PRP Therapy for Joint Pain in Mehsana, Non-Surgical Treatment at Axcura Ortho
PRP therapy is a non-surgical injection treatment that uses the patient's own blood, processed to concentrate growth factors, to reduce joint inflammation and support tissue healing. At Axcura Ortho, Mehsana, PRP is available for knee pain, hip pain, shoulder pain, tendon conditions and early to moderate joint degeneration. It is not a replacement for surgery where surgery is the right answer. It is a structured, evidence-supported option for patients who are not yet at the stage of replacement or who want to exhaust every non-surgical path first.
What PRP Therapy Is and How It Works
Platelet-Rich Plasma (PRP) is derived from the patient's own blood. A small sample is drawn, centrifuged to concentrate the platelets and growth factors, and injected precisely into the affected joint or soft tissue. Platelets contain growth factors that play a direct role in reducing inflammation and stimulating the body's natural repair processes.
The result is a reduction in joint pain and swelling that goes beyond what a standard steroid injection achieves, without the tissue side effects associated with repeated corticosteroid use. PRP does not regrow lost cartilage. What it does is slow the inflammatory cycle that accelerates cartilage loss and create conditions where the joint can function better and hurt less.
Conditions Treated With PRP at Axcura Ortho, Mehsana
PRP therapy is available for the following conditions at Axcura Ortho:
Joint Pain and Osteoarthritis
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Knee osteoarthritis, Grade 1 to Grade 3, where cartilage loss is present but joint space is not fully collapsedMost suitable: Grade 1–3 KOA · PRP reduces synovial inflammation · Delays need for replacement · 2–3 injections typically recommended
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Hip osteoarthritis in patients not yet requiring replacement surgeryUltrasound-guided injection into the hip joint · Most effective in early-to-moderate hip OA · Reduces groin pain and stiffness
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Shoulder osteoarthritis in early to moderate stagesGlenohumeral joint injection · Reduces night pain and shoulder stiffness · Often combined with physiotherapy for best results
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Ankle joint degeneration causing chronic pain with activityPost-traumatic ankle arthritis is a common candidate · PRP can reduce activity-related pain and improve function in active patients
Tendon and Soft Tissue Conditions
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Rotator cuff tendinopathy causing shoulder pain and weakness on overhead activityTargets the supraspinatus and infraspinatus tendons · Reduces tendon inflammation · Alternative to repeat steroid injections which can thin the tendon
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Patellar tendinopathy causing anterior knee pain, common in running and jumping athletesJumper's knee · PRP injected at the patellar tendon insertion · Evidence-supported for chronic patellar tendinopathy in athletes
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Hamstring tendinopathy at the proximal attachment causing buttock and posterior thigh painHigh hamstring tendinopathy · Common in cyclists, runners and field athletes · PRP targets the ischial tuberosity attachment
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Plantar fasciitis causing heel pain that is worst with the first steps of the morningChronic plantar fasciitis resistant to physiotherapy and orthotics · Single PRP injection at the fascia origin · Often resolves within 6–8 weeks
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Lateral epicondylitis causing outer elbow pain with gripping and liftingTennis elbow · PRP is more effective long-term than steroid injection for lateral epicondylitis · Avoids tendon thinning associated with corticosteroid
Sports Injury and Post-Surgical Rehabilitation
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Partial ligament tears not requiring surgical reconstructionGrade 1–2 ligament injuries · PRP delivered at the tear site supports biological healing · Often used in MCL, LCL and partial ACL injuries managed conservatively
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Muscle injuries with significant haematoma formationGrade 2 muscle tears with haematoma · PRP injected into the lesion under ultrasound guidance · Reduces resolution time and risk of reinjury
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Post-surgical joint recovery where PRP is used to support healing alongside physiotherapyUsed after ACL reconstruction, meniscus repair or joint replacement · PRP supports soft tissue healing and reduces post-operative inflammation
Who Is Appropriate for PRP Therapy at Axcura Ortho
