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Platelet Rich Plasma (PRP) TherapyAutologous platelet-rich plasma injections that concentrate your own growth factors to stimulate healing in chronic tendinopathy and mild-to-moderate joint arthritis — delivered under ultrasound guidance at Remix Medical in Houston, TX.

Specialty
Pain Management
Type
Procedure
Body location
Tendon, ligament, knee joint, lateral epicondyle, Achilles tendon, patellar tendon, rotator cuff
CPT code
0232T (Category III: injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed). Typically not covered by insurance; billed as self-pay.

Also known as: PRP, Platelet Rich Plasma Injection, Autologous Platelet Concentrate, Regenerative Injection Therapy

Platelet-Rich Plasma (PRP) Therapy in Houston, Texas

Platelets do more than clot. When they degranulate they release a concentrated payload of growth factors — the same signaling molecules the body deploys to repair injured tissue. PRP concentrates those platelets from your own blood and delivers them where healing has stalled.

What is PRP Therapy?

A small volume of the patient's blood is drawn and spun in a centrifuge, separating the platelet-rich fraction from red cells and plasma. That concentrate is then injected, under ultrasound guidance, into the injured tendon, ligament, or joint.

Because it is autologous — derived entirely from the patient's own blood — there is no risk of rejection or disease transmission.

Where the Evidence Is Strongest

PRP is not one therapy. Preparation methods vary widely in platelet concentration, leukocyte content, and activation, and outcomes vary with them. That heterogeneity is the main reason study results conflict.

Better supported:

  • Lateral epicondylitis (tennis elbow), where PRP has outperformed corticosteroid at long-term follow-up in multiple trials
  • Knee osteoarthritis , mild to moderate
  • Patellar and Achilles tendinopathy

Less well supported:

  • Rotator cuff tears, particularly full-thickness
  • Acute muscle injury
  • Advanced, bone-on-bone arthritis

An Honest Framing

PRP is generally not covered by insurance and is billed as a self-pay procedure. It is safe, it is autologous, and for the right tendon in the right patient it has a defensible evidence base. It is not a miracle, and any clinic presenting it as one is selling something.

Corticosteroid provides faster relief; PRP works more slowly and may last longer. Neither substitutes for the loading program that actually remodels tendon.

A Candid Conversation at Remix Medical

We will tell you plainly whether your condition is one where PRP has evidence behind it. Contact Remix Medical to schedule a consultation with a board-certified pain management physician in Houston.

How it's performed

A small volume of the patient's own blood is drawn and placed in a centrifuge, which separates the platelet-rich fraction from red blood cells and platelet-poor plasma. The concentrate is drawn into a syringe and, under ultrasound guidance, injected into the target tendon, ligament, or joint. Needle fenestration of the tendon may be performed simultaneously to provoke a healing response. The entire process is completed in a single visit.

How to prepare

Stop all NSAIDs at least 7 days before the injection — they inhibit platelet function and compromise the treatment. Hydrate well the day before and the morning of, which improves the blood draw. Eat a normal meal beforehand. Avoid corticosteroid injection at the same site for 4 to 6 weeks prior. Understand that this is a self-pay procedure; confirm the cost in advance.

What to expect after

Do not take NSAIDs (ibuprofen, naproxen, aspirin, celecoxib) for 2 weeks after injection — they block the healing response PRP is designed to trigger. Use acetaminophen and ice for comfort. Expect worse pain for 3 to 7 days. Rest the treated area for 48 hours, then begin the prescribed progressive loading program. Full benefit takes 4 to 12 weeks. Report fever, spreading redness, or wound drainage.

Outcome

In appropriately selected patients, PRP can reduce pain and improve function in chronic tendinopathy and mild-to-moderate knee osteoarthritis, with benefit developing over 4 to 12 weeks. Evidence is strongest for lateral epicondylitis and weakest for full-thickness rotator cuff tears and advanced arthritis.

Your physician

Your pain management at Remix Medical.

Every clinician at Remix Medical is board-certified and owns the practice — so the physician in your exam room is the one making decisions about your care.

  • Raju Mantena, DO

    Pain Medicine Physician

    Medical Center — South Freeway · Montrose — Upper Kirby · Pearland

    Board certifiedAccepting newBook

This page is for general education and is not a substitute for medical advice. Whether a given procedure is appropriate depends on your individual evaluation. Contact a Remix Medical clinician to discuss your care.

Updated July 9, 2026.

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