PRP vs Peptide Therapy for Chronic Pain
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- เผยแพร่เมื่อ 15 ก.ย. 2024
- A really great discussion on the differences between approaching chronic pain with peptides such as BPC-157 and PRP (platelet rich plasma). In our experience, we have seen better results with orthobiologic injections (which includes PRP) compared to peptides when only one approach is chosen. However, we frequently pair these together for improved effects.
Want to OVERCOME chronic pain? Go here: regenerativepe...
If you’re new to my channel, my name is Dr. Drew Timmermans, ND, RMSK. I’m the founder of Regenerative Performance in Gilbert, AZ, specializing in interventional orthobiologics, which is just a fancy way of saying we help people reclaim their life from chronic pain without steroids or surgery. We challenge the conventional pain management approaches by addressing the root causes of chronic pain.
How I got here…
22 yrs old: Graduated with a Bachelor of Science in Kinesiology from the University of Western Ontario.
23 yrs old: Competed as a long sprinter, anchoring the 4x400m relay to a silver medal at the Canadian national championships, contributing to Western's first national title in men's track and field.
23 yrs old: Started working as a personal trainer for GoodLife Fitness in Canada, quickly becoming one of the Top 10 Personal Trainers nationwide.
23 yrs old: Herniated two discs in my lower back, ending my track and field career and sending me into a multi-year battle with chronic pain.
24 yrs old: Enrolled at the Southwest College of Naturopathic Medicine (now Sonoran University of Health Sciences) after discovering my passion for naturopathic medicine.
26 yrs old: Still battling chronic back pain, I finally became pain-free through a platelet-rich plasma injection.
28 yrs old: Graduated and become a licensed naturopathic doctor.
29 yrs old: Completed the first-ever residency in regenerative medicine and integrative pain management at the Neil Riordan Center for Regenerative Medicine.
29 yrs old: Co-founded Regenerative Performance to help people with chronic pain just as I had been helped.
Today: We help people who have chronic joint pain reclaim their life with cutting edge treatments like platelet rich plasma, and stem cell therapy.
To everyone battling chronic pain, remember that your story is still being written.
Never give up.
Dr. Drew Timmermans, ND, RMSK
FULL DISCLOSURE: I create content to share my expertise and help as many people as possible. My goal is to build trust and provide valuable information to those seeking alternative solutions for chronic pain management and bring in new patients into our practice.
Doc
You provide some of the best information I can find on the net. Thanks for sharing 👍🏽
Thanks mate!
prolotherapy and PRP saved my life, after a chiro nearly crippled me, snapping ribs, snapping hips, lower back pain made worse hyper mobile neck, it took a lot of treatments but it was worth it, of course at 51 i cannot power lift anymore but i can lift weights again and live a normal life, never ever go to a chiropractor they are dangerous. We also injected GH BPC157 TB500 and GHK cu.
so happy to hear that you have found relief!
@DrewTimmermansND how does BPC 157 compare to the injury healing/recovery benefits of HGH?
No direct experience with hGH for healing as it's not approved for use outside GH deficiencies so we don't have access to it.
How many shots of PRP did u get I'm asking cuz that's my options for the future I have 3 herniated discs
This is the best info I've heard on peptides. I'm in California, trying to find a specific peptide called Ara-290, aka, Cibinetide, for my husband. He had a hemorrhagic stroke and is suffering from neuropathy. I heard this peptide targets small nerve regeneration.
What do you think? I wish I could find someone as informed as you are in the Los Angeles.
I'm sorry to hear that. We haven't been able to get ARA290 in over 2 years (might actually be 3 years, it's been a real long time). I wouldn't be able to provide any guidance for treatment in this area as that's not my area of specialty sorry.
You might want to look into Dr. Amen's clinics. I'm not sure how much he uses peptides, but they are a fantastic group for neurological conditions
@@DrewTimmermansND Thank you. I'll look into Dr. Amen. I appreciate your response.
So how many PRP injections u recommend for 3 heirnated discs and hip pain and what are the prices
Have crps in my right arm, will this help with it?
@DrewTimmermansND
Are you still accepting patients from out of state?
Kinda, only for regenerative injections (PRP and stem cell therapy) and that requires you to come into the office for the first appointment and treatment
Arizona how far away are you from the airport? Which airport are you closest to?
We're 25 minutes from the Phoenix Sky Harbor airport, and like 20 minutes from the Mesa Gateway airport
Hi thank you for your content, it is super helpful. I've seen several places that say that oral peptides don't necessarily survive the digestive track and that they are less effective than peptide injections. You mention you have seen success in oral forms?
