Do PRP Injections For Arthritis Actually Work. What Does The Science Say
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- เผยแพร่เมื่อ 15 พ.ค. 2024
- In this video the surgeons discuss platelet rich plasma (PRP) injections. They explain what PRP is, what are the indications for use, and the evidence that exists surrounding PRP.
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It has been a game changer for me. Spent years having cortisone injections in my hip. It stopped working and my rheumatologist referred me to a Physiatrist for an injection. It is the best money I have ever spent.
My husband had this treatment for Plantar Fasciitis years ago. It was a last resort treatment. It was a very new possibility treatment. It ended up working for my husband. The results were not immediate, but each week, the symptoms got better.
Nice to hear Jill. Thanks for watching and subscribing if you did
@@TalkingWithDocs hey docs. I’ve had 2 shoulder surgeons tell me my shoulder is shot and needs replacement. It’s bone on bone. Always in pain but I’m a competitive athlete. Is it worth it to ask about PRP or have you heard of athlete having the shoulder replacement and being able to get back to sport?
About to try this myself for plantar fasciitis as a last resort. Praying that it works!
Hey Doc’s.. love your channel. I’m 68 now, from Ontario & have arthritis in 2 knees & 1 shoulder so far. My surgeon tells me that I’ll get a left replacement first but it’s “not bad enough yet”. 1 of the downsides of socialized medicine possibly.
However, PRP has done good things for me. First 1 was in 2020 & I started to feel healing effects within 8 weeks. Had it again.. new surgeon ( other guy retired) he has a +80% success rate & while this one took longer for me to feel relief.. relief did arrive again, but at a cost of $950. I’m retired, but I can claim this through my HCSA, but I typically use all of that anyway so this cost realistically not covered… but still worth it.
I think all the surgeons offering this need to start doing this identically.. it’s the only way you’ll develop a robust enough study.
@@atlantean1209 Did it work for your plantar fasciitis?
I've been an auto mechanic for over 50 years, PRP has been very good for me, at 56 I was told I need a right knee replacement (now 68) so I decided to try PRP, it took about 4-6 weeks to feel a difference and it definitely helped, it lasted for about 2½ years and I needed another treatment if I wanted to continue bowl senior tournaments otherwise I probably could have gone longer, so far I have had 5 injections of PRP in my knee in 12 years, also I had a torn bicep in my right arm, PRP took care of that, unfortunately it did not help my low back when I was in pain and had to have an epidural (unsuccessful) so I elected for the McGill method which is working great. Now torn labrum in left shoulder going to P/T then more PRP. hoping for the best!
Thank you for the PRP video
Joe
I’ve had Prolotherapy and PRP for sports injuries from Caring Medical in Chicago and Lakeside Pain clinic in Minneapolis. Conditions: Gilmores groin, rotator cuff, and knee injury. It was a game changer. The sport medicine doctor discussed a public mesh because my pubic bone was so loose it shifted causing groin pain. I could not skate, cross the midline of my body, or even hold a plank. Three Prolotherapy injections and I was back playing hockey. It also did wonders for my knee and shoulder. My buddy chose cortizone injections; I went prolo. His shoulder is not seriously messed up, mine is pain free. The problem with medical research is it’s funded a lot by pharmaceutical companies and there is no money for them to make in this area. FYI- I’m a Canadian and have flew to Chicago for treatments. I now drive to Minneapolis for Prolotherapy. It worked for me and thousands who receive this treatment.
Hi Mike. Glad to hear it worked for you. There is a lot of money to be made from prolotherapy. We are confident that your injection wasn’t free. Some people it helps. Lots of people it doesn’t. That’s why we say the risk is financial. All the best. Thanks for watching and subscribing
Amen! I’ve been to Caring Medical in IL as well, but they no longer have a office there… Ft. Meyers, FL now. I’ve had Prolo, PRP and Stem from CM in several different parts of my body, and it really helped me recover and move-on. Stem is the most expensive, but will hopefully be the WAVE of the future in terms of regenerating cartilage, etc. Old Wisdom what to get 2-3 PRP injections over a 6-8 week period, but now the wisdom is to have 3 injections one week apart… current research indicates very positive outcomes when this protocol is adopted.
Prolotherapy w/PRP(separate needles and injections, mind you) is great for instability, meaning Prolotherapy has a strong inflammatory reaction which assists with strengthening and stability for surrounding ligaments and tendons. Long before PRP or Prolo where a “thing” I had numerous Cortisone shots when I had the same types of injuries that I’ve since treated with PRP and/or Prolo. The only time I would avoid PRP or Prolo is when you have no cartilage or severe grade osteoarthritis, just because said treatments are for healing/strengthening and not regeneration. The future is Stem, and hopefully I’ll be around to not only benefit, but to see it flourish, and to see the western medical establishment be proven wrong.
