Why do you need ultrasound to do shoulder, knee and elbow injections . I have been doing joint injection for 25 years with excellent results. Isn’t the use of US use to increase the billable? In NJ most insurance will not pay for the use of US I can understand its use for tendons and ligaments only
I wonder if PRP could really heal a meniscus tear?. After 1 injection i felt much better and can go back to light running now. The doctor who gave me PRP said that 1 injection would be sufficient to fix my issue but now i`m starting to experience pain again. Some orthopaedics told me that PRP is not an option for a meniscus tear, as it would be too serious to be healed by PRP and must get operated. 😵💫😵💫
I had prp injection 6 months ago for tennis elbow and can say it made my pain has gone away and now have better use of my arm. Now its not 100% better but i say I'm 80 percent better know.
Prp saved my life!! Not exaggerating. Osteoarthritis, Tietze’s Syndrome, shoulder bursitis, muscle tears, shoulder impingement, herniated disc- three injections, feel like I have a new lease on life
@@gerrie6498 thank you, starting to feel that way again. If you are struggling with similar conditions, I hope you can and will access PRP care. Took years of saving, but totally worth it, and I’d do it again, can’t recommend enough, for anyone reading (do make sure they are a doctor/licensed/ anesthesiologist/use ultrasound, and follow diet/supplement requirements to boost efficacy). Best wishes!
@@heretolearnCA i trust God for a miracle . I wish you prosperity. Here in South Africa there are doctors who is doing it. Considering prosedure in 2 months time. Recently had local anaesthetic and cortizone injected. Today is 3 rd day. See how it will goes. God bless you. In fact the doctor is ½ hour away. I’m willing to give it a go. I also started cannabis drops yesterday. If all else fails then shall I go for PRP. I had 4 back surgeries in 3 years time and from there ongoing complications. Through the wounds of Jesus Christ we are healed under His Mighty name. I have scans. Thank God all blood results are fine.
@@gerrie6498 awesome!! Start prepping now. Get more collagen II/ bone broth in your diet, more dark leafy greens - anything that will enrich your blood and give the PRP its best chance of working. Prioritize sleep, if you can. Cut sugar and sat fats. Have more fish oil and curcumin, all the way up until about three or two weeks before AND after your PRP appt. Efficacy depends on the person (and make sure your dr uses ultrasound and gives you lidocaine for trigger points). It won’t feel good haha and you’ll need a recovery day or two after, but Ice, maybe heat pad (ask your dr about the injection site), Tylenol, and the optimism that suffering some discomfort for a day or two means you might get mobility and function back can all help :)
Fantastic video Jeff. SO happy you are educating the public. Clearly stated, evidence based Dose, guidance, patient selection all matter. I have been doing I/O now since 2015 with excellent success for severe cases of O/A. (Sanchez, Hernigou, Zhang,DiMatteo, Kon, Kattapatiya, Varshney, etc). Say no to repetitive cortisone injections!
PRP works. And not just for joint issues. I suffered for 19 years with lichen sclerosis & drs couldn’t find healing. Until one suggested PRP. I can’t speak highly enough of this treatment & the relief and healing to my body. I can live my life without all the issues I previously had pain free. It’s definitely worth giving it a try. The injection site pain at the treatment time is worth it. I never had any pain after the treatment nor any inflammation.
The most complete review of PRP use I have seen and heard. You have answered questions on use and indications that and contraindications to its use that i had.From your presentation it shows the deep investigation and research on this topic, you have done .It takes a lot of time to do all this research and analyse.Good Job.
Dear Doctor Peng: Or should I say, Maestro Peng!? I came upon your wonderful series of videos by quite accident while investigating the effectiveness of PRP in treating my bilateral OA, from which I have been suffering for more than 10 years. I have received injections of hyaluronic acid (Supartz 25mg) twice a year and fortunately am one of those for whom this treatment has been very effective. However, based on your explanations through a series of very clear and helpful TH-cam videos…you should be awarded an Oscar!…I am now considering Platelet Rich Plasma as a next step in my treatment journey. Two reservation: (1.) At 75 years of age, I suspect this procedure is less likely to be successful for me; after all, how “platelet-rich” could my plasma be? (2.) The orthopod with whom I have discussed this protocol…in whom I have a great deal of confidence and who has administered the infusion many times in order to treat arthritis in elbows, hips, shoulders, knees, etc., always guided by ultrasound, prefers to use L-PRP (Leukocyte + PRP), which as you know, contains white blood cells & low fibrin matrix, as opposed to the alternative, and I believe your favored choice, L-PRF (Leukocyte + PRF) which includes no white blood cells & a high fibrin matrix and is believed to be more effective, especially in the treatment of OA of the knees. When I suggested that though not very large or double blind, studies to date have demonstrated that the L-PRF (Leukocyte + PRF) was more effective, he disagreed and said one study of 700 patients concluded no statistically different results were measured. What to do? I think if I were able to show him the studies that you have reviewed (the more, the better!), he would be open to trying it regardless of how slim the advantage. At my age, anything that increases my chances of success is worth trying. I would appreciate you sending me links to the most reliable and prestigious studies you have seen. I think that would be an invaluable first step of this physician being converted to some new thinking on the PRP issue as a viable standard of care. Many thanks! Will
Wow, what a through coverage of PRP. I’m on week 4 of laser combined with PRP and already feeling better after 1out of 3 injections. This is the most extensive explanation of PRP that I’ve found. Thanks.
if you study the speed applied and the slow down proccess, you can separate the middle layer and make leukocyte-free PRP, and once activated, you obtain an acellular liqui-to-gel sccafold, rich in proteins, anti-inflammatory and very active
This is an extremely-informative video, delivered clearly and in a well-thought-out and well-organized format. I do not get any sense that Dr. Peng is trying to "seel" anything, but rather to fully-inform people who may be exploring this form of therapy. Thank you!
