Thank you, so glad to hear because I'm looking into this in place of trigger thumb surgery which was caused BY ortho doing bilateral carpel tunnel surgery with no rehab ordered and developed thick scar tissue! Going this rough and excited!
I had 3 rounds of PRP ($4k out of pocket) for my R knee, which the patella is "off". Ortho doc did exploratory procedure and caused more harm than good, as I ended up with R knee bone infection. Switched to a different ortho doc at same facility, who recommended trying PRP. Nobody at this facility caught on to the cause being my patella. (My physical therapist called it right after I started PT). Only when I switched to University hospital did the knee DR there tell me it was my patella and to live with it, and nothing could be done. Now my L3-4-5 & C1 have gone bad with how I have adjusted my walking. Hoping stem cell therapy can help my knee, but not sure my issue is a candidate... It's amazing how insurance will pay for exploratory surgery but not pay to fix issues caused by it. 😡
In May 2021, I received umbilical cord tissue and PRP injections in both knees and in my upper back (trigger points). I was told that I could start seeing improvement in 4-6 weeks but started to notice less stiffness and soreness in about 10 days. From there the improvement was pretty significant. In an effort not to cause a new injury, I began walking to create movement but not overexertion. I noticed that I was able to stand and walk for longer and longer without having the burning, fatigue sensation in the muscles between my shoulder blades which I had experienced for YEARS. I was also able to squat down to pick something up and push back to standing without assistance from another person or furniture. I had not been able to do that for many years. I am in my 40's and KNEW deep down that I didn't want to start the decline of function that early on in life. I wanted to be able to walk and/or run and ride my horses without pain. Nearly 1 year later, I still feel fantastic. I walk and/or run (weather permitting) and have also incorporated yoga and pilates. I can ride without "paying for it" the next day. If you would like to investigate current research in these therapies, I recommend visiting clinicaltrials.gov and the NIH research articles. The Mayo Clinic is also doing some research, as well as other universities. A "google search" will not necessarily yield unbiased information. Because my results were so wonderful, I want to share with people the positive aspects of the treatments and encourage others to do good, reputable due diligence. No, it's not covered by insurance but it is worth the cost of an injection that allows me to live the way I want.
Hi Coach Sarah. That is great news. We wish all the results were the same as yours. There are lots of trials going on and we look forward to the day when this works for all. Thanks for watching and subscribing
Thanks for this info . I was on website for HSS trials and clinicaltrials.gov last 2 days, but none had trials of PRP+/or stem cells AS PART OF TKA, which has huge potential (and many pro-athletes are doing!).Told since I was 37 (runner/lacrosse player)I needed TKA, I made it to 65 as a walking Jenga puzzle. Now bones worn so unevenly, thigh bone is shifting. I only have a partial ligament +no ACL, so instability is now dangerous for falls. It's INSANE w SO many successful procedures+desperation for these treatments that almost no one is STUDYING THEM TO GET FDA APPROVAL! I'll look into Mayo Clinic. Good luck! and thanks for sharing!
I had PRP in my right knee over 5 years ago and haven't had a problem since. I had an injury in my right shoulder that would not heal. After about 3 years, my primary suggested stem cell injection and it worked like a charm. A couple of years later, I injured it again, let it go for a year, and got the stem cells and, again, it worked like a charm. It is not covered by insurance, but it's still less expensive than my insurance deductible for surgery and no down time.
Aaaaaaand less surgical TRAUMA, scar tissues and adhesions. Love, learned the heard way nurse and now patient not taking mainstream approach to anything
I was at a pain level 8-9 daily almost unbearable on my rt knee and sleeping was miserable, I have had 5 PRP injections over the past 2 years and my daily pain levels went down to 4-5 after 2-3 weeks of the first set, 4 months later I had my 2nd series Andy pain went down to 1-2 pleasantly surprised. It didn't help the strength or stability of the damage but it sure helped the Pain management as Im not able to take any drugs due to being a Pilot and Boat Capt. After dealing with the situation for 4-5 years I am finally getting my TKR Feb 7th. Thanks for all the info you put out. God Bless
I am hooked on watching all of these videos that you have put out unfortunately they’re years old I wish you could do some updated ones because everything you say is relevant and it’s everything I need to hear in order to make up my mind if I want to go forward with a knee replacement
Hi Tanda. We are working on that. So glad you are watching. Most of the older videos are still very relevant. Best of luck. Thanks for watching, subscribing and sharing with someone if you did.
I’ve Got a hypothesis: Use the heart and ‘Legs up ‘ after a run to reduce post run injury. If a centrifuge is used to separate platelets and cells in the clinic then I propose using blood flow with legs raised to separate blood components. I regularly prevent injury after running by leg raising 10, 15 or 30 mins.
I have received a PRP injection in my right shoulder for my osteoarthritis. Almost one year now. It made a world of difference. Even though I still experience some pain at end range of motion, it's no longer constant pain.
@@miamor5929 It's not that it works just a little bit. It works quite well, actually. The only thing is that you cannot rely solely on a platelet injection. In my case, my physician highly recommended a ketogenic diet in order to minimize inflammation (because we all know that glucose wrecks havoc on joint linings). Also, there is the question of rehabilitating the surronding musculature. The shoulder is a very mobile articulation, and loss of ROM due to weaknesses also can cause pain and discomfort. In other words, it's a holistic approach. But each case is different. The best advice I can give is to be proactive and not depend on pharmaceuticals to relieve pain. It's a long road but it's worth it if you're strong enough.
@@Chef_cookk You must understand the cause of your arthritis first. Is it due to an injury or a muscle imbalance or both? Getting PRP for your shoulder is like changing the tires on your car because they are worn out without balancing your wheels and/or getting a four wheel alignment. Arthritis is only a symptom.
Over several years I have had a combination of PRP and Prolozone injection therapy done to both my arthritic knees and right hip. I found that there was a definite relief in pain and inflammation and more mobility in all joints. The injections efficacy would last for about six months. The shots were done in a sterile lab and were not cost prohibitive though they weren't covered by extended medical insurance. Recently my right hip was replaced, but I have to say that this form of therapy gave me the pain relief and extra mileage in the very physically demanding work that I used to do. Based on my experience and the condition of my arthritis I would recommend it as an alternative to delaying surgery. In regards to stem cell research, I've been told that South Korea and Japan are doing some clinical trials in growing knee cartilage and applying them to arthritic knees. Adhesion seems to be a problem. Two main US medical companies Carticell and Regenexx are doing research into stems cells and cartilage replacement
Hi vizmatter. Thanks for sharing your story. Yes cartilage research is being done everywhere including Canada and the US. Cartilage can be grown but you are right, the main issue is getting the body to incorporate the transplanted cartilage into the host. Good luck going forward and thanks for watching.
In 2017 I had stem cell and PRP by REGENIXX instead of knee replacement. I had a bad knee. Immediately, I had less inflamation but still pain. For the next year plus 1 month more (total 6 injections every 3-4 month due to extreme pain returning off and on. Finally, that last PRP was a doozy. It was an extremely painful injection to point of tears. For 1 & half weeks after there was some pain. Then, no pain at all. I expected pain to return month after month, but no. For almost exactly 2 yrs I went pain free walking, exercising. No running, no extreme activity. Doc did something hadnt done before. I believe he concentrated PRP even more than ever. I don’t know if stem cell from bone did anything or if it was just the PRP’s. I know it definitely should be used in treatments for people who need extended time prior knee replacement; AND, it should be covered somewhat 50%-80% by insurance! I know there’s a clash between medical co and doctors who like doing surgery. But I was helped. Some people need extra time before doing surgery or not at all for further down road. This is better for a patient than injections of steroids, Hauleronics, or ibuprofen/nalproxin which I was told tend to distroy the tissue needed. acetaminophen can be used when necessary.
Hello ...I m from india...can you share some more information regarding it..my mother is suffering from the same..dr suggest her of totol knee replacement
I had stem cells and extensive therapy . My cells were umbilical cells from healthy birth. Ozone shots, infra red heat, vitamin injections, etc. I even wore a cumbersome off loader brace for 3 months. Walked 1.5 miles daily and did strengthening exercises and lost weight. My MD received stem cell training at George Washington University. I was convinced it would work for me. $18,000 later my knee is still killing me. Arthritis and bone on bone. They even did a second treatment at their expense. So disappointed. Wasted 2 whole years hobbling around and poor quality of life because of pain and limitations. Knee replacement Nov 4.
Thank you so much for sharing your story Pamela. We feel that the scientific evidence is not there to support routine treatment of advanced arthritis of the knee. Good luck with the total knee replacement! Thanks for watching and subscribing if you did.
@@NoObligationToday Tony Robbins, Joe Rogan, Steve-O, Chuck Liddell, Mel Gibson's dad...etc.... If you don't know what you're talking about it's best to shut your mouth... " It's best to be thought a fool then to open your mouth and remove all doubt"...🤐🙊😉
I had stem cells put into both knees where the cells were extracted from fat. Results at 6 months are good. I wasn't walking before them without great difficulty but now I'm I can manage about 5000-6000 steps a day as well as cycle.
Thanks for sharing your experience Rob. Sounds like it has worked for you. Every patient is a bit different. Thanks for watching and subscribing if you did.
@@pavelbure007 I'm in Australia. I chose a reputable and professional clinic and doctor and cannot fault them. I was grade 4 osteoarthritis and very bow legged so its difficult to treat and I was advised. I chose to try it anyway and I felt some benefits about 3 months later. Decreased pain, able to walk further. I had a high tibial osteotomy 2 months ago because the knee was getting worse. Look at a procedure called BAM, Biological Autologous Drilling. Thats using stem cells in conjunction with microfrature surgery. That is yielding excellent results. Ill be getting this in the next few years
Hi Docs, this is a 3 year video. Is there an update on stem cell injections? Also, here is a topic for your discussion - Frozen Shoulder. How do you treat it so it goes away permanently? Thanks!
Hi Isabel. There is an update. You just have to search it. Minimal new evidence to support it. And yes frozen shoulder is on the to do list. Thanks for watching and subscribing
Great video. Stem cell treatments have come a long way. I experienced a central tfcc tear, which i was told could not be repaired or could not be healed, and the only option was a debridement which should lessen pain. After having the procedure done and doing PT, i am worse off than before the procedure. Surely there are procedures that insurance pays for which have less efficacy than some stem cell treatments. If there is no risk other than expense, why doesn’t the FDA get serious about this? Have my theories.. sad, not everyone has 25k to plunk down.
Hi Jack. Tfcc is tricky for sure and can have persistent pain. Hope you find something that helps. Stem cells still have a long way to go. Thanks for watching and subscribing
I have had PRP into lumabr facet joint's at three level's and it helped a lot. I went three differnt times about a month apart between each shot(s). The only downside is, you can't take NSAIDS before or after for abt a week and no ice after either. The shot's hurt/burn at first and after about 48 hr's, you start to feel better gradually. Oh and insurance don't pay for it either. It work's though.
I'm having surgery to clean up a meniscus tear and PRP injection on April 9th. Your discussion supports all information I have been able to gather, including second and third opinions. Cleanup is to remove material that can interfere with function AND serve as an abrasive, making the early onset arthritis worse over time. PRP is to provide material to POSSIBLY make cartilage more "healthy". Great video, relevant content and reasonable advice. It is hard to find medical advice that is not actually trying to sell a treatment or medication. Now, if I could only find a family Doc that promotes wellness and Disease prevention!
Hi J.D. Thanks so much for the positive feedback. That is one of the benefits of socialized medicine is that there is enough work for everyone so no one should be selling you anything. Especially in orthopedics, we feel strongly that the decision should be up to the patient - unless it is an infection, dislocation or fracture - sometimes we need to tell patients that surgery is absolutely necessary. Best of luck with your procedure. Keep us posted. Thanks for watching, subscribing and sharing if you did.
