Do PRP and stem cell injections work?

The surgeons discuss two relative new treatments: PRP injections and Stem Cell injections - and their role in treating arthritis and other musculoskeletal issues.
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The general information provided on the Video is for informational purposes only and is not professional medical advice, diagnosis, treatment, or care, nor is it intended to be a substitute therefore. Always seek the advice of your physician or other qualified health provider properly licensed to practise medicine or general healthcare in your jurisdiction concerning any questions you may have regarding any information obtained from this Video and any medical condition you believe may be relevant to you or to someone else. Never disregard professional medical advice or delay in seeking it because of something you have read on this Video. Always consult with your physician or other qualified healthcare provider before embarking on a new treatment, diet, or fitness program. Information obtained on the Video is not exhaustive and does not cover all diseases, ailments, physical conditions, or their treatment.

[@scottybeegood]

I had PRP done on my right knee which had ACL repair done back in 1993. Results were fantastic and quite good for my situation.

[@TalkingWithDocs]

Glad to hear it Scott. Thanks for watching and subscribing if you did

[@Jennifer-gr7hn]

Thank you, so glad to hear because I'm looking into this in place of trigger thumb surgery which was caused BY ortho doing bilateral carpel tunnel surgery with no rehab ordered and developed thick scar tissue! Going this rough and excited!

[@lisamckinney5784]

I had 3 rounds of PRP ($4k out of pocket) for my R knee, which the patella is "off". Ortho doc did exploratory procedure and caused more harm than good, as I ended up with R knee bone infection. Switched to a different ortho doc at same facility, who recommended trying PRP. Nobody at this facility caught on to the cause being my patella. (My physical therapist called it right after I started PT). Only when I switched to University hospital did the knee DR there tell me it was my patella and to live with it, and nothing could be done. Now my L3-4-5 & C1 have gone bad with how I have adjusted my walking. Hoping stem cell therapy can help my knee, but not sure my issue is a candidate... It's amazing how insurance will pay for exploratory surgery but not pay to fix issues caused by it. 😡

[@iamsarahdawn]

In May 2021, I received umbilical cord tissue and PRP injections in both knees and in my upper back (trigger points). I was told that I could start seeing improvement in 4-6 weeks but started to notice less stiffness and soreness in about 10 days. From there the improvement was pretty significant. In an effort not to cause a new injury, I began walking to create movement but not overexertion. I noticed that I was able to stand and walk for longer and longer without having the burning, fatigue sensation in the muscles between my shoulder blades which I had experienced for YEARS. I was also able to squat down to pick something up and push back to standing without assistance from another person or furniture. I had not been able to do that for many years. I am in my 40's and KNEW deep down that I didn't want to start the decline of function that early on in life. I wanted to be able to walk and/or run and ride my horses without pain. Nearly 1 year later, I still feel fantastic. I walk and/or run (weather permitting) and have also incorporated yoga and pilates. I can ride without "paying for it" the next day. If you would like to investigate current research in these therapies, I recommend visiting clinicaltrials.gov and the NIH research articles. The Mayo Clinic is also doing some research, as well as other universities. A "google search" will not necessarily yield unbiased information. Because my results were so wonderful, I want to share with people the positive aspects of the treatments and encourage others to do good, reputable due diligence. No, it's not covered by insurance but it is worth the cost of an injection that allows me to live the way I want.

[@TalkingWithDocs]

Hi Coach Sarah. That is great news. We wish all the results were the same as yours. There are lots of trials going on and we look forward to the day when this works for all. Thanks for watching and subscribing

[@lisariggi7476]

That sounds very promising! Who did your injections for you?

[@TheTvcoach911]

Thanks for this info . I was on website for HSS trials and clinicaltrials.gov last 2 days, but none had trials of PRP+/or stem cells AS PART OF TKA, which has huge potential (and many pro-athletes are doing!).Told since I was 37 (runner/lacrosse player)I needed TKA, I made it to 65 as a walking Jenga puzzle. Now bones worn so unevenly, thigh bone is shifting. I only have a partial ligament +no ACL, so instability is now dangerous for falls. It's INSANE w SO many successful procedures+desperation for these treatments that almost no one is STUDYING THEM TO GET FDA APPROVAL! I'll look into Mayo Clinic. Good luck! and thanks for sharing!

[@emiliozeoli3786]

Who did you have do your injections?

[@alaskacharlie]

I was at a pain level 8-9 daily almost unbearable on my rt knee and sleeping was miserable, I have had 5 PRP injections over the past 2 years and my daily pain levels went down to 4-5 after 2-3 weeks of the first set, 4 months later I had my 2nd series Andy pain went down to 1-2 pleasantly surprised. It didn't help the strength or stability of the damage but it sure helped the Pain management as Im not able to take any drugs due to being a Pilot and Boat Capt. After dealing with the situation for 4-5 years I am finally getting my TKR Feb 7th. Thanks for all the info you put out. God Bless

[@TalkingWithDocs]

That’s cool Capt! It works for some just not enough. All the best. Thanks for watching and subscribing if you did

[@janesabino34]

Thank you for all of this information about PRP and Stem Cells .

[@TalkingWithDocs]

You are very welcome Jane! Thanks for watching and subscribing if you did.

[@janesabino34]

@@TalkingWithDocs I subscribed yesterday ! You guys are wonderful ! BTW, I am from Hawaii.

[@tandavaughn8391]

I am hooked on watching all of these videos that you have put out unfortunately they’re years old I wish you could do some updated ones because everything you say is relevant and it’s everything I need to hear in order to make up my mind if I want to go forward with a knee replacement

[@TalkingWithDocs]

Hi Tanda. We are working on that. So glad you are watching. Most of the older videos are still very relevant. Best of luck. Thanks for watching, subscribing and sharing with someone if you did.

[@lnwhitaker]

Thanks for all the awesome information. Love your videos. Very informative.

[@TalkingWithDocs]

Glad we could help Larry. All the best. Thanks for watching and subscribing if you did.

[@marywomack4819]

I had PRP in my right knee over 5 years ago and haven't had a problem since. I had an injury in my right shoulder that would not heal. After about 3 years, my primary suggested stem cell injection and it worked like a charm. A couple of years later, I injured it again, let it go for a year, and got the stem cells and, again, it worked like a charm. It is not covered by insurance, but it's still less expensive than my insurance deductible for surgery and no down time.