So ur saying socialism puffs pickles 😂
It would be great/informative to everyone if we would all state our AGE/condition with the testimonials 😀👍
Myself & everyone who concurs humbly Thank you Cheers
How much did it cost? Does Medicare cover it do you know? I just had acl surgery on my knee and I want to heal faster so I can walk again! I think some kind of Therapy like this could Really help me along with Physical Therapy which I start next week!! Thanks for sharing I really appreciate it!!
Thanks for the explanation on prp. You explained everything in simple terms. Love your light hearted approach.😊
You guys rock! Thanks for taking the time to explain so many medical procedures and treatments!
Thanks Carl. Doing our best. Thanks for watching and subscribing if you did
I Appreciate All Your Information-I am A Retired Police Officer From N.C.and a Lot of What You Guys Talk About Relates to Many Injuries Over About 30 Years. Thank You Doc's-Keep "em" Coming!!
Thanks for your service Thomas. All the best. Thanks for watching and subscribing if you did
I hear you Pal.56 and feeling those hundreds of trips to the pavement or hard floors😆
Just watched ur upload on PRP. Read n saw some other vids on PRP. Appreciated ur expert opinions on PRP n u provided more info on it. Also whether to get more serious on possibly getting the procedure. Kudos for ur vid. New subscriber because of this straight forword vid. Anticipating ur next one. Peace
Love your channel! So useful talks and subjects, that my surgeon simply would never discuss with me in such details due to lack of time. Please, keep up the great work! Peace and love to all!
Thank you so much vito. Thanks for watching and subscribing if you did
Does prp give you mobility after ankle surgery will it cure arthritis and return back to vigorous sports
I'm considering this for my IT band. Thanks for the info!
Thank you for your honesty on this subject. I’ve had a few orthopedic specialist just dismiss PRP when I asked about it. My personal experience with PRP is in conjunction with “visco” injections. the combined gel and PRP procedures have provided enough pain relief to allow me to increase my range of motion, decrease pain, and put off total knee replacement until I’m closer to retirement.
Glad to hear it Pithouse40. Thanks for watching and subscribing
Of course they have just dismissed PRP. It is taking money out of their pockets.
We learn so much from these 2 professionals. Thanks, for taking a few minutes to explain complex procedures and/or science.
Very very welcome George. Thanks for watching and subscribing if you did
LOL! We learned they want your cash!!
Great video thanks for taking the time to help keep people informed.
Very welcome Chuck. Doing our best. Thanks for watching and subscribing if you did
My first PRP injections were 18 years ago. It was cutting edge medicine in those days & had both knees done. I was experiencing severe swelling after only hiking for one hour. The pain was so debilitating that I would be grounded for 3 or 4 days between hikes.
I had othoscopic surgery and was told that I was a prime candidate for TKR on both knees. Being quite bow legged I think had a lot to with the situation.
I had 2 PRP treatments about 6months apart in 2004. The results were quite remarkable. I don't know whether it was the PRP injections or because I started road cycling at that time but within a year I was riding up to 50k's every 2nd day and hiking for an hour or two between cycling days, with no issues. I got back into x/c skiing, and even started skate skiing during our long winter months.
Three years ago I had more PRP injections while in Cuenca Ecuador, along with a PRP IV treatment while down there.
I'm 75 years old now, and this suumer completed 18 full days hikes and still ride a lot (Ebike). With the Ebike we sometimes do a 100k lunch ride.
I still get a little knee pain after hiking on hard surfaces but I'm convinced that between cycling & PRP I've dodged a bullet.
By the way the cost of PRP injections in Ecuador were close to the cost here in Canada.
Hi Blaine. Sounds like it has been working for you. Thanks for sharing your story. Thanks for watching and subscribing if you did
Being told I need a hip replacement: I’m so undecided
Thanks for sharing your experience.
heyy thank you for sharing your experience.
I hear you're from canda, does the cold weather affect your pain?
I really appreciate you taking the time to write this. I am actually going to start cycling as soon as possible. My goal will be 3 weeks from today. I just had a single prp injection (unfortunately only 3.1ml due to the incompetent phlebotomist) and I’m starting Physical therapy in 6 days. I’ve been injured a month with arthritis, bakers cyst, and medial meniscus torn at the horn and body. I can’t even lightly jog nor go down stairs.
I’m going to definitely incorporate the cycling slowly and increase it than hopefully get back to doing some indoor climbing
I'm in rural Missouri and PRP isn't covered by Medicare, but it's only $500 for the procedure, and frankly I'd pay that just to be able to climb the steps from my garage to my living room. But, I'm going to have to bridge for this, which makes me reluctant. Another couple of months of pain should be sufficient motivation! Thanks for the update.
