Prolotherapy vs PRP | DailyDocTalk 48

[@EmanuelChiro]

How well does it work for shoulders?

[@bostonbeanman6173]

Wow, wish there were dr like you in my area. Everyone I talk to is only interested in their highest cost option within their limited menu or nothing at all. In fact, no ortho surgeon I have spoken with regarding my issue have ever mention PRP or similar options at all. Just a surgery to fuse my arthritic bones as the ultimate option and to suck it up with Tylenol for as long as I can take the pain.

[@DrewTimmermansND]

Might be worth traveling out to AZ to work with me!

[@marciebaker9816]

That's a terrible idea

[@devinhennings6209]

Would it be better to use prp BEFORE a meniscus treatment since blood flow of the meniscus is limited and when having to remove anything it makes it more difficult to heal itself and takes away that ability? Is it possible to get a prp to help retain the good tissue and encourage healing of anything bad so the surgeons have less to remove or fix?

[@shefele989]

Wow to hear that Prolo is cheaper then the PRP as I had 3 treatment of PRP which was less in cost for my deep tear in my left elbow I had three treatments I am still healing its now been a two months I think after you mention about the dextrose as it was put into my PRP not much as I felt everything and it was so much painful for an hour after the treatment then it would get very swollen for a few days after each treatment Now, I am getting the Prolo which is two hundred dollars more for each treatment for my C-6 & C-7 I already had two treatments in a few week I have another treatment I am not getting any mumbling he is just giving me the treatment so I do feel every injection I have degenerative cervical I at times could not turn fully to the right and my left shoulder began to have pain it actually works I can now turn to the right my left shoulder has no pain its just I still feel a little crunches in my cervical not as much as before Now about the dextrose I feel my doctor should have done it separately maybe its why my elbow is still healing

[@DrewTimmermansND]

Prolotherapy is less expensive than PRP yes, but it's also less effective. So there's a tradeoff, which is sometimes important but sometimes not. Also most doctors will charge more for spine vs peripheral joints.

[@shefele989]

@@DrewTimmermansND Thank you this is great info

[@DrewTimmermansND]

My pleasure!

[@KarenBeckerPhoto]

one dr told me to try the steroid epidural to L5-S1 first since insurance pays then if that works I would be a candidate for PRP in spine. Is that true? Well if it did not give full benefit could PRP stilll work? I do not like the steroids. Also what is best for the si joint?

[@DrewTimmermansND]

We personally don't like using steroids. In our clinic we would be able to know based on physical exam and imaging if the epidural with PRP is likely to work, avoiding steroids all together. As for the SI joint, again we avoid steroids at all costs

[@lindaterrell9366]

Thank You Dr. After hearing your video, I think I have a better understanding.

[@DrewTimmermansND]

Glad to hear!

[@faithf5846]

I’m a patient receiving the prolotherapy for mainly chronic facet syndrome. Recently I’ve switched to PRP for neck & ribs. I find I have more pain-free days between treatments. PRP is painful (not horrible) but beneficial. After a recent PRP treatment (1) I had relief in 2 days this is day 14 still no neck pain. 🙏❤️

[@DrewTimmermansND]

So happy to hear that!!!

[@mikea8294]

I have a herniated disc at L3/L4 and L4/L5 with an annular tear. The pain is constant and can get very intense with muscle swelling along the spine and weakness/numbness in the left leg. I am considering PRP. Would that be better than prolotherapy for my condition?