Functional medicine, holistic and GOOD nutritional naturopaths, holistic dentists that do NOT use fluoride, nitrous oxide, etc. They're out there :) I'm converting myself.
I had stem cell injections in both knees in 2017 after about 20 years of bone on bone and severe osteoarthritis. They took the cells from bone marrow (hip) and put in what appeared to be a centrifuge to isolate the stems cells. The cost was just over C$2400 in total. It wasn’t a cure but i had a marked improvement in my mobility that was noticed by others. Unfortunately Canada’s health authorities stopped allowing the treatment in 2018 based on a lack of clinical evidence of its efficacy.
Its not that it doesn't work, it's that big pharma is in the pockets of all politicians and doctors and insurance scams. Exactly why surgeons push steroid injections, which ultimately deteriorate your soft tissue leading to more surgeries. (THEY MAKE MORE MONEY)
love your channel, I am a disabled vet one TKR at 55, need the other one done, lower back from L-1 to S-1 either herniated or ruptured, blown SI joints, had an active career, VA did experimental stem cell injections in my knees and back first one lasted 6 months the last two did zero for me. I appreciate your honest explanations
Hi joe. Thank you for your service. Sorry to hear you are having a difficult time. Yes stem cell treatment has a way to go. Best of luck with your TKR. all the best. Thanks for watching and subscribing if you did
I broke/cracked 3 front side ribs in 1984. For about 30 years they would continue to hurt… sometime significant pain if I simply laid on my side or chest. A local DO (Doctor of Osteopathic) use PRP in the area of the ribs. I had to pay for the process as my insurance would not pay (I think it was around $450). After the process I was very “bruised” for about 2-3 months. After 6 months there was no bruising and I have been pain free for about 7 years. The PRP worked for me. A friend did it on his knee the same month and has not had any pain since his process.
My doctor wanted to do a half knee replacement on me which was bone on bone for 35 years due my meniscus being removed at 20 years old. I was not keen on this at 55 years old so l went to another doctor who was doing PRP. He told me before we do the procedure l needed to get lab work done to see how healthy l was. I was a vegan at the time and he wanted me to start eating meat again which I did and detox my body which took about 3 mths. He then did the PRP on me twice over period of 2 mths. It has now been 10 years l eat a low carb diet now. Exercise 5 times a week feeling great and still have my own knee. My doctor also told me to drink no alcohol for 3 mths leading up to PRP and 3 mths after which l did. It has worked great for me.
I had MRI 2015 prior to MSC+ PRP and MRI post one year. The MRI showed paper thin covering across previous fissures. Over the first year there was a gradual cross over from 7 bad days to 7 good pain free days. My knees were good for about 4.5 years but since my knees have once again deteriorated and although I need a redo I can no longer afford it with the increase in cost of living here in Australia.
Being ahorse surgeon started treating horse tendonitis way before human medicine. We started research with UC Davis1999 and found bone marrow injections greatly increased tendinous and ligamentous healing. Initially we assumed it was d.t. stem cells in the bone marrow, however UC Davis found similar results by injecting the supernatant after spinning down the bone marrow. In my clinical experience I have found to be PRP of limited benefit ia or intra tendonous in 1000's of patients. However, IRAP treatment for ia use has been exceptional especially in arthritic joints that stopped responding to corticosteroids.
As this video was done in 2018, 7 years should have allowed for far more information. I do know that AAOS determined its efficacy after OTC treatments. Perhaps an update for of studies and usage the last 7 years.
I have an arthritic ankle and had a PRP injection a week ago for tendonitis of the Peroneal tendons. I was told that it might take up to a month to know if it had the required effect. I found some improvement within 24 hours; the improvement has increased over the week. As you say, it is not inexpensive. In Singapore, the cost is USD 764, but I am feeling that the money was well worth it and will schedule a second jab next month to maximise the improvement. Thanks for your informative videos.
Hi Russell. Glad to hear it. There is more evidence for its use in soft tissue conditions like tendinitis. Thanks for watching and subscribing if you did
Hi docs! Last July started SCT in both knees. First injection were stem cells from a donated source. Come back two weeks later for PRP, another two weeks for PRP and a final third time. Doc said, “I should’ve felt it working after first PRP,” but no relief. Sent me for a MRI thinking my back must be playing a role in not getting better. He had me on a back stretching machine a magnet chair with no success. He prescribed me three more prp’s a month apart from each other with no success. He would ask me, “Why I wasn’t walking?”🤨 I use a wheelchair because I can barely walk. I was so dumbfounded I took a couple seconds to say, “I can’t. There’s no stability and it feels like my top of my knees, the bone is going to slide off.” He looked like he couldn’t understand how that could be. But I never did go back or call his office after my last visit the end of March/2023. I have an appointment with fellowship trained Orthopedic surgeon next week Friday June 11th. I like that he has a pre-op program that candidates need to attend and he also has PT go to our home to do therapy after surgery. Thank you, for your time, energy and expertise in helping your community. You both are so awesome and very much appreciated!
Hello, I have 2 torn tendons in my left hip area. The pain is pretty tough at times and very uncomfortable. I'm going for PRP injections on March 14th. I would like to keep in contact and fill you in with my results as time goes on. Thanks, Rick
Best of luck Rick. It has a higher chance of helping with a soft tissue problem like that than arthritis. Good luck. Thanks for watching and subscribing
I think something should be seriously done in the advancement of medical science for issues like osteoartheritis as now a days younger generation is also facing the joints issues earlier to their age.
I have a partially torn rotator cuff and I am just not convinced that an injection of cells can make it just regrow. It’s just so expensive. I spoke to one person online that claimed it healed its shoulder, I talked to another that had them in his knees; paid thousands and got nothing from it.
Hello Dr's, thank you for educating the viewers on PRP and Stem Cell Injections. My question to you, have you ever done PRP Therapy for CRPS 1 or 2? If so, was it successful?
Hi Queen. You’re welcome. We are not big advocates of PRP at this stage as the evidence is not quite there yet. We can’t really comment on its role in CRPS. Sorry if you have this as it can be very debilitating. Thanks for watching and subscribing
I just was injected yesterday; 3/3/23, I wanted to try this before actually getting into surgery where I would be laid up longer. I have read a lot of positive things about the PRP procedure and then the total knee replacement. I know I am going to have on again off again for awhile, and then we'll se how well the PRP did.
FYI, They do PRP to regrow hair, the evidence is there by looking at the before and after pictures. I was considering doing this on my knee but my Ortho agrees with you guys that it's inconclusive and we just went with a Cortisone shot which works just as well if either are going to work at all. For my knee I was quoted 900.00 for a shot and was told I needed 3 shots and it's not covered by Insurance for anyone considering this.
Hi Joe. We don't think that growing hair inside your knee is going to reduce your pain or cure arthritis. Just kidding. Time will tell about PRP in joints. There is some weak evidence. We are waiting for the strong evidence. Thanks for watching.
My V.A. doctor, that can in certain cases use the stem cell treatment injections said the exact same thing you just outlined. Thanks for the honesty of trying to give solid information to the patient rather than extract cash from them.
You are welcome Danny. We do our best to keep it real. If science shows us it works we would both be happy to start doing it but not until then. Thanks for watching, subscribing and sharing with someone if you did.
Question. What are the literature on PRP on the subject having an autoimmune condition. Would that affect the PRP quality? And is there an age range of the subject where PRP was slower to work or that did not matter?
Since this video is six years old and the first one that comes up with a search, any updates? How well do they work for lower back pain due to slight scoliosis?
@@TalkingWithDocs ill be having PRP used in my knee post op in an effort to see if it helps healing.. Bucket handle tear in my meniscus I'll follow up after surgery if you'd like some anecdotal data!
I only have Medicare and it doesn’t cover PRP. One doc I’ve seen does it, but his prices are too expensive for me. I’m permanently disabled and have seen Medicare change it’s opinion on covering a treatment. I’m hoping they will cover PRP in the future. I enjoy all your vids!
Hi Lorraine. Thanks so much for the positive feedback - glad you like the videos. If you do not have coverage for PRP which still does not have definitive evidence for its benefit, you could consider cortisone or hyaluronic acid to help reduce your pain. Maybe discuss these options with your surgeon. Good luck and thanks for watching. Good luck!
I'm under the poverty line, disabled nurse, covaids longhauler, very damaged by the system's neglect and malpractice (can't sue for it - see prep act 1984) and well? My "insurance" covers NOTHING. You do it anyway. Payment plans, loans, whatever. It's your health and these things are the BEST. Ozone, chelation, PRP.......they will never cover what works, just like they withheld CHEAP effective, safe eyeVrMk10 from covid patients. Once you 'get it,' how they work, you ...get it and don't get what they have to offer. Worth spending the money you can prioritize with a loans or borrowing....
Would you please provide an update on this video about the longevity of pain relief and function wit PRP and Stem Cell? I was told by DO's office that it takes two treatments of PRP to get relief and one treatment of Stem Cell to get pain relief. The price ends up being the same if use 2 treatments of PRP as for 1 treatment of Stem Cell. DO's office says stem cell is usu taken from the patient's hip and injected in the arthritic joint.
You mention with stem cell research, that nothing is as good as your own cartilage. So I was wondering if they have figured out what causes arthritis that they could take your own Cartilage, reproduce it without the negative affects of arthritis? Then reintroduce the Improved Cartilage back into your joints?
So we did an update video. The answer is still the same. Works for some people but not universal. More for soft tissue than arthritis. Thanks for watching and subscribing
I wish insurance would pay for it. My mom had injections in the knee with great improvement...and waiting to see what insurance can do to help before starting with the other. The insurance considers it "experimental " and she got sent a bill. It's been around for awhile and helped so many people...they just don't want to validate it as useful so they don't have to pay.
So they are probably not willing to pay for it because the evidence fo supports its use in the setting of moderate to advanced arthritis is weak. Best of luck. Thanks for watching and subscribing
Hey Dr's, I have a question for you gentlemen. A good friend of my mine and long time co-worker has just experienced a distal bicep tear while working. Following a surgical attempt at repairing the arm (re-attaching the bicep forearm) ; it was determined that the procedure had failed. The details of how this failure was defined and what characterizes a failure vs. a partial success are unclear to me and my friend (the patient) in this case (I suppose this characterization depends on which definition more closely falls into that of the diagnosing party at the time). My question(s)... Please see part 2 comment
Hi Noots To Roots. This injection would not help. Many patients choose not to have distal biceps surgically repaired and live with it. It simply means they will have slightly decreased supination strength which often is not an issue. Hope that helps. Thanks for watching, subscribing and sharing with someone if you did.
@@TalkingWithDocs Born 🇨🇦.We moved to USA when I was 9.Have brother who has been in Canada for all 86 years of his life.I have basic understanding of Canadian health care.Go Leafs!
Grade 1 ACL sprain with PCL buckling and Grade 2a posterior horn of medical meniscus sprain...... Will PRP have anything to do with my knee docs... Thanks in advance
There is some evidence that it could help but often these types of injuries can improve with time and physio. The meniscus will be the wild card. Best of luck. Thanks for watching and subscribing
Thanks for the great work. I have a question although it's off topic for this video. Would be great to know if you think it's good to do a stress/stability manipulation X-ray on a non displaced bimalleolar fracture?
prolotherapy and PRP saved my life after a dumb chiro caused insane laxity in my neck, upper back, snapping ribs, snapping hips, there is no amount of treatments it takes time.