Very welcome Family Hunter. Best of luck. Thanks for watching and subscribing if you did
Thank you so much for the follow-up on PRP. Watched the one from 2018.
Welcome Sheila. Thanks for watching and subscribing
Good talk. Down to earth and relatable. Thanks. Look forward to seeing the Chia Pet. 🙂
Hi CMark50. Yes we do try to keep it useful and relevant. Glad you liked it. Thanks for watching and subscribing if you did
Love your videos! Please keep up the good work!!!
Ok we will NSkrobis. Thanks for watching and subscribing
Hi Docs good to see you again!
Thanks Darlene
@@TalkingWithDocs Your welcome.
Another great video docs!! Be safe🙏
Glad you liked it Anita. Thanks for watching and subscribing if you did
Thanks for taking time out of your busy schedules to make these videos! I see comments about people being grateful for these discussions that can't be had with our own doctor's because lack of time. I totally agree. You guys discussed PRP and Stem Cell injections in the previous video but didn't include the stem cell update in this video. Has anything changed regarding new data or studies about stem cell injections or would you say it is still somewhat inconclusive like PRP injections?
Very welcome. Yea still not conclusive. Growing evidence for some soft tissue pathology but for advanced arthritis not there yet. Thanks for watching and subscribing
Great info. I was wondering about this before I go through another knee replacement. Thank you!
Very welcome Jennifer. Thanks for watching and subscribing if you did
Awesome video, I’ve learned so much listening to u guys! Your the best!!
Glad we can help Alida. Thanks for watching and subscribing
Very informative. Key distinction for whether to use or not is degree of severity of arthritis. People touting this leave out that fact. Thx for including.
Well said! Yeah we feel it's use is stil quite limited
Great video! I am a runner and I have had 3 PRP shots in 3 years. They have worked for me so far. They even calmed down the muscles in that leg. They were not as tight as before the shot.
I was able to run 2. 50 mile races in 2021. My doc said eventually, I will need to replace my knee. I really wish these were covered by insurance.
Glad to hear it Lisa. Thanks for watching and subscribing
The PROBLEM is you're a runner,,,
@@johnpymn9869 Yep. I had to give up running in my 40's. Took up biking.
Why on earth would insurance cover something that actually works? My insurance sucks. Thank God I am a reasonably, healthy active soon to be 63 yr. old.
@@johnpymn9869 Running does not cause arthritis, nor does it cause any other kind of joint disease. It is a myth and a fallacy.
I enjoyed you video and it would be interesting to know how much blood is drawn and what type of kit do you all use. Thanks
I'm shocked! 2 surgeons didn't back a non-invasive procedures! 😂😂😂😂
It is interesting to hear about treatments for various injuries or diseases but I would also like to hear some additional information on prevention.
Hi Kenz300x. Best prevention is avoid injuries, low impact activity, regular exercise, healthy eating and healthy weight. Thanks for watching and subscribing if you did
I had that treatment last year and showed improvement. Soon as I can afford it again I plan to do it again
Nice Steve. Thanks for watching and subscribing
This is just what I was looking for!!!
Interesting . A friend's dog is getting this in a couple of weeks - fingers crossed it works for him 🐺🤞.
Thanks for another fun video.
Liked, subscribed and shared .
Interesting Happy Days. Good luck to the pooch. Thanks for watching and subscribing
8:14
Thank you for the update!
Very welcome Tim! Thanks for watching and subscribing if you did
Had PRP for a forearm injury . . Really hurt when snapping my wrist (shooting basketball). DEFINITELY helped.
Glad to hear it Dan. Thanks for watching and subscribing if you did
@@TalkingWithDocs THANKS and i REALLY enjoy your channel!
Never heard of this. Great info as another choice, if I ever need it. ❤👍
Glad you liked it Mustang Sally. Thanks for watching and subscribing if you did
I had one prp under anesthia shoulder manipulation..so far extremely helpful. Thankful for sure. Calcific tendonitis is my diagnosis and it hurt so so bad. I was up for any remedy except arthroscopic..
Really enjoy you docs! I was referred for US guided PRP for my gluteus medius and minimus tear in my hip. I chose surgical repair with graft. Long rehab, but I think I made the right decision. Love my orthopedic surgeon!
Good to hear ROSEMARIE. Thanks for watching and subscribing if you did
What was your symptoms of gluteus tear? Did you get lateral shifts ?
Interesting 👍. My dog is getting it in a couple of weeks - fingers crossed it works for him 🐺🤞.
Thanks for another fun video.
Nice. Good luck.
Thanks for the video gentlemen. Was curious about these papers you mentioned - which you did not cite. Have you read any recent papers about PRP in the knee for osteoarthritis, like in the past two years? If so, please cite the papers you are referring to as the research has definitely progressed.