[@DrewTimmermansND]

Prolotherapy is not used for intradiscal injections, which would be the definitive treatment for an annular tear. This would require PRP

[@elvisberger]

Hi. Thanks for a good clip 🙏 I have really heavy pressure and pain in my neck and head for over 21 years "this instability controls my whole life now" and can't get help here in Sweden "try all specialist" but they only say, it's mentally, we can't find something else "I'm not alone with my diagnosis with this answer in Sweden" but finally last year i get answer about my neck issues "in Spain" but can afford the surgery, so have search for 1,5 years for someone ho can treat with Prp or prolotherapy or stemcells, but i can't figure out what's is best for my ligaments "C1-C4" what do you say? PRP i say but not sure and have not find someone ho have right x-ray "skills" for a second opinion with my image either. Thanks again and hope you have time to answer, you help lot's of people in Sweden,Norway,Denmark that's have same diagnosis and can't find alternative for expensive surgery "swedish healthcare doesn't have right x-rays or knowledge... for neck instability" #Atlanto-axial Instability. #Craniocervical Instability. Thanks 🤗 Best regards Elvis Berger 🇸🇪

[@DrewTimmermansND]

I'm sorry to hear you've been going through that. I wouldn't be able to say which injection would be best for you unless I did a complete workup on you in my office, sorry.

[@shembop]

Sorry, can't find a way to search comments. I am wondering what prolotherapy treatment runs for - let's say a hip or knee. I find so few doctors who do it that I it is hard to find if the cost is in line with what one should pay or if I should find another office.

[@cvzanikos1]

What about for cervical instability

[@mattfinch7403]

Yes you must get prolo to fix the ligaments

[@DrewTimmermansND]

PRP works better than prolotherapy, and cellular therapy works even better.

[@mattfinch7403]

@@DrewTimmermansND i am getting a mixture of both prp and prolo given my current doctor says different things work better or in combination for different joints. Prp plus prolo in cervical and mostly different mix of prolo in the shoulder. I am told i will need 5-6 treatments

[@DrewTimmermansND]

While I understand thats what your doctor is doing, I would disagree with it based on my understanding of the research and our clinical experience over the last 7 years.

[@gerrygizzygarcia2572]

So which one would u recommend for heirnated discs in the lower back cuz I was told prolotherapy would be the way to go is this true ?

[@DrewTimmermansND]

PRP injections are stronger than prolotherapy, so I would not agree with the sentiment that "prolotherapy is the way to go". In advanced cases were even considering cellular therapy with bone marrow concentrate

[@gerrygizzygarcia2572]

So u saying prp injections are better? And what's the difference between prp injections and ozone therapy or is it the same

[@gerrygizzygarcia2572]

So for heirnated discs how many injections u think I may need and what are the prices

[@DrewTimmermansND]

Yes prp injections are better than prolotherapy, hands down. PRP and ozone are different. PRP is platelet rich plasma from your blood. Ozone is ozone.

[@nawluck]

Can prolotherapy cause tissue or tendons to get worse and do more damage? ( Thinking of ishial tuberosity/ pelvic pain near pubic bone).

[@DrewTimmermansND]

This can happen, but it's extremely rare. In the 8 years I've been doing injections, we've only had 2-3 patients get worse

[@jimmyg8684]

Do you use ozone in conjunction with the prolotherapy and PRP ?

[@DrewTimmermansND]

Not currently, but it's something we are looking to add in the next 3-6 months.

[@killswitch7337]

Hi i had a patella tendon rupture surgery in 2019....which injection would you recommend to help rebuild muscle and cartilage in the knee?

[@DrewTimmermansND]

There are a lot of factors that go into that decision, but the best literature seems to be on PRP but there's a lot of emerging evidence for stem cell therapy

[@annap1191]

Are any of your regenerative treatment s beneficial for neurogenic thoracic outlet syndrome? Particularly trying to relieve tight scalenes?

[@DrewTimmermansND]

Yea we have had some success with our approaches. Often times we will end up treating both the cervical spine and the thoracic outlet, but each case is extremely unique.

[@somanylittles]

Thank you for this video! Very informative! May I ask you what would you recommend for laxity of the Sacroilliac ligaments that has been going on for 15 years. I sure wish I could come to see you. I don’t trust doctors who are most interested in making money then they are helping me.