PRP is not appropriate for every patient with joint pain. The right candidates at Axcura Ortho are patients who:
- Have documented joint degeneration or tendon pathology on imaging
- Have not achieved adequate relief from physiotherapy and oral medication alone
- Are not yet at the stage where joint replacement is the most effective treatment
- Want to delay replacement surgery and maintain quality of life in the interim
- Are active patients with sports or tendon injuries responding poorly to conservative management
- Have had partial benefit from steroid injections but want a longer-lasting, growth-factor-based alternative
- Have documented joint degeneration or tendon pathology on imaging
- Have not achieved adequate relief from physiotherapy and oral medication alone
- Are not yet at the stage where joint replacement is the most effective treatment
- Want to delay replacement surgery and maintain quality of life in the interim
- Are active patients with sports or tendon injuries responding poorly to conservative management
- Have had partial benefit from steroid injections but want a longer-lasting, growth-factor-based alternative
What the PRP Procedure Involves at Axcura Ortho
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A small blood sample is drawn from the patient's arm, typically 15 to 60 ml depending on the treatment site01~5 min
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The sample is centrifuged in a specialised system to separate and concentrate the platelet-rich layer02~10 min
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The concentrated PRP is injected precisely into the affected joint or tendon under clinical guidance03Precise
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The entire procedure takes approximately 30 to 45 minutes from blood draw to injection0430–45 min
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Most patients receive a course of 2 to 3 injections spaced 2 to 4 weeks apart for optimal results052–3 doses
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Normal activity is typically resumed within 24 to 48 hours of each injection0624–48 hrs
PRP vs Steroid Injection, Understanding the Difference
Both are non-surgical injection treatments for joint pain but they work differently and suit different clinical situations.
Mechanism
Steroid Injection: Reduces inflammation rapidly using corticosteroid
PRP Therapy: Stimulates healing using the patient's own growth factors
Onset of effect
Steroid Injection: Fast, often within days
PRP Therapy: Gradual, typically 4 to 6 weeks for full effect
Duration of relief
Steroid Injection: 6 weeks to 6 months in most patients
PRP Therapy: 6 to 18 months in appropriately selected patients
Tissue effects
Steroid Injection: Repeated injections can weaken surrounding tissue
PRP Therapy: Uses the patient's own blood, no external chemical agent
Best suited for
Steroid Injection: Acute inflammatory flares requiring rapid relief
PRP Therapy: Early to moderate degeneration seeking longer-term management
What Prolotherapy Is and How It Works
Prolotherapy (Proliferation Therapy) is a regenerative injection treatment in which a precisely formulated solution — typically dextrose-based — is injected into damaged or lax ligaments, tendons, and joint capsules. The solution stimulates the body's natural healing response, helping strengthen weakened ligaments and tendons over time.
Unlike steroid injections, which suppress inflammation, prolotherapy uses a mild inflammatory trigger to initiate repair. Over a series of injections, ligament and tendon fibres strengthen, joint laxity reduces and pain that originates from structural instability resolves. Prolotherapy does not provide rapid symptom relief. It works cumulatively over weeks to months, producing durable structural improvement rather than temporary pain suppression.
Conditions Treated With Prolotherapy
Ligament and Tendon Instability
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Chronic ligament laxity causing joint instability — knee, ankle, sacroiliac jointProlotherapy directly strengthens the lax ligament fibres responsible for instability — not just numbing the pain but addressing the structural cause.
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Partial ligament tears where surgery is not yet indicated and conservative treatment has plateauedGrade 1–2 partial tears that have not healed fully with physiotherapy are a classic prolotherapy indication — the dextrose solution stimulates repair at the tear site.
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Tendinopathy with structural degeneration — patellar, Achilles, rotator cuff — where PRP is not the first choiceWhen PRP has not been selected or has not produced adequate benefit, prolotherapy offers an alternative regenerative pathway for structural tendon degeneration.