Thank you!
Yes the improvement is partial, short term and supported by poor quality studies. You can try it if you like. The risk is primarily financial and those doing it are making a lot of money. Time will tell and maybe it will work but we are not particularly optimistic. This population is desperate though and want it to work so badly. Not sure what kind of doc you are. Here is a recent meta analysis.
pubmed.ncbi.nlm.nih.gov/32551947/
Can you please talk about more research and up and coming treatments for knee arthritis
We will A bit there is not a lot happening on that front right now. Thanks for watching and subscribing
Frank’s Hot Sauce! I love you two. It’s so good to get important information from reliable sources, and be able to laugh at ourselves a bit as well. As the French say: “Mercy Buckets!”🙏🤔🤗😆🤸🏼
Thanks so much Michele glad you liked it! Thanks for watching and subscribing if you did
Hi Docs🤗 I have rheumatoid arthritis. I am on DMARD medications. I also have knee arthritis. Would PRP be helpful for an RA knee with regular arthritis also?
Great video! I was just diagnosed with moderate osteoarthritis in my lower back at age 43. I'm really digging for more info on this in my age group & in this area of the body. Such as an all in one video- ie/ tried a bunch of things to alleviate pain & a bunch of things to stop it from getting worse!, this was my outcome! If you anyone happens to have any links to something like this I'd appreciate it!! I've been digging all week. 🙏🏼
Best of luck Awkward Ascent
Doctors, you two are terrific. Makes me want to move to Canada.
Well come on up Thomas! Thanks for watching and subscribing if you did
How timely! I had my 2nd PRP injection today. Ten years ago I had arthroscopic surgery to repair a torn meniscus in my left knee. The surgery was a breeze and aside form some gross edema, the surgery was successful and pain free. A year ago the pain returned and an MRI showed a tear and some detachment. Two surgeons said they could only remove the meniscus since it wasn't surgically reparable. I had a PRP injection about 11 months ago and the pain resolved. Two months ago the pain returned and after waiting to see if it was transient I went for a second today. The procedure is essentially painless (about the pain of a mosquito bite without the itching) except for the $600 that the insurance folks don't want to hear about. So docs, there's one more dose of anecdotal evidence. Cheers!
Thank you for sharing
I've had two PRP injections and both times the worked a gem and I recovered quickly. I'm a distance runner. The first was a really bad shin splint (just kept ignoring it and it got worse and worse). After getting a PRP, it healed quickly. The second was recently training for a marathon. I got achilles paratenonitis (late July 2023). I rested it for a month in the hope I'd see an improvement but it persisted, so my sports doctor performed a PRP (late August 2023). A few days later I started training on the bike (1st September 2023) and three weeks after that I started running again. There was no trace of the injury, no hint of aggravation. I have another event coming up in early November 2023, so I've been pushing my training (more than I usually would in these early stages, especially after an injury). So far, so good. I can confidently say the PRP did the job and after two significant injuries and two successful recoveries after a PRP injection, I would highly recommend this to anyone.
@@thepsychologist8159 Always love a happy ending. Keep up the good work and I hope you have no more injuries!
Old school RN here loving your channel. Brad, laughing @7:51 (listened to it several times) has you sounding like advising a total hip replacement for knee .... still laughing myself!
Hi just cel. We have a good time. Thanks for watching, subscribing and sharing with someone if you did
My first PRP injection with ozone was amazing!!! So I have to share it was marvelous for me.... 😊
Glad to hear it
This is so cool. We had this done with my dog during his TPLO surgery. I didn’t understand what it was done; but our surgeon (who we trusted) highly recommended it.
Very nice Renee. Thanks for watching and subscribing if you did
I had PRP treatments for a chronic whiplash injury. The doctor explained it very differently - it wasn’t for pain management, the goal was to recreate or simulate the original injury and target the healing to specific locations. I had three rounds of treatments, 6-8 weeks apart. The first treatment involved 16 injections into various neck and upper back joints. The second and third treatments were 19 injections each. For me, the spike in pain afterward was extremely severe and was worse each time. And in the end, it didn’t work. I’ve had no improvement in my injury. I would definitely not subject myself to PRP again. It’s just not worth it.
Yes there is limited if any evidence for that type of use. Thanks for watching and subscribing if you did
Had it done on my Rt shoulder 4 years ago and the explanation was similar. It was excruciating and was told I’d be off work for maybe 3 days. Couldn’t even move my arm for 2 weeks. Off work for 2 weeks. It didn’t do much for me and I’m still having issues and pain. Range of motion is limited. I finally went to see an orthopedic doctor2 years. Was told by my orthopedic that I’d either need a partial or total shoulder. Haven’t decided. Can’t play tennis anymore.
