There is so much conflicting info on PRP injections to the knee. Understanding every patient is different , I have 2 important questions: in general, 1. what does your experience show to be the best frequency of intervals of shots? and 2. what is the best time period to spin the blood for--or what is the most appropriate amount of the concentration of plasma? Thank you so much for your ultra clear explanations. :))
Incredibly informative video. Thanks, Dr. Peng. The fact that you want to help your patients get maximum results and are setting them up for that is amazing! I have an appointment with a Dr. Mathew Wells in FL to review my MRI and discuss PRP injections for knee arthritis. I am excited to potentially take better control of this disease through PRP, physical therapy, diet, sleep, stress reduction, etc. There should be more doctors like you in all medical specialities. Thank you thank you!
@@JeffreyPengMD thanks Dr. Peng. One follow-up if I may. I want to do some cardio ahead of my appointment (as you suggested). It’s an initial appointment so I probably won’t get the injection at this one. My cartilage damage is under my patella. In terms of biomechanics (I think that’s the right word), what cardio workouts are best for knee cap damage. Is the elliptical okay? I ask because I went on it a couple of times recently and did have some pain for a day or two afterword (the pain was bearable). I’m generally also wanting to stay in good cardiovascular health. Thanks again Dr. Peng!
@JeffreyPengMD Hi , I had an ankle sprain 3 years ago and it has not healed yet. There is ligament thickening - as informed by the provider and he suggested PRP. I am just not sure if that will help. I have tried physical therapy and alternative medicine but it was of not much help. My ankle and calves hurt when i walk fast or walk too much (also i have flat foot) . please do reply.
This video is very informative, I did 1 PRP injection on my left knee and it was very painful and my leg froze I couldn't walk it was horrible but after a few hours there was no pain, just discomfort for about 4days.and I have 2more to do, not looking forward to it but it's necessary.
Just did this for my hair. It was sooo painful but it’s crazy when I washed my hair I had WAY less hair fallout than ever before. Hope it works well 🙏🏼 Thank you for the info Dr.
Does this work for the back? I got the impression that it does not. I am grateful for your videos. I am getting my PRP in my right knee next week. My doctor did not tell me any of the information you shared. SHM Im glad I found your channel. Thank you.
I have read all the questions from the people, and you are an amazing doctor! I have been researching about PRP for my lower back pain, and your videos are great! I just suscribed to your channel! :)
@@JeffreyPengMD Hi , I had an ankle sprain 3 years ago and it has not healed yet. There is ligament thickening - as informed by the provider and he suggested PRP. I am just not sure if that will help. I have tried physical therapy and alternative medicine but it was of not much help. My ankle and calves hurt when i walk fast or walk too much (also i have flat foot) . please do reply
I just had PRP injections in my back last Friday and it seems like the pain is starting to get better. I have 3 bulging discs and a herniated disc with majority of the pain around L2/L3 and L3/L4. Just out of curiosity, did you have bulging or herniated discs and how are you now? Did you have to receive additional PRP injections?
This channel is great. Thanks for all you do. I know you can't give medical advice here. I have what I think is a rare tendinopathy, it's bilateral calcific insertional triceps tendinopathy. The calcifications are visible on x-ray and MRI confirms fluid in the tendons. The problem goes back several years, I had taken a long layoff from the gym to resolve the left side. When I finally got back into it I only had minor pain. I built up slowly only doing pushups. Eventually starting triceps extensions with only 3 lbs. After many months I graduated up to 10 lbs and out of nowhere was getting pain on my right side, near full extension of the elbow, accompanied by tenderness on the lateral side of the olecranon. I stopped doing the extensions but continued with pushups because there was no real pain. That was 10 months ago. In an attempt to finally resolve this, I laid off pressing exercises altogether for 4 weeks, then did some very light pressing I had no pain but the elbow was irritated a few hours later. So, I seem to be worse off for taking the layoff. I'm scheduled for a PRP shot as I've had 2 opinions that think that's a reasonable option. Neither opinion thinks the calcifications are the issue or should be dealt with directly. So my question is if PRP has any research for insertional tendinopathies? Also, should the calcifications be dealt with could they be the source of the pain?
Pretty much all the PRP research on tendons is insertional or origin. There are no (that I can think of) studies looking specifically at triceps tendinopathy, but anecdotally, yes it works. Good luck!
I think the pain level while undergoing prp is very much based on technique and experience of provider…..having mine in late October and freaking out about the pain because i am so needle phobic. But i really need this; trying to prevent a fusion.
My knee has taken alot of abuse. 5 surgeries in all. Acl, mcl, pcl torn. Meniscus torn twice. Infection after operation, septic arthritis. Just before covid, found out hair line can be seen on cartilage. Pain as hell. Few months back, did prp on my knee. Extracted 5 tubes of blood for spinning in centrifuge. Knee feels so much better now. Am only in my 30+.gonna continue for maintenance purposes.
Thank you, I will be having this procedure done to me in a few days and your explanation really put me at ease and makes me hopeful that my lower back/lumbar pain will get better
If person has early stage of chondramalacia patellaIs if she takes 3 injection shot so is it one time treatment? or it has to be repeated every year ?@@JeffreyPengMD
I was disappointed with my PRP treatments, inflammation did dissipate but the OA pain in my knee just came back. 3 months later second treatment and knee pain was worse. I personally had more success with Haurlic Acid injections, specifically Monovisc. I was so optimistic about the about the procedure. Good luck.
Thanks for your comment and sharing your experience. There's a lot of research (will make a vide on this very soon) on the different types of PRP, specifically looking at platelet counts. It'd be interesting to learn how many platelets you had in your PRP injection (can probably get a rough estimate by how much blood they drew) and correlate that with outcomes. HA injections are still a good option!
@@JeffreyPengMD I am 54, very fit. I ran marathons, mud runs, and other competitive type races. I' have done weight training and calisthenics my entire life. I eat a healthy diet. My draw was about 5ml of blood both times. My platelets were over 350 based of my labs. I also was a PT patient for the same issue for over two yrs before trying the gels injections. I tried PRP because of the current information available, as I stated my results were not as positive. Thank you for the response.
Hi, I was just reading that you said they obtained about 5ml of your blood. I'm pretty sure that amount is no where near the required. 50cc is the goal! You need a platelet count of at least 10 billion or more.
I have been dealing with constant pain in my lower back on my left side as well as muscle inflammation over the past 20 years, but it got worst this past year. MRIs showed a couple of herniated discs and an annular tear. PT and acupuncture did not seem to help relieve the pain at all. I even had an MIS discectomy, which did not help and may have been made the pain slightly worse. I have started doing softwave therapy, but not sure how much that is helping me so far, but I heard very good things about PRP, so I am still hopeful and optimistic. They even say that combining softwave with PRP can help the body heal and recover faster. Even if PRP/softwave does not help, I am considering DiscSeel as my next option. I am hoping to avoid any additional surgery, such as spinal fusion, at this point.