[@DrewTimmermansND]

We use high dose PRP or stem cell therapy (depends on the severity).

[@alexpr73]

Tomorrow is my first PRP. After PRP session can I study bending the neck downwards facing the table?

[@helenama3229]

Thank you so much for the infos! I am able to understand the difference of those two treatments! I just received my first PRP today, Dr use numbing medicine which she said was procaine with dextrose in it. She injected it before PRP injections. May I ask would the dextrose interfere the effectiveness of PRP? I had no idea why would she put dextrose mix into procaine. And the treatment was beyond my tolerance, so much pain, had to take two Tylenol and barely could get up. In comparison, the prolo injection didn’t hurt me at all. Is it normal? Thank you so much for your help!

[@DrewTimmermansND]

These are all questions that you should really be asking your doctor! As long as the dextrose and prp weren't mixed in the same syringe, then there shouldn't be any interference

[@Chicago_Jayhawk]

I was diagnosed with ACL tear (happened in basketball) via knee doc (clinical test--knee wasn't stable like my left knee). I didn't do an MRI as doc said that's basically if you want surgery so they can get a bigger picture of any other damage). I have an appointment with Prolotherapy doc in 2 weeks but was reading that Prolotherapy only really works if it's a partial tear. Can it help rebuild a full tear? Thanks.

[@DrewTimmermansND]

Prolotherapy likely won't heal a full thickness tear, that would likely need something stronger like prp or bone marrow. Also, unless your doctor is using X ray guidance for the ACL injection, you're likely not going to get a proper treatment of the ligament. ACL injections need to be extremely precise. I personally think an MRI is important if you're undergoing injections because it helps to determine what your chances of success are.

[@franklinhowse1678]

Do you use stem cells as well? I have a grade III pcl tear which healed with laxity. Have you seen prp be able to remove some of this laxity and have you ever seen any patient be able to completely remove their ligament laxity through injections?

[@DrewTimmermansND]

Yes we utilize bone marrow and adipose tissue which contain autologous stem cells. PRP can help, but for a grade III we recommend our approaches with stem cells

[@williammurgida7521]

Can i get prp for buldging discs and annular tears?

[@kezman01234]

Hello. Thank you for this informative video. Im am getting prolotherapy followed by PRP injection 4 days after in the lower back and SI joints. Is this enough time between the two treatments in order for prolo not to lessen the effect of PRP? Thank you and I would really appreciate your input.

[@DrewTimmermansND]

If the prolotherapy is being injected only into the joint then that's usually okay, but if it's going to be injected into ligaments, then it's likely too close together.

[@kezman01234]

Thank you. How much time between the two injections should be enough?

[@DrewTimmermansND]

4-6 weeks, depending on how you are responding to them

[@thomasmcsharer2217]

@@DrewTimmermansND very similar situation to the above, I'm due for PRP bilaterally in the SI joints, followed by dextrose prolotherapy for the SI ligaments ~2 weeks after the PRP treatment. Is this okay / won't diminish the effects of PRP? Thanks a lot!

[@DrewTimmermansND]

That's a stupid approach in my opinion. They should put PRP into the joint and into the ligaments on the same visit, and then see how you are doing 3 months later. PRP is stronger than prolotherapy, even for ligaments. If they are already injecting your joint, they might as well put the stronger stuff in the ligaments as well.

[@marybolo2703]

Complete TFCC tear...cannot weight bear at all. 8 months of PT, 2 cortisone injections....still can’t weight bear. I’m 36 and need to return to function! Am I PRP candidate?

[@DrewTimmermansND]

possibly! I can really only determine true candidacy after the intake, physical exam, and imaging review. But as the TFCC tear is not responding to conventional approaches, and we have had success with TFCC tears, you're more than likely in the ballpark.

[@revatik7179]

I get confused about inflammation here. Why is dextrose induced inflammation even needed when injured area is usually already chronically inflamed.