[@TalkingWithDocs]

Interesting Mary. Glad it helped. Thanks for watching and subscribing

[@Jennifer-gr7hn]

Aaaaaaand less surgical TRAUMA, scar tissues and adhesions. Love, learned the heard way nurse and now patient not taking mainstream approach to anything

[@cindylou7017]

Where did u go for this?

[@wh700]

thats what i wanna know because i am researching going abroad to get it done@@cindylou7017

[@tonymaurice4157]

It's all a scam .. I had stem cells and prolotherapy, it did absolutely nothing!

[@j.d.taliaferrojr.9085]

I'm having surgery to clean up a meniscus tear and PRP injection on April 9th. Your discussion supports all information I have been able to gather, including second and third opinions. Cleanup is to remove material that can interfere with function AND serve as an abrasive, making the early onset arthritis worse over time. PRP is to provide material to POSSIBLY make cartilage more "healthy". Great video, relevant content and reasonable advice. It is hard to find medical advice that is not actually trying to sell a treatment or medication. Now, if I could only find a family Doc that promotes wellness and Disease prevention!

[@TalkingWithDocs]

Hi J.D. Thanks so much for the positive feedback. That is one of the benefits of socialized medicine is that there is enough work for everyone so no one should be selling you anything. Especially in orthopedics, we feel strongly that the decision should be up to the patient - unless it is an infection, dislocation or fracture - sometimes we need to tell patients that surgery is absolutely necessary. Best of luck with your procedure. Keep us posted. Thanks for watching, subscribing and sharing if you did.

[@Jennifer-gr7hn]

Functional medicine, holistic and GOOD nutritional naturopaths, holistic dentists that do NOT use fluoride, nitrous oxide, etc. They're out there :) I'm converting myself.

[@darlenericotta7550]

Thanks Docs for all your information. Waiting for new videos! Keep safe!

[@TalkingWithDocs]

More to come Darlene! COVID has made filming a bit tricky.

[@darlenericotta7550]

@@TalkingWithDocs I hadn’t thought of that I guess, well I will be watching!

[@ADAPTATION7]

I have received a PRP injection in my right shoulder for my osteoarthritis. Almost one year now. It made a world of difference. Even though I still experience some pain at end range of motion, it's no longer constant pain.

[@TalkingWithDocs]

Hi Francois. So glad the injection worked for you. It does seem to work for some people and some conditions. Thanks for sharing and for watching.

[@miamor5929]

So it works alittle bit ?

[@ADAPTATION7]

@@miamor5929 It's not that it works just a little bit. It works quite well, actually. The only thing is that you cannot rely solely on a platelet injection. In my case, my physician highly recommended a ketogenic diet in order to minimize inflammation (because we all know that glucose wrecks havoc on joint linings). Also, there is the question of rehabilitating the surronding musculature. The shoulder is a very mobile articulation, and loss of ROM due to weaknesses also can cause pain and discomfort. In other words, it's a holistic approach. But each case is different. The best advice I can give is to be proactive and not depend on pharmaceuticals to relieve pain. It's a long road but it's worth it if you're strong enough.

[@Chef_cookk]

@@ADAPTATION7do u think it can rebuild cartilage a bit? I have arthritis to in shoulder buwant rebuild it a little bit

[@ADAPTATION7]

@@Chef_cookk You must understand the cause of your arthritis first. Is it due to an injury or a muscle imbalance or both? Getting PRP for your shoulder is like changing the tires on your car because they are worn out without balancing your wheels and/or getting a four wheel alignment. Arthritis is only a symptom.

[@martiejohnson4387]

Thank you for all the information,

[@TalkingWithDocs]

Hi Martie. You are very welcome. Thanks for watching.

[@michaeldavidson6741]

@@TalkingWithDocs @aaa@

[@michaeldavidson6741]

@@TalkingWithDocs a

[@joesmith-tg3co]

love your channel, I am a disabled vet one TKR at 55, need the other one done, lower back from L-1 to S-1 either herniated or ruptured, blown SI joints, had an active career, VA did experimental stem cell injections in my knees and back first one lasted 6 months the last two did zero for me. I appreciate your honest explanations

[@TalkingWithDocs]

Hi joe. Thank you for your service. Sorry to hear you are having a difficult time. Yes stem cell treatment has a way to go. Best of luck with your TKR. all the best. Thanks for watching and subscribing if you did

[@vizmatter]

Over several years I have had a combination of PRP and Prolozone injection therapy done to both my arthritic knees and right hip. I found that there was a definite relief in pain and inflammation and more mobility in all joints. The injections efficacy would last for about six months. The shots were done in a sterile lab and were not cost prohibitive though they weren't covered by extended medical insurance. Recently my right hip was replaced, but I have to say that this form of therapy gave me the pain relief and extra mileage in the very physically demanding work that I used to do. Based on my experience and the condition of my arthritis I would recommend it as an alternative to delaying surgery. In regards to stem cell research, I've been told that South Korea and Japan are doing some clinical trials in growing knee cartilage and applying them to arthritic knees. Adhesion seems to be a problem. Two main US medical companies Carticell and Regenexx are doing research into stems cells and cartilage replacement

[@TalkingWithDocs]

Hi vizmatter. Thanks for sharing your story. Yes cartilage research is being done everywhere including Canada and the US. Cartilage can be grown but you are right, the main issue is getting the body to incorporate the transplanted cartilage into the host. Good luck going forward and thanks for watching.

[@cornelbucur3577]

In my opinion stem cells could have saved ur natrual right hip side...

[@greenleavesofsummer9673]

In 2017 I had stem cell and PRP by REGENIXX instead of knee replacement. I had a bad knee. Immediately, I had less inflamation but still pain. For the next year plus 1 month more (total 6 injections every 3-4 month due to extreme pain returning off and on. Finally, that last PRP was a doozy. It was an extremely painful injection to point of tears. For 1 & half weeks after there was some pain. Then, no pain at all. I expected pain to return month after month, but no. For almost exactly 2 yrs I went pain free walking, exercising. No running, no extreme activity. Doc did something hadnt done before. I believe he concentrated PRP even more than ever. I don’t know if stem cell from bone did anything or if it was just the PRP’s. I know it definitely should be used in treatments for people who need extended time prior knee replacement; AND, it should be covered somewhat 50%-80% by insurance! I know there’s a clash between medical co and doctors who like doing surgery. But I was helped. Some people need extra time before doing surgery or not at all for further down road. This is better for a patient than injections of steroids, Hauleronics, or ibuprofen/nalproxin which I was told tend to distroy the tissue needed. acetaminophen can be used when necessary.