Please keep us updated, and best of luck! I have a bad lower back too. A stupid job from 20 years ago that I did when I was young and dumb. You know, you're 22, what could possibly go wrong? If I'd have known it would still be messed up two decades later, I would have walked off that job immediately.
@@squamish4244 Have you tried PRP and did you find something that helped you? As for me, I came to the realization that the intense pain I am experiencing is at the L2/L3 level, where I have a slight disc bulge with thecal sac indentation and where I did not have surgery. I am still doing softwave therapy and have my intradiscal PRP injections next week. I am hoping that the combination of both treatments will provide significant pain relief.
@@squamish4244 So how is your back doing these days? Have you found something that helped you? The majority of my pain is at L2/L3, where I have a slight disc bulge with thecal sac indentation. My PRP is scheduled for next week, so I am hoping and praying that I can get some much needed pain relief.
@@mikea8294 Yes. Actually, from the other source of rejuvenation therapy that has actually been shown to work: NAD+ intravenous therapy. Boy does it ever help my back pain. I just can't afford to get it enough. It's $1000/six-hour session. Soon I hope to be able to, as I could before: about once every three months. It's currently been a year.
I just watched this again and you are very convincing. I would love to try this therapy but have the following concerns. First of all my Uncle had the treatment on his hip and it did not work at all, I am not sure if he followed the instructions perfectly so am not sure as why it did not work. I also visited a regenexx office in Larkspur and they took xrays and told me it would not work. I assume because of lack of cartilage. Does this make sense to you and how do you diagnose the possibility of it working? Thank You.
The related therapy rekindles the hope of a pathbreaking technology to a lasting relief from a crippling health condition plagueing a very large no. of populafion.All glory to Dr. Zeng! Is this facility available in India?
I had injections in rotator cuff tear .Extremely painfull and lasted for a good 48 hrs.Should of had a driver .Couldn’t move my arm for a few days as well .Praying it works.
I am a 53 year old with severe OA in my subcalcaneal and knee joint. I had 2 PRP in the subcalcaneal joint, 1 PRP on the left knee, and 2 PRP on my right. I have been pain free for 5 years now. Just wish I could find a clinic to inject PRP into my hip. My current regenerative clinic does not have ultrasound or fluoro guidance imaging.
@@Cybernetic263 I noticed improvements about the 6 week mark. Ask your doctor what and when to start strengthening exercises. That part is super important. No squats or lunges. Buy a foam exercise roll, sit on the ground with the roll under the pocket of your back knee, isolating your thighs & knee, and just extend straightening your knee. No weights, just plain foot lower leg extensions. Eventually ankle weights or a large bag of ice in a pillow case if you don’t have weights, just for the mild resistance. Some people see results in 4 weeks, some 12. It just depends on the extent of knee damage. One knee I had a second injection after seeing no results after 3 months. That second one worked and has not given me problems since my 2019 procedures.
@@Cybernetic263 wait until you are cleared for exercises from your doctor. I think I was cleared after 6 weeks, but ask your doctor, especially if you don’t have a follow-up appointment scheduled.
Thanks for the great videos. We re considering PRP for an injured knee. Question. I didn’t hear any mention of caffeine but read you should not have any 1-5 days before or after procedure. What are your thoughts ?
Great information..thanks....I have taken two prp sessions combined with dextrose injections.for my rotator cuff shoulder partial tear..in india...going to have third and last session after two days....i can still feel the pain but hopeful to get better after few more wks ...
Thank you so much for this information! I really respect and appreciate your approach. could you recommend or I can get this treatment in the Austin Texas area?
Wish I had seen this video before my prp injection, it was SO painful no local was used. I have a 50% tear in my patellar tendon so hopefully it works, had it 2 days ago.
Local anesthetics such as lidocaine has been shown to damage platelets. However, ropivacaine, is much less damaging to platelets and a small amount can be used to make these procedures much more tolerable!
@@JeffreyPengMD My PRP ortho sports medical doctor was going to use lidocaine for me and I specially requested ropivaciane after reading Dr Peng's view on local anesthetics and he said he actually preferred ropivacaine too.. Thanks Dr Peng.
I just had this therapy in Jacksonville, FL by the wonderful Dr. John Anderson, a foot and ankle orthopedic doctor. Because UF does a large number of these treatments, the cost was only $500 vs $1500 at other facilities.
Dear Dr Peng. Would you rather suggest activated or non-activated PRP for osteoarthritis? What is the expected consequence if activated, resp. non-activated PRP is used? Thank you so much for your videos.
10 years is very new in medicine!! For whatever reason (of which there are many), it takes incredible effort to get new things approved in health care. Thanks for your comment.
Excellent video, and appreciate the detail. I continue to get the "no data" response from doctors I'm seeing (and doctor friends) re: PRP, and it seems by your analysis there is a quite a bit of data. I'm considering it for a pesky, ongoing (+8 months) either brachioradialis strain or bicep tendonitis (two docs, two assessments). It continues to be irritated by select weight-lifting and other bicep pulling motions.
This is the first video I've come across that really gets to the questions I have. Thank you for cutting the BS and just getting to the point. One question I do still have though, I have two completely torn ligaments in my left ankle (ATFL and CFL) so my ankle is pretty unstable. I'm running fine on it but I easily roll my ankle on trail runs even with a brace. This happened in Feb 2019. Does the 3.5 year gap matter or would I still be a candidate for this treatment? Thanks!
Unfortunately PRP has not been studied for ligament tears. We do it a lot for UCL problems in the elbow, but results have been mixed. Using PRP for ankle ligament issues would still be considered highly experimental, regardless of when the injury occurred. Best to discuss with your health care provider. Good luck!
@@JeffreyPengMD I'm having a consultation with a specialist regarding PRP or other injections for relief in my elbow where I had a UCL tear a year ago. After the initial tear, 3 months of physical therapy helped me regain use of my arm, and then a few months after that it felt pretty good. But its been degrading a bit the last few months. Are there alternatives to PRP for the UCL for pain relief and recovery?
Hello Mr Peng ,thanks for the informative video.I got a PRP treatment on my knee for osteoarthritis and a week after it swallowed and got very painful no major incident I just used a strong pain relief cream with camphor ,chondrotine and collagen is that could be the reason of the sudden swallow and strong pain ?I m 10 days from the shot now the swallowing is slowly less so is the pain but still very painful can t walk properly ...will this affect the platelets ? have a good day thank you .