[@DrewTimmermansND]

Because acute inflammation and chronic inflammation are different, and are mediated by different parts of our immune system. Chronic inflammation isn't just long term acute inflammation. It's completely different on a cellular mechanism. Plus, most of the time there isn't even a lot of chronic inflammation, it's chronic degeneration that needs to be addressed!

[@annap1191]

Great video! Hi there i have severe muscle knots in my scapula and muscle alongside my spine and causing me considerable pain even after my c56 fusion. is prolotherapy the better choice for breaking up the knots and relieving the nerve pain associated with this.. I feel like slashing the muscle with a knife to get rid of the tension!! Or is prp a better choice. I'm a bit confused. Please help im desperate!!

[@DrewTimmermansND]

No idea if prolotherapy or PRP is best for you as I would need to evaluate you in order to try and figure out what the deeper root cause is. If you'd like one on one help, please reach out to my clinic - regenerativeperformance.com/

[@mli5155]

I have middle joint of right thumb burning pain for years. Last week, I had PIT and the pain is greatly reduced.

[@DrewTimmermansND]

love hearing that!

[@borgymon]

A patient presents with swelling but no pain, just discomfort upon squatting. A x-ray shows Grade 2 Kocher and Grade 3+ Hefti OCD- but lesion definitely stable. Aside 6 weeks of rest, is there something other than PRP you'd consider?

[@DrewTimmermansND]

I would be evaluating for stem cell therapy with intraosseous and intraarticular injection, with peptides, supplements, and hyperbaric oxygen therapy

[@borgymon]

So you would use these procedures instead of PRP or along with? And this wouldn’t change dependant on whether or not the patients growth plate were open?

[@DrewTimmermansND]

I would evaluate the patient to determine what might be the appropriate approach given all of the info, including growth plate status

[@tungyang8312]

Hello, can you explain that I have some problems on neck and also often blocked my ears and head foggy. So is it possible you to help me this situation and how much for the treatment? Please really me !

[@DrewTimmermansND]

Possibly, I would need to know a lot more about your case. If you'd like to see if we're a good fit to work together please complete a screening application here - coda.io/form/Dr-Timmermans-Initial-Screening-Application_dLRPTx2mJ1T

[@simo-dv5xk]

Would you go straight to PRP for someone with cervical disc herniations, cervical spine instability, and chronic muscle tension?

[@DrewTimmermansND]

We dont really perform a lot of prolotherapy anymore because PRP works so much better. So yes

[@natashab3412]

Excellent well--rounded synopsis. Ty!

[@DrewTimmermansND]

My pleasure

[@ozzieg2415]

Doctor, would you recommend bracing for the cervical neck after prp and prolotherapy shots for instability? When would it be appropriate?

[@DrewTimmermansND]

Sometimes yes, it depends on the case. Too many factors go into that decision to outline here sorry

[@thestork2210]

Not a doctor here but, I think using a 4 inch needle would be best than the short ones. Hauser opposite to many prolo specialists uses it and goes deep into the roots of the joints. I wonder if using prolo and PRP in the same treatment session would be more productive instead of a single procedure.

[@DrewTimmermansND]

the length of the needle is always determined based on the depth the needle needs to travel. It's not an arbitrary number. Sometimes we need 5 inch needles to properly get into a lumbar facet joint, in other patients I could use a 2 inch (obese vs thin patient, respectively). PRP is more effective than prolotherapy, so I can't find a good argument to use prolo in the same session as PRP unless the volume of PRP needs to be high for another reason and we have to use prolo instead of PRP. But if I have enough properly dosed PRP for a case, I'll choose PRP over prolo

[@shanzehhk]

Hi Dr. Thanks for the video. Do you do adipose stem cell procedures or just bone marrow? Also, can prolotherapy heal ligaments tears / sprains if one is in a lot of pain and can't handle PRP. Thank you

[@DrewTimmermansND]

We perform microfragmented adipose tissue transfers as well as bone marrow, yes. Prolotherapy can be a great option for ligament issues, but it often requires more treatments than PRP

[@merhawitg4035]

Thank you so much for the vedio. What’s the best treatment for ligament instability in upper vertical spine ?