Yes but BPC-157 and MK677 are really the only two I can think of off the top of my head that survive the gut
Hey dr. Just wondering How many prp injections does it usually take to help pain in distal finger joints? And do you need to have ultra sound guidance for those injections?
Patient response is unique to each person, and depends on a multitude of factors. In our experience, 1-2 treatments.
We also perform injections with imaging (xray or ultrasound depending on the situation)
Hi Dr. In your opinion whats more effective... prp or bpc157? If you had to choose only one, what would your #1 be? I heard you say prp, but just wanted to ask anyway. Thank you
You heard correctly, prp!
I had a steroid shot in my SI joint and it didnt help. I had PRP in my si joint after that. Around the SI area Took about 8 months to be pain free. It lasted fot 1.5 years. Part of me thinks bc i fell off a wagon and it slowly got worse.
Now im in the same position. ive tried shockwave and it definitely helped but im not pain free. The difference today is now i know what the source of my si joint dysfunction is. It's the dorsal sacroiliac ligament. That is the smoking gun. It took years to figure it out but that is the cause of all my suffering.
So what do i do now? How can i heal this dorsal SI ligament forever, permanently? Should I try a steroid injection in the ligament first or try peptide? If none of those two help the ligament, should i try prp again or try stem cell? I heard that stem cell generates more stem cells than prp, is that true? If im gonna get a heavt duty shot, i want the best, most powerful one so i dont ever have to deal wirh this again and be pain free forever.
In our clinic, we would treat your dorsal SI ligaments with either PRP or stem cell therapy. We take a comprehensive ultrasound guided approach for this. We often hydrodissect the cluneal nerves as well, as these nerves are often also painful in patients with SI joint dysfunction. This, in combination with our integrative supplement/peptide/medication approach and physical therapy is our most effective approach.
@@DrewTimmermansND Thank you for your insights! Hydrodissection. That is something I don't think I've ever had. What's the difference between hydrodissection of the cluneal nerves versus stemwave (focused) or softwave/pressure wave (unfocused/radial) shockwave?
I've been going for shockwave treatments and, as I understand it, they can help break up adhesions, scar tissue, and release those nerve entrapments. I've had shockwave on my cluneal nerves. I'm definitely on the right track and far as what nerves and ligaments are affected. I can feel the difference. I had many points of tendinopathy plus my ligamentopathy. It's much better now compared to before I started shockwave. Is hydrodissection superior for nerve entrapments in the SI joint area and those cluneal nerves? Would hydrodissection be performed simultaneously with a PRP, prolo, or stem cell injection?
I also have a PRP question : does the needle '' pierce '' the tendons that are targeted or is the PRP injection done around/in the area where the injured tendons are?
From what I've read and heard, it pierces the tissue meant to heal. Eg Achilles tendon, the needle would pierce the tendon and the injection would go into the tendon itself.
The injection needs to go within the injured tissue. So if we need to treat the tendon, we need to pierce the tendon to get inside the tendon in order to do the injection.
My mother is 73 and has been suffering from non-diabetic neuropathy and arthritis for a long time and is in pain all the time. Is there anything you can suggest that would help her?
Thank you in advance.
Hey Dr. Timmermans, unfortunately I don't live anywhere near Arizona (and am about to live on the total opposite side of the country from you). I'm going to be looking for PRP injections from a doctor closer to me. Is there anything I'd want to ask them to make sure they're doing the PRP correctly? I've also heard of PRF injections. Any input?
Hey Dr. I really want to try bpc for my hip pain and knee pain I’ve been dealing with. Do I need to do any blood test first or would I be good to go straight for it?
If a PRP injection into the shoulder (with front and rear injection sites) using the proper technique and guiding imaging equipment did absolutely nothing for a shoulder SLAP 1 tear, would you even consider BPC-157 and other peptides such as TB-500 as a potential alternative for repair? Worst case they do nothing, but it is odd that there was no reaction whatsoever to PRP.
Most of the time if we see PRP non-responders we evaluate for misdiagnosis. Your pain may not be coming from the SLAP tear, even though you have that on imaging. We have seen this countless times, and when the PRP is directed towards the structure that is actually causing pain, pain gets better.
But, let's assume your pain is coming from the SLAP tear. Peptides could be a helpful treatment for you, and failure with PRP doesn't mean that you'll fail peptides.