If you had a patient with both knees with arthritis/ started off as a meniscus injury (over use, jogging) would you encourage that patient, or discourage that patient from having both knees done at the same time? New subscriber, looking into this procedure. Thank you
Thanks for this and other video. Dr Penguin, do you know why insurance is still no covering the cost of PRP injection if there are data showing benefit ? I have knee pain after ACL and menisus operations 25 and 5 years ago. So am scheduling to do PRP injection shortly. Thanks again.
Hello Dr. Patel, I‘m from Germany, been suffering from Hyposmia for1.5 now. I would like to get the injections and willing to travel to the USA for this. How can I get an appointment?
Thanks for your question, these are all "in general" and of course needs to be individualized. There are less studies for ligaments and muscles. We lump them into the tendon category of most of the time needing just 1.
Thanks for the content , after Prp injection in my knee , it becomes swollen , with pain 12 hours after injection which lasts for three days , also i felt sometimes locking in my knees don’t know why !! May be because of the volume !! Anyway after the fourth day my knee movement returns back to normal without locking . Any explanation for these symptoms !! Is it indication that the injection in right place ?? Can it help for meniscus tear ? Theoretically it has huge amount of growth factors , can this induce cartilage or chondrocyte to regenerate the cartilage ?? Thanks
This video is very helpful but the part about preparing for your prp begs a new question. If we rid ourselves of Tylenol, Motrin and eat tons of fruits and vegetables, would that help osteoarthritis in all our joints overall? Or are some joints just stubborn?
Lifestyle has a HUGE impact on osteoarthritis flare ups. But once you have arthritis, modifying your lifestyle will not regrow cartilage and get you a new knee. PRP can help treat the internal environment of the knee to protect the cartilage that is remaining.
Thanks a lot Dr Peng for this excellent information. I want to know that for stage 3 knee osteoarthritis Hyaluronic acid injection is better or PRP? I’m afraid of all the invasive procedures on my knees. Kindly reply. Regards
Hi , Thankyou for your video , very helpful . I,ve had a few prp injections for my knee now over the past 2 years and all were a nice yellow colour but my last one was Rose red in colour , my doctor said it is ok but Now i,m a bit curious , is the Red PRP as good as the Yellow ?
Hi.It seems the prp has helped my knee.I don't have much pain,but the knee /arthritic is so swollen and it is hindering my walking a great deal.What now Dr.Peng?Please advice.
Great information. 4 years ago I had 3 doctors who told me I needed surgery for the rotatory cuff. I found and alternative Bio energetic Dr. I had various injections (7 sessions) PRP injections for my shoulder and I'm 90 % cured. Now I have a meniscus tear in my right knee. I have app with another Dr that also uses PRP. (the previous had retired) I hope I will have the same results as my shoulder. I know at least 5 people that had knee arthroscopy surgery and was not successful. They are in pain and still going to physiotherapy. Thanks Dr Peng I just subscribe to your excelent videos.
Hi, I have the same problem as yours and did prp injection for meniscus tear in knee. Could you please share your experience and result in knee prp? Thanks
Great question! I will be making a video on this in the future. However, it's important to point out that PRP and hyaluronic acid treats symptoms and does not regenerate anything. If you have severe arthritis, the definitive treatment is a knee replacement surgery. The goal of PRP and HA is to reduce symptoms sufficiently so that you may not need a knee replacement surgery for as long as possible!
@@beezyb42011 agree with you. That's the whole point of it, to regenerate. It's called Regenerative Medicine. You never, ever want to put man-made devices inside the human body. Your just asking for an autoimmune disaster.
I had a PRP injection today and what my orthopedic Dr is saying is contradictory with what is being said here (makes me nervous and worried). I am suppose to take 600mg ibuprofen every 6 hrs for 2 wk and ice for the first couple days and I have restrictions along with a split to be used only to take off 4-6 times to do stretch exercises. He cancelled PT, ultrasound TX and massage - only stretching. So many drs have different opinions and instructions it is worrisome….
Excellent video Doc & you answered most of the questions that I had about PRP. However, I was wondering how exactly these injections are done. If you inject the knee for example, how do you avoid the needle from going into the meniscus rather than the joint space itself? It also seems like you would need a lot more plasma than just the amount that you described in this video. Is the injection limited to the area where the patient is experiencing pain, i.e., medial vs. lateral knee joint? Anyway, thanks in advance for answering these questions! P.S. I live in CT & was wondering how I would go about finding a doctor that does these injections? I doubt that my Orthopod does them as he's old school. Anyway, thanks!
All PRP injections should be done with ultrasound guidance. Don't let anyone do injections on you the old school way which is landmark based. TONS of doctors on the east coast. Usually your best bet is to start with your local academic medical center.
@@JeffreyPengMD Here in India, Bengaluru an ortho doctor in a hospital has put up a video advising people to take prp but I doubt if would use ultrasound which anyway he has not mentioned in the video. Is it better to not get PRP from him (and continue on supplements ) ? Or take the risk ? This is for my wife for knee arthitis. Thank you.
Wow I wish I knew all the things I should’ve done before getting PRP. My doctor did not let me know of any of that. I had a Tylenol the day before for period cramps. 😪
Excellent video. Detailed information is given. Thank you. My wife is taking supplements like nutrajoint ( Rose hip extract, boswell sarrata and vitami C) for knee arthitis, immunosuppresants (Azaron Azathiooprine 25mg) for vasculitis , diabetic medicines (vildagliptin ) and diamicron and urotone ( Bethanochol chloride) for urinary bladder weakness plus cacicum , vitamin d3 and multi vitamins. Which of these she should stop before prp? Please reply.
Is arthrofibrosis/ capsulitis a contraindication to PRP? I have post op decreased ankle ROM after ankle surgery and some pinching symptoms. (Primary surgery was debribement of scar tissue and removal of bone spur)
Another great video Dr. Peng. As always, it is very informative. I was curious about supplements. Should we discontinue these also? Also, how long do we need to wait before more strenuous exercise such as climbing 14ers?
Thanks! There's a lot of back and forth on supplements. No definitive evidence that it impacts anything, though if you want to be SUPER careful, you can discontinue everything.
Dr Peng Thank you for a very comprehensive video on PRP. I have my left knee lateral meniscus traumatically torn with a radial crack of 7mm(0.28in) wide and 14mm (0.51in) long. In your opinion, would PRP help regeneration of meniscus tissue?
Thanks for your comment. It's VERY important to understand that as of this point in time, we have no definitive data to support that PRP or stem cell therapy "regenerates" anything. Rather, we think we are changing the biochemistry of the environment and that's what leads to improvements in both pain and function.