Wow. Just watched your video and I do believe you are credible because you cover a lot of information that seems in line with the brief information I have looked up on the misinformation web. My issue is my hip and it seems there is even less information on that area. Lots of knees and I think the regenerative therapies seem to have centered around that. My chronic problem has been for 20 years and was holding out that advancements would allow me to avoid becoming a cyborg with hip replacement. I have spoken with University of Penn in Philadelphia about evaluation for PRP being a potential therapy for myself. Really appreciate your video. Being retired LEO and not a doctor, as you clearly state many many factors can effect outcome however it is disappointing that insurance companies would not at least give a provisional approval or some assistance with the costs. Godspeed doctor!
Thank you so much for this extensive information on PRP! I have only just found about it from my new Dr after suffering for years in pain. I'm ready for the procedure!
I am doing this protocol. It works. A thousand less Advil. Go back every 9 months and work on strengthening. H acid works for me too. Lubricant helps significantly. Do one then other. It’s helped me.
I had a PRP injection for tennis elbow - it was very painful and hurt for 3 weeks - and 7 months later - still not much improvement :( But I don’t think I was told not to take Ibuprofen after the injection
@@zyou8er Hey! I am just hitting 2 months post injection. My injection was VERY painful haha, my shoulder felt worse than before injections close to about the 2 month mark. How they did the injection (they poked around the tear as well to stimulate more growth) caused a lot of pain, but this was suppose to happen. I have been noticing a lot of improvement in just the last weekish, been doing PT for 3-4 weeks and just started doing very very light weightlifting in gym about a week ago. I think I will have a better idea in about another 1-2 weeks, but so far things are looking very promising. I think the pain can very from person to person, but I pretty much couldn’t use my right arm for a week (couldn’t even sleep for the first 4-5 days due to extreme pain), and had very very limited range of motion with my arm for another 1-2 months. I’ve heard from a lot of people that it wasn’t too painful for them, but honestly it was the most painful thing I’ve done in my life hahahaha so who knows. I will definitely update you, remind me in a couple weeks if I forget! I really think things are looking good, and I’m excited to see where I am in a few more weeks.
@TheLadybria all good thanks. I think it's reduced the pain almost immediately but then the right hip felt left out & has started hurting. I think it's from walking not quite right when the other one was so sore. I'm getting the 2nd jab this Tuesday. Take care!
Having this done in Achilles and two small tendons in right ankle in a few weeks. I'm very nervous because I have a history of blood clots and will have to bridge my blood thinner so I am really grateful for your well explained series of stages for this procedure. Fingers crossed this helps me feel relief after 8 months of doctor visits, PT, infrared light therapy and nothing has helped.😢
My PRP injection didn’t work on my shoulder (and was not covered by insurance),neither trigger point injections . After a year and a half I finally got a steroid shot and after a week start to fill better and to be able to rest my head on a pillow over night,and still pain free even after 3 months …
Came across your video by accident. Wish I had known about this some years ago when I had 2 cortisone shots at 2 different times. Your video was not only informative but understandable. It's a shame that health insurance don't cover it. I guess it's better to completely fall apart so you'll eventually have to get more invasive procedures. The health industry is so contradictory. They need more doctors like you. Thank you for sharing your knowledge.
Thank you for such an in-depth discussion of PRP. I’m seeing a physician tomorrow to discuss PRP for my ongoing knee issues following a meniscus tear arthroscopy. Pain has been ongoing for almost 2 years and I have tried dextrose injections 3 times over the last three months and there has not been significant change. At this point, I really wish I had not had the surgery and tried PRP first. Anyway, now I know what questions to ask to make my decision. I’m 76 and had little to no arthritis in either knee 2 years ago. I’m beginning to feel old and arthritic now.😢
Thank you for this excellent and comprehensive video. I could not find the link to the compilation of studies you showed at about 1:07. can you post that again?
I've had both PRP shot and umbilical cord mesenchymal stem cell shot and the mesenchymal stem cell shot is far better than the PRP in so many levels, for one you MSC shot is regenerative medicine that stays in your body for years after you've received your first shot. Also you can receive 50 miillion stem cells vs just a few thousand cells in a PRP. You can regresss your arthritis from level 4 to level 2 with Mesenchymal stem cells, and you cannnot achive this level of regeneration with PRP. MSC can regenerate cartilage if combined with colllagen type II supplements, and cure arthritis, PRP cannot. _ There is incredible push back from conventional medicine to not try stem cells because you cannot get donated umbilical cord stem cells in the US, but you can get PRP. Also, if you are curing arthritis you are retiring a list of pain medications and procedures that are no longer neeed. Bottom line, arthritis is a business in the US like evvery other busines and they don't wat you know mesenchyaml stem cells can cure you from it.
Great tutorial on PRP. I'm going forward with PRP injection into Rt hip. The hope is to delay hip replacement. My limiting factor is currently taking low dose prednisone to counteract polymyalgia rheumatica. Thx for understandable PRP documentation.
@@chrissystar8897 I just had a shot on my left hip three weeks ago and I'm almost 80 percent pain free and if I don't get complete freedom of pain I'm definitely open to getting another prp I say it works I could tell the difference after one week just make sure to rest if you can it was hard for me because I'm the only one that cooks at home
I am just shocked we don’t have better futuristic options to replace the cushioning, or slow arthritis way before pain. I guess it is only an issue now we are living to 100 and have a lot of baby boomers and we are looking for more answers. Why can’t we replace the lost cushioning way before bone on bone pain and stop the damage for the years ahead?
