Which Knee Arthritis Injections ACTUALLY Work? Cortisone vs Stem cells vs PRP vs HA
ฝัง
- เผยแพร่เมื่อ 22 มี.ค. 2024
- I review the four most common injections for the treatment of knee osteoarthritis. These include corticosteroid or cortisone injections; hyaluronic acid also known as gel shots, HA, or viscosupplementation; stem cell injections including bone marrow aspirate concentrate, stromal vascular fraction (SVF), and umbilical cord stem cells; and platelet rich plasma or PRP injections.
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► ABOUT ME
Jeffrey Peng MD is a nonoperative orthopedist and sports medicine specialist. He focuses on maximizing non-surgical treatments for sports injuries and orthopedic conditions. He specializes in using orthobiologics and ultrasound guided minimally invasive techniques to treat osteoarthritis, tendinopathies, and musculoskeletal disorders.
Dr. Peng is board certified in sports medicine and family medicine. He completed residency with the Stanford family medicine residency program and completed his sports medicine training with the Stanford primary care sports medicine fellowship in San Jose. He is an active faculty member for both programs and is excited about training the next generation of physicians.
Dr. Peng’s sports medicine clinic is located in Campbell, California.
Twitter: @JeffreyPengMD; / jeffreypengmd
Website: www.jeffreypengmd.com/
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I had a cortisone injection and ended up with 10/10 pain more than I originally had. NEVER AGAIN
Just a shame that insurance doesn't generally cover PRP treatments.
Im 63 and have stage 3 OA in my left knee. Im getting HA and PRP 2 x a year. My PRP is only 35 ml less than Dr Peng recommends but is spun twice which he does recommend. See Dr Peng’s video on what makes a good PRP procedure. I am also taking turneric, boswellia, and glucosamine chondroitin and tirzepitide for weight loss. Have completed PA. And am rebounding and doing resistance training to strengthen muscles around knee. Recommend subscribing to Dr Peng if you aren’t already.
Dr. Peng,
I had a landmark-based Monovisc hyaluronic injection about 2 months ago done by the nurse practitioner in my orthopedic surgeon's office, hoping to avoid a total knee replacement in that leg after the "successful " but horrifically traumatic TKR in the other leg. BEWARE! Something went wrong evidently as 6 hours after the Monovisc I was in bed with crippling pain throughout the entire leg and hip. I literally couldn't move. After about 2 days I could hobble around with a walker. Now the knee seems truly fubar, so that an ultrasound guided cortisone injection in the joint was useless. Just a warning to others regarding various injections. I did pay $9000 for stem cell treatment a number of years ago and may have gotten 3 years pain relief out of it before giving up and going for the knee replacement.
Thank you Dr Peng, I wish more Sports Med Docs would pay attention to detail like you do, it makes a difference , it can be marginal or more , but who doesn't want the best chance at staving off total knee replacement!!!
Doctor you're the best.I learned a lot from you.I wonder where your practice is but thank you so much
Thank you for the excellent explanation of the different procedures.
Bless you doctor for explaining these therapies in details. ❤🙏😇
So why does insurance only cover the injections that show little results?
Dr. Peng, I've tried cortisone shots originally In 2022 and 2023 I tried PRP and "Gel" shots. Both of those helped somewhat.
Thanks for a detailed presentation, as always. How about Prolozone therapy, what is it? do you also administer this?
Thanks! This is really helpful! :)
Within the myriad commercial brands of PRP kits available, numerous professionals utilizing various PRP kits assert notable differences in the degree of pain sensation. What could be the underlying cause of this variation? Is it possible that certain companies incorporate local anesthesia into their tubes to mitigate pain levels, despite the recognized compromise in the effectiveness of PRP treatment?
Excellent presentation. Looking forward to your next video. Question: why aren't they using these treatments ie HA and PRP on hip arthritis. There is a very big need for additional effective tx besides a hip replacement.
Beautiful explaind.Thank u.
Is it possible to mend a partially torn (30% vertical tear on back horn of medial meniscus) degenerated tear, so that it doesn't have a tear anymore - with any of these injections? Or any other therapy? Is there any known case?
About 8 years ago, I paid over 3 grand and got 2 units of umbilical/placenta stem cells injected. My right knee has been a lot of pain for 5-6 years My left knee had just started .I only got the stem cells in my right knee.The other one in my left upper arm.. I had several drainings ,then cortisone in my right knee prior to stem cells. Now it's 8 years later, my right knee is better,a bit then my left knee.still better
Is OA stage 2 should start for PRP injection? Or in what stage OA (degenaration) should start injection?
I have OA, left knee, medial side. It's developed fast (no symptoms prior to 3 years ago). It is pretty much bone on bone. My knee doc gave me cortisone injection. Didn't help. Later, I tried the gel injection (landmark injection), That also didn't help....I realize now my knee is slightly bent now (won't straighten out) so I kind of limp and am uncomfortable walking.... I won't do stem cell. I am terrified of Knee Replacement. I am early 70s.... My OS may be too far along for the PRP.... not sure.....WHAT HELPED ME SO FAR - Collagen UC-II supplements, and just added the Turmeric/Boswella. Prescription Meloxicam for joint pain... Walking slower and watching my step. Orthopedic shoes helps incredibly!- a huge difference having these shoes from orthofeet...