Dr. Sal Meli ND

PRP in Vancouver & Squamish

  • (604) 390-4455

Vancouver, BC

  • (604) 637-8777

Platelet-Rich Plasma (PRP)

For pain management and improved joint stability

Several clinical studies report that PRP can:

  • Improve pain levels and functional ability compared to cortisone injections, hyaluronic acid and placebo
  • Sustain lower pain levels over short and long term
  • Result in better outcomes at the 12-month follow-up compared to other treatments
  • Significantly reduce the risk of re-tear by up to 40%

What is PRP?

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Platelet-Rich Plasma (PRP) is a non-surgical treatment used to strengthen joints after injury or to reduce joint pain in both acute and chronic cases. It works by strengthening the ligaments and tendons that stabilize the joint. PRP is an advanced technique that offers great potential for improved mobility, joint stability and pain relief. It goes beyond simply treating the symptoms and can offer long-lasting benefits.


PRP is an injected substance made in office by concentrating blood platelets. When PRP is injected into the site of pain or injury, it stimulates cellular growth, tissue regeneration, and collagen production resulting in more joint stability, improved function and reduced pain.

PRP is right for you if...

  • Massage, physiotherapy, chiropractic or cortisone injections have only provided minimal or temporary relief
  • You're looking for a lasting solution to stabilize a joint or reduce pain by addressing the root cause
  • Your joints regularly click, pop, grind or feel unstable
  • You want to avoid pain medications or joint surgery

PRP can successfully treat..

  • Osteoarthritis
  • Rotator cuff tears / frozen shoulder
  • Joint instability or hyper mobility
  • Ankle sprains
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    TFCC & wrist sprains
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    Knee ligament / mensicus tears
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    Herniated discs
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    Tennis/golfers elbow
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    Back, spine and SI joint injuries
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    Plantar Fasciitis
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Meet Your Doctor

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Dr. Sal Meli, ND


PRP Therapist

Dr. Sal Meli is a licensed naturopathic doctor and has been practicing sports medicine since 2012. He works primarily with injection-based therapies such as PRP, prolotherapy, trigger point and cortisone shots for pain management and injury recovery. His sports medicine practice treats athletes of all types and he is experienced in treating all joint areas. He now focuses his practice on the use of PRP for athletes of all levels and for anyone with chronic pain. 


Dr. Meli has a general practice in Squamish and exclusively practices PRP in Vancouver.

What Our Patients Have to Say

Dr. Sal Meli is one of the best things to happen to both my physical and emotional well-being. We have spent time together doing my PRP in my knee. He is very knowledgeable about the procedure, the potential future outcome and where and how to inject it into the knee area without much pain. PRP has been a lifesaver for me and my arthritic knee.  Dr. Meli is a well-rounded practitioner with insights that go far deeper than just PRP.  I give him a 5/5 rating.

Peggy Blumenthal

Osteoarthritis, Chondromalacia, Right Knee

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"I severely tore my shoulder in a soccer match last year which left me unable to do simple tasks and confined to my couch. A month after my injury I went and saw Dr. Meli for PRP in Vancouver. The treatment itself was comfortable and quick. Dr. Meli is very professional and explained every part of the procedure including what he was doing and how the injection would repair my damaged tendons. Within 48 hours I felt stronger and had a wider range of motion in my shoulder. I returned for a second treatment 4 weeks later and shortly after that I was back to my old self, playing soccer and rock climbing without pain! It has now been 6 months since my injury and I can’t tell it happened which is amazing considering my GP suggested a much longer healing time! Truly thankful for Dr. Meli and PRP!"

Alex Tooby

Grade 3 AC Separation, Right Shoulder

PRP Vancouver testimonial

"PRP changed my life. I was in chronic pain that I never thought would go away. I had given up my professional dancing career only to have started up again after a 10-year hiatus. I owe it to Dr. Sal and the treatments he's given me. I'm so thankful."

Geneen Georgiev

Labral tear, Left Hip

Frequently Asked Questions

  • What can I expect at my first visit?

The first visit involves history taking, physical assessment and treatment. Blood is drawn from the arm in office and the PRP solution is prepared in our lab. Once the PRP is ready, Dr. Meli will freeze the area and inject the PRP into and around the injured tissue. This visit takes 60-75 minutes depending on area(s) being treated. The treatment itself may only take from 2 to 10 minutes. Other lifestyle, dietary or supplements suggestions are given to maximize the treatment effect and address other concerns that may limit healing. 

  • How do I come prepared for treatment?

Stop taking all over-the-counter anti-inflammatory medications (ie. Advil, Aspirin, Motrin) for 1 week before the treatment. Switch to Tylenol if required. Come to appointments fed and well-hydrated.  

  • How does Dr. Meli harvest PRP? 

Dr. Meli will draw between 2 to 8 vials of blood from your arm, depending on the region being treated. He uses a double spin method to first separate the platelets from the red and white blood cells and then a second spin to further concentrate the platelets. The final product is only a fraction of the blood that was used and is of the highest possible concentration. 

  • How does PRP actually work?

The platelet portion of the blood contains several compounds called 'growth factors' which signal our cells to multiply and grow. The cells that make up ligaments and tendons have a poor blood supply and therefore tend to heal slower and often incompletely compared to muscle tissue. By concentrating the growth factors and injecting them directly into the site of injury, the  growth signal is released and the injured tissue heals at a considerably quicker rate. PRP is essentially using the body's own healing mechanisms, concentrating it and directing it to the exact site of injury.


There are several growth factors that are found in platelets including 'platelet-derived growth factor' (PDGF), 'transforming growth factor' (TGF-β), 'platelet-derived angiogenesis factor' (PDAF),  'insulin-like growth factor' (IGF) and several others. The presence of these compounds signals the inflammatory response, which attracts blood flow and therefore accelerates healing.

  • Do the injections hurt?

The treatment can be moderately painful. Freezing is used to numb the injection site, which minimizes the pain. Treatments are generally quite short (5-15min) and most people can simply grin and bear the discomfort. Over the counter medications like Tylenol can be used safely after the procedure, if necessary.

  • What are the risks?

PRP is a very safe treatment. Bruising at the treatment site can occur and a mild worsening pain in the region for 1-3days is an expected outcome. Risk of infection and accidental puncture of nerves, spinal cord or organs (esp. lung) exists with any injection-based therapy, but are extremely rare.

  • Where is this treatment offered?

Dr. Meli practices PRP in Vancouver at the Stein Medicine Clinic at the Hornby location in the downtown core. In Squamish, Dr. Meli practices at Euphoria Natural Health, which is in Garibaldi Village.

“A joint is only as strong as its weakest ligament”

- Dr. Hackett, The Founder of Prolotherapy

Copyright 2018, Dr. Sal Meli, ND. PRP in Vancouver & Squamish