Hello Doctor.. Four days ago, I underwent plasma prp in my shoulder because I suffer from inflammation, calcification, and an occasional tear in the tendon. Now the pain has improved greatly, but I cannot move my arm. Should I try to move it and do a light exercise for it to regain its movement, or should I wait another period? Please answer. Thank you.
I was diagnosed with osteoarthritis caused by hip dysplasia. The pain has rapidly increased day by day. I really need to buy some time before I have my THR since my wife is 6 months pregnant. Can PRP injection delay the day I need to have THR?
Hi, that's wonderful to know more on this. Today, I had a prp session but I'm truly confused when should I wash my head. Is it 6 hours after the treatment or 24 hrs, would you please help me on this
Thanks for all the information. I had my first treatment today, I am on baby aspirin due to a stent/pipeline in the brain I have to take it daily, did I mess up my entire treatment? This Something I totally didn’t think about
my ortho suggested prp for my shoulder, I have bursitis and 2 small tears. tried cortisone injection but did nothing other than ruin my diabetes control for a while
Sorry to hear about the pain. PRP for shoulder pain is definitely an option if cortisone and physical therapy / home exercise program doesn't help! th-cam.com/video/RjJWz-V_RIQ/w-d-xo.html
My orthopedic specialist advised me that PRP may lend up having bacterial infection and that will worsen the matter as one will need operations to remove the bacteria infested knee. Moreover he said if this happens it will worsen the knee condition. He advised not to do PRP but have knee replacement. Please advise doctor
I got PRP injected to my shoulder joint in colombia. They used a shorter needle 1/2"- 1" and in kept in smaller tubes... Like 6 total moving around my shoulder. Is this as effective as one large shot?
Is Longvida curcumin 400mg the same pathway as nsaids - will it inhibit platelet counts? Same question for Boswellia extract 350mg? Thanks for any help!
After listening to your video Iam going to focus on healthy eating and drinking water plus cardio vascular exercises before I fix an appointment for stem cell therapy and prp. Being said that how long should we do this before having the prp/ stem cell therapy to get ideal or best results ??
There are no studies answering your question "how long to make changes before starting a biologic treatment". With that said, what is certain is that healthy lifestyle changes are things you'll want to continue for the rest of your life!
My mom is taking this injection tomorrow. She is having Amitriptyline 10 mg (for her PHN), blood pressure medication and Cholesterol medication. Can she take these meds on the day of the injection and then after? Thanks
I have developed tendinosis in my extensor carpi ulnaris tendon in both of my wrists due to an old Factory job that required repetitive movement and the tendons just didn't heal properly. How helpful would PRP be in my situation in your opinion? I have undergone occupational therapy on and off for the past year now, and I'm not seeing the results I want.
There is so much conflicting info on PRP injections to the knee. Understanding every patient is different , I have 2 important questions: in general, 1. what does your experience show to be the best frequency of intervals of shots? and 2. what is the best time period to spin the blood for--or what is the most appropriate amount of the concentration of plasma? Thank you so much for your ultra clear explanations. :))
Hello, comments are helping just as much as the video. Is there any study on Bulged disk?
Incredibly informative video. Thanks, Dr. Peng. The fact that you want to help your patients get maximum results and are setting them up for that is amazing! I have an appointment with a Dr. Mathew Wells in FL to review my MRI and discuss PRP injections for knee arthritis. I am excited to potentially take better control of this disease through PRP, physical therapy, diet, sleep, stress reduction, etc. There should be more doctors like you in all medical specialities. Thank you thank you!
Thanks for your kind words! Best of luck with your treatment
@@JeffreyPengMD thanks Dr. Peng. One follow-up if I may. I want to do some cardio ahead of my appointment (as you suggested). It’s an initial appointment so I probably won’t get the injection at this one. My cartilage damage is under my patella. In terms of biomechanics (I think that’s the right word), what cardio workouts are best for knee cap damage. Is the elliptical okay? I ask because I went on it a couple of times recently and did have some pain for a day or two afterword (the pain was bearable). I’m generally also wanting to stay in good cardiovascular health. Thanks again Dr. Peng!
Excellent low impact cardio activities include elliptical, swimming, and cycling
@JeffreyPengMD Hi , I had an ankle sprain 3 years ago and it has not healed yet. There is ligament thickening - as informed by the provider and he suggested PRP. I am just not sure if that will help. I have tried physical therapy and alternative medicine but it was of not much help. My ankle and calves hurt when i walk fast or walk too much (also i have flat foot) . please do reply.
This video is very informative, I did 1 PRP injection on my left knee and it was very painful and my leg froze I couldn't walk it was horrible but after a few hours there was no pain, just discomfort for about 4days.and I have 2more to do, not looking forward to it but it's necessary.
How is your knee now? I have a knee injury from 20 years ago that refuses to go away.
Just finished week 2 post-prp injection . So far, so good. I really appreciate your videos!
Just did this for my hair. It was sooo painful but it’s crazy when I washed my hair I had WAY less hair fallout than ever before. Hope it works well 🙏🏼 Thank you for the info Dr.
Hello 👋, how did this end up working for you since then?
I would also love to hear the results a year after
I have had the PRP and I recommend it. I have bone on bone and arthritis in my knees. It WORKS do it im doing the other knees and having my hips done
For RA patient, suitable?
Does this work for the back? I got the impression that it does not. I am grateful for your videos. I am getting my PRP in my right knee next week. My doctor did not tell me any of the information you shared. SHM Im glad I found your channel. Thank you.
I have read all the questions from the people, and you are an amazing doctor! I have been researching about PRP for my lower back pain, and your videos are great! I just suscribed to your channel! :)
Thanks so much for your support!
@@JeffreyPengMD Hi , I had an ankle sprain 3 years ago and it has not healed yet. There is ligament thickening - as informed by the provider and he suggested PRP. I am just not sure if that will help. I have tried physical therapy and alternative medicine but it was of not much help. My ankle and calves hurt when i walk fast or walk too much (also i have flat foot) . please do reply
This is so helpful and hopeful. Thank you so much ❤
I had PRP injection in my back and I am 90% better after 3 weeks
Wow, amazing!
@@JeffreyPengMD Truly amazing !!! I was very worried about my back.
I just had PRP injections in my back last Friday and it seems like the pain is starting to get better. I have 3 bulging discs and a herniated disc with majority of the pain around L2/L3 and L3/L4. Just out of curiosity, did you have bulging or herniated discs and how are you now? Did you have to receive additional PRP injections?
This channel is great. Thanks for all you do.