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Lateral ankle instability following repeated sprains where ligament healing is incompleteChronic lateral ankle instability from recurrent sprains with incomplete ATFL or CFL healing — prolotherapy tightens and strengthens these ligaments over a course of injections.
Spine & Sacroiliac
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Sacroiliac joint dysfunction causing lower back and buttock pain unresponsive to physiotherapySI joint ligament laxity is a frequently missed cause of lower back pain. Prolotherapy tightens the posterior SI ligaments and reduces painful joint movement.
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Facet joint ligament laxity contributing to chronic mechanical lower back painWhen facet capsule laxity drives mechanical back pain, prolotherapy to the interspinous ligaments and facet capsules can reduce pain and improve spinal stability.
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Coccydynia (tailbone pain) where ligament instability is the primary driverCoccydynia from ligament instability at the sacrococcygeal joint responds well to prolotherapy, particularly in patients who have not improved with conservative management.
Chronic Musculoskeletal Pain
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Lateral epicondylitis (tennis elbow) where repeated steroid injections have produced diminishing returnsWhen 2 or more steroid injections have given diminishing benefit, prolotherapy to the common extensor origin provides a regenerative alternative targeting the structural degeneration.
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Plantar fasciitis with chronic degeneration not responding to other non-surgical treatmentChronic plantar fasciitis with fascial degeneration that has not responded to orthotics, physiotherapy or steroid injection — prolotherapy stimulates repair at the calcaneal insertion.
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Pubic symphysis pain in athletes — osteitis pubis — where structural instability is the causeOsteitis pubis driven by symphyseal ligament instability in cricketers, footballers and kabaddi players — prolotherapy tightens the symphyseal ligaments and reduces loading pain.
Who Is Appropriate for Prolotherapy
Prolotherapy is most appropriate for patients with chronic pain originating from ligament or tendon laxity and structural instability
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rather than acute inflammatory joint conditions. Suitable candidates are patients who:
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Have chronic pain confirmed to a specific ligament, tendon or joint capsule on clinical examination and imaging
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Have had adequate trials of physiotherapy and anti-inflammatory management without sustained relief
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Are not candidates for or do not wish to proceed with surgical reconstruction at this stage
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Understand that prolotherapy is a cumulative treatment — typically 3 to 6 sessions — and not a single-injection solution
What the Prolotherapy Procedure Involves
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01The target ligament, tendon or joint is identified clinically and confirmed with imaging where required
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02A dextrose-based solution is prepared and injected into the affected structure in small, precise volumes
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03Multiple injection points may be used in a single session depending on the area being treated
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04Each session takes approximately 20 to 40 minutes20–40 min
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05Most patients require 3 to 6 sessions spaced 3 to 6 weeks apart for cumulative structural benefit3–6 sessions
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06Mild soreness and localised swelling for 24 to 72 hours after each session is expected and represents the treatment workingExpected
What Ultrasound-Guided Injections Are and Why Guidance Matters
Ultrasound-guided injection is not a separate treatment — it is a precision delivery method. Many musculoskeletal injections — steroid, PRP, prolotherapy, hyaluronic acid — can be administered either by clinical landmark palpation or under real-time ultrasound guidance.
Ultrasound guidance allows the clinician to visualise the exact target structure — the joint space, bursa, tendon sheath, or ligament — in real time and confirm needle placement before the injection is delivered. This matters because accuracy of placement is directly linked to treatment outcome. A steroid injection placed outside a joint capsule is substantially less effective than one placed precisely within it. For soft tissue structures such as the rotator cuff, biceps tendon sheath or plantar fascia, landmark-guided injection carries a meaningful risk of misplacement.
At Axcura Ortho, Mehsana, ultrasound guidance is used for injections where precise placement is essential to the outcome — and where the risk of misplacement under palpation guidance is clinically significant.
