Female with burning & pain months after PRP injections

Question

I had 3 PRP injections. She didnt numb my scalp. The first 2 treatments, spaced 2 weeks apart went fine. After my 3rd treatment, I've been having a lot of burning for around two months. My scalp is very sensitive to touch. It hurts to brush or even wear a loose hat. I've also lost more hair! Blood tests & a scalp biopsy didn't provide any answers. I'm not sure what to do. Is it possible she hit a nerve? Have you ever heard of this happening? Thank You!!

Oxana Popescu, MD · Answer

Hello and thank you for your question. After treatment we expect some local inflammation especially if the volume injected is high or other products are added. What you describe indicates increased inflammation at the site of injection. In such situation we typically use with success anti-inflammatories. Another concern is infection but I assume that was ruled out already.

Best,

Oxana Popescu MD

Jeff Rapaport, MD · Answer

In my opinion, burning of the scalp may be a symptom of inflammation. I am not sure if your biopsy was performed in an area that you were symptomatic. We usually treat burning of the scalp with anti-inflammatories. For example topical corticosteroids and low dose doxycycline. Should this not be helpful, more extensive workup needs to be undertaken . Find a PRP expert. Ask to see photos.
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