[@vizmatter]

Cornel Bucur Probably, if I caught it in time. The ball of the joint was so badly worn that it caused my whole leg to twist to the right.

[@vizmatter]

eva garden good to hear. There is a lot of promise in this area of orthopaedic medicine. I wish they would accelerate the research and development.

[@nypdbob]

Thank you for your time.

[@TalkingWithDocs]

Very welcome RHM. Thanks for watching and subscribing

[@alidavalentinagosgnach700]

This has been a brilliant talk on treatment on cartridges! Good to know if it ever happens to me. Thanks docs!😊

[@TalkingWithDocs]

Yes but let’s hope not Alida! Thanks for watching and subscribing

[@abrad3061]

I really appreciate the information that you guys put out. Can you please do an update on this topic

[@TalkingWithDocs]

We did. Check our more recent videos on this exact topic. Thanks for watching and subscribing

[@abrad3061]

@@TalkingWithDocs thanks

[@chetmarcotti4953]

Awesome stuff, thank you both

[@TalkingWithDocs]

Very welcome Chet. Thanks for watching and subscribing

[@pamelaburke9250]

I had stem cells and extensive therapy . My cells were umbilical cells from healthy birth. Ozone shots, infra red heat, vitamin injections, etc. I even wore a cumbersome off loader brace for 3 months. Walked 1.5 miles daily and did strengthening exercises and lost weight. My MD received stem cell training at George Washington University. I was convinced it would work for me. $18,000 later my knee is still killing me. Arthritis and bone on bone. They even did a second treatment at their expense. So disappointed. Wasted 2 whole years hobbling around and poor quality of life because of pain and limitations. Knee replacement Nov 4.

[@foowishamewican]

Sorry to hear that

[@TalkingWithDocs]

Thank you so much for sharing your story Pamela. We feel that the scientific evidence is not there to support routine treatment of advanced arthritis of the knee. Good luck with the total knee replacement! Thanks for watching and subscribing if you did.

[@Fast_Eddie_]

Either your a doctor or you went to the wrong place. Columbia and Panama are the places to go right now. Check out Life Force by Tony Robbins.

[@NoObligationToday]

@@Fast_Eddie_ Are you kidding me?!! Tony Robins 😂

[@Fast_Eddie_]

@@NoObligationToday Tony Robbins, Joe Rogan, Steve-O, Chuck Liddell, Mel Gibson's dad...etc.... If you don't know what you're talking about it's best to shut your mouth... " It's best to be thought a fool then to open your mouth and remove all doubt"...🤐🙊😉

[@conniel5461]

Thank you for info docs.

[@TalkingWithDocs]

Very welcome Connie

[@MSRDinMS]

I had a meniscus tear shaved and an ACL graft. I have more pain a year later. Thank you for educating us

[@TalkingWithDocs]

That’s no good MRSD. Time to get reassessed as this is not the normal course. Hope everything is ok. Thanks for watching and subscribing

[@JustinEdwards316]

I liked the video and the doctors seem genuine and nice. I do think (and they probably have in other videos) disclose their practice interest (I.E. if they're orthopedic surgeons) when discussing treatment options.

[@TalkingWithDocs]

Hi C. Our disclaimer for the channel does list that we are both board certified Canadian orthopaedic surgeons Hope that helps. Thanks for watching, subscribing and sharing with someone if you did.

[@russellbray4594]

I have an arthritic ankle and had a PRP injection a week ago for tendonitis of the Peroneal tendons. I was told that it might take up to a month to know if it had the required effect. I found some improvement within 24 hours; the improvement has increased over the week. As you say, it is not inexpensive. In Singapore, the cost is USD 764, but I am feeling that the money was well worth it and will schedule a second jab next month to maximise the improvement. Thanks for your informative videos.

[@TalkingWithDocs]

Hi Russell. Glad to hear it. There is more evidence for its use in soft tissue conditions like tendinitis. Thanks for watching and subscribing if you did

[@chrislpk7023]

Great to hear from you, and l wondering can share where can l go for this treatment in Singapore cause l'm suffering from knees pain too. Thanks

[@Chef_cookk]

You say it csn repair cartilage? I want this for my shoulder

[@ATia-gg2do]

i just tried prp on my knee and so far the pain has diminished considerably after 3 weeks i am very happy with the results so far.

[@TalkingWithDocs]

Glad to hear it A. Thanks for watching and subscribing if you did

[@ayushgoswami4362]

Hello ...I m from india...can you share some more information regarding it..my mother is suffering from the same..dr suggest her of totol knee replacement

[@greenapron1]

Hi docs! Last July started SCT in both knees. First injection were stem cells from a donated source. Come back two weeks later for PRP, another two weeks for PRP and a final third time. Doc said, “I should’ve felt it working after first PRP,” but no relief. Sent me for a MRI thinking my back must be playing a role in not getting better. He had me on a back stretching machine a magnet chair with no success. He prescribed me three more prp’s a month apart from each other with no success. He would ask me, “Why I wasn’t walking?”🤨 I use a wheelchair because I can barely walk. I was so dumbfounded I took a couple seconds to say, “I can’t. There’s no stability and it feels like my top of my knees, the bone is going to slide off.” He looked like he couldn’t understand how that could be. But I never did go back or call his office after my last visit the end of March/2023. I have an appointment with fellowship trained Orthopedic surgeon next week Friday June 11th. I like that he has a pre-op program that candidates need to attend and he also has PT go to our home to do therapy after surgery. Thank you, for your time, energy and expertise in helping your community. You both are so awesome and very much appreciated!

[@robwilliam7858]

I had stem cells put into both knees where the cells were extracted from fat. Results at 6 months are good. I wasn't walking before them without great difficulty but now I'm I can manage about 5000-6000 steps a day as well as cycle.

[@TalkingWithDocs]

Thanks for sharing your experience Rob. Sounds like it has worked for you. Every patient is a bit different. Thanks for watching and subscribing if you did.

[@jackgilmoreiii]

@@TalkingWithDocs So from what I'm understanding this helps repair the knee with needing a total knee repair ?