Awesome video. Watched it all. I have acute calcific tendonitis in my shoulder in two locations. I had those areas injected with cortisone after an inability to move or sleep. I'm collecting information on how to remove the calcium and repair the tendon. I'm a swimmer, and I need the ROM, however I do not want to damage the tendon, so I have stopped the swimming until I solve this. Great video. Excellent information. For what it is worth my father was an orthopedic surgeon, and he would have been interested in PRP.
Hope you tried PRP! It has given me my life back, so now I’m going through comments to encourage and assure people that it’s a great choice if you’re a good candidate for it (meaning, relative joint issues and “healthy” diet/fuel for blood). I could not sleep on either shoulder and my ribs were slipping in and out of place. Now, I can do planks and almost push ups. Please invest in yourself with PRP, if you find a Dr you like and can afford to - for me, I could not afford NOT to (3injections over five months, $1000 each including lidocaine for trigger points at a really nice facility in SoCal) best of luck!!
Very comprehensive review particularly with clinical efficacy on ultrasound guided versus landmark approaches. I do have a question regarding post PRP injection and red-light therapy as an added therapeutic tool 48 hours post injection. IS there added benefit or is it disruptive to the healing process?
Working on Labrum hip tear and knee meniscus tear. Knee hasn't seen change yet. Hip injection next week. Giving a 50/50 effective rate from two different orthopedic doctors... Fingers crossed. Thank you for the information.
*Moderate sprine of posterior cruciate ligament noted with low-grade partial interstitial tear near femoral attachment *Moderate sprine of anterior cruciate ligament noted *Grade II signal changes in posterior horn and body of medial meniscus *Grade I signal changes in posterior horn of lateral meniscus *Mild sprine of medial and lateral collateral ligaments *Minimal patello-femoral knee joint effusion Sir, this is my MRI report. Will PRP injection cure my problem 😢
Dr. Peng, this is a great and informative presentation. I’m a 85 yo male that has had problems with my (R) knee for over 25 years. I have had two surgeries on the knee in the 70’s and 80’s. I’ve been treated with “Rooster Cone” for approximately 20 years. The Rooster Cone treatment no longer works. I’m looking to try the PRP treatment. Could you kindly recommend a provider in my area. I reside in North Augusta, South Carolina. Thank you for your assistance.
@@davidcastain5093 yes this was confirmed by my orthopedic doctor last week.This also includes Tricare for Life Which is the Tricare version for retirees over 65 that have Medicare as their primary
Of course not covered it heals and you don't have to keep repeating cortisone shots or keep going to all these doc who guess never know anything anymore
Dear Dr. Peng, Thank you for the information! I have shoulder arthritis and a torn meniscus in my right knee which also has mild arthritis. MD said that “we can replace the shoulder “ when the pain gets bad enough. No other options were given. The knee is back to 90% by resting and lighter exercise. Another MD offered PRP for the knee and shoulder. I feel like I might try it after hearing your information. QUESTION: Do peptides have a place to augment PRP? Specifically TB 500 and BPC157. Also, any information on Pentosan polysulfate for use with or alternating with PRP for knee/shoulder arthritis? Thank you again!
I have a shoulder labral tear and a cyst on spinoglenoid notch and measures approximately 1.5 X 1.4 x 1.3 Cm. I was given a cortisone shot for pain and it has relived 95% of the pain, but the cyst is definitely pressing up on my nerve cashing severe pain when i didn't have cortisone. Doc suggested shoulder surgery but i cant do that RIGHT now. I'm seeking to try Ultrasound-guided cyst aspiration... then we can talk surgery but i'm cannot do surgery right now. I'd like to try PRP before full fledged surgery.
Does PRP help with moderate hip osteoarthritis? If I am understanding correctly- is this only helpful for one year or can you continue to get them annually or will you eventually need replacement?
I am not a doctor, just a late 20-something who was told I would need a shoulder replacement AND SC Joint “replacement” essentially every 15 years for the rest of my life…..well, all those doctors who said PRP isn’t reliable were WRONG in my case, and 3 injections of PRP x $1K each (nice facility in SoCal out of pocket) completely changed my life after 2+ years of suffering. The doctor I see did mention another patient who got 3 injection for his hip and knee, who loved the results so much that he is now having his other knee done (apparently he’s a birdwatcher in his 60s, lots of crouching, so he had the second round of 3 as a precaution). I hope you find something that works for you, and hope PRP goes well if you pursue it! Best wishes!
So im scheduled for a partial meniscectomy surgery tomorrow, for large oblique tear medial posterior horn portion and they are doing a PRP injection post surgery, won't my surgical medications reduce the effectiveness?? Should I wait for a week to get PRP done? Thanks, I liked and subscribed and watched all your PRP vids !
Doctors these days never talk about CBD which is a great pain reliever, little to no harm or side effects and also easy and cheap to find. CBC is helping my knee as I await a dr apt to get diagnosis of knee arthritis. The pain has started only a month ago. But without pain meds I can’t walk on it.
Hello. But I'm wondering if after each 1-3 therapy that I have for 14 days, so much rest is needed, or is it only for 1 therapy and then you can start training - bike earlier? After 1 therapy, I had a very swollen knee, which subsided after 9 days. After the second therapy, I had pain the next day, but it disappeared towards the evening and after 4 days it was as if nothing had happened! Thank you for your reply, best regards Simon🙂
I had a prp injection on my hip about a month ago. I still can't tell if it's working. However, my specialist mentioned another prp injection and cortisone injection at the same time. Based on your video, now I'm worried about having both injections the same time.
