Targeted Treatments for the management of Chronic Pain

Chronic pain syndromes can be challenging conditions to manage. When commonly used medication and therapy fails to work, the patient is left wondering where to turn for help. The good news is Stem Cell and Platelet Rich Plasma (PRP) Therapy has been found to offer relief for many who have no other options.

If you are suffering from pain that is not responding to treatment please contact us today.

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About Stem Cell and Platelet Rich Plasma (PRP) Therapies

Your blood is made up of many components, one component which is essential to healing are the platelets.  Within the platelets are growth factors, which can initiate tissue repair,  bone regeneration, development of new blood vessels, and stimulation of the healing process.  Platelet Rich Plasma (PRP) is a concentrated solution of your own body’s platelets.  By concentrating your platelets we are able to increase the amount of growth factor in the solution to optimize healing.  

Platelets are a specialized type of blood cell. Blood is made up of 93% red cells (RBCs), 6% platelets, 1% white blood cells (WBCs), and plasma. The goal of PRP is to maximize the number or concentration of platelets while minimizing the number of RBCs. Generally speaking, the higher the concentration of platelets, the better.

Most people associate platelets with clot formation. While that certainly is an important function of platelets, they are also very much involved in injury healing. Human platelets are naturally extremely rich in connective tissue growth factors. Injecting these growth factors into damaged ligaments, tendons, and joints stimulates a natural repair process. But in order to benefit from these natural healing proteins, the platelets must first be concentrated. In other words, PRP recreates and stimulates the body’s natural healing process.

In the office, blood is drawn from the patient (just like getting a blood test) and placed in a special centrifuge. The centrifuge separates the RBCs, and the remaining platelets and plasma are then highly concentrated. The red blood cells are discarded, and the resulting platelet concentrate is used for treatment.

Unlike many other practices, at Omaha Pain Physicians all of our PRP injections are given under direct ultrasound guidance to insure accurate placement of the platelet concentrate in the damaged area. 

The entire treatment, from blood draw, to solution preparation, to injection, takes 30-40 minutes. Before injections are given the skin and underlying tissue is first anesthetized to minimize the discomfort.

Why Choose Omaha Pain

Experienced Pain Doctor


As a dedicated team of medical professionals, we at Omaha Pain Physicians work tirelessly to restore our patients’ quality of life and promote greater overall health. Combining cutting-edge medicine with our uniquely natural approach, we are a practice that treats the whole patient - from physical state to emotional well being.


Customer Service

From the moment your are greeted upon entering the clinic, you will have an unparalleled experience of excellent care. Omaha Pain Physicians work hard to ensure quality patient care in a kind, timely, and effective manner.

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Cutting Edge Treatments

At Omaha Pain Phyisicians, we are using the latest therapies developed to treat pain, promote overall wellness, and improve your quality of life.

Frequently Asked Questions

PRP and Stem Cell treatment works best for chronic ligament and tendon sprains/strains that have failed other conservative treatment, including:

  • Rotator cuff injuries, including partial-thickness and full-thickness tears
  • Shoulder pain and instability
  • Tennis & golfer’s elbow
  • Hamstring and hip strains
  • Knee sprains and instability
  • Patellofemoral syndrome and patellar tendinosis
  • Ankle sprains
  • Achilles tendinosis & plantar fasciitis
  • Knee, hip, and other joint osteoarthritis
  • Sports hernias & athletic pubalgia
  • Other chronic tendon and ligament problems
  • Nerve entrapment syndromes, such as Carpal Tunnel Syndrome

In addition, PRP and Stem Cell Injections can be very helpful for many cases of osteoarthritis (the “wear & tear” kind). PRP can help stimulate a “smoothing over” of the roughened and arthritic cartilage, reducing the pain and disability of arthritis. This includes:

  • Knee arthritis
  • Hip joint arthritis
  • Shoulder arthritis
  • And other joint arthritis

In most cases, after the initial treatment, a follow up visit is scheduled 6-8 weeks later to check on healing progress. Some patients respond very well to just one treatment. However, typically 2-3 treatments are necessary. Injections are given every 8-12 weeks on average. In rare cases, such as more severe hip arthritis, PRP injections may be given once every 4 weeks for 2-3 treatments.

The level of discomfort of the treatment depends in part on the area being treated. For example, injections given into a joint often are minimally uncomfortable and in some cases painless. Injections given into tendons tend to be more uncomfortable. There is usually moderate pain for the next few days.

For the first week after the injections it is critical to avoid anti-inflammatory medications, including Advil, Motrin, ibuprofen, Aleve, Celebrex, and Mobic. These will interfere with the healing response. Tylenol is OK. Your doctor may prescribe pain medication also for post-injection discomfort.

Studies suggest an improvement of 80-85%, though some arthritic joints, namely the hip, do not respond as well. Some patients experience complete relief of their pain. In the case of tendon and ligament injuries the results are generally permanent. In the case of joint arthritis, how long the treatment lasts depends partly on the severity of the condition. Mild arthritis may not need another round of treatments. More advanced arthritis, on the other hand, typically requires a repeat course of treatment, usually in 1-3 years.

Most insurance plans, including Medicare, do NOT pay for PRP injections.

At Omaha Pain Physicians the cost of PRP treatment is based on the level of complexity involved in treating a given area(s). Prices range from $700 to $1100 per treatment. If two joints or areas are treated at the same time, the cost is NOT double– there is a slight increase.

Your blood platelets contain growth and healing factors and play a crucial role in wound and injury healing. When concentrated through a simple centrifuge technique, we can isolate the plasma, which contains a large number of platelets, and thus forms a solution “rich in platelets”, or healing factors. 

A simple blood draw is performed.  The vial of blood is then placed in a centrifuge, which separates the plasma from the red blood cells.  We are then able to extract the plasma, which is now ready to be injected.  The PRP solution is then injected into your painful area. 

Published research has shown effectiveness of PRP in many area, including: cartilage repair and regeneration, osteoarthritis, labral tears of the hip or shoulder, meniscal tears or degeneration, tendinitis or tendinosis, acute and chronic muscle strain, muscle fibrosis, ligament sprains, knee osteoarthritis, soft tissue injury, and joint capsular laxity.  

When you experiences injury or chronic joint degeneration, your body sends blood (with those great healing factors, the platelets) to the area to stabilize the joint or repair the injury.  Unfortunately, tendons and ligaments often lack enough blood supply to repair themselves fully, therefore, with PRP we can help deliver your body’s own healing factors to areas that do not get enough platelets on their own.  

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