[@pavelbure007]

Hi rob. Where did u do the stem cell treatment? Im devastated and would want to learn more about your experience.

[@robwilliam7858]

@@pavelbure007 I'm in Australia. I chose a reputable and professional clinic and doctor and cannot fault them. I was grade 4 osteoarthritis and very bow legged so its difficult to treat and I was advised. I chose to try it anyway and I felt some benefits about 3 months later. Decreased pain, able to walk further. I had a high tibial osteotomy 2 months ago because the knee was getting worse. Look at a procedure called BAM, Biological Autologous Drilling. Thats using stem cells in conjunction with microfrature surgery. That is yielding excellent results. Ill be getting this in the next few years

[@richapatel780]

How r u now?

[@gordenlackie9166]

I had stem cell injections in both knees in 2017 after about 20 years of bone on bone and severe osteoarthritis. They took the cells from bone marrow (hip) and put in what appeared to be a centrifuge to isolate the stems cells. The cost was just over C$2400 in total. It wasn’t a cure but i had a marked improvement in my mobility that was noticed by others. Unfortunately Canada’s health authorities stopped allowing the treatment in 2018 based on a lack of clinical evidence of its efficacy.

[@TalkingWithDocs]

Agreed Gordon. 4 years later still no evidence. Thanks for watching and subscribing if you did

[@2birddogsandawolfdog945]

Its not that it doesn't work, it's that big pharma is in the pockets of all politicians and doctors and insurance scams. Exactly why surgeons push steroid injections, which ultimately deteriorate your soft tissue leading to more surgeries. (THEY MAKE MORE MONEY)

[@JackMcMotivate]

Great video. Stem cell treatments have come a long way. I experienced a central tfcc tear, which i was told could not be repaired or could not be healed, and the only option was a debridement which should lessen pain. After having the procedure done and doing PT, i am worse off than before the procedure. Surely there are procedures that insurance pays for which have less efficacy than some stem cell treatments. If there is no risk other than expense, why doesn’t the FDA get serious about this? Have my theories.. sad, not everyone has 25k to plunk down.

[@TalkingWithDocs]

Hi Jack. Tfcc is tricky for sure and can have persistent pain. Hope you find something that helps. Stem cells still have a long way to go. Thanks for watching and subscribing

[@jlrivera105]

Very good video. Yes I am in charge of my own health! Good quote! Just went thru the process today on my left shoulder. The process was relatively fast, and a little bit more painful when they injected the platelets. Ultrasound was used to guide the needle to the specific areas. Hoping to feel better after 4-6 weeks. As for cost, I’m in the military so our medical insurance covered it🙏🏼

[@TalkingWithDocs]

Thanks so much for sharing your experience Jorge. We wish you all the best. Let us know how it worked out! Thanks for watching, subscribing and sharing if you did.

[@frankjdm4636]

How's everything now Jorge. I am in bad shape from Cervical Instability considering getting it done.

[@missbutts73]

Thanks guys

[@TalkingWithDocs]

Very welcome Miss Butts. Thanks for watching, subscribing and sharing with someone if you did.

[@stevebaker7248]

I’ve Got a hypothesis: Use the heart and ‘Legs up ‘ after a run to reduce post run injury. If a centrifuge is used to separate platelets and cells in the clinic then I propose using blood flow with legs raised to separate blood components. I regularly prevent injury after running by leg raising 10, 15 or 30 mins.

[@KatJ3st]

This is a brilliant talk on these treatments. Would PRP be beneficial for post op tissue recovery after THR?

[@TalkingWithDocs]

Hi Kat59. It wound typically not be beneficial after THR and we do not believe it has been tested in that capacity. Thanks for watching.

[@kurtismoore4319]

@@TalkingWithDocs ill be having PRP used in my knee post op in an effort to see if it helps healing.. Bucket handle tear in my meniscus I'll follow up after surgery if you'd like some anecdotal data!

[@SallySmithORourke1810]

As this video was done in 2018, 7 years should have allowed for far more information. I do know that AAOS determined its efficacy after OTC treatments. Perhaps an update for of studies and usage the last 7 years.

[@lololilo1174]

Why is there virtually NO new videos about stem cell treatments? Especially amniotic stem cell therapy for tendon damage, etc.

[@ncertaccess2013]

I think something should be seriously done in the advancement of medical science for issues like osteoartheritis as now a days younger generation is also facing the joints issues earlier to their age.

[@TalkingWithDocs]

We agree samriddhi. They are working on it but nothing quite yet. Thanks for watching, subscribing and sharing with someone if you did.

[@dannylaw7367]

My V.A. doctor, that can in certain cases use the stem cell treatment injections said the exact same thing you just outlined. Thanks for the honesty of trying to give solid information to the patient rather than extract cash from them.

[@TalkingWithDocs]

You are welcome Danny. We do our best to keep it real. If science shows us it works we would both be happy to start doing it but not until then. Thanks for watching, subscribing and sharing with someone if you did.

[@robertbarros-pz4cp]

I had prp to my lower back about 4 years ago. Great results

[@Tom-kn7oz]

I broke/cracked 3 front side ribs in 1984. For about 30 years they would continue to hurt… sometime significant pain if I simply laid on my side or chest. A local DO (Doctor of Osteopathic) use PRP in the area of the ribs. I had to pay for the process as my insurance would not pay (I think it was around $450). After the process I was very “bruised” for about 2-3 months. After 6 months there was no bruising and I have been pain free for about 7 years. The PRP worked for me. A friend did it on his knee the same month and has not had any pain since his process.

[@TalkingWithDocs]

Interesting Tom. Thanks for watching and subscribing

[@dannee3731]

I have had PRP into lumabr facet joint's at three level's and it helped a lot. I went three differnt times about a month apart between each shot(s). The only downside is, you can't take NSAIDS before or after for abt a week and no ice after either. The shot's hurt/burn at first and after about 48 hr's, you start to feel better gradually. Oh and insurance don't pay for it either. It work's though.

[@TalkingWithDocs]

Thanks for sharing your experience Dan. Glad it worked for you. Thanks for watching, subscribing and sharing if you did.

[@dannee3731]

@@sanpat2220 the disc is collapsed and I have RA now, so things are not good. Prp helped so I would try it.

[@darlenericotta7550]

That was interesting information.