Love your approach. Have you taken a look at exosomes derived from distressed MSC's as a possible tool in regenerating cartilage? It has become clear that the value of Stem cell therapy is not in the cell's ability to replicate invivo but in their ability to signal native stem cells to begin replication via exosmaL signalling. Why not bypass the host (stem cells) and go directly to the active agent? I'm imagining a cocktail of PRP, HA and exos as potentially a powerful anti-inflammatory, pain reducer that may induce regeneration via angiogenesis, neurogenesis and finally the formation of novel cartilage cells. For a month post injection, the knee would receive PEMF TX's daily to help senile MSC's reach their action potential in order to replicate. Multiple treatments would of course be required. As you know, stem cells will expand infinitely in a petri dish but there is no evidence yet that transplanted stems will replicate in vivo in humans. Signalling the need for replication (exos) combined with charging senile MSC's (PEMF) all held in place by an HA scaffold can do no harm. BTW, there are mountains of evidence in support of each of these modalities. Unfortunately, there has never been a study that addresses this combination. Each modality has been dropped down a rabbit-hole, yet all are required in order to induce regeneration. 1) Put out the flame 2) signal replication of native stems 3) charge stems in order to reach their Action potential to make replication possible.
Hi Larry. Very interesting for sure and gives us hope. Lots of smart people are working on it. Time will tell. Stay safe. Thanks for watching and subscribing if you did.
@@acooksla This is one thing that bothered me in one of their last statements: "There's no evidence to say that it works really well..." at minute 5:30. Have they actually NOT heard the 100's of testimonials out there? I only know, NOT because I'm in the medical field, but I did some BASIC research. I haven't even had a consultation yet...but I KNOW that the statement that there is NO EVIDENCE to show that it works is UNTRUE.
@@lvmyfam11 YOU ARE RIGHT, I had PRP for my severe left tennis elbow, the injection was painful as hell, and it also cured me 100% at age 40!! full strength and range!!!! Im an athlete. last year I did my rotator cuffs, both shoulders, no pain during, same place, i am 70% better. I paid $700 at Cellaxys in Las Vegas, a great Dr. Otten and place. dont hesitate to do it, cortizone injections and physical therapy failed for 3 years on me. Get PRP asap wherever you can that is reputable. In San Diego, I paid $1200
A few years back I read about research being done on the ankles as the ankles bear so much weight but are rarely arthritic. The idea was to possibly use those cells at the knees?
Hi maria. There is a lot of research being done especially at the cellular level. Nothing yet. Thanks for sharing. Thanks for watching and for subscribing if you did.
Three years after this video I’m seeing it. Meanwhile I am scheduled to get my ACL treated by Regenexx with bone marrow concentrate. I have a “complete” tear of my ACL but a complete tear doesn’t mean it’s completely torn. It is structurally useless but fibers are still connected. They claim they can use what is there as a lattice to build and regrow the ACL. I’ll let you know in 6 months how it works.
@@dna146 I did. It’s been 5 months since I had the procedure. My knee is feeling pretty good but not 100%. They say it can take 1 year for the tissue to mature. Everyday activities are fine, but I still can’t do much for athletics. I can jump rope and do some jumping exercises but the muscles are still atrophied and weak. My sport is Muay Thai kickboxing. I can hit the heavy bag but still can’t kick anything. Just yesterday I was trying to schedule a follow up MRI to see how much the ACL has regenerated. I should get that done in a few weeks. I’ll keep you posted. As of now I’m still in the recovery phase. I know a guy who had a worse ACL tear than I did and had the Regenexx stem cell procedure. At his 6 month MRI, it came back as a sprained ACL. He had 2 additional PRP injections after that. He is 100% now. So I’m hoping I can have a similar success. But I’m not there yet. Either way it’s a long recovery and a tough choice to make.
@@SweetLuLund thank you so much for your response! I’m looking to get the same procedure done sometime in July. Where did you get the procedure done? Have you been doing physical therapy since the procedure? Also, were you able to walk post op or did you have crutches/brace? Thank you again for your help in answering these questions 🙏🏼
Hello great video! Does Prp injections help to repair the military neck back into a curve? Would it be necessary to do trigger point injections as well?
My doctor just recommended this procedure to me just waiting on my referral to go through. I am 42 years old, prior military with osteoarthritis in my hips and joints. My tight hip has been giving me hell. So, we'll see.
Hi Steve. We are going to do an update soon. The evidence is more clear now and in favor of a lot of soft tissue conditions but not for arthritis. Thanks for watching, subscribing and sharing with someone if you did.
Yes susan - hyaluronic acid. Definitely can help some patients. It isn’t perfect but very safe and often effective. Just expensive. Not as much as PRP or stem cells though. Thanks for watching and subscribing if you did
I had a recurring injury to my Achilles’ tendon that would not heal, I had stem cells injected directly into the tendon, which was horrifically painful. I walked into the office and limped out, had to get a boot that limited the movement of ankle. After three weeks of immobilized, my ankle felt good. I have been able to resume a jogging routine with no recurrence of pain or injury. I do not jog as much as I used to, but feel the procedure helped. There was a noticeable bump on the tendon that has disappeared. In your professional opinion, what occurred?
Hi ronald. Hard to say but there is some evidence for soft tissue indications for use of PRP. This may have lead to some healing with a scar type tissue that can be thicker and lead to a visible and palpable lump. Hope it all works out for you. Thanks for watching and subscribing
I am in constant pain and desperate for help. I have arthritis in my hands and toes, back, hips and knees. I had TKR of my left knee 7 years ago. Last September I fell and broke my femur in my right leg which required two surgeries. Then two weeks ago, I slid down our steps at home and fracture my Tibia on my right leg. I am miserable.
So sorry to hear that Anne. May be worth seeing a rheumatologist for the hands and feet. Also you likely have osteoporosis so hopefully that is being treated. Best of luck. Thanks for watching and subscribing
You guys are awesome! I just found you+been watching for 2 days. Have you done any vids on TKA when there's severe uneven bone-on-bone wear, as well as severe damage to ligaments, tendons and ACL? AND it's been aggravated by 20 yrs of running w a moderately clubfoot? They say I need all the bones in both feet broken and rebuilt! But the knee is now so unstable I'm falling.So, I think I must do knee first. I asked about Oscar Pitorious prosthetics in lieu of replacing both useless feet and knees, but I know that's drastic. .Thanks for all your v. helpful info!
In the US Regenexx seems the place to go for stem cell or PRP...they state they have high success. I use to get PRP injections in my knees for OA with success but after twice with faulty injections that gave me much pain and couldn't walk for 6 months I stopped them....I would keep doing the PRP if I could find someone that is good with the injections mine were done by a pain doc at the VA...I'm a bit skeptical of Regenenexx but if I could afford the Panama, Cayman Islands stem cells I would do it.
Hi Joe. We wish the companies that claim high success would do a proper trial and publish the results because the researchers that aren’t selling PRP don’t seem to have the same success 😀
Hi Fabiana. It varies from surgeon to surgeon. Best to discuss this with someone locally. But it is typically expensive. Thanks for watching and subscribing if you did.
Fabiana Fernandes Hi Fabiana, over 2 years ago I had stem cell procedure done with PRP from REGENIXX. They were 1st to get it started and have most work with it. Most cities have an office. Many flight attendants have it done. So I had several PRPs the following year until doctor got concentration right and it worked. I had 2 years pain-free living. I did a lot of walking in airports until this past march when I began having pain walking. CoVid shut us in our homes. With that I was only walking around my home. Pain went away. I continued using exercise bike and walking around my home. I'm hoping to see doctor soon for possible booster PRP so at least I can hold off surgery until next year. I think stem cell and the PRPs are great help if you need to BUY TIME before having surgery. I've been told some people go 5-8 yrs getting booster. Mayo Clinic is not connected to REGENIXX. A nurse at Mayo told me if their patients get 1 yr pain free that's good. My arthritis was pretty bad. I did not pay for every PRP. Entire Procedure cost around $8000. Insurance, sadly, doesn't help; insurance should!
@@greenleavesofsummer9673 hey dear i am planning to get a prp injection on my chronic wrist pain, you mentioned about getting prp and whole thing cost around 8000$ so how many injection was it and for how long ?
This is good information, but you only spoke about stem cell treatment for arthritis. My husband has received 3 stem cell treatments after C4,5,6 spinal cord injury and he can walk (with a walker), has bladder/bowel control and complete sensation in his body and he was told he would never walk again. No other treatments and he doesn't take any medications and never has since his accident. Results really depend on how long after the accident you receive treatment.
Hi Kayla. Yes we would agree. We talked about arthritis as that is our area of expertise. That is amazing about your husband. It does have a role in other areas of medicine for sure. Thanks for watching, subscribing and sharing with someone if you did.
@@eileenquijano5833 Hi Eileen! My husband has had 3 stem cell treatments in Panama. He paid for the first one and the second 2 we're sponsored by the company because he did see a lot of improvement. He is starting to do things he hadn't done in years like cooking dinner from a standing position being able to chop vegetables and eat with regular utensils and he doesn't have much pain anymore and spasms have significantly lowered. He is constantly doing his own physical therapy though and a lot of his improvements are because of that unwavering dedication as well. We are vegan also and believe that is important for optimal health as well as faith and meditation. Thank you for your interest and blessings to you. 😊🙏
Where is the update from this video? It says this video came out 3 years ago. I am mostly interested in the PRP update and it being done in the neck joints and ligaments. Also does the research show good results with Prolotherapy and PRP done at the same time? (Location being in the same area of the body) Thanks
Hi Anonymous Hippo. Update coming soon actually. You will be disappointed at the scientific evidence for its use. Very limited. Poor clinical studies. The risk is primarily financial and if you talk to enough people some will say they received benefit. We are certainly not convinced at this point. Thanks for watching and subscribing if you did
I liked the video and the doctors seem genuine and nice. I do think (and they probably have in other videos) disclose their practice interest (I.E. if they're orthopedic surgeons) when discussing treatment options.
Hi C. Our disclaimer for the channel does list that we are both board certified Canadian orthopaedic surgeons Hope that helps. Thanks for watching, subscribing and sharing with someone if you did.
Hi Mona. There are no specific guidelines for food intake before or after PRP but in general you should likely eat more plants and less animals. Thanks for watching and subscribing if you did
Hi Wally. This is rarely an issue. Sometimes the leg feels longer after it is straightened but it is typically more of an issue with hip replacement surgery. Thanks for watching, subscribing and sharing with someone if you did.
@@TalkingWithDocs Actually, I had my left knee replaced 6 years ago and evidently, my legs are slightly bowed. The result is that my left leg is now 7.5MM longer than the right. I try to compensate by putting a lift of sorts in my right shoe. I experience hip pain and am now going to have my right knee replaced. Hopefully, my legs will be near parity and the discomfort I've experienced over the last 6 years will be alleviated.
We would agree BRAD. it is very expensive and there are lots of people who will do it for you but the science is weak to non existent to support it’s routine use. Thanks for watching and subscribing if you did
Hi Steve. We are aware of the company - they are using single cell technology. Not involved in any of their research. Thanks for watching and subscribing
Hi doctor, I am a runner. please tell me what is the best option for patella chondromalacia ? And also tell me patella chondromalacia need surgery! Thanks advance 🙏
Hi Biswajit. The best treatment is pain control strengthening and bracing. Sometimes injections. Occasionally surgery. Good luck. Thanks for watching and subscribing if you did
Richard Feynman once said, "if you as a scientist can explain a complex subject of physical science to a lay person and they can understand the topic, then you are a master of the topic. Gentlemen, you are masters of the topic.
Hi Docs I am having a rod inserted to my tibia and femur do you have any videos on how this is done? My first surgery is on May 21. Stay well Docs and thanks for your information.
