Discover the Power of PRP Injections for Knee Arthritis
ฝัง
- เผยแพร่เมื่อ 11 มิ.ย. 2024
- Platelet-rich plasma (PRP) injections are a revolutionary treatment for knee osteoarthritis. PRP, derived from a patient's own blood, involves concentrating platelets and growth factors and injecting them into the affected area. This method has proven highly effective in reducing pain and improving function in various conditions, especially knee osteoarthritis. Recent studies, including one with over 3,100 participants, demonstrate PRP's superiority over other treatments like corticosteroids and hyaluronic acid in improving symptoms and potentially slowing the progression of arthritis. PRP works by leveraging the body's natural healing mechanisms, reducing inflammation, and preserving healthy cartilage, as evidenced by significant decreases in inflammatory markers.
bmcmusculoskeletdisord.biomed...
pubmed.ncbi.nlm.nih.gov/35124...
www.aaos.org/globalassets/qua...
journals.lww.com/cjsportsmed/...
www.nature.com/articles/s4159...
► Things my patients have found helpful:
Please note that I get a lot of requests and questions about what equipment is ‘best’ for treating a variety of conditions. The following is not meant to be an exhaustive or definitive list. Please use it as a starting point. If you have questions, please discuss with your healthcare provider. With that said, I have tried a number of the products below, but not all. I have included some based on positive feedback from many of my patients. As an Amazon Associate, Dr Peng earns from qualifying purchases. If you purchase any product using the below affiliate links, you are helping Dr Peng maintain this channel.
Supplements
The following are Thorne supplements which are NSF certified. NSF independently assesses products without being affiliated with the companies that produce them. Not only do they certify that what’s on the label is in the bottle, they also do toxicology review to certify product formulation and contaminant review to ensure the product contains no undeclared ingredients or unacceptable levels of contaminants.
Boswellia Extract: amzn.to/3L00rYn
Turmeric & Curcumin: amzn.to/47NacD9
Glucosamine & Chondroitin: amzn.to/44AVoow
Creatine Monohydrate: amzn.to/45JW9wq
Omega 3 and 6: amzn.to/45LTBh7
Vitamin D 5000: amzn.to/47T8MHs
Vitamin B complex: amzn.to/3L0Bdcm
Magnesium Citrate/Malate: amzn.to/3snHuZc
Magnesium Glycinate: amzn.to/45EZVYa
Soft Tissue & Rehab
Theragun: amzn.to/4363zJG
Massage ball: amzn.to/40BUC9f
Foam roller: amzn.to/4324E5c
Stretching strap: amzn.to/3U9a2iQ
TENS unit: amzn.to/3mcCqnI
Heating pad: amzn.to/40VidSc
Resistance bands: amzn.to/3nFyb4C
Braces & Supports
Hinged knee brace: amzn.to/3U6oyrH
Neoprene knee sleeve: amzn.to/3Zzhsgt
Volar wrist brace: amzn.to/3KawW55
Thumb spica brace: amzn.to/3nHj9vl
Ankle lace up brace: amzn.to/3m6iR0u
Tennis/Golfer’s elbow brace: amzn.to/3ZEGgE1
Superfeet orthotic inserts: amzn.to/436tRf5
Recommended Textbooks & Resources
The Trigger Point Manual: amzn.to/4340cTt
Trigger Point Wall Charts: amzn.to/3zrinVR
► Be Active. Live Healthy. Subscribe for more free videos like this: / @jeffreypengmd
► ABOUT ME
Jeffrey Peng MD is a nonoperative orthopedist and sports medicine specialist. He focuses on maximizing non-surgical treatments for sports injuries and orthopedic conditions. He specializes in using orthobiologics and ultrasound guided minimally invasive techniques to treat osteoarthritis, tendinopathies, and musculoskeletal disorders.
Dr. Peng is board certified in sports medicine and family medicine. He completed residency with the Stanford family medicine residency program and completed his sports medicine training with the Stanford primary care sports medicine fellowship in San Jose. He is an active faculty member for both programs and is excited about training the next generation of physicians.
Dr. Peng’s sports medicine clinic is located in Campbell, California.
Twitter: @JeffreyPengMD; / jeffreypengmd
Website: www.jeffreypengmd.com/
► Disclaimer
My content reflects my own opinion and does not represent the views or opinions of my employers or hospital systems I am affiliated with. They are meant for educational purposes only. They do not substitute for the medical advice of a physician. Always seek the advice of your physician with any questions you may have regarding your health.
Great video. Thank you, I now its lots of work.