@@ppw8716Look at orthocell
I had prolotherapy done for my whiplash injury and after several months I was in almost 0 pain. I am 70 now and that was in 1996.
@@bluewaters3100where did you get it done and what were your symptoms any tachycardia dizziness etc from whiplash
You guys tell it like it is live your humor and and videos ive told slot of people about your channel.houston texas
Thanks Elaine in Texas! Keeping it real here. Thanks for watching and subscribing
This messes me up you guys are on opposite sides filming lol
❤️ from SK
Ha yes every now and then that happens! Sorry. Thanks for watching and subscribing
Loved the Frank's reference!😅
Glad you did pearl. Thanks for watching and subscribing
I had it 9 years ago on my knee and worked great
is PRP injection good for Medial Meniscus Radial or root tear?
Would be glad to have an answer.
Thanks
Hi guys once again you doctors rock, cool, I wanted to let U know you are in my prayers thank you and this is me Akram from Iraq
Thanks so much Akram! Thanks for watching and subscribing if you did
Thanks for sharing!
Very welcome Karen. Thanks for watching and subscribing
Hi docs, great video ... I am a 65 years old man with neck osteoarthritis in C5/C6, no big improvements during the last 2 years with my headaches, tinnitus and dizziness so surgery has been suggested by my family doctor. Considering PRP injections are not covered by the Canadian Health System do I still need a referral to look for a specialist or I am on my own ??? ... What type of specialist should I be looking for ??.. have the impression there is a lot of scam out there with this procedure if you are not pointed in the right direction
Are there different types of arthritis? Excellent explains!
Yes there are test. Osteoarthritis. Rheumatoid arthritis. Psoriatic arthritis. Septic arthritis. Post traumatic arthritis. Thanks for watching and subscribing if you did
I have had my TKR for 4 years and it's been great
Glad to hear that Nancy! Thanks for watching and subscribing if you did
My wife had PRP treatment and it helped her. I do a lot of cycling and am thinking about having PRP treatment as well.
Might be worth a shot Ofrank. Glad it helped your wife. Thanks for watching and subscribing
i really like these guys . thank you
Thanks so much Jay. Thanks for watching and subscribing if you did
yes though the entertainment value is higher than the educational value.
I’m 56 and just retired 9 months ago with hopes of countless days on the mtn either snowboarding or mtn biking, but after almost 40 years of both boarding and biking my knees are really feeling the pain. I’ve gone in to see my doc about it and was told that I had some arthritis, torn meniscus and previous damage to the ACL and MCL in a jetski accident. I told her I went to a knee specialist and that he recommended replacement, but she had me do a couple squatting/lunging exercises and stated that if I could do those that easily I didn’t need replacement, so she suggested I speak to the PRP specialist.
I made an appointment with him and his first comment was that 40% of knee pain is caused by being overweight, which I am but when walking and bending are difficult, so is cardio. My wife bought herself a Peloton which I was excited to use, not only to lose weight but strengthen my mtn biking, but I noticed that at about minute 10 both of my knees aching to the point that I needed to stop and stretch my knees/legs.
Last year I went up snowboarding only to shut it down early due to massive knee pain, but the pain wasn’t where it typically was (kneecap area), this time is was at the back of my knees and it felt more like the pulling/stretching of ligaments. I barely made it back to my car they were so painful. When I lay on a table my left knee is approximately 3” from touching while the right one is flat.
Any ideas on my next move, I’ve been exercising and lifting weights, do you recommend Zinc/magnesium supplements ?
Sorry to hear this. So PRP has limited support scientifically. You could consider injections of cortisone or Hyaluronic acid (Monovisc synvisc durolane etc) which may help. If your knee is 3 inches off the ground when flat that is called a flexion contracture and that is due to more advanced arthritis. Some people find an unloaded brace helps. Last resort is total knee. Hope that helps. Best of luck. Thanks for watching and subscribing
And no for the zinc and magnesium tablets. Not for arthritis anyway.
@@TalkingWithDocs thanks for replying, I had my knee drained numerous times followed with a cortisone shot which has had great results, but I just thought it was a band aide fix ? Is it ?
@@TalkingWithDocs I was thinking more for joint repair
So are we saying it's speculatively worth trying for mild/moderate OA if people have spare cash? Have you made a similar video on hyaluronic acid? Sounds an interesting, cheaper alternative to PRP.