[@TalkingWithDocs]

Glad you think so Darlene! Thanks for watching.

[@tomatopotato452]

Thank you so much for this video and your informative channel! I was wondering if you have any insights on stem cell therapy (8) years after ACL surgery? I basically developed chronic knee pain after the surgery and tried all sorts of things - physical therapy, seen a chiropractor, orthopeed, none detected the issue and my range of motion is fully functioning. Strengthening the muscles around helps for a bit but later on in the day it just starts hurting again.. so never sustainable. Any tips/ insight/ references would be greatly appreciated 🙏🏽

[@TalkingWithDocs]

Hi Torkan. The most common cause of pain would be arthritis. NSAIDs if safe for you, physio and possibly injections of cortisone or hyaluronic acid. No real evidence for stem cells being effective yet. Thanks for watching and subscribing

[@Love-Healing-Growth]

Hello Dr's, thank you for educating the viewers on PRP and Stem Cell Injections. My question to you, have you ever done PRP Therapy for CRPS 1 or 2? If so, was it successful?

[@TalkingWithDocs]

Hi Queen. You’re welcome. We are not big advocates of PRP at this stage as the evidence is not quite there yet. We can’t really comment on its role in CRPS. Sorry if you have this as it can be very debilitating. Thanks for watching and subscribing

[@nypdbob]

Thank you

[@TalkingWithDocs]

Very welcome Grim Reaper. Thanks for watching and subscribing

[@teresamcdaniel8873]

I just was injected yesterday; 3/3/23, I wanted to try this before actually getting into surgery where I would be laid up longer. I have read a lot of positive things about the PRP procedure and then the total knee replacement. I know I am going to have on again off again for awhile, and then we'll se how well the PRP did.

[@TalkingWithDocs]

Good luck Teresa

[@lorrainegreen6782]

I only have Medicare and it doesn’t cover PRP. One doc I’ve seen does it, but his prices are too expensive for me. I’m permanently disabled and have seen Medicare change it’s opinion on covering a treatment. I’m hoping they will cover PRP in the future. I enjoy all your vids!

[@TalkingWithDocs]

Hi Lorraine. Thanks so much for the positive feedback - glad you like the videos. If you do not have coverage for PRP which still does not have definitive evidence for its benefit, you could consider cortisone or hyaluronic acid to help reduce your pain. Maybe discuss these options with your surgeon. Good luck and thanks for watching. Good luck!

[@Jennifer-gr7hn]

I'm under the poverty line, disabled nurse, covaids longhauler, very damaged by the system's neglect and malpractice (can't sue for it - see prep act 1984) and well? My "insurance" covers NOTHING. You do it anyway. Payment plans, loans, whatever. It's your health and these things are the BEST. Ozone, chelation, PRP.......they will never cover what works, just like they withheld CHEAP effective, safe eyeVrMk10 from covid patients. Once you 'get it,' how they work, you ...get it and don't get what they have to offer. Worth spending the money you can prioritize with a loans or borrowing....

[@TheTvcoach911]

You guys are awesome! I just found you+been watching for 2 days. Have you done any vids on TKA when there's severe uneven bone-on-bone wear, as well as severe damage to ligaments, tendons and ACL? AND it's been aggravated by 20 yrs of running w a moderately clubfoot? They say I need all the bones in both feet broken and rebuilt! But the knee is now so unstable I'm falling.So, I think I must do knee first. I asked about Oscar Pitorious prosthetics in lieu of replacing both useless feet and knees, but I know that's drastic. .Thanks for all your v. helpful info!

[@TalkingWithDocs]

Yes most knees have severe wear and often ligament damage so that should be ok. Best of luck.

[@reggierico]

Gentlemen, Thank you for the information about this important topic. I have had a rapid onset of arthritis in the last two years, and in addition, both of my meniscus's (?) are pretty torn up as well. The question I have concerns stem cell treatments. I have learned that professional athletes, for example, (NFL, NBA) that experience joint injuries are quite often put on a plane and sent to Europe (Germany) for stem cell treatments. Others, with more money than I, (Mel Gibson) have sent relatives down to Costa Rica for treatments. Evidently, Mel's father had a 'miraculous' recovery from the stem cell treatment he received down there. Thanks for doing these videos.

[@TalkingWithDocs]

Hi Jeff. So stem cell treatments are in the early stages and the verdict is definitely not in yet. Science has not shown a definitive benefit. Having said that there are lots of people who will provide that service for a price. This exists in cancer treatment as well. So the bottom line is proceed with caution. The known risk is financial however we are not sure what these injections will do long term just like other experimental treatments. Try and stay lean, stay active, and do your best to control your symptoms. Hope that helps. Thanks for watching.

[@Truth1000.]

I had a useless left knee, I did stemcells here in Las Vegas, no more metal brace and i can hike without pain, I couldnt walk without pain. I paid $7000 at Cellaxys. I am 90% better with all activities, no brace, but I wouldnt run, oh im 100% pain free. I will probably do my plantar fasciatis next. go to a reputable place. oh Mel goes to Panama City , Panama for his. they can get you 150 million stem cells, where in the US, about 7 million, that is the difference of international.

[@nootstoroots8068]

Hey Dr's, I have a question for you gentlemen. A good friend of my mine and long time co-worker has just experienced a distal bicep tear while working. Following a surgical attempt at repairing the arm (re-attaching the bicep forearm) ; it was determined that the procedure had failed. The details of how this failure was defined and what characterizes a failure vs. a partial success are unclear to me and my friend (the patient) in this case (I suppose this characterization depends on which definition more closely falls into that of the diagnosing party at the time). My question(s)... Please see part 2 comment

[@TalkingWithDocs]

Hi Noots To Roots. This injection would not help. Many patients choose not to have distal biceps surgically repaired and live with it. It simply means they will have slightly decreased supination strength which often is not an issue. Hope that helps. Thanks for watching, subscribing and sharing with someone if you did.

[@charlie64x2]

Dr. Weening voice reminds me a little bit of Jim Rohn's voice. :) Great video!

[@TalkingWithDocs]

Thanks Carlos. Glad you liked the video! Hope you are well. Thanks for watching, subscribing and sharing if you did.

