PRP Injections: The In-Depth Truth You Need to Know
ฝัง
- เผยแพร่เมื่อ 12 มิ.ย. 2024
- In this video, I cover everything you need to know about platelet rich plasma (PRP) injections.
Platelet rich plasma injections also known as PRP have garnered significant attention for their remarkable results. It’s derived from your own body and uses its natural healing mechanisms to alleviate joint pain, treat tendon injuries, and accelerate your recovery.
► TIMESTAMPS:
0:00 - Introduction
1:15 What is PRP?
4:18 How are PRP injections performed?
6:29 Are PRP injections painful?
8:00 What can I expect after a PRP injection?
10:58 What is the recovery time after a PRP injection?
15:35 How soon can I expect results after a PRP injection?
20:08 How many PRP injections are required?
26:44 What are the risks and side effects of PRP?
27:46 Can PRP be combined with other treatments?
32:11 How can I optimize my PRP for best results and how do I prepare for a PRP injection?
37:45 Who shouldn’t get PRP injections?
40:21 Is PRP covered by insurance? What is the cost?
50:39 How does PRP compare to other treatments (cortisone)?
56:37 What’s the difference between PRP and stem cells?
1:01:34 How do I choose a doctor that performs PRP?
1:05:01 What conditions has PRP been shown to benefit?
► 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
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► ABOUT ME
Jeffrey Peng MD is a nonoperative orthopedist and sports medicine specialist. He created a TH-cam channel and blog to translate cutting edge medical knowledge and clinical research to benefit all those looking to live an active and healthy lifestyle. 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.
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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
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.
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
This doctor is extremely impressive. I wish he was my dr.!!
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!
Good presentation with clarity.really commendablejob.covered all aspects of PRP treatment.❤
This was so thorough and helpful!
Amazing video! Thank you for the priceless info, Doctor🙏🏻
very detailed, effective and educated yet simple enough for everyone to understand
This is fantastic information. Thanks very much doctor for your professional approach to these issues. It is much needed.
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.
Fantastic in-depth talk 😊
Finally more diverse treatment modalities are being studied and used with success. Thank you for so thoroughly covering this topic.
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 😅
Great presentation for deep understanding for patients
Very informative and helpful insightful. Thank for creating this video.
This information is invaluable and very well covered, thank you for putting this video together Dr. Peng!
Glad it was helpful!
Thank you so much for these videos Dr Peng!❤
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!
Thanks for the information Doc! God bless 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!
Nice explanation and broad information thank you
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!
Thanks Dr. very informative
Wonderful info. Thank you Doctor Peng.
Very thorough. Thanks
Thank you for the information
Amazing video thank you so much
Great video extremely informative
Great video
Wish u could teach my Dr
Your thoroughness is great.
Very good scientific information.
This is amazing. Thank you.
Wow! Wow! Wow! I'm writing notes!
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
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 :)
Thanks Jeff!
Will listen to it tomorrow
Sounds very interesting 🤔
Well said Doc 😊
Thank you
Great Doctor You r a Gem🎉🎉🎉
Great info on prp
#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
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!!
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 have really bad knee pain on one side and am going to consult with my Dr. tomorrow about getting PRP !
❤ thanks for that movie and comment section, I have no morę questions or doubts
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 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?
Thanks for the extremely detailed video. How can I get a copy of your review of data that appears at the end?
What is high dose PRP injections for knee joints? Your evidence based advice is awesome!
Hello Dr Peng, thank you for all your videos about PRP. Does PRP help repair or stop the pain or both?
Many thank
You're welcome!
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.
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😕
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!
Dr. what is your posture about the use of Hyaluronic Acid for the knee after a meniscus surgery?
PRP seems to be a no brainer treatment and would hope be covered by insurance in the near future.
Told I have degenerative osteoarthritis in most joints. I am a 72 yr old very active male.
Was advised I will need a hip replacement with in 1-2 yrs. Seems to me this condition if diagnosed early in life
would be a prime time to begin early PRP treatments.
Getting first PRP injection and getting supplements.
Thank you for all the informative info and data studies.
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!
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
Great video! How about PRP for SLAP tear of the shoulder? Thank you!
I’m wondering the same thing.
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🙂
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!
Could you please make a video on Enbrel injection?
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.
We also use Tylenol on neonates as a prostaglandin inhibitor to close PDA’s…
This guy is 1000% right. PRP is a no brainer now.
can you comment on the probable success rate one can expect using PRP treatment for partial medial meniscus tear in the knee that occured 2 years ago in a traumatic twisitng of the joint? I have the MRI report available; mild arthritis is indicated but I generally experience no discomfort in the joint with excellent overall health, frequent activity such as stationary ERG rowing, cyclling, competitive Laser sailing, and walking. I do NOT run or participate in high impact knee activites and am 74 years old with a BMI of 27.6
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
Can you do that for the ankle
How about use as a spinal epidural PRP for peripheral neuropathy?
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 !