Common Musculoskeletal Conditions Treated With USG-Guided Injections
Precision targeting for pain relief and joint restoration under direct real-time visualization.
- Subacromial bursa injection for subacromial impingement and bursitis — guided placement into the subacromial space avoids rotator cuff tendon injection.
- Glenohumeral joint injection for shoulder osteoarthritis and adhesive capsulitis (frozen shoulder).
- Biceps tendon sheath injection for proximal biceps tendinopathy.
- Rotator cuff calcific tendinitis — needling and aspiration of calcium deposits under direct visualisation.
- Acromioclavicular joint injection for AC joint arthritis.
- Knee joint injection (steroid, PRP or hyaluronic acid) with confirmed intra-articular placement.
- Patellar tendon injection for patellar tendinopathy — guided to the area of maximal degeneration on imaging.
- Pes anserine bursa injection for medial knee pain and bursitis.
- Baker's cyst aspiration with guided needle placement into the cyst.
- Hip joint injection for osteoarthritis — the hip joint is deep and cannot be reliably accessed without imaging guidance.
- Greater trochanteric bursa injection for lateral hip pain and trochanteric bursitis.
- Iliopsoas bursa injection for anterior hip and groin pain.
- Lateral epicondyle injection for tennis elbow — guided placement at the common extensor origin.
- Medial epicondyle injection for golfer's elbow.
- De Quervain's tenosynovitis — injection into the first extensor compartment tendon sheath.
- Trigger finger — injection into the flexor tendon sheath at the A1 pulley.
- Carpal tunnel injection for carpal tunnel syndrome — guided placement to avoid median nerve injury.
- Ankle joint injection for osteoarthritis, post-traumatic arthritis and impingement.
- Plantar fascia injection at the calcaneal insertion for chronic plantar fasciitis.
- Peroneal tendon sheath injection for lateral ankle tendinopathy.
- Morton's neuroma injection — guided into the intermetatarsal space at the neuroma.
- Sacroiliac joint injection for sacroiliac dysfunction and lower back pain.
- Facet joint injection or medial branch block for confirmed facet-mediated back or neck pain.
Why USG Guidance Improves Outcomes
Ultrasound guidance provides real-time visualisation during injection — a meaningful clinical difference for deep joints, tendons and complex anatomy where palpation alone is insufficient.
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Landmark-Guided
Injection Surface & Palpation
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USG-Guided
Injection ✓ Real-Time Ultrasound
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Needle placement
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Based on surface anatomy and palpation
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Real-time visualisation of target structure
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Accuracy
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Variable — depends on body habitus and anatomy
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Confirmed before injection delivery
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Risk of misplacement
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Higher for deep joints and soft tissue
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Significantly reduced
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Best suited for
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Superficial, easily palpable structures
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Deep joints, tendons, bursae, complex anatomy
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Documentation
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Clinical record only
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Image-guided confirmation available
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Frequently Asked Questions, PRP Therapy for Joint Pain, Mehsana
Does PRP therapy work for knee pain?
PRP therapy has demonstrated meaningful pain relief and functional improvement in patients with knee osteoarthritis Grades 1 to 3 and in patients with patellar and other tendon conditions around the knee. Results are best in patients with early to moderate degeneration rather than end-stage arthritis where joint space is fully collapsed.
How many PRP injections are needed?
Most patients receive a course of 2 to 3 injections spaced 2 to 4 weeks apart. A single injection may be sufficient for tendon conditions. The number of injections recommended is determined after assessment at Axcura Ortho.
Is PRP therapy painful?
The injection itself involves brief discomfort similar to any joint injection. Most patients experience mild soreness at the injection site for 24 to 48 hours after the procedure. This is a normal response as the growth factors begin working.
How long does PRP therapy last?
In appropriately selected patients, PRP therapy provides meaningful pain relief for 6 to 18 months. Individual results vary depending on the degree of joint degeneration and patient activity level.
