PRP (platelet-rich plasma) therapy uses your own concentrated blood platelets to promote healing in injured joints, tendons, and ligaments. At Dr. Imran Qureshi's Katy, TX office, PRP is most commonly used for knee osteoarthritis, tendon injuries, and shoulder pain. The protocol is a single injection (not a series), priced at $750 per site or $1,200 for two sites. Most patients in our practice see meaningful improvement, and PRP typically provides longer-lasting relief than corticosteroid injections without the cartilage-damaging effects of repeated steroids. PRP is not appropriate for patients with active infections, cancer, blood disorders, or those on blood thinners.
What Is Platelet-Rich Plasma (PRP) Therapy?
Platelet-rich plasma (PRP) therapy is a regenerative treatment that uses concentrated healing factors from your own blood to stimulate tissue repair and reduce inflammation in injured or degenerated structures. The treatment is grounded in the fundamental biology of wound healing: when tissue is injured, platelets are among the first responders โ they aggregate at the injury site, activate, and release a cascade of growth factors that orchestrate the repair process. PRP amplifies this natural response by delivering a concentration 3โ8 times higher than normal blood platelet levels directly to the target tissue.
Dr. Qureshi performs all PRP injections under ultrasound or fluoroscopic guidance to ensure the concentrated growth factors are delivered precisely into the damaged structure. Because PRP uses your own blood, there is no risk of allergic reaction, disease transmission, or rejection.
How does PRP therapy work?
Platelets contain hundreds of bioactive molecules stored in granules. When activated, platelets release a complex mixture including:
- Platelet-Derived Growth Factor (PDGF) โ stimulates cell proliferation, angiogenesis, and extracellular matrix production
- Transforming Growth Factor-Beta (TGF-ฮฒ) โ promotes collagen synthesis and tissue remodeling
- Vascular Endothelial Growth Factor (VEGF) โ stimulates angiogenesis, improving blood supply to healing tissue
- Insulin-Like Growth Factor 1 (IGF-1) โ promotes cell survival, proliferation, and matrix synthesis
- Epidermal Growth Factor (EGF) โ stimulates cell growth and differentiation
- Fibroblast Growth Factor (FGF) โ promotes proliferation of fibroblasts and endothelial cells
These growth factors collectively orchestrate the recruitment of mesenchymal stem cells and fibroblasts to the injury site, their proliferation, and their differentiation into new tissue-specific cells that synthesize collagen and other structural proteins needed to restore tissue integrity.
What conditions does PRP therapy treat?
In Dr. Qureshi's Katy practice, the three most commonly treated conditions with PRP are knee osteoarthritis (by far the most common), tendon injuries, and shoulder pain. The full list of conditions PRP is used for includes:
- Knee osteoarthritis โ the most common reason patients seek PRP at our office. Multiple high-quality randomized trials demonstrate PRP produces superior outcomes to corticosteroid and hyaluronic acid at 6โ12 months, with potential cartilage-protective effects
- Rotator cuff tendinopathy and partial tears โ PRP outperforms corticosteroid for partial rotator cuff tears and chronic tendinopathy in comparative studies; one of Dr. Qureshi's most-treated tendon conditions
- Shoulder pain โ including subacromial impingement, biceps tendinopathy, and shoulder osteoarthritis
- Lateral epicondylitis (tennis elbow) โ one of the most evidence-based PRP indications; produces superior long-term outcomes to corticosteroid across multiple RCTs
- Achilles tendinopathy โ both insertional and mid-portion Achilles respond to PRP, particularly in chronic cases
- Patellar tendinopathy (jumper's knee) โ strong evidence for PRP combined with eccentric loading program
- Hip osteoarthritis โ growing evidence for intra-articular PRP as a longer-duration alternative to corticosteroid
- Plantar fasciitis โ ultrasound-guided PRP provides significant improvement in chronic cases unresponsive to conservative measures
- Sacroiliac joint dysfunction โ PRP for ligamentous laxity-related SI joint instability
- Partial muscle tears โ Grade II hamstring, quadriceps, and calf tears respond to PRP-accelerated healing
What happens during a PRP procedure?
Dr. Qureshi's PRP protocol is a single injection per treated site โ not a series of 2-3 injections that some practices use. The full appointment typically takes 30-45 minutes from start to finish, and most patients are in and out of the office in under an hour.