[@victoriaburns9967]

It’s always helpful to learn about health from handsome doctors. 😉☺️

[@TalkingWithDocs]

Why thank you Victoria. Thanks for watching and subscribing

[@isabelcastillo2394]

Hi Docs, this is a 3 year video. Is there an update on stem cell injections? Also, here is a topic for your discussion - Frozen Shoulder. How do you treat it so it goes away permanently? Thanks!

[@TalkingWithDocs]

Hi Isabel. There is an update. You just have to search it. Minimal new evidence to support it. And yes frozen shoulder is on the to do list. Thanks for watching and subscribing

[@jewelleryaddict]

Thanks for all the wonderful information and giving your valuable insight to different therapies. We all know your time is valuable. I will subscribe and tell friends to check out your site. What's your take on vitamin D supplements?

[@TalkingWithDocs]

Thanks so much jewelleryaddict. We have a video on vitamin D but the take home message is that most people should take it. Thanks for watching and subscribing if you did

[@JoeSmith-xn1up]

FYI, They do PRP to regrow hair, the evidence is there by looking at the before and after pictures. I was considering doing this on my knee but my Ortho agrees with you guys that it's inconclusive and we just went with a Cortisone shot which works just as well if either are going to work at all. For my knee I was quoted 900.00 for a shot and was told I needed 3 shots and it's not covered by Insurance for anyone considering this.

[@TalkingWithDocs]

Hi Joe. We don't think that growing hair inside your knee is going to reduce your pain or cure arthritis. Just kidding. Time will tell about PRP in joints. There is some weak evidence. We are waiting for the strong evidence. Thanks for watching.

[@kcajmortsnnew1488]

cortisone ? works ? aspirin works , sometimes , but doesn't FIX anything

[@chasvonplatten1298]

@@kcajmortsnnew1488 Could end up with a "hairline" fracture. (sorry, couldn't resist).

[@Jennifer-gr7hn]

Cortsone does not work "just as well," It's harmful for the body, and just a bandaid. Find another place.

[@berndkretzschmar6765]

Being ahorse surgeon started treating horse tendonitis way before human medicine. We started research with UC Davis1999 and found bone marrow injections greatly increased tendinous and ligamentous healing. Initially we assumed it was d.t. stem cells in the bone marrow, however UC Davis found similar results by injecting the supernatant after spinning down the bone marrow. In my clinical experience I have found to be PRP of limited benefit ia or intra tendonous in 1000's of patients. However, IRAP treatment for ia use has been exceptional especially in arthritic joints that stopped responding to corticosteroids.

[@TalkingWithDocs]

That is super interesting Bernd. Thanks for sharing. Thanks for watching and subscribing

[@MrMockingbird1313]

Hey Docs, A fellow ortho guy in the St. Louis Missouri area uses stem cells in his practice, in a very limited way. He said he likes it for a certain knee conditions and a couple other joints. He also said he never saw it work for kidney or liver conditions. He seems to run a very ethical practice. But, the issue here is that several offshore docs are selling the treatment for failing organs. Some people are spend life savings on what appears to be snake oil. Thanks for keeping us informed.

[@TalkingWithDocs]

Yes that part of medicine is very complicated especially when you have desperate patients. Sad but true. Thanks for watching and subscribing

[@TalkingWithDocs]

Yes that part of medicine is very complicated especially when you have desperate patients. Sad but true. Thanks for watching and subscribing

[@jeremiegarcia9118]

How do you feel about shockwave therapy and do you use it in your practice?

[@TalkingWithDocs]

Hi Jeremie. So shockwave therapy has more evidence for its use in tendon issues like tennis elbow and Achilles tendonitis. There are however many therapists that use it routinely alongside physiotherapy and massage for any musculoskeletal problem and it can likely be helpful as an adjuvant treatment. Thanks for your question and thanks for watching.

[@Joelenfectana]

Dr. SalSal thank you...

[@TalkingWithDocs]

Very welcome Joel. Thanks for watching and subscribing

[@user-wb2yv7ll9d]

Thanks for the great work. I have a question although it's off topic for this video. Would be great to know if you think it's good to do a stress/stability manipulation X-ray on a non displaced bimalleolar fracture?

[@TalkingWithDocs]

Hi H. This can be useful to see if the medial side will open up and if the syndesmosis has been disrupted. Thanks for watching and subscribing

[@sandithornton3809]

I love your videos. They are so informative! I have restless legs at night. Is there anything that I can do prior to going to bed to prevent this? I do not like to take meds. I have used baby aspirin but I don’t want to take them every night.

[@TalkingWithDocs]

Hi Sandi. Restless legs are difficult for sure. Best of luck. Thanks for watching and subscribing

[@enickasmith4223]

My doctor just recommended this procedure to me just waiting on my referral to go through. I am 42 years old, prior military with osteoarthritis in my hips and joints. My tight hip has been giving me hell. So, we'll see.

[@TalkingWithDocs]

Hi Enicka. Thank you for your service. May be worth a try. Best of luck. Thanks for watching and subscribing if you did

[@larrywilkins5215]

Love your approach. Have you taken a look at exosomes derived from distressed MSC's as a possible tool in regenerating cartilage? It has become clear that the value of Stem cell therapy is not in the cell's ability to replicate invivo but in their ability to signal native stem cells to begin replication via exosmaL signalling. Why not bypass the host (stem cells) and go directly to the active agent? I'm imagining a cocktail of PRP, HA and exos as potentially a powerful anti-inflammatory, pain reducer that may induce regeneration via angiogenesis, neurogenesis and finally the formation of novel cartilage cells. For a month post injection, the knee would receive PEMF TX's daily to help senile MSC's reach their action potential in order to replicate. Multiple treatments would of course be required. As you know, stem cells will expand infinitely in a petri dish but there is no evidence yet that transplanted stems will replicate in vivo in humans. Signalling the need for replication (exos) combined with charging senile MSC's (PEMF) all held in place by an HA scaffold can do no harm. BTW, there are mountains of evidence in support of each of these modalities. Unfortunately, there has never been a study that addresses this combination. Each modality has been dropped down a rabbit-hole, yet all are required in order to induce regeneration. 1) Put out the flame 2) signal replication of native stems 3) charge stems in order to reach their Action potential to make replication possible.

[@TalkingWithDocs]

Hi Larry. Very interesting for sure and gives us hope. Lots of smart people are working on it. Time will tell. Stay safe. Thanks for watching and subscribing if you did.