[@DrewTimmermansND]

we use PRP or stem cell therapy, in conjunction with supplements and peptides to help support collagen synthesis

[@merhawitg4035]

@@DrewTimmermansND I did prolo therapy it worsen my symptoms . Now I can stand up fell nausea . May be to try stem cell

[@rajavlogs6099]

Hi doctor, I live in SC . I am getting my prolotherahy next week for cervical stability . I just got Botox in my trapezius muscle with other doctor. My doctor says they should not impact each other but the question lingers I. Mind. Could you please give your take on Botox interaction with prolotheraphy

[@kaddechemohammedamine3293]

Can I return to sports perfectly after ozone treatment in the case of a slight roughness in the knee?

[@Chiroman527]

Excellent informative video. I have been seeing a Pain Management doctor who is a Physiatrist as well, never mentions either PRP or Prolotherapy in 11 years. I have Chronic Cervical and Lumbar & Thoracic pains and stiffness from Spondyliosis, fAcet Joint Syndrome, lid to moderate Stenosis (lUmbar and Cervical). And to boot DDD throughout. I've been watching YTs for months now from Dr. Ross Hauser about Prolotherapy for the Cervical Spine. The cervical issues contribute to the following: TMJ, Tinnitus, Dizziness, Occipital / Temporal pain and Headaches, [ain in the shoulders, tingling / numbness in the arms (the left is worse), and IMO giving me IBS / GERD. I can't find a Prolotherapist in the NY Suburban area (Westchester County). Anyone have a recommendation. I;ve been acupuncture 45X , no help, 5 different Chiropractors in the past 7 years with Minimal help (including a Upper Cervical Chiro 14X (not covered by Insurance - No help). I will denote a notation made by the first MRI of the neck done in 2011, the radiologist report said that I had a More Narrow Than Normal Spinal Canal !!!! And now with sites of disc bulges, DDD, a Stenosis ....is it no wonder it is wreaking havoc with my overall well being. Inflammation is rampart. All and any advice is so much appreciated .

[@DrewTimmermansND]

Advice can be found in the hundreds of videos I have posted online. I'm sorry you're going through all of that. If you'd like one on one advice, you would have to become a patient

[@r.s.7510]

Sounds like what I've been going through for years. Michigan has a good prolotherapy place,and of course caring medical in Florida.

[@bluewaters3100]

Try contacting a pain management doctor. I had all your problems and back in 1996 had several months of prolotherapy done neck and all the way down. it is the best thing I ever did for this issue. My neck was really bad and now it never bothers me. I am 70 now and would do it again if needed. I would recommend you research good nutrition and get a vitamin D3 test along with a metabolic test. I realized that I was habitually low in protein.

[@NiccBlacc-NCBC]

can prp work for bulging snd herniated disc along with or after corticosteroid injections ?

[@DrewTimmermansND]

well we wouldn't want to do those at the same time. Our approach with PRP for herniated discs is an injection directly into the disc to help stimulate healing

[@edzanjero353]

Can you recommend any spinal specialists in the PacNW?

[@DrewTimmermansND]

Rahul Desai at RestorePDX. One of the best out there

[@tyvohland8563]

Grade 2 inversion ankle sprain 7 months ago, still some ligament laxity combined with a little pain in plantar flexion along the top of the foot mainly when kicking a soccer ball (I am a soccer player), how many prolotherapy sessions would you likely recommend?

[@DrewTimmermansND]

No idea how many you would need. Healing is an individualized response. You might be healed with one, or it could take 4. Wouldn't know until we actually started the injections and we saw how you responded.

