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Personal Opinion: For isolated elbow injuries, I recommend local injection near the affected epicondyle
VanAntwerp also recommended observation on other possible underlying medical conditions
For some, purging begins around week 1 or 2 and may last up to 6 weeks
The reasons for Pure PRPs superior comfort profile include: Neutrophils in Regular PRP release inflammatory cytokines (TNF-, IL-1, IL-6) that prolong inflammation and increase pain[8][10] Red blood cells create viscosity in Regular PRP that makes injections more painful and traumatic[1][7] Hemoglobin release from damaged red blood cells causes tissue damage and oxidative stress[7] Pure PRPs cellular purity eliminates these pain-causing components entirely 2
Bacteriostatic water contains 0.9% benzyl alcohol, allowing safe multiple withdrawals from the same vial across a research period, provided sterile technique is maintained
Clear calculations reduce measurement errors during preparation activities
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