Pain Management
Platelet-rich plasma (PRP) injections are a cutting-edge treatment that uses your own blood to stimulate healing and reduce pain. By concentrating platelets and growth factors, PRP promotes tissue repair in joints, tendons, ligaments, and even spinal structures. At Desert Spine and Pain, neurosurgeon Dr. David L. Greenwald, M.D., FAANS, FACS offers PRP injections as part of a comprehensive pain management strategy, especially for patients seeking alternatives to steroids or surgery.

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In simple terms: We draw your blood, spin it in a centrifuge to concentrate platelets, and inject the healing solution into the painful area.
Scientifically: PRP involves autologous whole blood centrifugation, yielding a plasma fraction enriched with platelets (3–5x baseline). Injection of PRP releases growth factors (PDGF, TGF-β, VEGF, IGF-1) that enhance angiogenesis, fibroblast proliferation, and extracellular matrix remodeling.

Degenerative disc disease and low back pain
Facet joint arthritis
Sacroiliac joint pain
Tendon or ligament injuries around the spine and extremities
Muscle injuries and chronic pain syndromes
Patients seeking regenerative options without steroids

Blood draw: A small amount of your blood is collected.
Centrifuge: Blood spun to separate platelets from other components.
Injection site prep: Skin numbed; fluoroscopy or ultrasound guides placement.
PRP injection: Concentrated platelets injected directly into painful area.
Recovery: Outpatient procedure; patients go home same day.
Blood collection: 30–60 mL venous blood drawn; anticoagulant added.
Processing: Dual-spin centrifugation yields PRP fraction (3–8 mL).
Targeting: Under fluoroscopy/ultrasound, spinal needles directed to facet joint, SI joint, or disc annulus.
Injection: PRP injected slowly to cover target tissue; no corticosteroid used.
Closure: Bandage applied; no stitches.

Uses your own cells—no foreign chemicals
Promotes natural healing and regeneration
Safer alternative for patients avoiding steroids
Minimally invasive outpatient procedure
May provide longer-term relief compared to steroid injections
Temporary soreness at injection site
Infection or bleeding (rare)
Results vary—some patients respond better than others
Takes time—benefits may appear gradually over weeks to months
Not a cure for severe structural instability

Day 0: Outpatient procedure; mild soreness possible
Days 1–3: Temporary discomfort as healing begins
Weeks 2–6: Gradual improvement in pain and function
3–6 months: Continued healing; maximum benefit often reached
Long-term: Relief may last many months; repeat injections possible
Neurosurgical precision: Dr. Greenwald uses fluoroscopy and ultrasound for exact placement
Advanced regenerative care: PRP offered as an alternative to steroids or surgery
Comprehensive pain solutions: PRP integrated with PT, lifestyle, and other therapies
Patient-first approach: We explain every option so you feel confident in your care

Steroids reduce inflammation temporarily. PRP stimulates natural healing and may provide longer-lasting results.
Some patients feel better within weeks; others take 2–3 months as tissues heal.
Yes. Because PRP is made from your own blood, risk of reaction is minimal.
Relief may last many months to a year. Repeat injections may be offered if pain returns.
We combine neurosurgical accuracy with advanced regenerative techniques, ensuring injections are placed precisely where they will work best.




Dr. David L. Greenwald, MD
Neuro-Spine Surgeon


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If you’re exploring natural, non-surgical solutions for spine or joint pain, PRP injections may be the answer. Dr. Greenwald and his caring team will evaluate your condition, explain how regenerative therapies work, and determine whether PRP is the best option for your specific needs. Every step you take toward healing brings you closer to comfort and mobility. Schedule your consultation today and learn how Dr. Greenwald’s expertise in PRP therapy can help you restore strength, reduce pain, and improve your quality of life.


Dr. David L. Greenwald, MD, FACS, is a board-certified spine surgeon with advanced expertise in PRP (Platelet-Rich Plasma) injections, an innovative regenerative therapy that uses the body’s own healing factors to repair damaged tissues and reduce inflammation. During the procedure, a small sample of the patient’s blood is processed to concentrate platelets and growth factors, which are then injected into the affected area—such as degenerated discs, joints, or soft tissues—to promote natural healing. Dr. Greenwald may recommend PRP therapy for patients with chronic back pain, degenerative disc disease, or spine-related soft tissue injuries who prefer non-surgical treatment options. His precise technique and integrative approach have helped patients throughout South Florida experience meaningful pain relief, improved function, and enhanced recovery.


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