@JeffreyPengMD I'll make sure there's time between both injections. Thank you so much for doing my research a lot faster and more knowledgeable about prp.
yeah my doctor said you absolutely DO NOT want any cortisone to be present at the time of a prp or stem cell injection as it would eat it up. What kind of specialist would say such a thing?
my doctor injected my knee from the outside when my meniscus tear is on the inside of knee. He said this is normal and would not matter? what are your thoughts?
I have the best replacement for Tylenol and Ibuprofen or other nsaids! I take niacin 100mg twice daily, drink nettle tea or tincture(root is better than the leaf) with fresh squeezed lemon and also stay away from alcohol, gluten, sugar and most diary. I use the niacin that causes a flush for a reason, I believe it works better and has many benefits!! I also make my own nettle salve, take a bunch of loose leafs and put them in a double broiler on a warm temp, do not cook!! Then strain through cheese cloth and I add some eucalyptus or camphor essential oil and use it for pain and swelling! It works wonders!!
Higher dose is better (probably around 60 cc blood draw for a knee) than low dose PRP. In general three injections *is probably* better than one. But that's a lot of $ for many people. This is why I use my current treatment algorithm discussed in the video
Is there a recommendation for step count in the first days after a hip flexor/iliopsoas PRP injection? This would be on crutches and mostly around the house, but am trying to get an idea of just how light activity level should be; thanks anyone who has any experience or thoughts!
Any advice on increasing platelets prior to procedure. Also, I didn’t hear anything about drinking caffeine but read it best not to have any 1-5 days before or after procedure. Agree or disagree ?
Hi, Dr. Peng, should I trust the approach my orthopedic surgeon adopted to do the PRP injection on my shoulder? I have a low-grade supraspinatus tear and had a PRP injection done yesterday. To my surprise, the surgeon injected it into a shoulder space from the back of my shoulder instead of right into the tear itself. All the PRP info I've learned online says that it should be injected right into the tear. But according to my surgeon, the PRP will spread out through the entire rotator cuff tendons, so there is no need to target the actual tear with ultra sound. Plus it'll help with the existing bursitis as well.
Dr. what is your posture about the use of Hyaluronic Acid for the knee after a meniscus surgery?
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Can you please recommend a doctor and/or clinic that does the type and quality of PRP injections in the Seattle, Washington area? I’ve scoured the internet and reached out to several clinics with no success. If we lived closer to CA, I would come see you! My hip is killing me, but not bone on bone, so nothing the orthopedic doctor will do. I feel defeated…
What other questions do you have about PRP that wasn't covered in the video?
Can a patient use a topical lidocaine ointment on the area after injection to help with pain?
Why do you need ultrasound to do shoulder, knee and elbow injections . I have been doing joint injection for 25 years with excellent results. Isn’t the use of US use to increase the billable? In NJ most insurance will not pay for the use of US I can understand its use for tendons and ligaments only
I know your supposed to stop smoking tobacco for 4/6 weeks after injection but what about marajuana????????
I wonder if PRP could really heal a meniscus tear?. After 1 injection i felt much better and can go back to light running now. The doctor who gave me PRP said that 1 injection would be sufficient to fix my issue but now i`m starting to experience pain again. Some orthopaedics told me that PRP is not an option for a meniscus tear, as it would be too serious to be healed by PRP and must get operated. 😵💫😵💫
I'm going to try cupping it's basically the same thing
This doctor is extremely impressive. I wish he was my dr.!!
I had prp injection 6 months ago for tennis elbow and can say it made my pain has gone away and now have better use of my arm. Now its not 100% better but i say I'm 80 percent better know.
Prp saved my life!! Not exaggerating. Osteoarthritis, Tietze’s Syndrome, shoulder bursitis, muscle tears, shoulder impingement, herniated disc- three injections, feel like I have a new lease on life
You are blessed
@@gerrie6498 thank you, starting to feel that way again. If you are struggling with similar conditions, I hope you can and will access PRP care. Took years of saving, but totally worth it, and I’d do it again, can’t recommend enough, for anyone reading (do make sure they are a doctor/licensed/ anesthesiologist/use ultrasound, and follow diet/supplement requirements to boost efficacy). Best wishes!
@@heretolearnCA i trust God for a miracle . I wish you prosperity. Here in South Africa there are doctors who is doing it. Considering prosedure in 2 months time. Recently had local anaesthetic and cortizone injected. Today is 3 rd day. See how it will goes. God bless you. In fact the doctor is ½ hour away. I’m willing to give it a go. I also started cannabis drops yesterday. If all else fails then shall I go for PRP. I had 4 back surgeries in 3 years time and from there ongoing complications. Through the wounds of Jesus Christ we are healed under His Mighty name. I have scans. Thank God all blood results are fine.
@@heretolearnCA will let you know. Planning June/ July to go for PRP.
@@gerrie6498 awesome!! Start prepping now. Get more collagen II/ bone broth in your diet, more dark leafy greens - anything that will enrich your blood and give the PRP its best chance of working. Prioritize sleep, if you can. Cut sugar and sat fats. Have more fish oil and curcumin, all the way up until about three or two weeks before AND after your PRP appt. Efficacy depends on the person (and make sure your dr uses ultrasound and gives you lidocaine for trigger points). It won’t feel good haha and you’ll need a recovery day or two after, but Ice, maybe heat pad (ask your dr about the injection site), Tylenol, and the optimism that suffering some discomfort for a day or two means you might get mobility and function back can all help :)
Fantastic video Jeff. SO happy you are educating the public. Clearly stated, evidence based Dose, guidance, patient selection all matter. I have been doing I/O now since 2015 with excellent success for severe cases of O/A. (Sanchez, Hernigou, Zhang,DiMatteo, Kon, Kattapatiya, Varshney, etc). Say no to repetitive cortisone injections!
