MSK Logic / Learning resources

PRP education for clinicians.

Understand the preparation. Make the numbers meaningful. Connect what you learn to clinical decisions.

A starting point for students and residents exploring platelet-rich plasma, and for physicians, NPs, PAs, and other clinicians developing their MSK knowledge.

Simplified illustration of blood fractions after centrifugationA sample tube shows a pale plasma fraction above a narrow buffy-coat interface and a muted red-cell fraction. The layer proportions are illustrative, and the collection zone depends on the system and protocol.A SIMPLIFIED SEPARATIONPLASMAPlatelets are suspended here.BUFFY-COAT INTERFACEMay be included, dependingon the target product.RED-CELL FRACTIONSeparated from the plasma.Layer proportions are illustrative, not to scale.
Fraction collection varies by preparation system, spin protocol, and intended product.

A practical learning sequence

Start with the question in front of you.

01 / Understand

What describes a PRP preparation?

Begin with platelet dose, recovery, final volume, and cellular composition. Learn what each tells you before comparing devices or protocols.

Explore the core concepts
02 / Calculate

What do the numbers mean?

Work through an illustrative preparation, then change the inputs in the free calculator to see how dose and concentration relate.

Use the platelet dose calculator
03 / Connect

How does this fit into practice?

Explore procedural reasoning in the Brief, follow the PRP course in development, or discuss your goals for an observational Clinical Immersion.

Explore learning options

PRP fundamentals

Platelet dose and concentration answer different questions.

Concentration describes platelets per unit of volume. Dose describes the total number of platelets delivered. Comparing preparations requires attention to volume as well as concentration. The DEPA classification also considers production efficiency, purity, and activation. Magalon et al., 2016.

If a reliable final PRP count is available, multiply platelets per microliter by 1,000 to convert to platelets per milliliter, then multiply by the injected volume in milliliters.

A worked example

Using an assumed blood platelet count of 250,000/µL, a 60 mL whole-blood draw excluding anticoagulant, and an assumed 80% recovery:

250,000 × 1,000 × 60 × 0.80 = 12 billion platelets prepared.

In 6 mL of final PRP, that is an estimated 2 billion platelets per mL. A 3 mL portion would contain an estimated 6 billion platelets if the preparation is uniformly mixed.

These are illustrative assumptions, not measured product characteristics or a recommended treatment dose. Actual recovery varies with the system and protocol.

The PRP platelet dose calculator makes those assumptions visible. Use it to compare estimates and plan volume allocation. It does not measure the product or predict clinical benefit.

Leukocyte content is a separate characteristic.

Leukocyte-poor and leukocyte-rich describe white-cell content. Neither label, by itself, tells you the total platelet dose. Published classification systems distinguish cellular composition from other preparation features. Dohan Ehrenfest et al., 2014.

Keep a record of what is measured, what comes from characterization of a specific system or protocol, and what is estimated. Those distinctions make a comparison more useful.

Read alongside the numbers

The procedure deserves the same attention as the product.

Same Injection. Same Treatment?

A discussion of tissue targets, ultrasound guidance, and the procedural details that can be lost in a familiar treatment label.

Read about injection technique

The Anesthetic Isn’t Inert

Examine local anesthetic selection and tissue-toxicity research, with careful distinctions between laboratory findings and clinical outcomes.

Read about local anesthetic selection

Your next step

Keep learning, with a format that fits.

The MSK Logic Brief

Free weekly clinical perspective for learners and practicing clinicians. Read past issues or receive the next one by email.

Read and subscribe to the Brief

PRP course

In development: preparation, evidence, patient selection, injection strategy, and practice integration. Enrollment details have not been announced.

Explore the planned PRP curriculum

Clinical Immersion

By inquiry: one or two days of observation and discussion at Inertia Medical in Fairfield, Ohio. Focus areas depend on your goals and clinic availability.

Explore the clinical observership

Educational resources support learning; independent procedural practice also requires appropriate clinical training and supervised skill development.

MSK Logic was founded by Jeremy Girmann, DO, RMSK, a board-certified PM&R physician and musculoskeletal educator.