I know you can't give medical advice here. I have what I think is a rare tendinopathy, it's bilateral calcific insertional triceps tendinopathy. The calcifications are visible on x-ray and MRI confirms fluid in the tendons. The problem goes back several years, I had taken a long layoff from the gym to resolve the left side. When I finally got back into it I only had minor pain. I built up slowly only doing pushups. Eventually starting triceps extensions with only 3 lbs. After many months I graduated up to 10 lbs and out of nowhere was getting pain on my right side, near full extension of the elbow, accompanied by tenderness on the lateral side of the olecranon. I stopped doing the extensions but continued with pushups because there was no real pain. That was 10 months ago. In an attempt to finally resolve this, I laid off pressing exercises altogether for 4 weeks, then did some very light pressing I had no pain but the elbow was irritated a few hours later. So, I seem to be worse off for taking the layoff. I'm scheduled for a PRP shot as I've had 2 opinions that think that's a reasonable option. Neither opinion thinks the calcifications are the issue or should be dealt with directly. So my question is if PRP has any research for insertional tendinopathies? Also, should the calcifications be dealt with could they be the source of the pain?
Pretty much all the PRP research on tendons is insertional or origin. There are no (that I can think of) studies looking specifically at triceps tendinopathy, but anecdotally, yes it works. Good luck!
@@JeffreyPengMD Thanks!
Great information. Thank you! I wish I would have found this video a few weeks ago! I am having my PRP injection today.
How are you doing now?
I would be interested too. Doing better now?
I think the pain level while undergoing prp is very much based on technique and experience of provider…..having mine in late October and freaking out about the pain because i am so needle phobic. But i really need this; trying to prevent a fusion.
My knee has taken alot of abuse. 5 surgeries in all. Acl, mcl, pcl torn. Meniscus torn twice. Infection after operation, septic arthritis. Just before covid, found out hair line can be seen on cartilage. Pain as hell. Few months back, did prp on my knee. Extracted 5 tubes of blood for spinning in centrifuge. Knee feels so much better now. Am only in my 30+.gonna continue for maintenance purposes.
Wow man, that sounds crazy. Great to hear PRP is working for you. If you don't mind, what was the cost of your injections?
@@bishoprugerabout 800 in all
@@bishoprugerI paid 450 per injection
@@Cybernetic263how many injections?
Thank you, I will be having this procedure done to me in a few days and your explanation really put me at ease and makes me hopeful that my lower back/lumbar pain will get better
Thanks for your comment, good luck!
Good luck!!! This is what I am interested in. Peace, Love, and Light 🙏
Do you know how much is the cost f the injections? I need my both knees
Any update? Did prp treatment 100%? thank you
@@josefinagalera9550around 400-500
Thank you so much for such a complete comprehensive technique and PRP injections. It answers to all my questions.
Thanks for taking the time to comment, glad it was helpful!
If person has early stage of chondramalacia patellaIs if she takes 3 injection shot so is it one time treatment? or it has to be repeated every year ?@@JeffreyPengMD
I was disappointed with my PRP treatments, inflammation did dissipate but the OA pain in my knee just came back. 3 months later second treatment and knee pain was worse. I personally had more success with Haurlic Acid injections, specifically Monovisc. I was so optimistic about the about the procedure. Good luck.
Thanks for your comment and sharing your experience. There's a lot of research (will make a vide on this very soon) on the different types of PRP, specifically looking at platelet counts. It'd be interesting to learn how many platelets you had in your PRP injection (can probably get a rough estimate by how much blood they drew) and correlate that with outcomes. HA injections are still a good option!
@@JeffreyPengMD I am 54, very fit. I ran marathons, mud runs, and other competitive type races. I' have done weight training and calisthenics my entire life. I eat a healthy diet. My draw was about 5ml of blood both times. My platelets were over 350 based of my labs. I also was a PT patient for the same issue for over two yrs before trying the gels injections. I tried PRP because of the current information available, as I stated my results were not as positive. Thank you for the response.
Hi, I was just reading that you said they obtained about 5ml of your blood. I'm pretty sure that amount is no where near the required. 50cc is the goal! You need a platelet count of at least 10 billion or more.
How long do you have to wait if you just had a cortisone injection?
Have you ever done PRP into the TMJ? Please make a video on PRP for TMJ!
I have been dealing with constant pain in my lower back on my left side as well as muscle inflammation over the past 20 years, but it got worst this past year. MRIs showed a couple of herniated discs and an annular tear. PT and acupuncture did not seem to help relieve the pain at all. I even had an MIS discectomy, which did not help and may have been made the pain slightly worse. I have started doing softwave therapy, but not sure how much that is helping me so far, but I heard very good things about PRP, so I am still hopeful and optimistic. They even say that combining softwave with PRP can help the body heal and recover faster. Even if PRP/softwave does not help, I am considering DiscSeel as my next option. I am hoping to avoid any additional surgery, such as spinal fusion, at this point.
Please keep us updated, and best of luck! I have a bad lower back too. A stupid job from 20 years ago that I did when I was young and dumb. You know, you're 22, what could possibly go wrong? If I'd have known it would still be messed up two decades later, I would have walked off that job immediately.
@@squamish4244 Have you tried PRP and did you find something that helped you? As for me, I came to the realization that the intense pain I am experiencing is at the L2/L3 level, where I have a slight disc bulge with thecal sac indentation and where I did not have surgery. I am still doing softwave therapy and have my intradiscal PRP injections next week. I am hoping that the combination of both treatments will provide significant pain relief.
@@squamish4244 So how is your back doing these days? Have you found something that helped you? The majority of my pain is at L2/L3, where I have a slight disc bulge with thecal sac indentation. My PRP is scheduled for next week, so I am hoping and praying that I can get some much needed pain relief.
@@mikea8294 Yes. Actually, from the other source of rejuvenation therapy that has actually been shown to work: NAD+ intravenous therapy. Boy does it ever help my back pain. I just can't afford to get it enough. It's $1000/six-hour session. Soon I hope to be able to, as I could before: about once every three months. It's currently been a year.
Excellent job Dr. Platlets all have a vibration that is connected to time and it is great that we are on the right path. Keep up the great work
I just watched this again and you are very convincing. I would love to try this therapy but have the following concerns. First of all my Uncle had the treatment on his hip and it did not work at all, I am not sure if he followed the instructions perfectly so am not sure as why it did not work. I also visited a regenexx office in Larkspur and they took xrays and told me it would not work. I assume because of lack of cartilage. Does this make sense to you and how do you diagnose the possibility of it working? Thank You.
Thank you for this information Dr. Peng. Do you have any guidance on single spin vs. Double Spin PRP methods?
