Arthritis, Arthroscopic Surgery, Deformity, Joint Replacement, Sports Medicine, Trauma/Fractures


Orthopaedic Group


Tygart Valley Orthopedics is excited to offer PRP (Platelet Rich Plasma) injections. This injection technology is being utilized more frequently for several orthopedic conditions. It is most frequently utilized to treat chronic tendon disorders such as tennis elbow or Achilles tendonitis that have failed to heal after other techniques, such as physical therapy. Another setting where PRP is being used is in promoting healing after an acute injury, such as a knee sprain in an athlete or following surgery, such as arthroscopic rotator cuff repair.

When patients are scheduled for PRP injections, they will come to the office and have a small amount of blood drawn. The blood is centrifuged, a technique that separates the various components of the blood. Specifically, the centrifuge removes the red blood cells, leaving behind the plasma and platelets. The platelets and plasma are then injected into the area that needs assistance in healing. Recently, more studies are supporting the use of PRP. The technique appears to work through growth factors, associated with the platelets. These growth factors promote a stronger, quicker healing response. By providing these injections, our hope is that patients will have a quicker recovery from chronic conditions without ultimately requiring surgery. It is also hoped that their surgery or injuries will heal with a stronger, faster repair.


Rotator Cuff tears are one of the most common shoulder conditions seen by Tygart Valley Orthopedics. Patients are typically middle age and older, and report pain, especially with any kind of overhead activity. They often have pain when they try to rest at night as well. Some patients report a tearing sensation with lifting or some injury. Other have gradual onset of pain. They will occasionally report instability to raise their arm suddenly. At Tygart Valley Orthopedics, we will assess your shoulder, taking a careful history and performing a physical exam. Typically, x-rays are obtained and a treatment plan initiated, including anti-inflammatory medication, physical therapy, and cortisone injections at times. If pain does not improve, further testing is performed, typically with ultrasound, which is available through our office, or an MRI at the imaging center of the patient's choice. Finally, if the pain persists, shoulder arthroscopy becomes an option. This is a very common procedure performed by Tygart Valley Orthopedics. The patient is given anesthesia and then, as an outpatient, undergoes the procedure. This consists of putting two to four 0.25 inch incisions about the shoulder and then repairing the rotator cuff as well as any other structures that are damaged. This has been compared to building a ship in the bottle. Arthroscopic shoulder surgery has the advantage of less pain after surgery as well as a quicker recovery. It also allows better visualization of the rotator cuff and any other damaged tissue to allow a better repair. Your recovery will then be supervised by your surgeon as you work with the therapist of your choice to restore motion, strength, and function. Please contact Tygart Valley Orthopedics so we may assist you in any of your orthopedic needs.

Dr. Topping answers the questions "Is it a Rotator Cuff Tear or just Bursitis?" full article


Dr. Topping on Pain Management for Hip & Knee replacement: full article

Contact your provider at Tygart Valley Orthopedics to discuss whether PRP is an option for your orthopedic condition.

Make an Appointment

For all appointments and inquiries, please call 304.637.4509 or click here to request an appointment online.

Contact Us Now

MONDAY8am-Noon & 1-4pm
Tuesday8am-Noon & 1-4pm
Wednesday7:30am-Noon & 1-4pm
Thursday8am-Noon & 1-4pm
Friday8am-Noon & 1-4pm