I had three PRP injection within 9 months about 3 months apart in my "bone on bone" hip. Before I was barely able to walk, barely able to bend over, severe pain on rising. 5 weeks after the third injection. I am almost back to normal. It is incredible. It takes weeks to feel the effects. Sometimes months. I plan to get 3 to 4 PRP's per year indefinitely. I had several prolozone injections (10), they did NOTHING.
Thanks for sharing
Amazing work Dr Peng ❤I am grateful for you and your expertise in educating the public
Thanks for your comment!
This looks like the re-run of an old video? Wish that a doc in my area offered this procedure. Terrific information! 👍👍
Similar content. Takeaway is that study after study continue to show PRP is effective. This is not true of other types of treatments
I had Angel PRP in January 2023 and my knee feels awesome. I am a CrossFit Athlete and got right back to training 8 weeks after the injection. Plan on getting another injection in January 2024.
Great!
I’m considering this. Hope it works for you
I miss running outside.
If it is such a proven success, then when will med insurance help out for payments? Better results are less cost to the insurance companies and to their clients. How can we pressure the to approve?
Nice information Dr Peng. I had two prp injections in an interval of 2 weeks for my Patellar cartilage injury. Its been more than 18 months now. Do I need a booster ? I still feel better.
Hi Dr. Peng - thank you for another informative video. At the end of this video you mentioned an upcoming video that would cover what makes a PRP treatment successful. Will this video include information on platelet count and how to get the correct higher account, what anesthetic not to use, etc... I did watch your more likely video on PRP injections which covered some of this. While PRP treatments are available in my area. So far none of the providers have any idea what the platelet count should be and they all want to administer lidocaine which according to the other video would interfere with the PRPs effectiveness. Thanks Tim
8-10 billion platelets seems to be the ballpark # for large joints like knees and hips. Ropivacaine doesn't really affect platelets. But to make sure, I use ropivacaine to help numb down to the joint capsule. Once I got through the capsule, no more anesthetic, just PRP into the joint.
If new injections are needed after 1 year, what are the results of studies for length of time for further injections? How long can you continue injections? Or is knee replacement the next step?
sir PRP injection is Effective in the 4 stage oesteoarithratist???
Can prp injection work on over 40years age?
PRP is a bit cost prohibited for me at the moment. What are your thoughts on euflexxa? Is it a decent HLA shot?
In my experience, hyaluronic acid injections work great for about 70% of people, but the other 30% doesn't seem to do much. Doesn't really matter which brand you use.
My 3 hip, two knee, one shoulder PRP injection resulted in PRP specimens that where translucent amber color. The Doctor told me the looked perfect. I take many supplements, I am sure that helps my blood chemistry. They all worked well.
From a different doctor, I had one in my SI joint, and one in my hip bursa sack, and they had more of a red/ orange color. I have read that this is better for soft tissue as opposed to the clear amber.
Can you tell us your opinion?
Thank you.
The color of PRP will vary based on the type of cells included. Joints and soft tissues require different types of cells and will make the PRP slightly different color
What countries using PRP at present ? Thanks
More and more!
Can you talk about your patient's PRP experiences? How they have respond? How many PRP's they get? How often?
Works great for many of my patients, about 80% of people who get it seem to notice tremendous improvements. The people who see less dramatic results are those with the most severe osteoarthritis. For those with mild to moderate osteoarthritis, 1 high dose PRP injections lasts around 1 year.
I have a degenerative lateral meniscus, and last week my doctor gave me a PRP, but he didn't use ultrasound guidance. Do you think this will reduce the efficacy? It was injected just above the knee. He felt it would reach the necessary area, but due to the expense/research I've done, I'm nervous it may not work as well.
Hit rate of non guided knee injections is anywhere between 40-90% success
Is PRP injection recommended for elderly with osteoarthritis?
Age doesn’t matter!
Most people I've spoke to find PRP injections to be too painful with little to no improvement.
I have a hip labral tear. My doctor told me You're candidate for prp injection, so i decided to do prp for hip labral tear. It literally did nothing. I just wasted $1500. The company i used is regenexx. They are all over united states.
Thanks for sharing
Who does PRP?
Sports medicine doctors
What about the bache?
Not sure what you mean by bache
@@JeffreyPengMD I MEANT TO RIGHT BACK
I did PRP 8 months ago...nothing, not even 1% improvement...
Sorry it’s only a short term help
Studies consistently show 1 high dose PRP injection can provide around 1 year of symptom relief in those with mild to moderate osteoarthritis. The goal is to help reduce pain and symptoms so that people can work on other foundational treatments such as diet, exercise, and weight. The reality is that osteoarthritis is not (currently) reversible. And 1 year of symptom improvement is pretty darn good compared to other nonsurgical options.