The related therapy rekindles the hope of a pathbreaking technology to a lasting relief from a crippling health condition plagueing a very large no. of populafion.All glory to Dr. Zeng! Is this facility available in India?
PRP is most definitely available in India
I had injections in rotator cuff tear .Extremely painfull and lasted for a good 48 hrs.Should of had a driver .Couldn’t move my arm for a few days as well .Praying it works.
Good luck!
Well... how's it working for you?
Thank you for your explanation
I am a 53 year old with severe OA in my subcalcaneal and knee joint. I had 2 PRP in the subcalcaneal joint, 1 PRP on the left knee, and 2 PRP on my right. I have been pain free for 5 years now. Just wish I could find a clinic to inject PRP into my hip. My current regenerative clinic does not have ultrasound or fluoro guidance imaging.
How long it took to see results? I’m 2 week of my first Prp I only some improvements
@@Cybernetic263 I noticed improvements about the 6 week mark. Ask your doctor what and when to start strengthening exercises. That part is super important. No squats or lunges. Buy a foam exercise roll, sit on the ground with the roll under the pocket of your back knee, isolating your thighs & knee, and just extend straightening your knee. No weights, just plain foot lower leg extensions. Eventually ankle weights or a large bag of ice in a pillow case if you don’t have weights, just for the mild resistance.
Some people see results in 4 weeks, some 12. It just depends on the extent of knee damage. One knee I had a second injection after seeing no results after 3 months. That second one worked and has not given me problems since my 2019 procedures.
@@Stewmade64 im on my 3rd week of my first Prp injection. I will do that exercise thanks brother 🙏
@@Cybernetic263 wait until you are cleared for exercises from your doctor. I think I was cleared after 6 weeks, but ask your doctor, especially if you don’t have a follow-up appointment scheduled.
Thanks for the great videos. We re considering PRP for an injured knee. Question. I didn’t hear any mention of caffeine but read you should not have any 1-5 days before or after procedure. What are your thoughts ?
Had PRP for knee OA. All pain is gone. Hope it lasts.
So far did it work good ?
How long it took you to have good results?
Yes it has great benefits
Great information..thanks....I have taken two prp sessions combined with dextrose injections.for my rotator cuff shoulder partial tear..in india...going to have third and last session after two days....i can still feel the pain but hopeful to get better after few more wks ...
Good luck!
Has it helped
Could you please make an video for jumper knee treatment? Thank you so much!
You may find this helpful: www.jeffreypengmd.com/_files/ugd/3b3e5d_013f301395d64217b5a8c1b0ee0ce3c7.pdf
Thank you so much for this information! I really respect and appreciate your approach. could you recommend or I can get this treatment in the Austin Texas area?
Wish I had seen this video before my prp injection, it was SO painful no local was used. I have a 50% tear in my patellar tendon so hopefully it works, had it 2 days ago.
Local anesthetics such as lidocaine has been shown to damage platelets. However, ropivacaine, is much less damaging to platelets and a small amount can be used to make these procedures much more tolerable!
How is your injury now? How long did it take to see any improvement?
@@JeffreyPengMD My PRP ortho sports medical doctor was going to use lidocaine for me and I specially requested ropivaciane after reading Dr Peng's view on local anesthetics and he said he actually preferred ropivacaine too.. Thanks Dr Peng.
Would love to know where this is done in Florida? Thanks for this info
I just had this therapy in Jacksonville, FL by the wonderful Dr. John Anderson, a foot and ankle orthopedic doctor. Because UF does a large number of these treatments, the cost was only $500 vs $1500 at other facilities.
Could you please make a comparison between stem cell and PRP for back pain? If you have already done that, could you please share the link?
AGREED. My thoughts exactly.
Dear Dr Peng. Would you rather suggest activated or non-activated PRP for osteoarthritis? What is the expected consequence if activated, resp. non-activated PRP is used? Thank you so much for your videos.
Hi dr Peng how long we do rest after PRP and should we have to get bed rest for two weeks and what's the reason behind it?
This is new to you but my doctor has been doing it for 10 years
10 years is very new in medicine!! For whatever reason (of which there are many), it takes incredible effort to get new things approved in health care. Thanks for your comment.
Excellent video, and appreciate the detail. I continue to get the "no data" response from doctors I'm seeing (and doctor friends) re: PRP, and it seems by your analysis there is a quite a bit of data. I'm considering it for a pesky, ongoing (+8 months) either brachioradialis strain or bicep tendonitis (two docs, two assessments). It continues to be irritated by select weight-lifting and other bicep pulling motions.
To be fair, there is not much data for PRP specifically for what you're describing, possibly distal biceps tendinopathy
This is the first video I've come across that really gets to the questions I have. Thank you for cutting the BS and just getting to the point. One question I do still have though, I have two completely torn ligaments in my left ankle (ATFL and CFL) so my ankle is pretty unstable. I'm running fine on it but I easily roll my ankle on trail runs even with a brace. This happened in Feb 2019. Does the 3.5 year gap matter or would I still be a candidate for this treatment?
Thanks!
Unfortunately PRP has not been studied for ligament tears. We do it a lot for UCL problems in the elbow, but results have been mixed. Using PRP for ankle ligament issues would still be considered highly experimental, regardless of when the injury occurred. Best to discuss with your health care provider. Good luck!
@@JeffreyPengMD thanks for the quick reply. I'll book a consult locally
@@JeffreyPengMD I'm having a consultation with a specialist regarding PRP or other injections for relief in my elbow where I had a UCL tear a year ago. After the initial tear, 3 months of physical therapy helped me regain use of my arm, and then a few months after that it felt pretty good. But its been degrading a bit the last few months. Are there alternatives to PRP for the UCL for pain relief and recovery?
Hello Mr Peng ,thanks for the informative video.I got a PRP treatment on my knee for osteoarthritis and a week after it swallowed and got very painful no major incident I just used a strong pain relief cream with camphor ,chondrotine and collagen is that could be the reason of the sudden swallow and strong pain ?I m 10 days from the shot now the swallowing is slowly less so is the pain but still very painful can t walk properly ...will this affect the platelets ? have a good day thank you .
This is something that needs to be discussed with your healthcare provider. Good luck!
If you had a patient with both knees with arthritis/ started off as a meniscus injury (over use, jogging) would you encourage that patient, or discourage that patient from having both knees done at the same time? New subscriber, looking into this procedure. Thank you
Thank you so much ...very useful information
You're welcome! Glad you found it useful
What’s should be the minimum interval between two PRP injections for knee osteoarthritis?
Dr. Peng, thank you for the excellent information. Is it allowed to drink coffee and tea after the prp treatment?