[@acooksla]

I had stem cell replacement for my knee snd it took the pain away completely for the last four years. Now it’s coming back but I loved the results.

[@lvmyfam11]

@@acooksla This is one thing that bothered me in one of their last statements: "There's no evidence to say that it works really well..." at minute 5:30. Have they actually NOT heard the 100's of testimonials out there? I only know, NOT because I'm in the medical field, but I did some BASIC research. I haven't even had a consultation yet...but I KNOW that the statement that there is NO EVIDENCE to show that it works is UNTRUE.

[@Truth1000.]

@@lvmyfam11 YOU ARE RIGHT, I had PRP for my severe left tennis elbow, the injection was painful as hell, and it also cured me 100% at age 40!! full strength and range!!!! Im an athlete. last year I did my rotator cuffs, both shoulders, no pain during, same place, i am 70% better. I paid $700 at Cellaxys in Las Vegas, a great Dr. Otten and place. dont hesitate to do it, cortizone injections and physical therapy failed for 3 years on me. Get PRP asap wherever you can that is reputable. In San Diego, I paid $1200

[@jamesmarshall6076]

@@lvmyfam11 I believe they made this video 3 years ago maybe back then

[@athenamoseler1245]

Any updated info on this topic ? Would love to hear the latest in 2023.

[@TalkingWithDocs]

We have an updated video. Didn’t change much yet

[@simpleme6541]

Hey Doc, I had a tfcc in my left wrist, 3 years ago. My wrist is popping and a little weaker than the other one, and i have pain in that area after a bad move. I would like ask you, if the PRP would be effective after such a long time? Should i give it a try? Thank you in advance!

[@TalkingWithDocs]

Hi Spee. It would be unlikely to help. Often you would need an MRI or MR arthrogram to assess it further. Sometimes these do require surgery to reattach the ligament. Thanks for watching, subscribing and sharing with someone if you did.

[@willowmorst8861]

Thanks so much for this information. The blood I have been considering is cord blood. Can you add cord blood next time? Also a guess at how far off do you think we are? Couple years? 10 years? 20? I want to buy the cord blood of the next grandchild. Would we have to be the same blood type? Do you think that is a good idea? If I don’t use it, it still can help in other ways. Thank you for a place to get informed.

[@mleviwewe4763]

Kudos for the video content! Forgive me for the intrusion, I am interested in your opinion. Have you researched - Riddleagan Best Ukulele Remedy (probably on Google)? It is a good one off product for getting rid of your symptoms of Multiple Sclerosis naturally without the headache. Ive heard some pretty good things about it and my cousin after a lifetime of fighting got astronomical results with it.

[@TalkingWithDocs]

Hi Willow. At this point the cord blood probably won’t help. Yes likely decades away. But you just never know. Thanks for watching and subscribing

[@mechanic91953]

Would these procedures help with a slight torn rotator cuff ?

[@rickkathyzumwalt980]

Hello, I have 2 torn tendons in my left hip area. The pain is pretty tough at times and very uncomfortable. I'm going for PRP injections on March 14th. I would like to keep in contact and fill you in with my results as time goes on. Thanks, Rick

[@TalkingWithDocs]

Best of luck Rick. It has a higher chance of helping with a soft tissue problem like that than arthritis. Good luck. Thanks for watching and subscribing

[@Jennifer-gr7hn]

How did it go???

[@tonymaurice4157]

​@TalkingWithDocs It's all a scam .. I had stem cells and prolotherapy, it did absolutely nothing!

[@vikingofironthor9818]

Hi Docs, thanks for the awesome content! I have a question for you if you don't mind: is it beneficial to do PRP with MINOR tendonitis? 3 weeks ago I was scheduled for a PRP session on May 13 (today is May 11). My hamstring tendons were quite painful at the time I was scheduled for the PRP. In the meantime, I have been trying dry needling with electrical stimulation and my tendonitis has improved a lot. However, I still feel some minor pain and it feels like it is gonna take forever to 100% heal (low level of pain but very slow progress). At this point do you think PRP would still be as beneficial? Or is it gonna be overkill (regardless of price). I am debating if I should hold off on the PRP or just go ahead and do it. Thanks in advance!

[@TalkingWithDocs]

Hi Viking of Iron Thor. You are very welcome! Sorry for the short delay but you are scheduled for today. We would say if you feel better it is not unreasonable to wait. Often it does get better with the things you have tried. All the best to you. Let us know what you decided. Thanks for watching, subscribing and sharing with someone if you did.

[@vikingofironthor9818]

@@TalkingWithDocs Hi Docs, I ended up doing the PRP and the result is unreal. It has only been less than 72 hours after my injection and I am feeling completely pain-free now. It is so effective I almost start to suspect the doctor gave me cortisone instead of PRP lol The literature shows that PRP delivers full effect after 4-6 weeks but 72 hours that's absolutely unbelievable.

[@DogFiles]

@@vikingofironthor9818 I have major arthritis in my thigh. I wake up and when I walk it feels like my legs are crunching. Last Tuesday I got prolotherapy with dextrose injections. I was worried it was a scam. That night even though my butt and thighs hurt like hell from over 50 injections I thought I felt better. In the morning it was like a miracle happened all that crashing was gone and I felt like I was 20 years younger. It’s been four days and he gets a little more better every day. For the last three or four years, I felt that if I made a sudden move or tried to do any kind of sport I would tear or break something. Today I felt like I could run down the road without any issue. Truly a miracle.

[@vikingofironthor9818]

@@DogFiles thanks for sharing!

[@sepehrasad9608]

Hi viking of iron thor.i wanna know ur tendon healed 100% OK?I have the same tendonitist I wanna know that prp is really effective until this time for you?tnx🙏

[@lenafernandez777]

A few years back I read about research being done on the ankles as the ankles bear so much weight but are rarely arthritic. The idea was to possibly use those cells at the knees?

[@TalkingWithDocs]

Hi maria. There is a lot of research being done especially at the cellular level. Nothing yet. Thanks for sharing. Thanks for watching and for subscribing if you did.

[@eve54ut]

Would you please provide an update on this video about the longevity of pain relief and function wit PRP and Stem Cell? I was told by DO's office that it takes two treatments of PRP to get relief and one treatment of Stem Cell to get pain relief. The price ends up being the same if use 2 treatments of PRP as for 1 treatment of Stem Cell. DO's office says stem cell is usu taken from the patient's hip and injected in the arthritic joint.