[@aaryantyagi108]

What should i take for tfcc grade 2 injury prp injection or prolotherapy 1 injured around 2 month ago plz tell

[@DrewTimmermansND]

In our experience, PRP is a much better injectate for a TFCC injury compared to prolotherapy

[@aaryantyagi108]

@@DrewTimmermansND ❤️

[@hunterrobin9929]

I am a weightlifter with hypermobility and am double jointed in my knees and elbows can prolotherapy stiffen the joints and create more stability.

[@DrewTimmermansND]

all forms of regenerative injections (prolotherapy, PRP, and stem cell therapy) can improve ligament laxity with hypermobility and can help stabilize joints. PRP is stronger and more effective than prolotherapy, and stem cell therapy is the strongest of all of them.

[@ndn8shn999]

Hello Dr. Can you do PRP after having a cortisone shot? Thank you

[@DrewTimmermansND]

You can, but we wait at least 3 months afterwards as there's evidence that the healing may be blunted with the PRP

[@wokeok7450]

How does it work for elhers danlos syndrome if the body produces faulty collagen wouldnt it produce weak collagen again pls awsner

[@jawadali-dj5fw]

Hi docter which therapy is better for rheumatoid arthritis ?

[@DrewTimmermansND]

Between these two, PRP seems to do better for RA, but this research is still limited. There are some interesting studies coming out on cellular therapy for RA. But, as RA is a systemic condition, we can't just think about injections for local areas, we need to make sure that we have a full body approach

[@jawadali-dj5fw]

@@DrewTimmermansND For example ? which therapy is good ? mixing with ozone therapy or other is also compulsory ?

[@DrewTimmermansND]

Nutrition, exercise, supplements, medications, sleep hygiene, mental health, etc. Those are the areas that often need to be addressed alongside the injections. We refer our for that at this time.

[@jawadali-dj5fw]

@@DrewTimmermansND Ok thanx alot.

[@Chupabrah]

Thank you for posting this video! It was Very informative. Will Medicaid cover these treatments? My knee is all messed up from when I was heavy. I lost about 300lbs 10 years or so ago and all the pain kinda just went away. About a month ago I went jogging and my knee has been in pain since & isn't letting up. I went to get checked, got an MRI and was told I had osteoarthritis. Does this last for the rest of your life? This is terrifying considering I usually try to stay physically active and i'm 37 y/o & now even walking causes discomfort and legit pain in my knee like i've never felt. Do any insurance companies cover these types of treatments? If not, is there a way to get them to cover it, as opposed to surgery? Who can administer these injections? Do you trust any doctors in NYC enough to recommend? Thanks for posting this video.🙏🙏

[@charndeepbhangoo7556]

Updates? Btw have heard or done anything with ipsc stem cells?

[@XX-166]

How does all of this fit into the cervical areas??

[@rahsaantalley2012]

Have some scar tissue in the middle of my knee been had it for 3 months, is there a way to overcome that with phototherapy injection?

[@DrewTimmermansND]

Not sure as I would have to perform a physical exam on you. Usually we use other approaches for scar tissue (platelet rich plasma most commonly)

[@kevinkattau6391]

when you do a PrP injection, how long would you wait to do a Proloinjection into same spot ?

[@DrewTimmermansND]

For the most part, we dont repeat injections into the same spot until the healing from the first injection is complete. Also it's very rare for us to do prolotherapy after PRP. If the patient needs another treatment, we often stay with PRP as it's a stronger and better treatment.

[@Yoestman]

If I have chronic mild lower back pain due to working out , whenever I lean front down on my body, there is some pain. I think that I have facet joint arthritis, do you think it prolotherapy will work on facet joints? 1)normally how many treatments do I need in total? 2) can I workout after each treatment? Thanks Doctor!

[@DrewTimmermansND]

If you have increased pain bending forward, it most likely isn't your facet joints (facet joints generally feel better leaning forward and worse leaning backwards). We use PRP on a regular basis for facet joints. Prolotherapy can work, but honestly PRP is exponentially better than prolotheraly. No idea how many treatments you would need (I have lots of videos on the reasons for this, but basically I can't see into the future). You can workout after treatments, but we have people take 1-2 weeks off after PRP.