Yup
Thank you Dr. Peng! 👍😊
You're welcome 😊
Thank you for such an informative video.
Question fir you if I may. Should I stop taking fish oil capsules before PRP injection?
Thank you 🙏
We don't know yet if fish oil affects PRP!
@@JeffreyPengMD thank you for your response.
Thanks for this and other video. Dr Penguin, do you know why insurance is still no covering the cost of PRP injection if there are data showing benefit ? I have knee pain after ACL and menisus operations 25 and 5 years ago. So am scheduling to do PRP injection shortly. Thanks again.
Hello Dr. Patel,
I‘m from Germany, been suffering from Hyposmia for1.5 now. I would like to get the injections and willing to travel to the USA for this. How can I get an appointment?
Thank you. You said one might need 3 injections into a joint and 1 into tendons to feel results. What about injections into ligaments and/or muscles?
Thanks for your question, these are all "in general" and of course needs to be individualized. There are less studies for ligaments and muscles. We lump them into the tendon category of most of the time needing just 1.
Thanks for the content , after Prp injection in my knee , it becomes swollen , with pain 12 hours after injection which lasts for three days , also i felt sometimes locking in my knees don’t know why !! May be because of the volume !!
Anyway after the fourth day my knee movement returns back to normal without locking .
Any explanation for these symptoms !!
Is it indication that the injection in right place ??
Can it help for meniscus tear ?
Theoretically it has huge amount of growth factors , can this induce cartilage or chondrocyte to regenerate the cartilage ??
Thanks
How much is PRP for OA,n where is your clinic n how much per knee.
Very informative thanks
Glad it was helpful!
+1 vote for this comment "Could you please make a comparison between stem cell and PRP for back pain?"
Dr. Thanks so much for all the info . My question is do they add any synthetic things to the blood before they inject it or it’s all my blood ?
TIA
What are the results for PRP-injections in the Flexor Hallucis Longus tendon in the foot?
This video is very helpful but the part about preparing for your prp begs a new question. If we rid ourselves of Tylenol, Motrin and eat tons of fruits and vegetables, would that help osteoarthritis in all our joints overall? Or are some joints just stubborn?
Lifestyle has a HUGE impact on osteoarthritis flare ups. But once you have arthritis, modifying your lifestyle will not regrow cartilage and get you a new knee. PRP can help treat the internal environment of the knee to protect the cartilage that is remaining.
Thanks a lot Dr Peng for this excellent information. I want to know that for stage 3 knee osteoarthritis Hyaluronic acid injection is better or PRP?
I’m afraid of all the invasive procedures on my knees. Kindly reply.
Regards
PRP seems to be better than HA for osteoarthritis
Do you also perform alar ligament injections through the mouth for CCI patients or is it too complicated for you doctor?
Great video. Thanks a lot
Glad you liked it!
Curious to know if the peptide BPC-157 and potentially others is jist a synthesized version of whats going on in these "natural" injections
Hello! Are vitamins and chondriotin glucosamine collagen should be also stopped before taking this prp? Please help!
Hi , Thankyou for your video , very helpful . I,ve had a few prp injections for my knee now over the past 2 years and all were a nice yellow colour but my last one was Rose red in colour , my doctor said it is ok but Now i,m a bit curious , is the Red PRP as good as the Yellow ?
Hi. My PRP was also a bit pinkish and the doctor said it was okay. How are you now?
Hi.It seems the prp has helped my knee.I don't have much pain,but the knee /arthritic is so swollen and it is hindering my walking a great deal.What now Dr.Peng?Please advice.
Great information. 4 years ago I had 3 doctors who told me I needed surgery for the rotatory cuff. I found and alternative Bio energetic Dr. I had various injections (7 sessions) PRP injections for my shoulder and I'm 90 % cured. Now I have a meniscus tear in my right knee. I have app with another Dr that also uses PRP. (the previous had retired)
I hope I will have the same results as my shoulder. I know at least 5 people that had knee arthroscopy surgery and was not successful. They are in pain and still going to physiotherapy. Thanks Dr Peng I just subscribe to your excelent videos.
Thanks for sharing your experiences, good luck!
Hi,
I have the same problem as yours and did prp injection for meniscus tear in knee. Could you please share your experience and result in knee prp? Thanks
Dr Peng are there any current trial studies where I can participate w/o the great expense of these procedures ?
Thanks for letting us know about PRP. I want to ask a question? Is the combination of prp and hylaronic acid a substitute for knee replacement surgery
Great question! I will be making a video on this in the future. However, it's important to point out that PRP and hyaluronic acid treats symptoms and does not regenerate anything. If you have severe arthritis, the definitive treatment is a knee replacement surgery. The goal of PRP and HA is to reduce symptoms sufficiently so that you may not need a knee replacement surgery for as long as possible!
@@JeffreyPengMD wym PRP doesn’t regenerate anything lol? Type-o??
@@beezyb42011 agree with you. That's the whole point of it, to regenerate. It's called Regenerative Medicine. You never, ever want to put man-made devices inside the human body. Your just asking for an autoimmune disaster.
I had a PRP injection today and what my orthopedic Dr is saying is contradictory with what is being said here (makes me nervous and worried). I am suppose to take 600mg ibuprofen every 6 hrs for 2 wk and ice for the first couple days and I have restrictions along with a split to be used only to take off 4-6 times to do stretch exercises. He cancelled PT, ultrasound TX and massage - only stretching. So many drs have different opinions and instructions it is worrisome….
Excellent video Doc & you answered most of the questions that I had about PRP. However, I was wondering how exactly these injections are done. If you inject the knee for example, how do you avoid the needle from going into the meniscus rather than the joint space itself? It also seems like you would need a lot more plasma than just the amount that you described in this video. Is the injection limited to the area where the patient is experiencing pain, i.e., medial vs. lateral knee joint? Anyway, thanks in advance for answering these questions!
P.S. I live in CT & was wondering how I would go about finding a doctor that does these injections? I doubt that my Orthopod does them as he's old school. Anyway, thanks!
All PRP injections should be done with ultrasound guidance. Don't let anyone do injections on you the old school way which is landmark based.
TONS of doctors on the east coast. Usually your best bet is to start with your local academic medical center.
@@JeffreyPengMD Here in India, Bengaluru an ortho doctor in a hospital has put up a video advising people to take prp but I doubt if would use ultrasound which anyway he has not mentioned in the video. Is it better to not get PRP from him (and continue on supplements ) ? Or take the risk ? This is for my wife for knee arthitis. Thank you.
Wow I wish I knew all the things I should’ve done before getting PRP. My doctor did not let me know of any of that. I had a Tylenol the day before for period cramps. 😪
In theory, Tylenol should be totally fine! You'd want to avoid NSAIDs.
