FEATURE platelet concentration, number of white blood cells, pres-ence or absence of red blood cells, and activation status of the preparation. It is beyond the scope of this article to go into a detailed discussion, but at the very least, the physician who performed the PRP injection should be able to the the other members of the care team 1) The percent red blood cell concentration; 2) The percent increase in platelet con-centration; 3) White blood cell percentage; 4) If the PRP was activated and with what; 5) Volume of injection, and 6) Whether or no ultrasound guidance was used PRP graft. The following is the protocol that I recommend to my patients for post PRP care. Summary Integrating PRP into Multidisciplinary Care: Post PRP Rehabilitation In my experience, multidisciplinary post PRP care can greatly enhance the outcome and I recommend all a patients consider it. I recommend that PRP be considered after appropriate first line therapies have been exhausted prior to the utilization of these PRP matrix grafting protocols. These include relative rest, appropriate bracing and kinesiotaping, evaluation of kinetic chain mechanics, and physical therapy – with or without eccentric loading protocols. The first 48 hours post PRP involves an inflammatory response that should be monitored to ensure that it is not overly vigorous. In my experience this intensity of the in-flammatory response is determined by the extent of inflam-mation before the procedure and by the composition of the Platelet-rich plasma has been safely and effectively em-ployed in many areas, including orthopedics, sports medi-cine, dentistry, neurosurgery, ophthalmology, urology, wound healing, cosmetics, cardiothoracic, otorhinolaryn-gology and maxillofacial surgery. Research has expanded our knowledge of the role of PRP in the wound healing process. Initially, it was thought that platelets were used solely to assist in clotting. However, it has become clear that platelets are also responsible for releasing many bioactive proteins and growth factors responsible for recruitment of macrophages, mesenchymal stem cells, and osteoblasts, which not only promotes necrotic tissue removal, but also improves the quality of tissue regeneration and the healing process. Based on this principle, platelets are now used in clinical practice to stimulate cells responsible for healing and increase healing potential and has demonstrated sig-nificant promise in pain medicine and in treatment of chronic injury. For the list of references, please visit cndoctor.ca/ PRPinjectiontherapy ENERGETIC KINESIOLOGY Energetic Kinesiology is an emerging field internationally in the Complementary Health Sciences, gaining more and more scientific support and recognition. This fully referenced textbook describes the field and explains the techniques upon which it is built. It covers the underlying principles, the methods and scientific support for the efficacy of Energetic Kinesiology . It also offers a unique history of Energetic Kinesiology based on the first-hand experience of Charles Krebs who knew most of the originators of Energetic Kinesiology techniques personally. $94.05 Item #1909141032 Scan Code to Buy Book 877-267-3473 annexbookstore.com www.Cndoctor.ca 2021-09-01 9:55 AM 20 Chiropractic and Naturopathic Doctor September/October 2021 CND_BOOKSTOER_SEPT_OCT_HALF_BAS.indd 1
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