Hi Darlene. We don't at this point. It is similar to a regular total knee replacement however the canal (or hollow part of your tibia and femur) is prepared with what is a called a reamer to clean out part of the inside of the bone so the stem fits tightly). Hope that helps. Good luck on May 21!
@@TalkingWithDocs well I will be finding out what it’s like very soon. Thank you for making it clearer! You Docs have been a great help and glad you are on TH-cam.
I am strongly considering a combined regimen of PRP & stem cell injection in my R. hip, R. thumb, & he's going to include 3 injection sites at the base of my neck. Five apps., 5 injections, over a 5 month course. Plasma, then 3 stem cell, then last 1 plasma. Sounds like a plan... what say you?
We say the evidence is weak but we acknowledge you are likely in a lot of pain and willing to consider anything. The risk is primarily financial. Best of luck. Thanks for watching and subscribing
Hi Docs, Stationary bike exercise? Great for cardiovascular, I no longer run, so what's your opinions in relationship to my knee arthritis? I still play aggressive tennis. Your thoughts please.
Hi Ronald. We love the cycling. Tennis is ok and we would tell our patients to enjoy our it while you still have your own knees because once you get replacements it will be lazy doubles tennis. Hope that helps. All the best. Thanks for watching and subscribing if you did
Hello, dr, can you explain that I have neck pain and also very often head ache and ears blocked. For this situation what can help and what is the problem?
It depends what the cause is Tung. Best to get properly assessed to get a diagnosis first and then treatment can follow. Best of luck. Thanks for watching and subscribing
Very important , regarding IV stem cell treatment : I read a medical study where the bag containing the stem cell infusion shaking or something like that to avoid sedimentation of stem cells in the tip of bag. Ussualy the needle introduced in the bag to collect the stem cells has a higher position than the inside part of the tip of bag. Doctors know what I mean. How doctors avoid this phenomenon ? Thanks.
I had this procedure done over 6 months ago for a torn ACL at Regenexx in Iowa. I had an MRI at the point of Injury and an MRI 6 months after procedure. I would be more than happy to send you the MRI images if you wanted to look at them. But here is my experience: I had a complete tear of the ACL. They drew out bone marrow from my hip bones to source the stem cells. It cost 8k out of pocket. 6 months later my knee feels pretty good and I’ve regained most of my mobility however I have still not returned to intense athletics. I do boxing and kick boxing. I can box again but I still cannot kick with any intensity. I can run and lift weights but I can still feel my knee is not trustworthy if I do lateral movements. The 6 month MRI showed that there has been a lot of healing, however, the ACL is still classified as “completely torn”. The orthopedic Dr said he can feel an end point when he tries to move my knee, but he said that the ligament tissue does not look like a healthy consolidated ligament the way it should. He also said he had never seen someone who had tried to heal it through stem cells, so I feel like I need to go back to the Regenexx Dr for their opinion as well. The Drs at Regenexx did say it could take up to 1 year for the tissue to mature and I may wait longer to see how it turns out. I may even get an additional PRP injection while I wait for the end of the year. So while my knee has gotten much better, I cannot say this procedure is a miracle, at least it’s not in my case so far and I hope my story helps inform some people when they make their decision.
Hi Lucas. Thanks for sharing. It is not possible for your ACL to reattach once completely torn. You will typically regain full range of motion but any side to side or plant and twist activities will not be possible without reconstruction or a brace. Best of luck. Thanks for watching and subscribing
@@TalkingWithDocs well I personally know people who have had “completely” torn ACL and with stem cells attained ACL regrowth. It just didn’t work out so well with me. The stem cell clinic has a defined standard of how much retraction of the ACL they measure. If it has retracted too much you are not a candidate. If it’s within limits you are a candidate. They said my ACL tear was complete but they called it a “wavy tear” and said while functionally useless, there was still part of the ACL left. Ether that is complete BS or there is nuance to what a complete tear is and what can be done with it. 🤷🏻♂️
I just had PRP injection 3 days ago, in my right knee, I had a medial meniscus repair and lateral meniscus removal 7 years ago..The injection was absolutely painless, no numbing agent was used..I felt immediate relief and have had 0 pain since before the injection..I walk 6 miles each morning and rollerskate 4 nights a week for 4 hours each session..I feel fine, do I need to wait to begin these activities again?
How long did you have pain before you decided to get PRP?? Mine became chronic… comes and go for a year… I wonder if I get it now it will still be effective or not😟
Hi Queen. Glad to hear you are doing well. Best to discuss activity restrictions with your treating surgeon. Good luck. Thanks for watching and subscribing if you did
I have lots of limited mobility and coordination problems etc have ligament damage all throughout neck and a disc bulge/extrusion in L5/S1 would regenerative medicine possibly help?
I am 62 and recently had 2 back surgeries a double lamy and constant reprotrusion of the discs.(L4-SI), multiple corticosteroid injections and little relief. Doc suggested stem cell at a cost of 1500, insurance won’t pay. Or an ablation? The original surgeon thinks I may need a fusion but won’t do it for a year? Please help with your thoughts or pearls of wisdom? I am a bedside nurse so that says a lot 😞
Hi Cassandra. Hard to say as there is limited evidence for PRP in spine surgery but it is evolving rapidly. Maybe another opinion but the back is very tricky for sure. Best of luck. Thanks for watching and subscribing
Hi guys, I’ve been watching your videos for a few weeks as I believe I have a meniscus tear and it fairly painful. This video is 4 years old. Can you give an update?
Hi Jan. We have an updated PRP video. No evidence to say it would help with a degenerative meniscal tear. May work as an adjunct if you have a meniscal repair which is much more common in the very young. Hope that helps. Thanks for watching and subscribing
@@TalkingWithDocs I really appreciate you responding. To be honest that usually doesn't happen. I am actually 71 years old and I did this 2 years ago when I foolishly tried to kick a bug out of my garage. I felt the pain immediately as I kicked the bug sideways. The pain is on the inside of my left knee. It's now to the point where it takes me about 3 or 4 minutes after I get out of bed in the morning - or a chair after sitting a while - before the pain is only a dull ache instead of a sharp pain. When I walk after getting out of bed I walk like Uncle Amos of the real McCoys. The more I research the treatment of surgery I stay conflicted about what to do. I can't imagine living with this for the remainder of m,y life. You owe me nothing as you have been so kind just for me to be able to tell someone. I wish I really knew what to do.
Very good video. Yes I am in charge of my own health! Good quote! Just went thru the process today on my left shoulder. The process was relatively fast, and a little bit more painful when they injected the platelets. Ultrasound was used to guide the needle to the specific areas. Hoping to feel better after 4-6 weeks. As for cost, I’m in the military so our medical insurance covered it🙏🏼
Thanks so much for sharing your experience Jorge. We wish you all the best. Let us know how it worked out! Thanks for watching, subscribing and sharing if you did.
I had PRP done on my right knee which had ACL repair done back in 1993. Results were fantastic and quite good for my situation.
Glad to hear it Scott. Thanks for watching and subscribing if you did
Thank you, so glad to hear because I'm looking into this in place of trigger thumb surgery which was caused BY ortho doing bilateral carpel tunnel surgery with no rehab ordered and developed thick scar tissue! Going this rough and excited!
I had 3 rounds of PRP ($4k out of pocket) for my R knee, which the patella is "off". Ortho doc did exploratory procedure and caused more harm than good, as I ended up with R knee bone infection. Switched to a different ortho doc at same facility, who recommended trying PRP. Nobody at this facility caught on to the cause being my patella. (My physical therapist called it right after I started PT). Only when I switched to University hospital did the knee DR there tell me it was my patella and to live with it, and nothing could be done. Now my L3-4-5 & C1 have gone bad with how I have adjusted my walking. Hoping stem cell therapy can help my knee, but not sure my issue is a candidate... It's amazing how insurance will pay for exploratory surgery but not pay to fix issues caused by it. 😡
@@lisamckinney5784 Did you end up doing it?
In May 2021, I received umbilical cord tissue and PRP injections in both knees and in my upper back (trigger points). I was told that I could start seeing improvement in 4-6 weeks but started to notice less stiffness and soreness in about 10 days. From there the improvement was pretty significant. In an effort not to cause a new injury, I began walking to create movement but not overexertion. I noticed that I was able to stand and walk for longer and longer without having the burning, fatigue sensation in the muscles between my shoulder blades which I had experienced for YEARS. I was also able to squat down to pick something up and push back to standing without assistance from another person or furniture. I had not been able to do that for many years.
I am in my 40's and KNEW deep down that I didn't want to start the decline of function that early on in life. I wanted to be able to walk and/or run and ride my horses without pain.
Nearly 1 year later, I still feel fantastic. I walk and/or run (weather permitting) and have also incorporated yoga and pilates. I can ride without "paying for it" the next day.
If you would like to investigate current research in these therapies, I recommend visiting clinicaltrials.gov and the NIH research articles. The Mayo Clinic is also doing some research, as well as other universities. A "google search" will not necessarily yield unbiased information.
Because my results were so wonderful, I want to share with people the positive aspects of the treatments and encourage others to do good, reputable due diligence. No, it's not covered by insurance but it is worth the cost of an injection that allows me to live the way I want.
Hi Coach Sarah. That is great news. We wish all the results were the same as yours. There are lots of trials going on and we look forward to the day when this works for all. Thanks for watching and subscribing
That sounds very promising! Who did your injections for you?
Thanks for this info . I was on website for HSS trials and clinicaltrials.gov last 2 days, but none had trials of PRP+/or stem cells AS PART OF TKA, which has huge potential (and many pro-athletes are doing!).Told since I was 37 (runner/lacrosse player)I needed TKA, I made it to 65 as a walking Jenga puzzle. Now bones worn so unevenly, thigh bone is shifting. I only have a partial ligament +no ACL, so instability is now dangerous for falls. It's INSANE w SO many successful procedures+desperation for these treatments that almost no one is STUDYING THEM TO GET FDA APPROVAL! I'll look into Mayo Clinic. Good luck! and thanks for sharing!
Who did you have do your injections?
I had PRP in my right knee over 5 years ago and haven't had a problem since. I had an injury in my right shoulder that would not heal. After about 3 years, my primary suggested stem cell injection and it worked like a charm. A couple of years later, I injured it again, let it go for a year, and got the stem cells and, again, it worked like a charm. It is not covered by insurance, but it's still less expensive than my insurance deductible for surgery and no down time.
Interesting Mary. Glad it helped. Thanks for watching and subscribing
Aaaaaaand less surgical TRAUMA, scar tissues and adhesions. Love, learned the heard way nurse and now patient not taking mainstream approach to anything
Where did u go for this?
thats what i wanna know because i am researching going abroad to get it done@@cindylou7017
It's all a scam .. I had stem cells and prolotherapy, it did absolutely nothing!
I was at a pain level 8-9 daily almost unbearable on my rt knee and sleeping was miserable, I have had 5 PRP injections over the past 2 years and my daily pain levels went down to 4-5 after 2-3 weeks of the first set, 4 months later I had my 2nd series Andy pain went down to 1-2 pleasantly surprised. It didn't help the strength or stability of the damage but it sure helped the Pain management as Im not able to take any drugs due to being a Pilot and Boat Capt. After dealing with the situation for 4-5 years I am finally getting my TKR Feb 7th. Thanks for all the info you put out. God Bless
That’s cool Capt! It works for some just not enough. All the best. Thanks for watching and subscribing if you did
I am hooked on watching all of these videos that you have put out unfortunately they’re years old I wish you could do some updated ones because everything you say is relevant and it’s everything I need to hear in order to make up my mind if I want to go forward with a knee replacement
Hi Tanda. We are working on that. So glad you are watching. Most of the older videos are still very relevant. Best of luck. Thanks for watching, subscribing and sharing with someone if you did.