Coming off a meniscus and ligament repair surgery. I am two weeks post-op and have started PRP with my orthopedic doctor. Would you recommend BPC-157 this soon after surgery and while going through three rounds of PRP, or should I hold off until I am done with PRP. If you do recommend BPC-157 right now, would you recommend oral or injections into the knee. With how raw my knee is right now, injections multiple times a week concern me.
do NOT inject it inside your own knee joint. God I hate this bro science. If you choose to inject it, inject it subcutaneously into your abdomen. You don't need to inject it though because oral arginate salt works just as well as injectable (again, despite what the bro scientists say). So moral of the story, just use oral. We use the InfiniWell brand as they use the arginate salt. We have a 20% patient discount code on our website regenerativeperformance.com/supplements.
As for timing, start it asap. The best results are seen when you are taking the BPC-157 nearest to the time of 'injury' (or in your case, surgery)
When trying to heal an injury using peptides, is skipping workouts entirely a requirement? Or it's okay to workout as long as you're not doing exercises that directly irritate the area?
That completely depends on the situation, as some people will need to drastically reduce their exercise and others will just need to modify. Unfortunately there is no one answer
can you link the DNA Health website??
the product got bought out by InfiniWell. To help out, we have a 20% patient discount code on our website regenerativeperformance.com/supplements (code is RP20). Once on that website, click the InfiniWell link, and then choose the product labeled 'BPC-157 Original 250mcg'. This is the version that does not have SNAC, which we find works better.
I have heard that the results for hip tendinopathy treated with PRP injections are temporary. Why is this the case?
You may have been given poor information. Our results are long lasting, not temporary
Do either bpc or prp work for spinal issues? Namely stenosis, bulged disc's, etc..
They can both be helpful, but BPC-157 is often not enough for most people. Our approaches are extremely comprehensive and focus around PRP injections as those give the best chance for healing
Dr Drew. Is it safe for my 16 year old daughter to use BPC-157? I have been using it for the past 6 weeks and it has changed my like ( knee, elbows,calf). She had surgery oct 7,2022 pes tendon release and knee scoped ( x gymnast). After therpy was doing great for about 4 months and now down again with leg pain in the muscles, knee, hips etc. mri and exray show nothing wrong. Cant find anything on bpc157 and teens. Please help
Sorry I can't comment on the safety of anything for someone who isn't my patient
I'm not seeing the link to DNA Health. Can you drop it here?
The rights to the arginate salt got bought out by InfiniWell years ago, which is the brand (and same product) we've used for almost 5 years now.
To help out, we have a 20% patient discount code on our website regenerativeperformance.com/supplements (code is RP20). Once on that website, click the InfiniWell link, and then choose the product labeled 'BPC-157 Original 250mcg'. This is the version that does not have SNAC, which we find works better.
@@DrewTimmermansND Thank you!!
My platelet count is always low, averaging 125 k/uL. Does this mean I’m not a good candidate for PRP? Thanks in advance!!
Not necessarily. As long as there are no medical contraindications in your case, we would just need to run our calculations to know how much more blood we need to take to get a clinically effective dose in you
Great to know. Thank you Doctor!
What do you think about peptides for arachnoiditis?
BPC and KPV can be effective at managing pain. But the only thing we have ever seen to truly help AA is adipose stem cell therapy. The results in most people are amazing
I'm curious ; are you well aware of how oxalates can damage connective tissues and pretty much any part of the body? If not, you might find it very interesting and useful
Where can I find your website to order BCP-157?
We use the InfiniWell brand as they use the arginate salt. We have a 20% patient discount code on our website regenerativeperformance.com/supplements
“Are toy familiar with PRP? Get your wallet ready 🤑🤑🤑
Hi Doctor,
i recently got an MRI for my knee that has had pain for the last 2 years
RESULTS:
{ Impression
1.6 cm longitudial horizontal tear involving the body of the lateral meniscus extending from the capsular margm into the froe margin.
Associated 1.1 x 0.9 x 0.7 cm multioculated paramenscal cyst within the literal joit gutter,
3 mum radial lear involving the free margin of the anterior hom of the lateral meniscus. }
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I started looking heavily into peptides for the last 3 week and wanted your opinion on the effectivness of the BPC-157, TB-500 10mg (Blend) or should i look into buying seperate vials of each instead.
any help or guidance on dosage amounts for the blend (if valid) would be greatly appreciated!
We recommend separating the peptides so you can dose more accurately