I’m on week 2 post injection and it cured my bakers cyst behind my knee and has helped with mobility of my cartilage defect
How’s your knee ?
PRP works. And not just for joint issues. I suffered for 19 years with lichen sclerosis & drs couldn’t find healing. Until one suggested PRP. I can’t speak highly enough of this treatment & the relief and healing to my body. I can live my life without all the issues I previously had pain free. It’s definitely worth giving it a try. The injection site pain at the treatment time is worth it. I never had any pain after the treatment nor any inflammation.
How much does it cost you and how often do you get the shots?
I had a done today elbow and shoulder. Painful 😣. Hopefully 🙏🏽 works.
@@gabrielabarrera8061any update?
Just had my injection on Friday praying it works was really sore first two days
@@gabrielabarrera8061Update please 😅
This information is invaluable and very well covered, thank you for putting this video together Dr. Peng!
Glad it was helpful!
The most complete review of PRP use I have seen and heard. You have answered questions on use and indications that and contraindications to its use that i had.From your presentation it shows the deep investigation and research on this topic, you have done .It takes a lot of time to do all this research and analyse.Good Job.
Thank you for taking the time to provide this information. Very helpful & very thorough for us average mortals to understand. Great delivery also.
very detailed, effective and educated yet simple enough for everyone to understand
Finally more diverse treatment modalities are being studied and used with success. Thank you for so thoroughly covering this topic.
Great video, so informative and professional. Thank you.
Dear Doctor Peng:
Or should I say, Maestro Peng!?
I came upon your wonderful series of videos by quite accident while investigating the effectiveness of PRP in treating my bilateral OA, from which I have been suffering for more than 10 years.
I have received injections of hyaluronic acid (Supartz 25mg) twice a year and fortunately am one of those for whom this treatment has been very effective.
However, based on your explanations through a series of very clear and helpful TH-cam videos…you should be awarded an Oscar!…I am now considering Platelet Rich Plasma as a next step in my treatment journey.
Two reservation:
(1.) At 75 years of age, I suspect this procedure is less likely to be successful for me; after all, how “platelet-rich” could my plasma be?
(2.) The orthopod with whom I have discussed this protocol…in whom I have a great deal of confidence and who has administered the infusion many times in order to treat arthritis in elbows, hips, shoulders, knees, etc., always guided by ultrasound, prefers to use L-PRP (Leukocyte + PRP), which as you know, contains white blood cells & low fibrin matrix, as opposed to the alternative, and I believe your favored choice, L-PRF (Leukocyte + PRF) which includes no white blood cells & a high fibrin matrix and is believed to be more effective, especially in the treatment of OA of the knees.
When I suggested that though not very large or double blind, studies to date have demonstrated that the L-PRF (Leukocyte + PRF) was more effective, he disagreed and said one study of 700 patients concluded no statistically different results were measured.
What to do?
I think if I were able to show him the studies that you have reviewed (the more, the better!), he would be open to trying it regardless of how slim the advantage.
At my age, anything that increases my chances of success is worth trying.
I would appreciate you sending me links to the most reliable and prestigious studies you have seen.
I think that would be an invaluable first step of this physician being converted to some new thinking on the PRP issue as a viable standard of care.
Many thanks!
Will
⁰0m
This is fantastic information. Thanks very much doctor for your professional approach to these issues. It is much needed.
Wow, what a through coverage of PRP. I’m on week 4 of laser combined with PRP and already feeling better after 1out of 3 injections. This is the most extensive explanation of PRP that I’ve found. Thanks.
if you study the speed applied and the slow down proccess, you can separate the middle layer and make leukocyte-free PRP, and once activated, you obtain an acellular liqui-to-gel sccafold, rich in proteins, anti-inflammatory and very active
Pretty amazing stuff!
This is an extremely-informative video, delivered clearly and in a well-thought-out and well-organized format. I do not get any sense that Dr. Peng is trying to "seel" anything, but rather to fully-inform people who may be exploring this form of therapy. Thank you!
Amazing video! Thank you for the priceless info, Doctor🙏🏻
Wow. Just watched your video and I do believe you are credible because you cover a lot of information that seems in line with the brief information I have looked up on the misinformation web. My issue is my hip and it seems there is even less information on that area. Lots of knees and I think the regenerative therapies seem to have centered around that. My chronic problem has been for 20 years and was holding out that advancements would allow me to avoid becoming a cyborg with hip replacement. I have spoken with University of Penn in Philadelphia about evaluation for PRP being a potential therapy for myself. Really appreciate your video. Being retired LEO and not a doctor, as you clearly state many many factors can effect outcome however it is disappointing that insurance companies would not at least give a provisional approval or some assistance with the costs. Godspeed doctor!
This guy is 1000% right. PRP is a no brainer now.
This was so thorough and helpful!
Thank you so much for this extensive information on PRP! I have only just found about it from my new Dr after suffering for years in pain. I'm ready for the procedure!
Fantastic in-depth talk 😊
I am doing this protocol. It works. A thousand less Advil. Go back every 9 months and work on strengthening. H acid works for me too. Lubricant helps significantly. Do one then other. It’s helped me.
Great presentation for deep understanding for patients
Thanks for the information Doc! God bless you 😇🙏🏻
I had a PRP injection for tennis elbow - it was very painful and hurt for 3 weeks - and 7 months later - still not much improvement :(
But I don’t think I was told not to take Ibuprofen after the injection
I am getting prp injections tomorrow morning for a partial 50% tear in the supraspinatus - your channel has been so helpful!
Best of luck!
Hi! Any updates? I’m in the same situation and considering PRP., any information would help. Thanks!