I’ve Got a hypothesis: Use the heart and ‘Legs up ‘ after a run to reduce post run injury. If a centrifuge is used to separate platelets and cells in the clinic then I propose using blood flow with legs raised to separate blood components. I regularly prevent injury after running by leg raising 10, 15 or 30 mins.
I have received a PRP injection in my right shoulder for my osteoarthritis. Almost one year now. It made a world of difference. Even though I still experience some pain at end range of motion, it's no longer constant pain.
Hi Francois. So glad the injection worked for you. It does seem to work for some people and some conditions. Thanks for sharing and for watching.
So it works alittle bit ?
@@miamor5929 It's not that it works just a little bit. It works quite well, actually. The only thing is that you cannot rely solely on a platelet injection. In my case, my physician highly recommended a ketogenic diet in order to minimize inflammation (because we all know that glucose wrecks havoc on joint linings). Also, there is the question of rehabilitating the surronding musculature. The shoulder is a very mobile articulation, and loss of ROM due to weaknesses also can cause pain and discomfort. In other words, it's a holistic approach. But each case is different. The best advice I can give is to be proactive and not depend on pharmaceuticals to relieve pain. It's a long road but it's worth it if you're strong enough.
@@ADAPTATION7do u think it can rebuild cartilage a bit? I have arthritis to in shoulder buwant rebuild it a little bit
@@Chef_cookk You must understand the cause of your arthritis first. Is it due to an injury or a muscle imbalance or both? Getting PRP for your shoulder is like changing the tires on your car because they are worn out without balancing your wheels and/or getting a four wheel alignment. Arthritis is only a symptom.
Over several years I have had a combination of PRP and Prolozone injection therapy done to both my arthritic knees and right hip. I found that there was a definite relief in pain and inflammation and more mobility in all joints. The injections efficacy would last for about six months. The shots were done in a sterile lab and were not cost prohibitive though they weren't covered by extended medical insurance. Recently my right hip was replaced, but I have to say that this form of therapy gave me the pain relief and extra mileage in the very physically demanding work that I used to do. Based on my experience and the condition of my arthritis I would recommend it as an alternative to delaying surgery.
In regards to stem cell research, I've been told that South Korea and Japan are doing some clinical trials in growing knee cartilage and applying them to arthritic knees. Adhesion seems to be a problem. Two main US medical companies Carticell and Regenexx are doing research into stems cells and cartilage replacement
Hi vizmatter. Thanks for sharing your story. Yes cartilage research is being done everywhere including Canada and the US. Cartilage can be grown but you are right, the main issue is getting the body to incorporate the transplanted cartilage into the host. Good luck going forward and thanks for watching.
In my opinion stem cells could have saved ur natrual right hip side...
In 2017 I had stem cell and PRP by REGENIXX instead of knee replacement.
I had a bad knee. Immediately, I had less inflamation but still pain. For the next year plus 1 month more (total 6 injections every 3-4 month due to extreme pain returning off and on. Finally, that last PRP was a doozy. It was an extremely painful injection to point of tears. For 1 & half weeks after there was some pain. Then, no pain at all. I expected pain to return month after month, but no. For almost exactly 2 yrs I went pain free walking, exercising. No running, no extreme activity. Doc did something hadnt done before. I believe he concentrated PRP even more than ever. I don’t know if stem cell from bone did anything or if it was just the PRP’s. I know it definitely should be used in treatments for people who need extended time prior knee replacement; AND, it should be covered somewhat 50%-80% by insurance! I know there’s a clash between medical co and doctors who like doing surgery. But I was helped.
Some people need extra time before doing surgery or not at all for further down road. This is better for a patient than injections of steroids, Hauleronics, or ibuprofen/nalproxin which I was told
tend to distroy the tissue needed. acetaminophen can be used when necessary.
Cornel Bucur Probably, if I caught it in time. The ball of the joint was so badly worn that it caused my whole leg to twist to the right.
eva garden good to hear. There is a lot of promise in this area of orthopaedic medicine. I wish they would accelerate the research and development.
i just tried prp on my knee and so far the pain has diminished considerably after 3 weeks i am very happy with the results so far.
Glad to hear it A. Thanks for watching and subscribing if you did
Hello ...I m from india...can you share some more information regarding it..my mother is suffering from the same..dr suggest her of totol knee replacement
I had stem cells and extensive therapy . My cells were umbilical cells from healthy birth. Ozone shots, infra red heat, vitamin injections, etc. I even wore a cumbersome off loader brace for 3 months. Walked 1.5 miles daily and did strengthening exercises and lost weight. My MD received stem cell training at George Washington University. I was convinced it would work for me. $18,000 later my knee is still killing me. Arthritis and bone on bone. They even did a second treatment at their expense. So disappointed. Wasted 2 whole years hobbling around and poor quality of life because of pain and limitations. Knee replacement Nov 4.
Sorry to hear that
Thank you so much for sharing your story Pamela. We feel that the scientific evidence is not there to support routine treatment of advanced arthritis of the knee. Good luck with the total knee replacement! Thanks for watching and subscribing if you did.
Either your a doctor or you went to the wrong place. Columbia and Panama are the places to go right now. Check out Life Force by Tony Robbins.
@@Fast_Eddie_ Are you kidding me?!! Tony Robins 😂
@@NoObligationToday Tony Robbins, Joe Rogan, Steve-O, Chuck Liddell, Mel Gibson's dad...etc....
If you don't know what you're talking about it's best to shut your mouth...
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I had stem cells put into both knees where the cells were extracted from fat. Results at 6 months are good. I wasn't walking before them without great difficulty but now I'm I can manage about 5000-6000 steps a day as well as cycle.
Thanks for sharing your experience Rob. Sounds like it has worked for you. Every patient is a bit different. Thanks for watching and subscribing if you did.
@@TalkingWithDocs So from what I'm understanding this helps repair the knee with needing a total knee repair ?
Hi rob. Where did u do the stem cell treatment? Im devastated and would want to learn more about your experience.
@@pavelbure007 I'm in Australia. I chose a reputable and professional clinic and doctor and cannot fault them. I was grade 4 osteoarthritis and very bow legged so its difficult to treat and I was advised. I chose to try it anyway and I felt some benefits about 3 months later. Decreased pain, able to walk further. I had a high tibial osteotomy 2 months ago because the knee was getting worse.
Look at a procedure called BAM, Biological Autologous Drilling. Thats using stem cells in conjunction with microfrature surgery. That is yielding excellent results. Ill be getting this in the next few years
How r u now?
Hi Docs, this is a 3 year video. Is there an update on stem cell injections? Also, here is a topic for your discussion - Frozen Shoulder.
How do you treat it so it goes away permanently?
Thanks!
Hi Isabel. There is an update. You just have to search it. Minimal new evidence to support it. And yes frozen shoulder is on the to do list. Thanks for watching and subscribing
Great video. Stem cell treatments have come a long way. I experienced a central tfcc tear, which i was told could not be repaired or could not be healed, and the only option was a debridement which should lessen pain. After having the procedure done and doing PT, i am worse off than before the procedure. Surely there are procedures that insurance pays for which have less efficacy than some stem cell treatments. If there is no risk other than expense, why doesn’t the FDA get serious about this? Have my theories.. sad, not everyone has 25k to plunk down.
Hi Jack. Tfcc is tricky for sure and can have persistent pain. Hope you find something that helps. Stem cells still have a long way to go. Thanks for watching and subscribing
I have had PRP into lumabr facet joint's at three level's and it helped a lot. I went three differnt times about a month apart between each shot(s). The only downside is, you can't take NSAIDS before or after for abt a week and no ice after either. The shot's hurt/burn at first and after about 48 hr's, you start to feel better gradually. Oh and insurance don't pay for it either. It work's though.
Thanks for sharing your experience Dan. Glad it worked for you. Thanks for watching, subscribing and sharing if you did.
@@sanpat2220 the disc is collapsed and I have RA now, so things are not good. Prp helped so I would try it.
Why is there virtually NO new videos about stem cell treatments? Especially amniotic stem cell therapy for tendon damage, etc.
I'm having surgery to clean up a meniscus tear and PRP injection on April 9th. Your discussion supports all information I have been able to gather, including second and third opinions. Cleanup is to remove material that can interfere with function AND serve as an abrasive, making the early onset arthritis worse over time. PRP is to provide material to POSSIBLY make cartilage more "healthy". Great video, relevant content and reasonable advice. It is hard to find medical advice that is not actually trying to sell a treatment or medication. Now, if I could only find a family Doc that promotes wellness and Disease prevention!
Hi J.D. Thanks so much for the positive feedback. That is one of the benefits of socialized medicine is that there is enough work for everyone so no one should be selling you anything. Especially in orthopedics, we feel strongly that the decision should be up to the patient - unless it is an infection, dislocation or fracture - sometimes we need to tell patients that surgery is absolutely necessary. Best of luck with your procedure. Keep us posted. Thanks for watching, subscribing and sharing if you did.
Functional medicine, holistic and GOOD nutritional naturopaths, holistic dentists that do NOT use fluoride, nitrous oxide, etc. They're out there :) I'm converting myself.
I had stem cell injections in both knees in 2017 after about 20 years of bone on bone and severe osteoarthritis. They took the cells from bone marrow (hip) and put in what appeared to be a centrifuge to isolate the stems cells. The cost was just over C$2400 in total. It wasn’t a cure but i had a marked improvement in my mobility that was noticed by others. Unfortunately Canada’s health authorities stopped allowing the treatment in 2018 based on a lack of clinical evidence of its efficacy.
Agreed Gordon. 4 years later still no evidence. Thanks for watching and subscribing if you did
Its not that it doesn't work, it's that big pharma is in the pockets of all politicians and doctors and insurance scams. Exactly why surgeons push steroid injections, which ultimately deteriorate your soft tissue leading to more surgeries. (THEY MAKE MORE MONEY)
love your channel, I am a disabled vet one TKR at 55, need the other one done, lower back from L-1 to S-1 either herniated or ruptured, blown SI joints, had an active career, VA did experimental stem cell injections in my knees and back first one lasted 6 months the last two did zero for me. I appreciate your honest explanations
Hi joe. Thank you for your service. Sorry to hear you are having a difficult time. Yes stem cell treatment has a way to go. Best of luck with your TKR. all the best. Thanks for watching and subscribing if you did
I broke/cracked 3 front side ribs in 1984. For about 30 years they would continue to hurt… sometime significant pain if I simply laid on my side or chest. A local DO (Doctor of Osteopathic) use PRP in the area of the ribs. I had to pay for the process as my insurance would not pay (I think it was around $450). After the process I was very “bruised” for about 2-3 months. After 6 months there was no bruising and I have been pain free for about 7 years. The PRP worked for me. A friend did it on his knee the same month and has not had any pain since his process.
Interesting Tom. Thanks for watching and subscribing
My doctor wanted to do a half knee replacement on me which was bone on bone for 35 years due my meniscus being removed at 20 years old. I was not keen on this at 55 years old so l went to another doctor who was doing PRP. He told me before we do the procedure l needed to get lab work done to see how healthy l was. I was a vegan at the time and he wanted me to start eating meat again which I did and detox my body which took about 3 mths. He then did the PRP on me twice over period of 2 mths. It has now been 10 years l eat a low carb diet now. Exercise 5 times a week feeling great and still have my own knee. My doctor also told me to drink no alcohol for 3 mths leading up to PRP and 3 mths after which l did. It has worked great for me.
