamin E, garlic, and ginkgo biloba, for about one week prior to your procedure to minimize the risk of bruising.

  • Limit Alcohol and Smoking: Refrain from alcohol consumption and smoking for several days before your appointment, as both can interfere with the body's healing response and lead to increased bleeding and bruising.

  • Stay Hydrated: Ensure you are well-hydrated by drinking plenty of water in the days leading up to your PRP session, which helps facilitate an easier and more successful blood draw.

  • Avoid Intense Exercise: Skip strenuous physical activity on the day of your procedure and follow your doctor's specific recommendations for pre-treatment exercise to prevent any complications.

  • Communicate with Your Doctor: Always inform your healthcare provider about all medications and supplements you are taking. They can provide personalized advice on what to stop and when, ensuring your safety and optimizing your results.

In This Article

Essential Preparation for Platelet-Rich Plasma Therapy

Platelet-Rich Plasma (PRP) therapy harnesses your body's natural healing abilities to repair damaged tissue and stimulate regeneration. The success of this treatment, however, is not determined solely by the procedure itself but also by the preparation leading up to it. Certain actions can significantly interfere with the natural inflammatory response that PRP is designed to initiate, ultimately compromising your results. By following specific pre-care guidelines, you can create the ideal internal environment for healing and maximize the benefits of your therapy.

Avoid Anti-Inflammatory Medications and Steroids

One of the most critical things to avoid before your PRP procedure is taking anti-inflammatory medication. PRP works by triggering a controlled inflammatory response, which is a key part of the healing cascade. Medications that suppress this inflammation can counteract the treatment's purpose. This includes a wide range of common over-the-counter and prescription drugs:

  • Non-Steroidal Anti-Inflammatory Drugs (NSAIDs): These include ibuprofen (Advil, Motrin), naproxen (Aleve), and aspirin (full-strength, not a low-dose baby aspirin for cardiac conditions, but always consult your doctor). It is generally recommended to stop taking NSAIDs at least 5 to 7 days before your appointment.
  • Systemic Steroids: Corticosteroids like prednisone must be discontinued well in advance, sometimes for as long as 2 to 4 weeks prior to your treatment. Consult with your physician to create a safe plan for stopping any prescribed steroid medication.

If you need pain relief during this period, acetaminophen (Tylenol) is typically a safe alternative, as it does not have the same anti-inflammatory effect.

Steer Clear of Blood-Thinning Supplements and Alcohol

Certain supplements and lifestyle choices can thin the blood, increasing the risk of bruising and negatively affecting the quality of your platelet-rich plasma. It's vital to cease using these products for at least one week beforehand.

  • Supplements: Discontinue herbal and nutritional supplements known for their blood-thinning properties, including Vitamin E, Vitamin A, fish oil (Omega-3), flax oil, garlic supplements, ginkgo biloba, and turmeric.
  • Alcohol: Avoid alcohol consumption for at least 3 to 7 days before your procedure. Alcohol can lead to dehydration and thin the blood, which can increase bleeding and bruising at the injection site.
  • Smoking: Refrain from smoking or using nicotine products for at least 48-72 hours beforehand. Smoking impairs circulation and the body's natural healing processes, which can reduce the treatment's effectiveness.

What to Avoid on the Day of Your Treatment

Proper care on the day of your PRP session can make a significant difference in the smoothness of the procedure and the quality of the blood draw.

  • Intense Exercise: Strenuous activity should be avoided on the day of the procedure. While some providers might recommend light exercise to boost circulation, overexertion can cause complications.
  • Caffeine: Reduce or eliminate caffeine intake on the day of your appointment, as it can cause dehydration. Staying well-hydrated is crucial for a successful blood draw.
  • Hair and Skin Products: For treatments targeting the skin or scalp, ensure the area is clean and free of makeup, lotions, oils, or hair products.

Preparing for a Variety of PRP Treatments: A Comparative Guide

Different PRP applications may have specific pre-care nuances. While the fundamental principles remain consistent, a comparison can be helpful.

Action/Item Orthopedic (Joints/Tendons) Cosmetic (Face/Skin) Hair Restoration (Scalp)
NSAIDs (Ibuprofen, etc.) Stop 5–7 days prior. Stop 3–7 days prior. Stop 3–7 days prior.
Systemic Steroids Stop 2–4 weeks prior. Stop 1–2 weeks prior. Stop 1–2 weeks prior.
Alcohol Avoid for 3–7 days prior. Avoid for 3–7 days prior. Avoid for 3–7 days prior.
Blood-Thinning Supplements Stop 1 week prior. Stop 1 week prior. Stop 1 week prior.
Topical Agents N/A Avoid retinoids, acids for 5-7 days. Avoid hair products on treatment day.
Hydration Increase water intake. Stay well-hydrated. Drink water pre-procedure.
Exercise Avoid strenuous activity. Avoid intense workouts day of. Avoid intense workouts day of.

It is always best to consult your specific provider for the most accurate and tailored pre-care plan. They can provide guidance based on your personal health history and the specific area being treated.

Final Thoughts on Preparation

Ultimately, preparing for a PRP injection is about creating the optimal conditions for your body's healing mechanisms to work effectively. By avoiding inflammatory medications, blood-thinning agents, and other lifestyle factors that can interfere with platelet function, you are setting the stage for a more successful outcome. Remember that the initial inflammation following the procedure is not a negative side effect but a crucial part of the healing process, and you should avoid suppressing it. By being diligent in your preparation, you are making a positive investment in your recovery. For further information and detailed instructions, always consult with your healthcare provider or visit a reliable source like the American Academy of Orthopaedic Surgeons.

Frequently Asked Questions

You should not take anti-inflammatory medications like ibuprofen or aspirin because they suppress the body's natural inflammatory response. PRP therapy works by triggering a controlled inflammation to jumpstart the healing process, and taking these medications would counteract the treatment's intended effect.

The recommended timeframe to stop taking NSAIDs, such as ibuprofen (Advil, Motrin) and naproxen (Aleve), is typically 5 to 7 days before your PRP procedure. However, it is essential to follow your specific doctor's instructions.

No, it is highly recommended to avoid alcohol for at least 3 to 7 days before your PRP treatment. Alcohol is a blood thinner and can lead to increased bleeding and bruising at the injection site, potentially affecting your results.

You should avoid blood-thinning supplements, including fish oil, Omega-3s, Vitamin E, garlic, ginkgo biloba, and flax oil, for at least one week before your treatment. Always inform your doctor about any supplements you take.

You should eat a light, healthy meal before your PRP treatment. Fasting is not recommended, as eating helps prevent dizziness or lightheadedness that can sometimes occur during a blood draw.

Yes, acetaminophen (Tylenol) is generally considered safe to take for pain relief before and after PRP therapy. It does not have the anti-inflammatory properties of NSAIDs that interfere with the healing process.

While not as critical as other restrictions, it's a good idea to minimize or avoid caffeine on the day of your appointment. Caffeine can contribute to dehydration, which can make a blood draw more difficult.

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.