[@Yoestman]

Thanks so much for the reply Doc! Does ultrasound really give a very accurate guide to the damages in soft tissues for the injection spots in my lower back?

[@DrewTimmermansND]

Ultrasound is primarily used to guide the needle into the correct and safe location, not to diagnose the damages in the soft tissues. But we can and do use it for that in some instances (such as cluneal neuralgia)

[@Yoestman]

@@DrewTimmermansND thanks Doctor! I have been working out for a few years and this minor lower back pain has been annoying . I just did a MRI scan and it shows that I have slightly herniated L5 disk. And could it have caused my L4-L5 ligament injury that caused my lower back pain while bending foward? Does dextrose prolotherapy work and how it works for herniated disc? Thanks so much for answering !

[@Yoestman]

Slightly Bulging disk *

[@greg_1378]

Doctor what would be a better for l4 l5 grade 1 isthmic spondylolisthesis

[@DrewTimmermansND]

we use PRP and would even consider a stem cell procedure if we were concerned about future progression

[@greg_1378]

@@DrewTimmermansND will that reverse the slippage

[@DrewTimmermansND]

Unlikely to reverse. Our goal would be to stabilize and prevent progression

[@venusserafico1161]

What can it be advisable for cervical kyphosis due to muscle spasms?

[@DrewTimmermansND]

We take a comprehensive approach with physical therapy, regenerative injections, and body work!

[@asitpurohit_108]

What is lax ligament , how it different from tear of ligament

[@DrewTimmermansND]

Ligament laxity is an overstretch injury of the ligament. It may also be an over communication between two fascial planes, resulting in excessive movement of the ligaments. There is generally no discrete tear

[@kotchstevens2321]

Is PRP ok for a 2 ml tear of muscle 💪

[@cristobalroig]

how much time is a long time¿ for tendinopathy of the hamstring? is 6 months of cronic pain long time¿

[@DrewTimmermansND]

Chronic pain is defined as longer than 3 months.

[@laurenclark1480]

Can't get through on site. Really need help.

[@DrewTimmermansND]

If you'd like to work with us, please call our clinic at 480 508 4226

[@christinebangia3174]

Is PRP also more effective than prolotherapy for treating lax ligament? My physician told me my pubis is 7.5mm, which is out of normal range and suggest me to do prolotherapy for 8 times. But I also have lax ligament around the pelvis i.e. hip joint and SI. If multiple joints get involved, is prolotherapy a better option?

[@DrewTimmermansND]

Yes, PRP is stronger than prolotherapy and patients require less treatments. Autologous cellular therapy from your bone marrow or adipose is stronger than PRP and also greatly reduces the number of treatments.

[@sp-sp18]

Hi doc, how painful is this if it is on the ball of the foot?

[@DrewTimmermansND]

The feet are more sensitive so we will sometimes perform peripheral nerve blocks on patients to make it painless.

[@Camalamadingdon]

How is PRP produced? As someone with religious restrictions for some regenerative meds (e.g. stem cells), I want to understand how the Plasma is isolated for the PRP.

[@DrewTimmermansND]

We perform a blood draw from a vein, and then we spin it in a centrifuge, isolate the layer rich in platelets, and then inject it back into the body.

[@JK-mh8ol]

Prolotherapy for Osgood schlatter?

[@wokeok7450]

How long does it take to work for loose ligaments?? 1 2 or loads for a midly loose ligament

[@DrewTimmermansND]

Most patients we treat see improvements within 3-4 weeks after each treatment. Mild cases generally only require 2-3 treatments spaced out over time

[@johnnyrodriguez276]

@@DrewTimmermansND What do you recommend me for 3 2.5 mm herniated discs and mild canal stenosis with two Facet Diseases lumbar side S1-L5 L3-4 L4-5

[@DrewTimmermansND]

I dont make recommendations off imaging, I make recommendations off the physical exam.