That's awesome. It's too bad that anecdotes are not evidence. The research fails to show benefit at this time but maybe eventually
I had MRI 2015 prior to MSC+ PRP and MRI post one year. The MRI showed paper thin covering across previous fissures. Over the first year there was a gradual cross over from 7 bad days to 7 good pain free days. My knees were good for about 4.5 years but since my knees have once again deteriorated and although I need a redo I can no longer afford it with the increase in cost of living here in Australia.
Being ahorse surgeon started treating horse tendonitis way before human medicine. We started research with UC Davis1999 and found bone marrow injections greatly increased tendinous and ligamentous healing. Initially we assumed it was d.t. stem cells in the bone marrow, however UC Davis found similar results by injecting the supernatant after spinning down the bone marrow. In my clinical experience I have found to be PRP of limited benefit ia or intra tendonous in 1000's of patients. However, IRAP treatment for ia use has been exceptional especially in arthritic joints that stopped responding to corticosteroids.
That is super interesting Bernd. Thanks for sharing. Thanks for watching and subscribing
I had prp to my lower back about 4 years ago. Great results
As this video was done in 2018, 7 years should have allowed for far more information. I do know that AAOS determined its efficacy after OTC treatments. Perhaps an update for of studies and usage the last 7 years.
I have an arthritic ankle and had a PRP injection a week ago for tendonitis of the Peroneal tendons. I was told that it might take up to a month to know if it had the required effect. I found some improvement within 24 hours; the improvement has increased over the week. As you say, it is not inexpensive. In Singapore, the cost is USD 764, but I am feeling that the money was well worth it and will schedule a second jab next month to maximise the improvement. Thanks for your informative videos.
Hi Russell. Glad to hear it. There is more evidence for its use in soft tissue conditions like tendinitis. Thanks for watching and subscribing if you did
Great to hear from you, and l wondering can share where can l go for this treatment in Singapore cause l'm suffering from knees pain too. Thanks
You say it csn repair cartilage? I want this for my shoulder
I really appreciate the information that you guys put out. Can you please do an update on this topic
We did. Check our more recent videos on this exact topic. Thanks for watching and subscribing
@@TalkingWithDocs thanks
Thank you for all of this information about PRP and Stem Cells .
You are very welcome Jane! Thanks for watching and subscribing if you did.
@@TalkingWithDocs I subscribed yesterday ! You guys are wonderful ! BTW, I am from Hawaii.
Hi docs! Last July started SCT in both knees. First injection were stem cells from a donated source. Come back two weeks later for PRP, another two weeks for PRP and a final third time. Doc said, “I should’ve felt it working after first PRP,” but no relief. Sent me for a MRI thinking my back must be playing a role in not getting better. He had me on a back stretching machine a magnet chair with no success. He prescribed me three more prp’s a month apart from each other with no success. He would ask me, “Why I wasn’t walking?”🤨 I use a wheelchair because I can barely walk. I was so dumbfounded I took a couple seconds to say, “I can’t. There’s no stability and it feels like my top of my knees, the bone is going to slide off.” He looked like he couldn’t understand how that could be. But I never did go back or call his office after my last visit the end of March/2023. I have an appointment with fellowship trained Orthopedic surgeon next week Friday June 11th. I like that he has a pre-op program that candidates need to attend and he also has PT go to our home to do therapy after surgery. Thank you, for your time, energy and expertise in helping your community. You both are so awesome and very much appreciated!
Hello, I have 2 torn tendons in my left hip area. The pain is pretty tough at times and very uncomfortable. I'm going for PRP injections on March 14th. I would like to keep in contact and fill you in with my results as time goes on. Thanks, Rick
Best of luck Rick. It has a higher chance of helping with a soft tissue problem like that than arthritis. Good luck. Thanks for watching and subscribing
How did it go???
@TalkingWithDocs
It's all a scam .. I had stem cells and prolotherapy, it did absolutely nothing!
I think something should be seriously done in the advancement of medical science for issues like osteoartheritis as now a days younger generation is also facing the joints issues earlier to their age.
We agree samriddhi. They are working on it but nothing quite yet. Thanks for watching, subscribing and sharing with someone if you did.
Any updated info on this topic ? Would love to hear the latest in 2023.
We have an updated video. Didn’t change much yet
I have a partially torn rotator cuff and I am just not convinced that an injection of cells can make it just regrow. It’s just so expensive. I spoke to one person online that claimed it healed its shoulder, I talked to another that had them in his knees; paid thousands and got nothing from it.
Hello Dr's, thank you for educating the viewers on PRP and Stem Cell Injections. My question to you, have you ever done PRP Therapy for CRPS 1 or 2? If so, was it successful?
Hi Queen. You’re welcome. We are not big advocates of PRP at this stage as the evidence is not quite there yet. We can’t really comment on its role in CRPS. Sorry if you have this as it can be very debilitating. Thanks for watching and subscribing
I just was injected yesterday; 3/3/23, I wanted to try this before actually getting into surgery where I would be laid up longer. I have read a lot of positive things about the PRP procedure and then the total knee replacement.
I know I am going to have on again off again for awhile, and then we'll se how well the PRP did.
Good luck Teresa
FYI, They do PRP to regrow hair, the evidence is there by looking at the before and after pictures. I was considering doing this on my knee but my Ortho agrees with you guys that it's inconclusive and we just went with a Cortisone shot which works just as well if either are going to work at all. For my knee I was quoted 900.00 for a shot and was told I needed 3 shots and it's not covered by Insurance for anyone considering this.
Hi Joe. We don't think that growing hair inside your knee is going to reduce your pain or cure arthritis. Just kidding. Time will tell about PRP in joints. There is some weak evidence. We are waiting for the strong evidence. Thanks for watching.
cortisone ? works ? aspirin works , sometimes , but doesn't FIX anything
@@kcajmortsnnew1488 Could end up with a "hairline" fracture. (sorry, couldn't resist).
Cortsone does not work "just as well," It's harmful for the body, and just a bandaid. Find another place.
My V.A. doctor, that can in certain cases use the stem cell treatment injections said the exact same thing you just outlined.
Thanks for the honesty of trying to give solid information to the patient rather than extract cash from them.
You are welcome Danny. We do our best to keep it real. If science shows us it works we would both be happy to start doing it but not until then. Thanks for watching, subscribing and sharing with someone if you did.
Question. What are the literature on PRP on the subject having an autoimmune condition. Would that affect the PRP quality? And is there an age range of the subject where PRP was slower to work or that did not matter?
Since this video is six years old and the first one that comes up with a search, any updates? How well do they work for lower back pain due to slight scoliosis?
Are these two about to go into surgery? What's with the scrubs?
Hi Goorie. Often we do film before surgery. Why do people care what we wear in the video? Thanks for watching and subscribing if you did
@@TalkingWithDocs It's cringy.
@@schmingusss What’s cringy is that your tail is in a knot about it
@@tedreid1035 Maybe they ought to drape their stethoscopes over their shoulders as well. You know, to make sure we know they are doctors.
This is a brilliant talk on these treatments. Would PRP be beneficial for post op tissue recovery after THR?
Hi Kat59. It wound typically not be beneficial after THR and we do not believe it has been tested in that capacity. Thanks for watching.
@@TalkingWithDocs ill be having PRP used in my knee post op in an effort to see if it helps healing.. Bucket handle tear in my meniscus
I'll follow up after surgery if you'd like some anecdotal data!
BMAC and PRP to a partial ACL and meniscus tear??
My understanding is that both PRP and stem cell injections are both considered experimental therapy so the insurance will not cover the cost
We think you are right Sgilmore69. Thanks for watching and subscribing if you did
I only have Medicare and it doesn’t cover PRP. One doc I’ve seen does it, but his prices are too expensive for me. I’m permanently disabled and have seen Medicare change it’s opinion on covering a treatment. I’m hoping they will cover PRP in the future. I enjoy all your vids!
Hi Lorraine. Thanks so much for the positive feedback - glad you like the videos. If you do not have coverage for PRP which still does not have definitive evidence for its benefit, you could consider cortisone or hyaluronic acid to help reduce your pain. Maybe discuss these options with your surgeon. Good luck and thanks for watching. Good luck!
I'm under the poverty line, disabled nurse, covaids longhauler, very damaged by the system's neglect and malpractice (can't sue for it - see prep act 1984) and well? My "insurance" covers NOTHING. You do it anyway. Payment plans, loans, whatever. It's your health and these things are the BEST. Ozone, chelation, PRP.......they will never cover what works, just like they withheld CHEAP effective, safe eyeVrMk10 from covid patients. Once you 'get it,' how they work, you ...get it and don't get what they have to offer. Worth spending the money you can prioritize with a loans or borrowing....
Would you please provide an update on this video about the longevity of pain relief and function wit PRP and Stem Cell? I was told by DO's office that it takes two treatments of PRP to get relief and one treatment of Stem Cell to get pain relief. The price ends up being the same if use 2 treatments of PRP as for 1 treatment of Stem Cell. DO's office says stem cell is usu taken from the patient's hip and injected in the arthritic joint.
Please see prior response. Thanks for watching.
I keep hearing PRP works for osteoarthritis, but what about rheumatoid arthritis? Thank you.
Hi David. Same. Limited evidence in moderate to advanced. Some weak evidence for mild. Thanks for watching and subscribing
You mention with stem cell research, that nothing is as good as your own cartilage. So I was wondering if they have figured out what causes arthritis that they could take your own Cartilage, reproduce it without the negative affects of arthritis? Then reintroduce the Improved Cartilage back into your joints?
The short answer Ronald is no. We don’t totally understand why it happens. Thanks for watching and subscribing
Yet insurance companies mostly dont cover prp.
Yes likely because of the lack of conclusive supportive evidence for its use. Thanks for watching and subscribing
This video is quite old. Any updates?
So we did an update video. The answer is still the same. Works for some people but not universal. More for soft tissue than arthritis. Thanks for watching and subscribing
I wish insurance would pay for it. My mom had injections in the knee with great improvement...and waiting to see what insurance can do to help before starting with the other. The insurance considers it "experimental " and she got sent a bill. It's been around for awhile and helped so many people...they just don't want to validate it as useful so they don't have to pay.
So they are probably not willing to pay for it because the evidence fo supports its use in the setting of moderate to advanced arthritis is weak. Best of luck. Thanks for watching and subscribing
Hey Dr's, I have a question for you gentlemen. A good friend of my mine and long time co-worker has just experienced a distal bicep tear while working. Following a surgical attempt at repairing the arm (re-attaching the bicep forearm) ; it was determined that the procedure had failed. The details of how this failure was defined and what characterizes a failure vs. a partial success are unclear to me and my friend (the patient) in this case (I suppose this characterization depends on which definition more closely falls into that of the diagnosing party at the time).
My question(s)... Please see part 2 comment
Hi Noots To Roots. This injection would not help. Many patients choose not to have distal biceps surgically repaired and live with it. It simply means they will have slightly decreased supination strength which often is not an issue. Hope that helps. Thanks for watching, subscribing and sharing with someone if you did.
I'm a veteran under health care of.I wonder by my next life time will veterans have opportunities to remedy arthritic joints?
Hi Ron. Thanks for your service. Not exactly sure how healthcare works in the US. We are in Canada. Thanks for watching and subscribing
@@TalkingWithDocs Born 🇨🇦.We moved to USA when I was 9.Have brother who has been in Canada for all 86 years of his life.I have basic understanding of Canadian health care.Go Leafs!
Grade 1 ACL sprain with PCL buckling and Grade 2a posterior horn of medical meniscus sprain......
Will PRP have anything to do with my knee docs...
Thanks in advance
There is some evidence that it could help but often these types of injuries can improve with time and physio. The meniscus will be the wild card. Best of luck. Thanks for watching and subscribing
Thanks for the great work. I have a question although it's off topic for this video. Would be great to know if you think it's good to do a stress/stability manipulation X-ray on a non displaced bimalleolar fracture?