Great video as always💪👌
Hi Tim. That sounds about right. We have not but are going to about the HA. There is slightly better evidence for that and we use it regularly in our practices. Thanks for watching and subscribing if you did
Ha has helped me a lot with the pain but my knees feel very weak since the meniscus tear, so I need something that will help tighten it
I have osteoarthritis on my back, my knees, both shoulders and both thumbs. I have never been offered a PRP injection for my arthritis. However, in 2019, I was diagnosed with tendonisis of my Aquiles tendon. I was in pain, and PT did not do a thing. I was given a PRP shot, most painful shot I’ve ever had, but after a couple of days of discomfort, the Aquiles tendon pain disappeared. The shot itself was so painful, I let out an F bomb, and I am used to shots in all the areas mentioned above. You guys are the best! Wish I lived in Canada.
Thank you for telling your story carmenbaby02. Glad it helped! Thanks for watching and subscribing if you did
Carmenbaby02 don't wish for Canada, our system of care is being dismantled by the government. We still have great MDs but you may wait years to see them, with or without the pandemic. I'm needing a neurologist, I must wait 3 years for an appointment regardless of my history and symptoms. I have also been denied physical therapy for the first time in my life, because of new rules. I can pay for private treatment..so this is all new.
Very USEFUL doctors!
Yesterday I had my first PRP inyection. (Hip)
✅✅✅✅✅✅✅
Best of luck!
I had prp for my Achilles, been great since, it was about 15 yrs ago…took about a yr to recover fully
Had PRP in the knee three times a few years ago. Relatively painless procedure. Seemed to work the first time for a few months, the other times did very little. Insurance doesn't cover it.
Thank you for sharing boeing757. Thanks for watching and subscribing if you did
Did very little 😢. Now that’s sad !!!
If there was a show like you guys on child behavioral issues then the world would be a much better place.
Hi John. We think that was a compmiment?!? If so thanks so much. Thanks for watching and subscribing
So enjoy listening to your videos,... every now and then get a bit of the Canadian accent....
That’s funny Linda. As Canadians we think everyone else has the accents! Thanks for watching and subscribing
@@TalkingWithDocs Aboot...... a......I went up to Canada every week to study martial arts with Shou-Yu Liang at the SYL institue and have not been up in years....really miss my Canadian family...
In 2013 I had a total right knee replacement and then this year my left knee was hurting bad and I was in my PCP and I told him about my left knee and I asked him if he did injections and he told me that he did and he gave me an injection and my knee has not hurt anymore.
Could you guys have a video on genicular nerve ablation? That might be my next thing to try. It's now covered by most insurance.
Yes, PLEASE ! My TKR was awful. Still in pain with swelling 8 mos later of constant PT, massage, cupping, TENS, hypnotherapy, hydrotherapy, supplements, etc. I’ve been referred to pain management and this is one treatment they offer.
Hi boeing757. We can add it to the list but the short answer is no conclusive scientific evidence to support its use. Thanks for watching and subscribing if you did
How do you feel about hyaluronic acid and PRP used together for post traumatic knee osteoarthritis and or combined with meniscal tear/meniscal cyst?
Hi CC. We feel HA has reasonable evidence for benefit and if the PRP was for the meniscus that may make sense. Not sure if there has been any testing of the two together. Good luck. Thanks for watching and subscribing if you did
You guys are hilarious! I love your videos and the way you explain things for the average person to understand. I’m sure it must be difficult to score an appointment with either of you. I hope to see you with your newly grown hair! Have you ever tried Frank’s hot sauce on broccoli? That’s what my husband does😋. Keep up with your great videos.
Thanks so much Laurie! Yes on broccoli 🥦. Very nice. Thanks for watching and subscribing if you did
Thanks for sharing
Very welcome Marcia. Thanks for watching
Thanks. Very informative video
Is PRP good for Osteoarthritis knee which had a long history of knee dislocation?
The evidence does not support its routine use for moderate to advanced arthritis. Worth a chat with your local doc
Hello Dr's.Hope you guys are doing well,,,,🤗💙🤗
We are Savannah South Beach! Hope you are too. Thanks for watching
Thanks for the videos you guys do. Question, I am close to bone on bone in both of my knees. I have been thinking about taking a supplement (in pill form) but there are hundreds of them that claim they provide relief of pain in the knee & help swelling. Every ad you read practically tries to tell you why they are better than all the other gazillion products out there. In your experience, do you know of a product you believe in that would give me a little more cushion in the knee & help with the swelling? I'm retirement age & don't want to stop doing things. Thanks! Appreciate it.
Hi Hatbox. We have videos on glucosamine and turmeric. The evidence says they are not particularly effective but many patients would disagre. Injections are also worth a try. We typically use cortisone Or hyaluronic acid. Best of luck. Thanks for watching and subscribing
I use it in my practice all the time and it works great. I have people who had been receiving steroids intraarticular every 3 months and were at the point of joint replacement. We see people have relief of pain and return of function of joint and limb. works well on rotator cuffs as well
Thanks for sharing. You should do a study because at this point the research has not been able to reproduce your results Marc. Would be cool to do
Good common sense information as usual.