You seem really good doctor i can see when you grow up you the BEST
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.
Thank you Dr. Peng! Question on recovery/reintroducing exercise. I am on day 4 of prp into my scapholunate ligament. Can I go back to regular lower body workouts? I just don't want undo the work on my partial tear in my wrist, so overly cautious and not even taking caffeine.
Is topical diclofenac ok prior to PRP treatment? I assume not. How about things like curcumin? Thank you.
Hi Dr. Peng. What do you know about shockwave treatments for oa of the knees? A NY physiatrist who has a good rating is offering a low cost evaluation with 1 treatment. I have done some research and it seems like it may be effective, but may require 3-5 treatments. It seems to be safe. I'm not sure how long the pain reduction lasts, or whether there is some stimulation of cartilage growth.
Thanks for the very informative video! What kind/brand of PRP kit do you use in your clinic?
Thanks for commenting!
@@JeffreyPengMD Why would you not answer a straight forward question? I live in the Bay Area and I am going to interview doctors about the technique and cost. Your video did go over the types of prp injections. You are on the high point of my preferred doctors.
@@NoObligationToday, Dr Peng is under NoObligation to answer that ridiculous question @NoObligationToday!
Are their certain peptides that one can benefit to be on while undergoing PRP & Stem cell therapy?
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
Cortisone triamcinolone acetonide did so much damage it's been 4 years and I'm still suffering from it.
So I got both knee trauma 2 years ago since then they constantly hurt I did 2 MRI and it don’t show anything is still going on wrong inside my knees I did plenty of medication and phonophoresis and it doesn’t help, so my doctor suggested to take PRP shots and as I have searched it is mainly used to treat osteoarthritis, so I am curious is it worth to pay such a amount of money, besides the fact I don’t have osteoarthritis? can PRP used to treat just knee pain which is unknown where it comes from?
Thank you for your answer in advance 🥰😍
can you guide in detail how to centrifugal PRP to get the best result?
Thanks for all the info on PRP. Do you advocate Boron and Omega 3 supplements for hip arthritis?
how to tackle post PRP inflammatory reaction resulting in severe pain ?
3 questions for you, Doc, in regards to PRP for knee OA.
First: I've read that one has to obtain from any loaded knee foexion, (with recommendations to don an immobilizer AAT to prevent this, unless asleep, for 4 weeks, or else the tx results are severely impaired. Is this true, and can you provide clarification upon this?
Second, in your opinion, are tgere any vast differences in tx outcomes in receiving the higher priced PRP txs that are purportedly "more refined,"
Third, I have overpronation of my R foot. Orthotics, ther ex, and modalities, have helped, but there are some genetic abnormalities that unfortunately prevent complete amelioration of the symptoms.... intermittent plantar fascia issues and improper force vectors, leading up the kinetic chain, ultimately causing havoc on my patellofemoral joint.
Would a "maintenance," type of PRP tx protocol be something I should seriously consider to stave off additional damage/prevent potential joint replacement, (I'm a 44 y/o male in otherwise relatively healthy condition)
Hi Jeff
I have two questions I was wondering if you can kindly guide me through.
Can we do PRP at two locations (Neck legimant and gluteus minimus ) on one session? The PRP is local activation so I searched it up and it seems should be fine. Would be much cheaper for me in Canda.
I did prolo for my Neck legimant instability and weakness. I want to switch to PRP. How many month do you think it is an ideal gap between the two.
PRP and prolo is done with ND in Canada where I live so each has different opinions. I thought it would be best to get experts MD opinion.
Thanks a ton
How much platelet dosing for tennis elbow should I be expecting?
How does PRP work for base of thumb pain also what is the best dr to see for this sports medicine dr, hand specialist, orthopedic.. how much should I expect to pay out of pocket. Thx
Dear Dr. Peng, I got labral tear on my hip and would like to have PRP treatment, how can I make an appointment with you? Where your office is located.? Thank you!
Would PRP be effective for someone that had their knee lock up?
Great info, if you have a tear in a muscle, will stem cells help regrow the muscle or will it join back with scar tissue?
Thank you for all you useful videos. I am getting PRP injection for the second time in a few weeks can you tell me when you say stay away from nsaid medication does that include turmeric and natural Anti-inflammatory?
Thank you
Thanks. This sounds helpful.
However I have had to give up on ultrasound guided cortisone injections into my very arthritic shoulder because of the intense pain of the injection going into the worst part of the arthritis. So painful that I can barely breathe during the injection.
So I'm hesitant to try PRP injections.
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!
Hi Doc,
Are there any doctors you recommend in CA (Orange County, or Riverside County) that perform PRP for spondylosis in the L4 region. I’ll pay out of pocket. Thanks so much
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.
Is PRP ideal for my shoulders with glenohumeral joint osteoarthritis with mild-to-moderate joint space narrowing and moderate to large humeral head osteophyte at inferior glenohumeral joint?
6:02 interesting table!
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?