Excellent video. Detailed information is given. Thank you. My wife is taking supplements like nutrajoint ( Rose hip extract, boswell sarrata and vitami C) for knee arthitis, immunosuppresants (Azaron Azathiooprine 25mg) for vasculitis , diabetic medicines (vildagliptin ) and diamicron and urotone ( Bethanochol chloride) for urinary bladder weakness plus cacicum , vitamin d3 and multi vitamins. Which of these she should stop before prp? Please reply.
Is arthrofibrosis/ capsulitis a contraindication to PRP? I have post op decreased ankle ROM after ankle surgery and some pinching symptoms. (Primary surgery was debribement of scar tissue and removal of bone spur)
Hello Doctor, thank you for this informative video. Is it (PRP) useful for sciatica/ pyriformis syndrome???
Hasn't been specifically studied, but probably! It works for other nerve entrapment problems (carpal tunnel syndrome)
@@JeffreyPengMD Thank you for your response
Another great video Dr. Peng. As always, it is very informative. I was curious about supplements. Should we discontinue these also? Also, how long do we need to wait before more strenuous exercise such as climbing 14ers?
Thanks! There's a lot of back and forth on supplements. No definitive evidence that it impacts anything, though if you want to be SUPER careful, you can discontinue everything.
@Jeffrey Peng MD are there any supplements that would help? I don't want to discountinue something that I'm already taking that might actually help
Stem cell biopsy
Dr Peng
Thank you for a very comprehensive video on PRP.
I have my left knee lateral meniscus traumatically torn with a radial crack of 7mm(0.28in) wide and 14mm (0.51in) long. In your opinion, would PRP help regeneration of meniscus tissue?
Thanks for your comment. It's VERY important to understand that as of this point in time, we have no definitive data to support that PRP or stem cell therapy "regenerates" anything. Rather, we think we are changing the biochemistry of the environment and that's what leads to improvements in both pain and function.
Thank you very much, Dr Peng
Your videos best and honestly explain the PRP.
Hello Doctor.. Four days ago, I underwent plasma prp in my shoulder because I suffer from inflammation, calcification, and an occasional tear in the tendon. Now the pain has improved greatly, but I cannot move my arm. Should I try to move it and do a light exercise for it to regain its movement, or should I wait another period? Please answer. Thank you.
Hello. I see you comment this 11 months ago.i'm intrested how are you now. Is your sholder free from pain and can you do everything with it?
Does PRP help with protrusion in lumbar disc and cervical stenosis?
Wonderful video sir..
This is very helpful for me
I have one doubt sir.. may i take alcohol after prp within 2hours
Alcohol should not affect PRP, though please discuss your specific situation with your health care provider. Thanks for your comment.
Can you tell me if this would helpful of Ischial Bursitis? I have it and nothing else has helped including steroid shots.
do u do platelet lysate at ur office? Its the better than PRP i heard
Do ligaments in the cervical neck generally respond well to PRP injections?
Hello doctor, in which part of the spine is PRP applied, thank you in advance
Depends on the indication! I've heard of spine docs putting it intra-discal, facet joints, foramina, etc.
I was diagnosed with osteoarthritis caused by hip dysplasia. The pain has rapidly increased day by day. I really need to buy some time before I have my THR since my wife is 6 months pregnant. Can PRP injection delay the day I need to have THR?
Hi, that's wonderful to know more on this. Today, I had a prp session but I'm truly confused when should I wash my head. Is it 6 hours after the treatment or 24 hrs, would you please help me on this
Thanks for your comment. Please address this with your health care provider!
Thanks for all the information. I had my first treatment today, I am on baby aspirin due to a stent/pipeline in the brain I have to take it daily, did I mess up my entire treatment? This Something I totally didn’t think about
Thanks for your comment. Check out my video tomorrow on NSAIDs and prp.
This Thursday is 4 weeks since my prp to shoulder and knees. Can I ice or heat? Also can I start hiking inclines?
Does PRP have effect on meniscus tear and degeneration? How many shots is recommended by what timeline?
my ortho suggested prp for my shoulder, I have bursitis and 2 small tears. tried cortisone injection but did nothing other than ruin my diabetes control for a while
Sorry to hear about the pain. PRP for shoulder pain is definitely an option if cortisone and physical therapy / home exercise program doesn't help!
th-cam.com/video/RjJWz-V_RIQ/w-d-xo.html
My orthopedic specialist advised me that PRP may lend up having bacterial infection and that will worsen the matter as one will need operations to remove the bacteria infested knee. Moreover he said if this happens it will worsen the knee condition. He advised not to do PRP but have knee replacement. Please advise doctor
Thank you Dr, 🇮🇩
Can I take curcumin and boswelia after a prp injection I’m two weeks out from my first knee prp injection
Hi.I had prp on my knee,but suffering from so much pain lately.Is this normal?How long does it take to work after all the 3 injections?Help.
Has it helped yet
What about curcumin for pain in the preceding 2 weeks?
I got PRP injected to my shoulder joint in colombia. They used a shorter needle 1/2"- 1" and in kept in smaller tubes... Like 6 total moving around my shoulder. Is this as effective as one large shot?
How are the results? I’m actually living in Colombia now.
Is Longvida curcumin 400mg the same pathway as nsaids - will it inhibit platelet counts? Same question for Boswellia extract 350mg? Thanks for any help!
After listening to your video Iam going to focus on healthy eating and drinking water plus cardio vascular exercises before I fix an appointment for stem cell therapy and prp. Being said that how long should we do this before having the prp/ stem cell therapy to get ideal or best results ??
There are no studies answering your question "how long to make changes before starting a biologic treatment". With that said, what is certain is that healthy lifestyle changes are things you'll want to continue for the rest of your life!
My mom is taking this injection tomorrow. She is having Amitriptyline 10 mg (for her PHN), blood pressure medication and Cholesterol medication. Can she take these meds on the day of the injection and then after? Thanks
Best to discuss with your doc
Do you need to stop anti-inflammatory supplements, such as fish, oil and turmeric before and after the procedure?
Not typically. NSAIDs need to be stopped because their mechanism of action is to inhibit platelets.
Does PRP work on a low grade tear in the elbow?
I have developed tendinosis in my extensor carpi ulnaris tendon in both of my wrists due to an old Factory job that required repetitive movement and the tendons just didn't heal properly. How helpful would PRP be in my situation in your opinion? I have undergone occupational therapy on and off for the past year now, and I'm not seeing the results I want.
Did one for foot pain. Omg almost puked the injection was so painful!
Dr. Peng i have a question ❓ can I physical therapist give PrP therapy?