Hi H. This can be useful to see if the medial side will open up and if the syndesmosis has been disrupted. Thanks for watching and subscribing
What about the use of CBD tabllets for pain management after a knee replacement surgery.
It is becoming more common Connie. Doesn’t work for everyone but some. Thanks for watching and subscribing
What kind of results do you have for using PRP for degenerative disc disease (lumbar)?
Thank you for your time.
Very welcome RHM. Thanks for watching and subscribing
prolotherapy and PRP saved my life after a dumb chiro caused insane laxity in my neck, upper back, snapping ribs, snapping hips, there is no amount of treatments it takes time.
Man im in the exact same boat after a dumb chiro. My neck is screwed and I have cci. Hoping prp can bring me back to normal.
Love your approach. Have you taken a look at exosomes derived from distressed MSC's as a possible tool in regenerating cartilage? It has become clear that the value of Stem cell therapy is not in the cell's ability to replicate invivo but in their ability to signal native stem cells to begin replication via exosmaL signalling. Why not bypass the host (stem cells) and go directly to the active agent? I'm imagining a cocktail of PRP, HA and exos as potentially a powerful anti-inflammatory, pain reducer that may induce regeneration via angiogenesis, neurogenesis and finally the formation of novel cartilage cells. For a month post injection, the knee would receive PEMF TX's daily to help senile MSC's reach their action potential in order to replicate. Multiple treatments would of course be required. As you know, stem cells will expand infinitely in a petri dish but there is no evidence yet that transplanted stems will replicate in vivo in humans. Signalling the need for replication (exos) combined with charging senile MSC's (PEMF) all held in place by an HA scaffold can do no harm. BTW, there are mountains of evidence in support of each of these modalities. Unfortunately, there has never been a study that addresses this combination. Each modality has been dropped down a rabbit-hole, yet all are required in order to induce regeneration. 1) Put out the flame 2) signal replication of native stems 3) charge stems in order to reach their Action potential to make replication possible.
Hi Larry. Very interesting for sure and gives us hope. Lots of smart people are working on it. Time will tell. Stay safe. Thanks for watching and subscribing if you did.
I had stem cell replacement for my knee snd it took the pain away completely for the last four years. Now it’s coming back but I loved the results.
@@acooksla This is one thing that bothered me in one of their last statements: "There's no evidence to say that it works really well..." at minute 5:30. Have they actually NOT heard the 100's of testimonials out there? I only know, NOT because I'm in the medical field, but I did some BASIC research. I haven't even had a consultation yet...but I KNOW that the statement that there is NO EVIDENCE to show that it works is UNTRUE.
@@lvmyfam11 YOU ARE RIGHT, I had PRP for my severe left tennis elbow, the injection was painful as hell, and it also cured me 100% at age 40!! full strength and range!!!! Im an athlete. last year I did my rotator cuffs, both shoulders, no pain during, same place, i am 70% better. I paid $700 at Cellaxys in Las Vegas, a great Dr. Otten and place. dont hesitate to do it, cortizone injections and physical therapy failed for 3 years on me. Get PRP asap wherever you can that is reputable. In San Diego, I paid $1200
@@lvmyfam11 I believe they made this video 3 years ago maybe back then
Would these procedures help with a slight torn rotator cuff ?
A few years back I read about research being done on the ankles as the ankles bear so much weight but are rarely arthritic. The idea was to possibly use those cells at the knees?
Hi maria. There is a lot of research being done especially at the cellular level. Nothing yet. Thanks for sharing. Thanks for watching and for subscribing if you did.
Three years after this video I’m seeing it. Meanwhile I am scheduled to get my ACL treated by Regenexx with bone marrow concentrate. I have a “complete” tear of my ACL but a complete tear doesn’t mean it’s completely torn. It is structurally useless but fibers are still connected. They claim they can use what is there as a lattice to build and regrow the ACL. I’ll let you know in 6 months how it works.
Please do. I hope you have a great result.
Good luck Lucas. Keep us posted too. Thanks for watching, subscribing and sharing with someone if you did.
Hi Lucas, have you gotten the Regenexx procedure yet? If so, how is your knee doing? Looking to do something similar myself
@@dna146 I did. It’s been 5 months since I had the procedure. My knee is feeling pretty good but not 100%. They say it can take 1 year for the tissue to mature. Everyday activities are fine, but I still can’t do much for athletics. I can jump rope and do some jumping exercises but the muscles are still atrophied and weak. My sport is Muay Thai kickboxing. I can hit the heavy bag but still can’t kick anything.
Just yesterday I was trying to schedule a follow up MRI to see how much the ACL has regenerated. I should get that done in a few weeks. I’ll keep you posted.
As of now I’m still in the recovery phase. I know a guy who had a worse ACL tear than I did and had the Regenexx stem cell procedure. At his 6 month MRI, it came back as a sprained ACL. He had 2 additional PRP injections after that. He is 100% now. So I’m hoping I can have a similar success. But I’m not there yet. Either way it’s a long recovery and a tough choice to make.
@@SweetLuLund thank you so much for your response! I’m looking to get the same procedure done sometime in July. Where did you get the procedure done? Have you been doing physical therapy since the procedure? Also, were you able to walk post op or did you have crutches/brace? Thank you again for your help in answering these questions 🙏🏼
Hello great video! Does Prp injections help to repair the military neck back into a curve? Would it be necessary to do trigger point injections as well?
It likely wouldn’t help the neck
My doctor just recommended this procedure to me just waiting on my referral to go through. I am 42 years old, prior military with osteoarthritis in my hips and joints. My tight hip has been giving me hell. So, we'll see.
Hi Enicka. Thank you for your service. May be worth a try. Best of luck. Thanks for watching and subscribing if you did
*This was 3 years ago.*
Is the evidence of it working conclusive now?
Hi Steve. We are going to do an update soon. The evidence is more clear now and in favor of a lot of soft tissue conditions but not for arthritis. Thanks for watching, subscribing and sharing with someone if you did.
@@TalkingWithDocs YW. My family has arthritis, including me. Are you CERTAIN not with arthritis?
And don't injuries cause arthritis?
Hello Steve ...I m from india ..my mother is also suffering from knee arthritis...dr suggest for suggery..do you tried stell cel surgery
@@ayushgoswami4362 Hello, No, I have not.
What about this gel I hear about being injected into the knee?
Yes susan - hyaluronic acid. Definitely can help some patients. It isn’t perfect but very safe and often effective. Just expensive. Not as much as PRP or stem cells though. Thanks for watching and subscribing if you did
I had a recurring injury to my Achilles’ tendon that would not heal, I had stem cells injected directly into the tendon, which was horrifically painful. I walked into the office and limped out, had to get a boot that limited the movement of ankle. After three weeks of immobilized, my ankle felt good. I have been able to resume a jogging routine with no recurrence of pain or injury. I do not jog as much as I used to, but feel the procedure helped. There was a noticeable bump on the tendon that has disappeared. In your professional opinion, what occurred?
Hi ronald. Hard to say but there is some evidence for soft tissue indications for use of PRP. This may have lead to some healing with a scar type tissue that can be thicker and lead to a visible and palpable lump. Hope it all works out for you. Thanks for watching and subscribing
I am in constant pain and desperate for help. I have arthritis in my hands and toes, back, hips and knees. I had TKR of my left knee 7 years ago. Last September I fell and broke my femur in my right leg which required two surgeries. Then two weeks ago, I slid down our steps at home and fracture my Tibia on my right leg. I am miserable.
So sorry to hear that Anne. May be worth seeing a rheumatologist for the hands and feet. Also you likely have osteoporosis so hopefully that is being treated. Best of luck. Thanks for watching and subscribing
You guys are awesome! I just found you+been watching for 2 days. Have you done any vids on TKA when there's severe uneven bone-on-bone wear, as well as severe damage to ligaments, tendons and ACL? AND it's been aggravated by 20 yrs of running w a moderately clubfoot? They say I need all the bones in both feet broken and rebuilt! But the knee is now so unstable I'm falling.So, I think I must do knee first. I asked about Oscar Pitorious prosthetics in lieu of replacing both useless feet and knees, but I know that's drastic. .Thanks for all your v. helpful info!
Yes most knees have severe wear and often ligament damage so that should be ok. Best of luck.
Infection? Like on the site of the injection? Or inside the tissue? Does this procedure require antibiotics Post injections?
Yes locally but more concerning would be inside the joint. No antibiotics usually. Thanks for watching and subscribing if you did
In the US Regenexx seems the place to go for stem cell or PRP...they state they have high success. I use to get PRP injections in my knees for OA with success but after twice with faulty injections that gave me much pain and couldn't walk for 6 months I stopped them....I would keep doing the PRP if I could find someone that is good with the injections mine were done by a pain doc at the VA...I'm a bit skeptical of Regenenexx but if I could afford the Panama, Cayman Islands stem cells I would do it.
Hi Joe. We wish the companies that claim high success would do a proper trial and publish the results because the researchers that aren’t selling PRP don’t seem to have the same success 😀
Hello Dr. So how much is this treatment Stem cells? Thank you.🙋🏻♀️
Hi Fabiana. It varies from surgeon to surgeon. Best to discuss this with someone locally. But it is typically expensive. Thanks for watching and subscribing if you did.
Fabiana Fernandes Hi Fabiana, over 2 years ago I had stem cell procedure done with PRP from REGENIXX. They were 1st to get it started and have most work with it. Most cities have an office.
Many flight attendants have it done. So I had several PRPs the following year until doctor got concentration right and it worked. I had 2 years pain-free living. I did a lot of walking in airports until this past march when I began having pain walking. CoVid shut us in our homes. With that I was only walking around my home. Pain went away. I continued using exercise bike and walking around my home. I'm hoping to see doctor soon for possible booster PRP so at least I can hold off surgery until next year. I think stem cell and the PRPs are great help if you need to BUY TIME before having surgery. I've been told some people go 5-8 yrs getting booster. Mayo Clinic is not connected to REGENIXX. A nurse at Mayo told me if their patients get 1 yr pain free that's good. My arthritis was pretty bad. I did not pay for every PRP. Entire Procedure cost around $8000. Insurance, sadly, doesn't help; insurance should!
I'm going to have both CMC thumb joints done by Regenexx in Raleigh NC. Cost currently is $1500.00 each hand, (not covered by Insurance....yet)
@@greenleavesofsummer9673 hey dear i am planning to get a prp injection on my chronic wrist pain, you mentioned about getting prp and whole thing cost around 8000$ so how many injection was it and for how long ?
Can you do an update video on PRP please?
Hi Deborah. We did.
th-cam.com/video/KBekonxJ1tU/w-d-xo.html
Thanks for watching and subscribing
@@TalkingWithDocs Thanks so much...somehow missed that one!
This is good information, but you only spoke about stem cell treatment for arthritis. My husband has received 3 stem cell treatments after C4,5,6 spinal cord injury and he can walk (with a walker), has bladder/bowel control and complete sensation in his body and he was told he would never walk again. No other treatments and he doesn't take any medications and never has since his accident. Results really depend on how long after the accident you receive treatment.
Hi Kayla. Yes we would agree. We talked about arthritis as that is our area of expertise. That is amazing about your husband. It does have a role in other areas of medicine for sure. Thanks for watching, subscribing and sharing with someone if you did.