Doing our best James. Thanks for watching and subscribing if you did
I had PRP in both knees, didn't work. I had stem cell injections in foot arch and achilles tendon which worked great.
Hi Doctors! Your videos are very helpful. I've been referred by my chiropractor for PRP for my neck, which was badly injured in a car accident a year ago. Have you ever treated a patient with a neck injury, and would you recommend it??
Hi gramajan4. We do not see neck or back patients specifically. The evidence for PRP in the neck is similar to other areas - in progress. Best of luck. Thanks for watching, subscribing and sharing with someone if you did.
Speaking from the UK, I’ve personally never heard of this being offered on the NHS, and I’ve seen a lot of Orthopods in my time . Lucky me!
Thank you for sharing Gillian. Thanks for watching and subscribing if you did
Hi Gillian, I’m in the U.K. and am now booked in to have this done under NHS instead of partial knee replacement, it’s definitely worth a try especially being it’s not going to cost me 😊
@@marilynlewis1 Hope it all goes well for you, Marilyn.
what is NHS?
@@terrycurtis2633 it’s the U.K’s National Health Service because we don’t pay for our healthcare here, I thought I would have had to pay privately for my PRP injections but have managed to get them for free, my first one is next Thursday 15th 😊
Would love to hear from patients who have actually had PRP and what they have to say about it.
There are some comments from patients. Experience is very variable.
I'm 65 y.o. and had a chronic MCL tear that refused to heal as revealed by MRI. Chronic pain spread down the leg from the site. Had a PRP injection. Doc told me specifically before he began that "this will make it hurt a lot more before it gets better - will take about 24 hours". Lidocaine prior to injection made it seem like a piece of cake. Since it was the left knee I was able to drive myself home from the procedure. Things felt great until the lidocaine wore off. He wasn't kidding. The swelling made the knee stiff and by evening it hurt like hell. By the next a.m. the swelling had diminished and by 24 hours after injection it was more or less back to normal - just as he said it would. Now 18 months post injection, the MCL pain has been gone for over a year and activities are back to normal. It's not a magic bullet - it does take some time, **and you may have to do rehab during recovery**. In my case I rode a stationary bike for about 60 mins per day. If one doesn't do the rehab as prescribed, don't blame the procedure - you have to do the work. The cost was about $1,000, but my reasoning was that even if PRP didn't work, it was worth risking $1,000 to attempt avoiding surgery. For me it worked but anecdotally clearly it does not in all circumstances.
Hi C G. Glad it worked for you and thanks for taking the time to share your story. Thanks for watching and subscribing
I am a guitar player and have arthritis in my left thumb. Two options PRP or surgery to remove the Basel bone and pull a tendon into that area. I tried PRP because I am trying to avoid surgery. So far after three weeks I am seeing some success. I will choose PRP again in a heart beat. No more tears in the eyes level of pain. Before the PRP I would have major pain. Now I can play again. Still get the occasional zinger but nothing like prior to PRP. I also am scheduled to have Carpel Tunnel surgery in the near term. PRP may not be a cure all but I am convinced.
FWIW my insurance does not cover PRP. 😢
Rock on!
Hi docs, just chanced upon your chanel and been watching some of your videos related to knees and shoulder injury. Thanks a lot for creating these educational videos.
Since this video is a year old now, wish to know if you have any new insights or updates on PRP. I have had two PRP injection to both knees about 5 yrs ago, and had a lot of relief of pain symptoms since them and had been back to a lot of normal activities that I couldn't do before. Couple months ago decided to join some friends to play soccer after a gap of over 2o years... and see it as a bad choice hindsight... after thee 5th weekly game, th right knee began feeling a lot of acute symptoms of pain, swelling, limitation in flexion and a recent MRI shows horizontal tears to both menisci; unsure if there are degenerative or acute tears or both. Now considering PRP again, and would be interested in knowing what your latest take in on PRP's efficacy when treating symptoms that are due to repeat injury + degenerative like I think mine is.
Will be following your channel to see if you decide to take a stab at making another video on this topic.
Hi Basil. So there is soft evidence for mild arthritis. Weak or non existent for moderate to severe arthritis. The tears will remain torn regardless of whether you get PRP. If you have mechanical symptoms and mild arthritis may benefit from arthroscopy. Best of luck. We have a short coming out today on this. Thanks for watching and subscribing
Very enlightening
Glad you thought so Linda. Thanks for watching and subscribing
Our granddaughter received PRP at the time of a meniscus repair surgery. Later she developed CRPS. I have always wondered if thre might be any connection. She was required to have that knee immobilized for a time post op.
