All of us from time to time get injured like a cut or a bruise, and several weeks later, our body has healed, and most of us don’t really give it any thought. It is miraculous how the body gathers the necessary cells and supplies and quickly gets rid of the dead tissue and repairs the injury. Scientists refer to this process as “the healing cascade” and it involves a large number of different cell types each secreting chemicals that encourage tissue restoration. We tell our patients that tissue injury can be thought of like a house that is damaged in a storm. Imagine the streets are the blood vessels in your body, and all the cars and trucks represent different types of blood cells. In this analogy, platelets are sort of like the neighbourhood watch, driving around looking for damaged houses. When platelets pass by an area in your body that is damaged, they clump together in large numbers to stop the bleeding. It’s as if they pass by a damaged house and water is leaking. They stop there with many of their friends, gather in a group, and stop the leaking plumbing (bleeding) as a first step.

But the next thing that platelets do is much more interesting. They start releasing a multitude of different types of growth factors and chemokines. Growth factors encourage the growth and division of many different types of cells including the cells making up such tissues as tendons, ligaments, blood vessels, connective tissue, and so on. Chemokines are chemicals released by the platelets that hook on to other cells and attract them to the site of injury.


SPORTS and exercise have become a major part of everybody’s daily life these days. The covid-19 pandemic has forced people to spend lots of time at home, and many have set up in-home gyms.  Sports activities whether it is professional or is only for fun always carry risks of injury. Amongst the most common SPORTS INJURIES, we can name MINISCUS AND LIGAMENTS TEARS OF KNEES, TWISTED ANKLE, ROTATOR CUFF INJURY OF SHOULDERS.  Less serious injuries include muscles and ligaments sprain or strain, tennis elbow, and golfers’ elbow. 


Healing Cascade explained above can take care of minor injuries, however, when we have a more serious injury this system becomes overwhelmed and unable to completely fix the damage. These serious injuries may have a significant impact on people’s life. In professional and semi-professional athletes it may completely disrupt their life and their future, and many famous athletes have been forced to quit their favourite sport after serious injuries. This was because until recently these injuries were treated by invasive methods such as major surgeries. Surgery is not only associated with many risks but also requires general anesthesia, long recovery and rehabilitation time and limited functional capacity at the end. Therefore, it has to be saved for when it is 100% necessary.


The GOOD NEWS is the introduction of REGENERATIVE MEDICINE has dramatically changed the course of sports injuries. Nowadays, specialized physicians can utilize Platelet Rich Plasma (PRP) and other own body chemicals to stimulate the healing cascade to repair serious injuries. This treatment is not painful and is done with NO ANESTHESIA, and RECOVERY TIME IS MUCH SHORTER and RETURN OF FUNCTIONAL CAPACITY IS MUCH BETTER compared to surgery. If the PRP is placed precisely at the correct area and contains adequate numbers of cells and chemokines it can activate mesenchymal stem cells and heal many injuries resulting in chronic pain and disability.

Many famous professional athletes have successfully undergone Regenerative Medicine treatment for their sports injuries and returned to their professional activities. Many NFL, NBA, MLB, and FIFA players are among these professional athletes.  


Three things are crucial for successful Regenerative treatment: 1- knowing exactly which part is damaged, 2- Using a processing system that yields a large number of cells, as well as a high amount of chemicals, 3- putting the processed material accurately in the damaged tissue.  

At NIKALI CLINIC, 1- We have state-of-the-art diagnostic equipment and well-trained physicians who spend a lot of time making an accurate diagnosis. If the doctor is not sure what part is damaged, we will not schedule treatment, 2- While many usual processing systems yield only minimal cell numbers and protein contents, at NIKALI CLINIC we use the most advanced technology to achieve the highest possible numbers of cells and the highest concentration of chemicals that significantly increase the success rate of the treatment. 3- At NIKALI CLINIC our specialist physicians perform procedures under image guidance to increase the accuracy to as high as possible. Studies have shown that treatments performed without image guidance have a success rate of 50% while with image guidance success rate is 90%.