@@zyou8er Hey! I am just hitting 2 months post injection. My injection was VERY painful haha, my shoulder felt worse than before injections close to about the 2 month mark. How they did the injection (they poked around the tear as well to stimulate more growth) caused a lot of pain, but this was suppose to happen. I have been noticing a lot of improvement in just the last weekish, been doing PT for 3-4 weeks and just started doing very very light weightlifting in gym about a week ago. I think I will have a better idea in about another 1-2 weeks, but so far things are looking very promising. I think the pain can very from person to person, but I pretty much couldn’t use my right arm for a week (couldn’t even sleep for the first 4-5 days due to extreme pain), and had very very limited range of motion with my arm for another 1-2 months. I’ve heard from a lot of people that it wasn’t too painful for them, but honestly it was the most painful thing I’ve done in my life hahahaha so who knows.
I will definitely update you, remind me in a couple weeks if I forget! I really think things are looking good, and I’m excited to see where I am in a few more weeks.
@wbae1340 Any update?
Update?
I had my first PRP injection in my hip yesterday. Didn't hurt & took about 30 minutes. Fingers crossed.
How is it working out?
@TheLadybria all good thanks. I think it's reduced the pain almost immediately but then the right hip felt left out & has started hurting. I think it's from walking not quite right when the other one was so sore. I'm getting the 2nd jab this Tuesday. Take care!
@@Cocoandindyhow are you doing
@sarahtamaly3587 still really good thanks. The 3rd injection worked a treat.
@@Cocoandindy I am looking forward for my neck and knee
Good presentation with clarity.really commendablejob.covered all aspects of PRP treatment.❤
Having this done in Achilles and two small tendons in right ankle in a few weeks. I'm very nervous because I have a history of blood clots and will have to bridge my blood thinner so I am really grateful for your well explained series of stages for this procedure. Fingers crossed this helps me feel relief after 8 months of doctor visits, PT, infrared light therapy and nothing has helped.😢
Did you have it done and have you seen any improvement? I have some similar ankle stuff going on …
@@sharonesther6159 unfortunately I haven't had it yet because the insurance wouldn't pay for it so I am saving money up to pay cash😕
Would also like to know how it went, I’m thinking of doing this possibly
Thanks
My PRP injection didn’t work on my shoulder (and was not covered by insurance),neither trigger point injections . After a year and a half I finally got a steroid shot and after a week start to fill better and to be able to rest my head on a pillow over night,and still pain free even after 3 months …
Came across your video by accident. Wish I had known about this some years ago when I had 2 cortisone shots at 2 different times. Your video was not only informative but understandable. It's a shame that health insurance don't cover it. I guess it's better to completely fall apart so you'll eventually have to get more invasive procedures. The health industry is so contradictory. They need more doctors like you. Thank you for sharing your knowledge.
Great video
Wish u could teach my Dr
Your thoroughness is great.
Thank you for such an in-depth discussion of PRP. I’m seeing a physician tomorrow to discuss PRP for my ongoing knee issues following a meniscus tear arthroscopy. Pain has been ongoing for almost 2 years and I have tried dextrose injections 3 times over the last three months and there has not been significant change. At this point, I really wish I had not had the surgery and tried PRP first. Anyway, now I know what questions to ask to make my decision. I’m 76 and had little to no arthritis in either knee 2 years ago. I’m beginning to feel old and arthritic now.😢
Good luck Leila! I'm 42 and my right knee makes the same sound of when you step on glass.
Good luck!!
What was the outcome?
Thank you so much for these videos Dr Peng!❤
Thanks Dr. very informative
Very informative and helpful insightful. Thank for creating this video.
Thank you Doctor for this wonderful video. 🙏🙏🙏
Wonderful info. Thank you Doctor Peng.
Best presentation on this topic.
Nice explanation and broad information thank you
Amazing video thank you so much
This is amazing. Thank you.
❤ thanks for that movie and comment section, I have no morę questions or doubts
Thank you for this excellent and comprehensive video. I could not find the link to the compilation of studies you showed at about 1:07. can you post that again?
Very thorough. Thanks
Thank you for the information
Great video extremely informative
I've had both PRP shot and umbilical cord mesenchymal stem cell shot and the mesenchymal stem cell shot is far better than the PRP in so many levels, for one you MSC shot is regenerative medicine that stays in your body for years after you've received your first shot. Also you can receive 50 miillion stem cells vs just a few thousand cells in a PRP. You can regresss your arthritis from level 4 to level 2 with Mesenchymal stem cells, and you cannnot achive this level of regeneration with PRP. MSC can regenerate cartilage if combined with colllagen type II supplements, and cure arthritis, PRP cannot. _ There is incredible push back from conventional medicine to not try stem cells because you cannot get donated umbilical cord stem cells in the US, but you can get PRP. Also, if you are curing arthritis you are retiring a list of pain medications and procedures that are no longer neeed. Bottom line, arthritis is a business in the US like evvery other busines and they don't wat you know mesenchyaml stem cells can cure you from it.
Where did you get yours?
@@antonellal7827 I got my MSC shot 2 months ago, on 2/28/24 and I have no regrets.
@@antonellal7827 I had mine done at Dream Body Clinic in Puerto Vallarta
Where do you get it?
How’s your knee ?
Very good scientific information.
Great tutorial on PRP. I'm going forward with PRP injection into Rt hip. The hope is to delay hip replacement. My limiting factor is currently taking low dose prednisone to counteract polymyalgia rheumatica. Thx for understandable PRP documentation.
I'm getting it as well on my right hip after 4 rounds of Shockwave therapy first. Let me know how it goes.
@@chadhorton5879 did having the PRP in right hip help? I ask as i am planning the same to try?.