- Blood draw: 15โ60 mL of blood is drawn from a peripheral vein, similar to a standard lab draw
- Centrifugation: Blood is placed in a sterile centrifuge tube and spun at calibrated speed and duration to separate blood components by density
- PRP extraction: The platelet-rich layer is extracted under sterile conditions. Dr. Qureshi uses preparation protocols that yield appropriate platelet concentration and leukocyte content for the specific target tissue
- Guided injection: Under ultrasound or fluoroscopic visualization, Dr. Qureshi delivers a single, well-placed PRP injection precisely into the target structure โ confirming placement before injection
- Recovery: Brief observation, discharge instructions including activity modifications for the first 48โ72 hours, and follow-up scheduling at the 8-12 week mark to evaluate response
The single-injection approach reflects Dr. Qureshi's clinical experience that one accurately placed, ultrasound-guided PRP injection is sufficient for the majority of carefully selected patients. If a patient does not respond as expected, a follow-up injection can be considered after the response is evaluated at 8-12 weeks.
When will I see results from PRP?
PRP works through biological healing โ a gradual, durable process. Because Dr. Qureshi uses a single-injection protocol, the timeline below reflects what most patients experience after one ultrasound-guided injection (rather than waiting through a series of 2-3 injections spaced 4-6 weeks apart, as some other practices do):
- Days 1โ5: Post-injection flare (increased soreness) as the healing cascade is initiated โ this is expected and normal
- Weeks 2โ4: Beginning of gradual improvement as initial tissue repair commences
- Weeks 4โ8: Meaningful improvement becoming apparent in most patients โ this is when most patients in our practice begin to recognize that the single injection is working
- Weeks 8โ12: Response evaluation โ Dr. Qureshi reassesses your symptoms and function to confirm benefit. If a follow-up injection is needed, it can be discussed at this visit
- Months 3โ6: Continued improvement as new tissue matures and remodels; peak effect typically at 3โ4 months
- 12โ24 months: Long-term results consistently superior to corticosteroid in comparative studies
What does PRP cost at our Katy office?
Dr. Qureshi's PRP pricing is straightforward and transparent:
- $750 per site โ single joint or tendon
- $1,200 for two sites โ bundle pricing for patients treating multiple areas (e.g., both knees, knee + shoulder)
PRP is not typically covered by insurance. Insurance carriers consider PRP investigational for most musculoskeletal conditions, so the procedure is offered as a self-pay service. Many patients find the cost manageable when compared to repeated corticosteroid injections, ongoing physical therapy, or potential future surgery.
The pricing includes the office visit, the blood draw, the centrifuge processing of platelets, and the ultrasound-guided injection itself. Most patients are in and out of the office in under an hour.
Why choose Dr. Qureshi for PRP in Katy?
In Dr. Qureshi's clinical experience, the majority of carefully selected patients see meaningful improvement from PRP, with many achieving relief that outlasts what they experienced from corticosteroid injections. Published research supports PRP's role in knee osteoarthritis, with multiple randomized trials showing greater pain reduction and functional improvement at 12 months compared to hyaluronic acid or steroid injections.
Several practice details set Dr. Qureshi's PRP program apart:
- Ultrasound-guided injection on every case โ not blind injection โ to ensure the platelet concentrate reaches the precise target tissue
- Single-injection protocol โ most patients respond to one well-placed injection, avoiding the cost and time of a 2-3 injection series
- Transparent self-pay pricing โ $750 per site or $1,200 for two sites, with no hidden costs
- Careful patient selection โ Dr. Qureshi evaluates whether PRP is the right fit for your specific condition and overall health, and will recommend alternatives if it is not
- Same-week appointments at our Cinco Ranch Blvd office in Katy
Who is NOT a candidate for PRP?
PRP relies on your body's natural healing response, so certain medical conditions make it unsafe or ineffective. PRP is generally not recommended for patients with:
- Active infections (local or systemic) โ PRP can worsen infection
- Active cancer โ growth factors in PRP may stimulate unwanted tissue growth
- Blood disorders โ including thrombocytopenia, platelet dysfunction syndromes, or bleeding disorders
- Anticoagulant medications (blood thinners like warfarin, apixaban, rivaroxaban) โ these reduce platelet effectiveness
- Pregnancy โ limited safety data
Dr. Qureshi reviews your full medical history and current medications at the consultation. If PRP is not appropriate, he will discuss alternative non-surgical options including corticosteroid injections, hyaluronic acid (gel) injections for joints, physical therapy, and other regenerative treatments.