While all DOs learn of this, only a very small proportion actually employ it into practice. A lot of it has to do with encouragement and reinforcement in our clinical training. Personally, I did an extra year fellowship in this to learn more proficiency, and be able to offer more for my patients.

Thanks for the comments, and glad it helped, but not so glad that it hurt so bad! Technique of performing makes a difference, and I find that most of my patients feel some pressure but not pain with these injections. I would also say that I can typically get a soft tissue injury, such as golfer's elbow in this video, better with one, maybe two tops PRP procedures. Technique, dosage, rehab, aftercare, procedure prep, injection guidance, all of these are huge factors that can determine whether this will be a successful procedure or not. We have also moved away from icing it after the procedure, have patients use heat every 3-4 hours they are awake and able to the first 72 hours, gets the blood flowing and the growth factors mobilizing to the area!

It’s definitely a modality that has been gaining momentum in medicine, but still many doctors have not been trained in this. I actually teach other physicians how to perform this at a local and national level.

This would change the lives of so many. I am scheduled for an MSK ultrasound at university of Louisville hospital- the only facility in Kentucky that offers it after 1.6 years of MRI and CT scans to see my ligaments and tendons

@@katehill68yea some areas are deficient in physicians skilled in performing this. That’s why I teach, get the word out on things like this to help more people!

Fortunately for me it was one and done! Sometimes it takes two, I have never had a patient need more than that. If there is arthritis then that changes the picture, and depends on if the treatment is moreso targeting the arthritis pain or the ACL instability. If the former, usually needs 2, sometimes 3 PRP treatments; if the latter, usually one and done, sometimes two and done.

​@@MotionisMed Wow, I have a partial and even after 2 shots I don't really feel much progress. A bit maybe, but every time I sit down and up it aggravates it and starts hurting again. Very interesting.

@@thebestever333 The way PRP is performed definitely makes a huge difference! I customize each PRP to the individual treatment, ensure I create an adequate dosage of the platelets and growth factors, and ensure the way I perform the procedure is meticulous, and then appropriate aftercare and rehab is done correctly. All of these factors make a HUGE difference in whether these procedures are successful or not.

I always say "exercise is the best medicine, but just like any medicine you can underdose, overdose, and/or take the wrong dose!" So getting a correct diagnosis so you can properly rehabilitate it is step 1. If it is not responding to conservative therapies, then you should see a sports med doc like myself to have further discussions on treatment. My office info is found here, we can always do a telemed to get started if you are not in my area: www.motionismedicinedfw.com/#ScheduleAnAppointment

It can last until your growth plate fuses down, but there are some treatments that can help. If you are dealing with this chronically like you describe, then time to get in with a sports med physician like myself.

Well hopefully this video gets shared and increases awareness of this condition. I doubt insurance will cover PRP anytime soon as it doesn’t make them money, and insurance companies don’t care about their customers, they only care about their bottom line.

Appreciate it! We definitely try!

That is a good question. PRP has been shown to be effective in treating cartilage injuries. That being said, does PRP fix and repair torn and worn cartilage? Well, that is still up for debate and sometimes we see that is the case, sometimes not. But we do know that PRP allows the joint to functionally repair itself, so it is not swelling, aching, and preventing us from doing activities involving it.

Could be more than one injury. Also very often you tend to change the way you walk after an injury, could cause you to put pressure on the ankle. Ultimately if you are having an issue, I recommend you see a sports medicine specialist like myself to get definitive care!

I recently ruptured my plantaris tendon playing softball. I heard a pop when I went from a stationary position on first base to run to second base upon the ball being hit. It has been 4 weeks am. I am finally starting to walk again. But like you have mentioned, I tend to walk a little differently to compensate for the injury. I have been doing some light exercises but carefully not to overdo it. Just wondering if there are any must do and don'ts when recovering from this injury. I also believe that there is some damage to the calf muscle as well. But the doc seems to think it is solely my tendon. Thanks in advance for any suggestions!

@@stephenstagg4814 Have you had any imaging? I routinely perform diagnostic musculoskeletal ultrasound to better characterize these injuries. Can be very helpful to guide the appropriate treatment/therapy. Many of these injuries respond very favorably to properly guided physical therapy, and I commonly employ treatments such as shockwave, OMT, and at times use PRP (platelet rich plasma) and/or PPP (platelet poor plasma) if it is mainly a muscular injury.

Made the video a long time ago, so glad you happened to stumble across it now!

@@MotionisMed thanks for your content, had a recurring right calf injury after playing basketball, then played sore a few games in company softball and felt a pop, thought I tore my Achilles. But sat out a few games and came back yesterday, strong running and felt good.

@@DMoney_1984 Glad you are doing better! I have personally had this injury recurrently, had to do some corrective physical therapy and regenerative medicine to finally get over it!

Yea, apparently the first 6 seconds you couldn't hear me but it kicked in after that. Thanks for letting me know!

One nsaid shouldn’t be a deal breaker, worse if you’ve been on them constantly. Hopefully it works great for you!

Thanks for the input. We made this video a while back, but I still include this piece of equipment as part of my armamentarium to treat this condition!

Sometimes yes, depends on how it was managed, location, and size.

I would definitely come to see a sports medicine specialist such as myself to make sure you can get a clear diagnosis and an effective treatment plan.

Yes, tennis can, as well as some other activities too. We made a video talking about that as well, be sure to check it out!

The "Osteopathic Salute" was something routinely taught when I was a med student (and OMM Fellow) at TCOM over 20 years ago. I am not sure if they are still teaching it there or anywhere else.

Different physicians may have varying recommendations after this procedure. We find that a brace is not necessary unless it makes you feel better mentally.

Yup!