Still too soon to tell. Just started PT last week.@@chrissystar8897
@@chrissystar8897 I just had a shot on my left hip three weeks ago and I'm almost 80 percent pain free and if I don't get complete freedom of pain I'm definitely open to getting another prp I say it works I could tell the difference after one week just make sure to rest if you can it was hard for me because I'm the only one that cooks at home
@@chrissystar8897 I'm on 12 weeks since getting the PRP and I'm pain free waiting on to do my back and other hip
Wow! Wow! Wow! I'm writing notes!
Thank you
I am just shocked we don’t have better futuristic options to replace the cushioning, or slow arthritis way before pain. I guess it is only an issue now we are living to 100 and have a lot of baby boomers and we are looking for more answers. Why can’t we replace the lost cushioning way before bone on bone pain and stop the damage for the years ahead?
Awesome video. Watched it all. I have acute calcific tendonitis in my shoulder in two locations. I had those areas injected with cortisone after an inability to move or sleep. I'm collecting information on how to remove the calcium and repair the tendon. I'm a swimmer, and I need the ROM, however I do not want to damage the tendon, so I have stopped the swimming until I solve this. Great video. Excellent information. For what it is worth my father was an orthopedic surgeon, and he would have been interested in PRP.
Hope you tried PRP! It has given me my life back, so now I’m going through comments to encourage and assure people that it’s a great choice if you’re a good candidate for it (meaning, relative joint issues and “healthy” diet/fuel for blood). I could not sleep on either shoulder and my ribs were slipping in and out of place. Now, I can do planks and almost push ups. Please invest in yourself with PRP, if you find a Dr you like and can afford to - for me, I could not afford NOT to (3injections over five months, $1000 each including lidocaine for trigger points at a really nice facility in SoCal) best of luck!!
Very comprehensive review particularly with clinical efficacy on ultrasound guided versus landmark approaches. I do have a question regarding post PRP injection and red-light therapy as an added therapeutic tool 48 hours post injection. IS there added benefit or is it disruptive to the healing process?
Great Doctor You r a Gem🎉🎉🎉
We also use Tylenol on neonates as a prostaglandin inhibitor to close PDA’s…
Thanks Jeff!
Will listen to it tomorrow
Sounds very interesting 🤔
Working on Labrum hip tear and knee meniscus tear. Knee hasn't seen change yet. Hip injection next week. Giving a 50/50 effective rate from two different orthopedic doctors... Fingers crossed. Thank you for the information.
Did the PRP help with the labrum tear?
Many thank
You're welcome!
Well said Doc 😊
*Moderate sprine of posterior cruciate ligament noted with low-grade partial interstitial tear near femoral attachment
*Moderate sprine of anterior cruciate ligament noted
*Grade II signal changes in posterior horn and body of medial meniscus
*Grade I signal changes in posterior horn of lateral meniscus
*Mild sprine of medial and lateral collateral ligaments
*Minimal patello-femoral knee joint effusion
Sir, this is my MRI report. Will PRP injection cure my problem 😢
Doctor Peng, what do you think about combing PRP with oral BPC-157, ipamorelin or MK-677 for meniscus tear? Thanks for this informative video!
Sounds like a good idea
Make sure you’re megadosing the relevant dietary materials too
#THE INFO YOU SHARED IS EXTREMELY IMPORTANT TO DECIDE ACTION OF TREATMENT
#THANKS FOR YOUR KINDNESS DOCTOR
#MAY YOU BE BLESSED BEST OF ALL GOOD AMEEN
Do you know any doctors in the Charlotte, North Carolina area who give the PRP injections?
Dr. Peng, this is a great and informative presentation. I’m a 85 yo male that has had problems with my (R) knee for over 25 years. I have had two surgeries on the knee in the 70’s and 80’s. I’ve been treated with “Rooster Cone” for approximately 20 years. The Rooster Cone treatment no longer works. I’m looking to try the PRP treatment. Could you kindly recommend a provider in my area. I reside in North Augusta, South Carolina. Thank you for your assistance.
Hello Dr Peng, thank you for all your videos about PRP. Does PRP help repair or stop the pain or both?
If only insurances covered this therapy.
Have heard Tri Care with Veterans Administration does cover PRP.
Turns out tricare does.
@@davidcastain5093 yes this was confirmed by my orthopedic doctor last week.This also includes Tricare for Life Which is the Tricare version for retirees over 65 that have Medicare as their primary
Of course not covered it heals and you don't have to keep repeating cortisone shots or keep going to all these doc who guess never know anything anymore
Dear Dr. Peng, Thank you for the information! I have shoulder arthritis and a torn meniscus in my right knee which also has mild arthritis. MD said that “we can replace the shoulder “ when the pain gets bad enough. No other options were given. The knee is back to 90% by resting and lighter exercise. Another MD offered PRP for the knee and shoulder. I feel like I might try it after hearing your information. QUESTION: Do peptides have a place to augment PRP? Specifically TB 500 and BPC157. Also, any information on Pentosan polysulfate for use with or alternating with PRP for knee/shoulder arthritis? Thank you again!
What is high dose PRP injections for knee joints? Your evidence based advice is awesome!
Great info on prp
I have a shoulder labral tear and a cyst on spinoglenoid notch and measures approximately 1.5 X 1.4 x 1.3 Cm. I was given a cortisone shot for pain and it has relived 95% of the pain, but the cyst is definitely pressing up on my nerve cashing severe pain when i didn't have cortisone. Doc suggested shoulder surgery but i cant do that RIGHT now. I'm seeking to try Ultrasound-guided cyst aspiration... then we can talk surgery but i'm cannot do surgery right now. I'd like to try PRP before full fledged surgery.
Cortisone triamcinolone acetonide did so much damage it's been 4 years and I'm still suffering from it.