[@johnnyrodriguez276]

@@DrewTimmermansND How many patients have died or gotten worse through this procedure?

[@DrewTimmermansND]

No deaths to my knowledge, and the estimated incidence of patients getting worse is

[@rc1897]

Could this be effective to treat ongoing pttd?

[@cristobalroig]

which is less painfull in the days after_, i heard that prp can be painfull up to a week after the injection

[@KAL0001]

PRP not suitable for those on blood thinner. In such case , the option is Prolotherapy which is not as good.

[@DrewTimmermansND]

We've done PRP injections in patients on blood thinners. Sometimes we stop, sometimes we continue. Risk stratification. PRP does still work when patients are on thinners

[@jayt7013]

What about for DDD L4/L5 & L5/S1?

[@eligault-crabb8644]

I have a hamstring issue that won’t fully go away thats been lingering for about 2 years and now starting to really affect my performance I’m a track and field athlete and I’m able to subdue the pain for short period of time but the pain will always come back. I’ve had MRIs and no muscle damage has been shown. Since there’s no muscle damage it’s leading me to believe it’s a nerve issue that expresses itself in the hamstring area when I run/activate hamstrings. I have no idea what to do and I desperately need to get rid of this issue as I’ll be a college athlete soon. What would be the best course of action?

[@geo5954]

Morning. I have a severe case of stenocondritis /costocondritis. I missing work over it now. Do you have any experience with this? Would an injection be the right course for this? Thanks for your video and time.

[@DrewTimmermansND]

Terribly sorry to hear that. Yes we have helped several patients with that using injections of prolotherapy or PRP

[@childofgodlove2875]

How can i contact u?

[@DrewTimmermansND]

If you'd like to become a patient, you can check out my website regenerativeperformance.com and find the contact info

[@dzifajacks]

please doc what is prp

[@DrewTimmermansND]

Platelet rich plasma. I've got many videos on my youtube channel about that

[@asitpurohit_108]

Have one video on prolotherapy vs stem cell therapy

[@wokeok7450]

Stem cells is putting cells from fat or bone marrow cells that havent become anything so the cells develop into actual tissue prolotherapy cause immflamation so the body strengthens it instead of replacing it prolotherapy is cheaper stem cells are much more expensive but alot more worth it

[@lindaterrell9366]

What is PRP?

[@DrewTimmermansND]

Platelet rich plasma. Search my youtube videos and you'll find lots!

[@lindaterrell9366]

@@DrewTimmermansND Thank You💕

[@DrewTimmermansND]

My pleasure!

[@donnahall9841]

I suffer with sciatica with degeneration in l5 & l6. Chronuc pain..running down on my tight side. Whats the vest treatment.

[@DrewTimmermansND]

The best treatment is one that is tailored exactly to your situation, which requires working one on one with someone skilled such as our clinic.

[@johnmanire3380]

prolotherapy is 1. traditional dextrose injection or 2. PRP or 3. Stem cell. They're all prolotherapy.

[@DrewTimmermansND]

Yes they are all proliferative therapies, except when we use PRP for nerve hydrodissection as an example. I personally don't call it PRP prolotherapy, but rather just PRP. Personal preference that doesn't take away from what they do.

[@miked319]

Save yourself the money, skip the prolo, PRP rules when it comes to proliferation and regeneration!!!

[@DrewTimmermansND]

Agree with this. We rarely ever use prolotherapy anymore.

[@thelifepolice]

Is Prolozone injection same with prolotherapy? I have herniated disc and sciatica radiating leg to foot. Not sure which injection to take.

[@DrewTimmermansND]

High dose, leukocyte rich PRP injected into the disc is what we use for disc herniations, and PRP with platelet lysate for sciatica.