7 days before the procedure

Stop NSAIDs

Ibuprofen, diclofenac, meloxicam, nimesulide, celecoxib, naproxen. They suppress platelet activation and reduce PRP/CGF efficacy. If pain is severe — paracetamol is allowed.

Stop aspirin and salicylates

Even "baby" aspirin (75–100 mg) alters platelet function. If aspirin is prescribed by a cardiologist — discuss withdrawal with the prescribing physician.

Stop "platelet modulators"

Ginkgo biloba, high-dose omega-3, high-dose vitamin E, curcumin. Normal daily diet is not restricted.

Anticoagulants

Warfarin, rivaroxaban, dabigatran, apixaban — ONLY by agreement with your prescribing physician. We do not stop life-critical medications without coordination.

Minimize alcohol

3 days before — alcohol-free. It affects coagulation and liver function, which is part of regeneration.

Optimize sleep and routine

Adequate sleep, sufficient hydration (2 liters of water daily), balanced nutrition. Your cells work better when you're in good shape.

1 day before the procedure

Drink 2 liters of water

Good hydration eases the blood draw and improves the quality of the biological material.

Light dinner

Avoid fatty and heavy food. Complex carbohydrates, vegetables, lean protein — optimal.

Shower and clean skin

Take a shower in the evening. And in the morning. The skin in the procedure area should be clean, without creams or lotions.

On the procedure day

Light breakfast

Procedure under local anesthesia — fasting is not required. Breakfast: porridge, yogurt, fruit. Tea or coffee — moderate.

Comfortable clothing

Clothes you can remove easily around the procedure area. For knees — loose pants; for shoulder — a T-shirt you can remove painlessly.

Arrive 15–20 minutes early

To complete paperwork calmly, change clothes, answer staff questions. Pre-procedure rush increases anxiety.

Routine medications — take as usual

Antihypertensives, glucose-lowering, thyroid and others — on the usual schedule. Only the medications listed above require a pause.

What to bring

Documents

Passport or ID. Insurance (if applicable). Doctor's referral (if any).

Current imaging

MRI, ultrasound, X-ray — on disk or in cloud storage. Reports. Previous opinions.

Medication list

Everything you take, with doses. Including vitamins and supplements.

What NOT to bring

Large amounts of cash, jewelry, valuables. The clinic provides everything needed.

After the procedure

1–2 hoursIn-clinic observation
Same dayHome
3–5 daysNo NSAIDs
2–4 wkUntil next session

In the first 1–3 days mild discomfort is possible — part of the regenerative process. Paracetamol, warm compresses, reduced loading are sufficient. NSAIDs in this period are contraindicated — they suppress regeneration.

Questions about preparation?

Contact the clinic coordinator — we'll answer all questions before the visit.

Contact the clinic

Frequently asked questions

Can I eat and drink?

Yes, the procedure is under local anesthesia. A light breakfast and water are recommended.

Which medications are not allowed?

NSAIDs, aspirin, ginkgo, high-dose omega-3 — stop 7 days before. Anticoagulants — by agreement with your physician.

Are tests required?

CBC, coagulation panel, glucose. MRI of the affected area — mandatory.

What to bring?

Passport, imaging, medication list, comfortable clothing.

Can I come alone?

Yes. Accompaniment is not mandatory but helpful after a lower-limb procedure.