What about patients with Ankylosing Spondylitis but don't take NSAIDS or steroids? I treat mine with Biologics.
Does PRP help with moderate hip osteoarthritis? If I am understanding correctly- is this only helpful for one year or can you continue to get them annually or will you eventually need replacement?
I am not a doctor, just a late 20-something who was told I would need a shoulder replacement AND SC Joint “replacement” essentially every 15 years for the rest of my life…..well, all those doctors who said PRP isn’t reliable were WRONG in my case, and 3 injections of PRP x $1K each (nice facility in SoCal out of pocket) completely changed my life after 2+ years of suffering. The doctor I see did mention another patient who got 3 injection for his hip and knee, who loved the results so much that he is now having his other knee done (apparently he’s a birdwatcher in his 60s, lots of crouching, so he had the second round of 3 as a precaution). I hope you find something that works for you, and hope PRP goes well if you pursue it! Best wishes!
So im scheduled for a partial meniscectomy surgery tomorrow, for large oblique tear medial posterior horn portion and they are doing a PRP injection post surgery, won't my surgical medications reduce the effectiveness?? Should I wait for a week to get PRP done? Thanks, I liked and subscribed and watched all your PRP vids !
If you think about it cupping is the same thing it draws your healing platelets to the area
Kind of...? Even if true, it can't reach deeper tissue targets
How about use as a spinal epidural PRP for peripheral neuropathy?
It works and its a miracle. I had mua and prp on my rt shoulder. Thankful thankful
Doctors these days never talk about CBD which is a great pain reliever, little to no harm or side effects and also easy and cheap to find. CBC is helping my knee as I await a dr apt to get diagnosis of knee arthritis. The pain has started only a month ago. But without pain meds I can’t walk on it.
You seem really good doctor i can see when you grow up you the BEST
Hello.
But I'm wondering if after each 1-3 therapy that I have for 14 days, so much rest is needed, or is it only for 1 therapy and then you can start training - bike earlier?
After 1 therapy, I had a very swollen knee, which subsided after 9 days. After the second therapy, I had pain the next day, but it disappeared towards the evening and after 4 days it was as if nothing had happened!
Thank you for your reply, best regards Simon🙂
I am sorry to hear about the stem cell research falling short.
How long can PRP delay knee surgery? Months? Years?
I had a prp injection on my hip about a month ago. I still can't tell if it's working. However, my specialist mentioned another prp injection and cortisone injection at the same time. Based on your video, now I'm worried about having both injections the same time.
I don't know of any provider doing cortisone and PRP at the same time. The cortisone negates the effects of PRP.
@JeffreyPengMD I'll make sure there's time between both injections. Thank you so much for doing my research a lot faster and more knowledgeable about prp.
@@Murrieta_rockthetrailAny results? Did the PRP work?
yeah my doctor said you absolutely DO NOT want any cortisone to be present at the time of a prp or stem cell injection as it would eat it up. What kind of specialist would say such a thing?
my doctor injected my knee from the outside when my meniscus tear is on the inside of knee. He said this is normal and would not matter? what are your thoughts?
I have the best replacement for Tylenol and Ibuprofen or other nsaids! I take niacin 100mg twice daily, drink nettle tea or tincture(root is better than the leaf) with fresh squeezed lemon and also stay away from alcohol, gluten, sugar and most diary. I use the niacin that causes a flush for a reason, I believe it works better and has many benefits!! I also make my own nettle salve, take a bunch of loose leafs and put them in a double broiler on a warm temp, do not cook!! Then strain through cheese cloth and I add some eucalyptus or camphor essential oil and use it for pain and swelling! It works wonders!!
Had PRP on my both kness, i have moderate OA, and very active....after 3 months, nothing 😢
Nothing as in, no more pain, or nothing as in it had no effect?
Thank you for great information and could i ask about high dose and low dose of prp how much and the amount of injection in the knee thanks.
Higher dose is better (probably around 60 cc blood draw for a knee) than low dose PRP. In general three injections *is probably* better than one. But that's a lot of $ for many people. This is why I use my current treatment algorithm discussed in the video
I am on morphine due to spinal injury, if I had prp for my knee would I have to stop taking morphine?
Is there a recommendation for step count in the first days after a hip flexor/iliopsoas PRP injection? This would be on crutches and mostly around the house, but am trying to get an idea of just how light activity level should be; thanks anyone who has any experience or thoughts!
Any advice on increasing platelets prior to procedure. Also, I didn’t hear anything about drinking caffeine but read it best not to have any 1-5 days before or after procedure. Agree or disagree ?
Hi, Dr. Peng, should I trust the approach my orthopedic surgeon adopted to do the PRP injection on my shoulder? I have a low-grade supraspinatus tear and had a PRP injection done yesterday. To my surprise, the surgeon injected it into a shoulder space from the back of my shoulder instead of right into the tear itself. All the PRP info I've learned online says that it should be injected right into the tear. But according to my surgeon, the PRP will spread out through the entire rotator cuff tendons, so there is no need to target the actual tear with ultra sound. Plus it'll help with the existing bursitis as well.
Dr. what is your posture about the use of Hyaluronic Acid for the knee after a meniscus surgery?
Can you please recommend a doctor and/or clinic that does the type and quality of PRP injections in the Seattle, Washington area? I’ve scoured the internet and reached out to several clinics with no success. If we lived closer to CA, I would come see you! My hip is killing me, but not bone on bone, so nothing the orthopedic doctor will do. I feel defeated…
Can prp help hips, shoulders.
Also I have been having Euflexa Gel injections in my knees for years but would like to know if prp could help?
Does this work for bone on bone arthritis in the hip?
Potentially, yes