Hi Dottie. More likely the immobilization than the injection but impossible to say for sure. Hope she is ok. Thanks for watching and subscribing if you did
What do the Docs think about "Cooled Radiofrequency Treatment for Knee Joint" Is this the same concept as Ablation of the heart for A-Fib? Except done to the pain nerves surrounding the knee joint?
Hi thanks for the video, love the information shared. I was wondering if you think I would be a good fit for prp treatment. I'm a young athlete in my 20s and couple months ago sprained my ankle playing volleyball. I went back to playing but as the pain got worse I consulted an ortho and they said that I have 2 OCD lesions on the talar dome, one being 3-4mm and the other is a subchondral cyst. I have been resting for around 2 months, can definitely try resting longer as I am in no major rush to start playing again. Just trying to avoid the microfracture surgery. Let me know what you guys think and thanks again!
It may be worth a try but the evidence is pretty weak especially if your lesion is displaced and not fixable. Best of luck
What about doing both the PRP and the HA injections into the knees?
I second the genicular nerve ablation video. Hard to find any info on it. Why the hesitancy? What am I missing? I was told it's worth a try, and the risks are extremely low. Now I'm second guessing it...
Hi Mom2Boys. We can add it to the list. No evidence that it works reliably at this point. Thanks for watching and subscribing if you did
@@TalkingWithDocs fair enough. Conflicting medical opinions are confusing for patients.
🌴🇵🇷Thank you's both for made this video I do have knee trouble that need this platelet -;rich plasma (PRP) evething you's both spoke about is very important to know as far as the cost in what type Heath insurance will cover procedure. With my condition is both knee that need it done... thank you again from the island 🇵🇷🌴
Good luck
Just had a PRP injection, 6ml, 10 days ago in ankle joint (an old fracture of the talus which now has a lesion and movement limiting inflammation). There was a pretty big swelling the first 5-6 days but it feels better at the moment. Shot #2 early Dec and then evaluate how much it helps. Changing the talus bone does not seem to be an option as I’m very active and it apparently would not hold up to that for long.
Hi Siri. The talus is tricky for sure so may be worth a try. Good luck. Thanks for watching and subscribing if you did
The ankle PRP injections are somewhat making a difference (3 injections now) BUT the PRP TMJ injection (done 9 days ago) is a game changer. Wow-best the jaw has been in years. Severe facial trauma with LeFort 1-2 (crushed) in 2008. Jaw was not functioning well and steroid slow release crystals were not working anymore so this was an option before considering replacement. Amazing even after 1 treatment. Wish it was covered by insurance/health plan.
How is it now? I am considering it for my shoulder. I really afraid of going from bad to worse.
Hello. I have severe arthritis in my talnovicular joint, and they're pushing me to do a fusion. Has this helped you long term? I would really appreciate an answer. Thank you.
PRP or stem cells do benefit most people, i have had them done, i highly recommend it. When i had stem cells in the knee i could feel a sensation in the knee for about 3 months. I am pretty sure it was some cartilage regrowth and my knee felt 'tighter' and stronger.
Hi Chris. Glad it worked for you. The research hasn’t shown much for moderate to advanced arthritis yet but maybe in time. The benefit is likely anti inflammatory in nature rather than actual regrow but hey glad it helped
I would follow the advise of people who have tried PRP and got positive results on this one.
I had PRP done for hip pain. Pain was gone within 3 days and I haven’t had any more pain in that hip. That was at least five years ago.
That’s good. Thanks for watching and subscribing
What was wrong with your hip? Bursitis?
@@susievidal4134 yes I believe so
You really are blessed and highly favoured for healing
@@gerrie6498 TY
I have moderate patella femoral arthritis chondrosis on both knees. I just feel they are not strong as I squat. I’m 54, very active athlete. I’m wondering if PRP could be beneficial regaining the strength as squatting and standing up from the ground. I appreciate any feedback.
Thank you!
Very welcome MmmCake. Thanks for watching and subscribing
Yes, PRP can absolutely help with OA, in my opinion the only downside is the cost but as I stated in anther comment it helps to have someone experienced doing the injection I had one doc hit the fat pad and it was the most pain I ever had in my life and it lasted 6 months.
Yes fat pad is very painful. Hopefully the research can show a true benefit for OA. Not so far
Great day docs! I have a question. Would you recommend PRP over surgery for a tennis elbow? I have been dealing with it for over a year now. I have done therapy, acupuncture and about 3 to 4 months ago I had that steroid shot . Needless to say it did not work. I actually got hurt at work so I’m dealing with the hole workers comp. the specialist treating me says my only and last option will be surgery. what would you guys recommend? please, if you could suggest something
Hi Rawtruth. There is some evidence for PRP in the treatment of tennis elbow but no guarantee. Best of luck. Thanks for watching and subscribing
Thank you for the reply docs🙏 great videos.
So would you recommend someone to have surgery over the PRP procedure?