Hi Kayla, if you don't mind me asking, where did your husband get the treatment? And how is he doing now? Thank you
@@eileenquijano5833 Hi Eileen! My husband has had 3 stem cell treatments in Panama. He paid for the first one and the second 2 we're sponsored by the company because he did see a lot of improvement. He is starting to do things he hadn't done in years like cooking dinner from a standing position being able to chop vegetables and eat with regular utensils and he doesn't have much pain anymore and spasms have significantly lowered. He is constantly doing his own physical therapy though and a lot of his improvements are because of that unwavering dedication as well. We are vegan also and believe that is important for optimal health as well as faith and meditation. Thank you for your interest and blessings to you. 😊🙏
What about PRP injections for plantar fasciitis? Any luck on that?
Hi Amal. There is limited evidence for this but many surgeons are trying it to treat plantar fascitis. Thanks for watching and subscribing
I did it today! I hope this works!
Where is the update from this video? It says this video came out 3 years ago. I am mostly interested in the PRP update and it being done in the neck joints and ligaments. Also does the research show good results with Prolotherapy and PRP done at the same time? (Location being in the same area of the body) Thanks
Hi Anonymous Hippo. Update coming soon actually. You will be disappointed at the scientific evidence for its use. Very limited. Poor clinical studies. The risk is primarily financial and if you talk to enough people some will say they received benefit. We are certainly not convinced at this point. Thanks for watching and subscribing if you did
@@TalkingWithDocs Thanks for the reply back. I look forward to seeing the updated research and it's results.
I liked the video and the doctors seem genuine and nice. I do think (and they probably have in other videos) disclose their practice interest (I.E. if they're orthopedic surgeons) when discussing treatment options.
Hi C. Our disclaimer for the channel does list that we are both board certified Canadian orthopaedic surgeons Hope that helps. Thanks for watching, subscribing and sharing with someone if you did.
What we should eat and what we should avoid eating before PRP injection, thanks…
Hi Mona. There are no specific guidelines for food intake before or after PRP but in general you should likely eat more plants and less animals. Thanks for watching and subscribing if you did
Can you discuss the issue of leg length disparity after Total Knee Replacement surgery
Hi Wally. This is rarely an issue. Sometimes the leg feels longer after it is straightened but it is typically more of an issue with hip replacement surgery. Thanks for watching, subscribing and sharing with someone if you did.
@@TalkingWithDocs
Actually, I had my left knee replaced 6 years ago and evidently, my legs are slightly bowed. The result is that my left leg is now 7.5MM longer than the right. I try to compensate by putting a lift of sorts in my right shoe. I experience hip pain and am now going to have my right knee replaced. Hopefully, my legs will be near parity and the discomfort I've experienced over the last 6 years will be alleviated.
How effective is it for Lumbar disc? My surgeon said he has not seen good results with the lumbar spine?
We would agree BRAD. it is very expensive and there are lots of people who will do it for you but the science is weak to non existent to support it’s routine use. Thanks for watching and subscribing if you did
@@TalkingWithDocs I will subscribe right now! Thx
Have you used this PRP treatment for Scleroderma?
We have not Karen. Thanks for watching and subscribing
What is cytonics and have you or are you involved in clinical trials?
Hi Steve. We are aware of the company - they are using single cell technology. Not involved in any of their research. Thanks for watching and subscribing
Hi doctor, I am a runner. please tell me what is the best option for patella chondromalacia ? And also tell me patella chondromalacia need surgery! Thanks advance 🙏
Hi Biswajit. The best treatment is pain control strengthening and bracing. Sometimes injections. Occasionally surgery. Good luck. Thanks for watching and subscribing if you did
Richard Feynman once said, "if you as a scientist can explain a complex subject of physical science to a lay person and they can understand the topic, then you are a master of the topic. Gentlemen, you are masters of the topic.
That is awesome Thomas. Thanks for the compliment. And for watching and subscribing
I had stem cells 100.000000 IV that fixed body and 25.000000 with prp in the scalp and my hair is growing back now.
Very interesting Chris. Thanks for watching and subscribing if you did
Hi Docs I am having a rod inserted to my tibia and femur do you have any videos on how this is done? My first surgery is on May 21. Stay well Docs and thanks for your information.
Hi Darlene. We don't at this point. It is similar to a regular total knee replacement however the canal (or hollow part of your tibia and femur) is prepared with what is a called a reamer to clean out part of the inside of the bone so the stem fits tightly). Hope that helps. Good luck on May 21!
@@TalkingWithDocs well I will be finding out what it’s like very soon. Thank you for making it clearer! You Docs have been a great help and glad you are on TH-cam.
Why would you search for information in a place that can’t legally do so
I am strongly considering a combined regimen of PRP & stem cell injection in my R. hip, R. thumb, & he's going to include 3 injection sites at the base of my neck.
Five apps., 5 injections, over a 5 month course. Plasma, then 3 stem cell, then last 1 plasma.
Sounds like a plan... what say you?
We say the evidence is weak but we acknowledge you are likely in a lot of pain and willing to consider anything. The risk is primarily financial. Best of luck. Thanks for watching and subscribing
Hi Docs,
Stationary bike exercise? Great for cardiovascular, I no longer run, so what's your opinions in relationship to my knee arthritis? I still play aggressive tennis. Your thoughts please.
Hi Ronald. We love the cycling. Tennis is ok and we would tell our patients to enjoy our it while you still have your own knees because once you get replacements it will be lazy doubles tennis. Hope that helps. All the best. Thanks for watching and subscribing if you did
Hello, dr, can you explain that I have neck pain and also very often head ache and ears blocked. For this situation what can help and what is the problem?
It depends what the cause is Tung. Best to get properly assessed to get a diagnosis first and then treatment can follow. Best of luck. Thanks for watching and subscribing
Very important , regarding IV stem cell treatment : I read a medical study where the bag containing the stem cell infusion shaking or something like that to avoid sedimentation of stem cells in the tip of bag. Ussualy the needle introduced in the bag to collect the stem cells has a higher position than the inside part of the tip of bag. Doctors know what I mean. How doctors avoid this phenomenon ? Thanks.
You wouldn’t use IV stem cells for knee arthritis
@@TalkingWithDocs Of course. I just ask for general IV treatment.
I’m a professional wrestler and I have a slap tear in my shoulder. Would this be a good option for me since I’m getting slammed down on a mat?
Hi Jackson. There is no real evidence but it may help. You also may require surgery. Best of luck. Thanks for watching and subscribing
I had this procedure done over 6 months ago for a torn ACL at Regenexx in Iowa. I had an MRI at the point of Injury and an MRI 6 months after procedure. I would be more than happy to send you the MRI images if you wanted to look at them.
But here is my experience:
I had a complete tear of the ACL. They drew out bone marrow from my hip bones to source the stem cells. It cost 8k out of pocket. 6 months later my knee feels pretty good and I’ve regained most of my mobility however I have still not returned to intense athletics. I do boxing and kick boxing. I can box again but I still cannot kick with any intensity. I can run and lift weights but I can still feel my knee is not trustworthy if I do lateral movements.
The 6 month MRI showed that there has been a lot of healing, however, the ACL is still classified as “completely torn”. The orthopedic Dr said he can feel an end point when he tries to move my knee, but he said that the ligament tissue does not look like a healthy consolidated ligament the way it should. He also said he had never seen someone who had tried to heal it through stem cells, so I feel like I need to go back to the Regenexx Dr for their opinion as well.
The Drs at Regenexx did say it could take up to 1 year for the tissue to mature and I may wait longer to see how it turns out. I may even get an additional PRP injection while I wait for the end of the year.
So while my knee has gotten much better, I cannot say this procedure is a miracle, at least it’s not in my case so far and I hope my story helps inform some people when they make their decision.
Hi Lucas. Thanks for sharing. It is not possible for your ACL to reattach once completely torn. You will typically regain full range of motion but any side to side or plant and twist activities will not be possible without reconstruction or a brace. Best of luck. Thanks for watching and subscribing
@@TalkingWithDocs well I personally know people who have had “completely” torn ACL and with stem cells attained ACL regrowth. It just didn’t work out so well with me. The stem cell clinic has a defined standard of how much retraction of the ACL they measure. If it has retracted too much you are not a candidate. If it’s within limits you are a candidate. They said my ACL tear was complete but they called it a “wavy tear” and said while functionally useless, there was still part of the ACL left. Ether that is complete BS or there is nuance to what a complete tear is and what can be done with it. 🤷🏻♂️
I just had PRP injection 3 days ago, in my right knee, I had a medial meniscus repair and lateral meniscus removal 7 years ago..The injection was absolutely painless, no numbing agent was used..I felt immediate relief and have had 0 pain since before the injection..I walk 6 miles each morning and rollerskate 4 nights a week for 4 hours each session..I feel fine, do I need to wait to begin these activities again?
How long did you have pain before you decided to get PRP?? Mine became chronic… comes and go for a year… I wonder if I get it now it will still be effective or not😟
@@0407JK I have had pain since after Mt meniscus surgery in 2014...
Hi Queen. Glad to hear you are doing well. Best to discuss activity restrictions with your treating surgeon. Good luck. Thanks for watching and subscribing if you did
Thanks Docs for all your information. Waiting for new videos! Keep safe!
More to come Darlene! COVID has made filming a bit tricky.
@@TalkingWithDocs I hadn’t thought of that I guess, well I will be watching!
I have lots of limited mobility and coordination problems etc have ligament damage all throughout neck and a disc bulge/extrusion in L5/S1 would regenerative medicine possibly help?
Hi Matt. There is limited evidence that this will help. Worth a conversation with your doctor. Thanks for watching and subscribing
I am 62 and recently had 2 back surgeries a double lamy and constant reprotrusion of the discs.(L4-SI), multiple corticosteroid injections and little relief. Doc suggested stem cell at a cost of 1500, insurance won’t pay. Or an ablation? The original surgeon thinks I may need a fusion but won’t do it for a year? Please help with your thoughts or pearls of wisdom? I am a bedside nurse so that says a lot 😞
Hi Cassandra. Hard to say as there is limited evidence for PRP in spine surgery but it is evolving rapidly. Maybe another opinion but the back is very tricky for sure. Best of luck. Thanks for watching and subscribing
What abkut prp for disc hernia😊tion
Hi guys, I’ve been watching your videos for a few weeks as I believe I have a meniscus tear and it fairly painful. This video is 4 years old. Can you give an update?
Hi Jan. We have an updated PRP video. No evidence to say it would help with a degenerative meniscal tear. May work as an adjunct if you have a meniscal repair which is much more common in the very young. Hope that helps. Thanks for watching and subscribing
@@TalkingWithDocs I really appreciate you responding. To be honest that usually doesn't happen. I am actually 71 years old and I did this 2 years ago when I foolishly tried to kick a bug out of my garage. I felt the pain immediately as I kicked the bug sideways. The pain is on the inside of my left knee. It's now to the point where it takes me about 3 or 4 minutes after I get out of bed in the morning - or a chair after sitting a while - before the pain is only a dull ache instead of a sharp pain. When I walk after getting out of bed I walk like Uncle Amos of the real McCoys. The more I research the treatment of surgery I stay conflicted about what to do. I can't imagine living with this for the remainder of m,y life. You owe me nothing as you have been so kind just for me to be able to tell someone. I wish I really knew what to do.
Would stem cell injection help alleviate or reduce rheumatoid arthritis ? Thank you.
Very good video. Yes I am in charge of my own health! Good quote!
Just went thru the process today on my left shoulder. The process was relatively fast, and a little bit more painful when they injected the platelets. Ultrasound was used to guide the needle to the specific areas. Hoping to feel better after 4-6 weeks. As for cost, I’m in the military so our medical insurance covered it🙏🏼
Thanks so much for sharing your experience Jorge. We wish you all the best. Let us know how it worked out! Thanks for watching, subscribing and sharing if you did.
How's everything now Jorge. I am in bad shape from Cervical Instability considering getting it done.