Can PRP delay knee replacement?
PRP does not cure or reverse osteoarthritis but it can meaningfully reduce pain and slow the progression of joint inflammation, which for some patients delays the need for replacement surgery by months to years. It is one of several non-surgical options discussed at Axcura Ortho before replacement is considered.
Does Axcura Ortho offer PRP for patients from outside Mehsana?
Yes. Patients from Visnagar, Unjha, Patan, Sidhpur, Vadnagar and across North Gujarat are seen at Axcura Ortho for PRP therapy and other non-surgical joint treatments.
How is prolotherapy different from PRP?
PRP uses the patient's own concentrated growth factors to stimulate healing in damaged tissue — particularly cartilage, tendons and joints with degeneration. Prolotherapy uses a dextrose solution to strengthen lax or structurally compromised ligaments and tendons through a controlled inflammatory stimulus. The two treatments serve overlapping but distinct clinical purposes and are sometimes used in combination.
Is prolotherapy painful?
The injection itself produces brief, moderate discomfort at the site. Post-injection soreness lasting 24 to 72 hours is expected and indicates the treatment is initiating the intended inflammatory-repair response. Most patients find the discomfort manageable and reduces with successive sessions.
How many sessions does prolotherapy require?
Most patients receive 3 to 6 sessions spaced 3 to 6 weeks apart. Some chronic or complex conditions may require additional sessions. Improvement is typically noticed from the second or third session onwards, with maximum benefit assessed at the completion of the full course.
Can prolotherapy be combined with PRP?
Yes. In selected cases, prolotherapy and PRP are used together — prolotherapy to address ligament laxity and structural instability, PRP to support tissue healing in the affected joint or tendon. The combined approach is discussed where both mechanisms are relevant to the patient's condition.
Is ultrasound guidance necessary for all injections?
Not all injections require guidance. For some easily palpable, superficial structures, landmark-guided injection is clinically adequate. Guidance is recommended wherever the target is deep, difficult to palpate reliably, or where accurate placement is critical to the outcome — such as the hip joint, rotator cuff structures, or small tendon sheaths.
Does ultrasound guidance make the injection more painful?
Ultrasound guidance does not add pain to the procedure. It adds a transducer on the skin surface and allows the clinician to place the needle more accurately, often reducing the number of needle passes needed. Most patients report no difference in discomfort compared to palpation-guided injections.
How long does a USG-guided injection take?
Most USG-guided injection procedures take 15 to 30 minutes, including preparation, scanning, injection and a brief post-procedure observation period. The ultrasound component adds minimal time while significantly improving placement accuracy.
Can USG-guided injections be combined with PRP or prolotherapy?
Yes. PRP and prolotherapy injections are frequently delivered under ultrasound guidance at Axcura Ortho where the target structure benefits from image-confirmed placement. This is particularly relevant for deep structures, small tendon sheaths and areas where palpation accuracy is limited.
Book a PRP Therapy Consultation at Axcura Ortho, Mehsana
An assessment at Axcura Ortho confirms whether PRP therapy is appropriate for the specific joint condition, its stage and the patient's overall clinical picture. Appointments are available with Dr. Sumit Prajapati.
Serving Mehsana, Visnagar, Unjha, Patan, Sidhpur and North Gujarat
Appointment and Contact Details
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Book a Non-Surgical Joint Treatment Consultation at Axcura Ortho, Mehsana
A consultation at Axcura Ortho with Dr. Sumit Prajapati & Dr. Hardik Nayak will determine which non-surgical injection treatment — PRP therapy, prolotherapy or ultrasound-guided injection — is appropriate for the specific condition, its stage and the patient's clinical picture. Patients are not recommended treatments that are not indicated for their situation.
- Call / WhatsApp: +91 81285 96917
- Location: Axcura Doctor House, Mehsana, Gujarat