[@TalkingWithDocs]

Please see prior response. Thanks for watching.

[@darlenericotta7550]

Hi Docs I am having a rod inserted to my tibia and femur do you have any videos on how this is done? My first surgery is on May 21. Stay well Docs and thanks for your information.

[@TalkingWithDocs]

Hi Darlene. We don't at this point. It is similar to a regular total knee replacement however the canal (or hollow part of your tibia and femur) is prepared with what is a called a reamer to clean out part of the inside of the bone so the stem fits tightly). Hope that helps. Good luck on May 21!

[@darlenericotta7550]

@@TalkingWithDocs well I will be finding out what it’s like very soon. Thank you for making it clearer! You Docs have been a great help and glad you are on KZbin.

[@ronaldkielar1359]

Hi Docs, Stationary bike exercise? Great for cardiovascular, I no longer run, so what's your opinions in relationship to my knee arthritis? I still play aggressive tennis. Your thoughts please.

[@TalkingWithDocs]

Hi Ronald. We love the cycling. Tennis is ok and we would tell our patients to enjoy our it while you still have your own knees because once you get replacements it will be lazy doubles tennis. Hope that helps. All the best. Thanks for watching and subscribing if you did

[@mudah5807]

Hi DR! I had prp done on my elbow as I have a small 2mm tear on my extender flexor tendon. The first injection helped me a little bit to bring inflammation down in my elbow/forearm and is there any other more aggressive approach I can take for full recovery besides getting another prp injection and see how it goes. Thnaks!

[@TalkingWithDocs]

Hi Muda. Sounds like you are doing the right things. Physio will often be beneficial. The surgical options for your problem are limited so keep up what you are doing. Many patients will also wear a brace. Hope that helps. Thanks for watching.

[@mudah5807]

@@TalkingWithDocs Thanks for the advice DR really appreciate )

[@Truth1000.]

I had PRP for my severe left tennis elbow, the injection was painful as hell, and it also cured me 100% at age 40!! full strength and range!!!! Im an athlete. last year I did my rotator cuffs, both shoulders, no pain during, same place, i am 70% better. I paid $700 at Cellaxys in Las Vegas, a great Dr. Otten and place. Get a 2nd PRP, sometimes it takes 3. mine only took 1. was your injection painful, my sure was, but like i said, it worked great

[@Initium1000]

I have a partially torn rotator cuff and I am just not convinced that an injection of cells can make it just regrow. It’s just so expensive. I spoke to one person online that claimed it healed its shoulder, I talked to another that had them in his knees; paid thousands and got nothing from it.

[@virginialewin1774]

What do you think about doing both total knee replacements at the same time?

[@TalkingWithDocs]

Hi Virginia. Some surgeons will do both at the same time. We feel that staged surgery is better for our patients. There are some studies that also have shown an increased risk of heart attack or stroke in patients older than 70 undergoing bilateral total knee replacement. The obvious benefit of doing them at the same time is severe pain only once. It is a lot of surgery though. Best to discuss with your surgeon beforehand. Best of luck. Thanks for watching and subscribing if you did.

[@MaryOKC]

My mom had both done at the same time and frankly I thought it was pretty irresponsible of the physician (I was living in another state and she said nothing about the surgery) .. my mom couldn’t walk for 6 months because of the pain and it literally took 2 years for the pain to go completely away …25+ years later, she’s 86 - if she falls and does, the fake knees crushes the skin between the knees and the floor…and same with bumping her knee as there is zero shock absorption as you would receive with a bone opposed to metal and if it’s cold outside the knees ache terribly from the cold.

[@Queenbluv]

Hello great video! Does Prp injections help to repair the military neck back into a curve? Would it be necessary to do trigger point injections as well?

[@TalkingWithDocs]

It likely wouldn’t help the neck

[@colinbroos5176]

My doctor wanted to do a half knee replacement on me which was bone on bone for 35 years due my meniscus being removed at 20 years old. I was not keen on this at 55 years old so l went to another doctor who was doing PRP. He told me before we do the procedure l needed to get lab work done to see how healthy l was. I was a vegan at the time and he wanted me to start eating meat again which I did and detox my body which took about 3 mths. He then did the PRP on me twice over period of 2 mths. It has now been 10 years l eat a low carb diet now. Exercise 5 times a week feeling great and still have my own knee. My doctor also told me to drink no alcohol for 3 mths leading up to PRP and 3 mths after which l did. It has worked great for me.

[@TalkingWithDocs]

That's awesome. It's too bad that anecdotes are not evidence. The research fails to show benefit at this time but maybe eventually

[@deborahlinton9635]

Would stem cell injection help alleviate or reduce rheumatoid arthritis ? Thank you.

[@mehrooshmalik6526]

Hey Doc, first of all, a great video thank you, I am suffering from a tfcc tear on my both wrists I did surgery on my right wrist and it did not help its been 4 years and doctors have no idea what is going on, I was thinking of getting a PRP injection and I am not sure if its the right option for me.

[@TalkingWithDocs]

Hi Mehroosh. So if you already had a wrist scope with no benefit, it is hard to say if PRP would help. The evidence is limited for sure. Best to discuss it with your wrist surgeon to review the pros and cons. Best of luck. Thanks for watching and subscribing if you did.

[@kaypendergast5676]

Same for me too. No surgery... but strengthening exercises. It worked.

[@truthbetold6496]

prolotherapy and PRP saved my life after a dumb chiro caused insane laxity in my neck, upper back, snapping ribs, snapping hips, there is no amount of treatments it takes time.

[@rickback956]

What are your thoughts on sodium hyaluronate injections for both pain mitigation and Cartlege regeneration?

[@TalkingWithDocs]

Hi Rick. They help with pain. They do not grow new cartilage. We use them a lot. Thanks for watching and subscribing if you did

[@judylee4156]

Love to see you guys do a video on mammograms. More and more people that I know refuse to get them. Say just unnecessary radiation. Heard reports that say there has never been a recorded case where breast cancer was caught before it was noticeable by feel. So many medical procedures may be done to find the exact cause or problem. Some seem to be just CYA.

[@TalkingWithDocs]

Hi Judy. We can look into this. Screening procedures are always complicated to determine their worth. Thanks for watching and subscribing

[@pardeeprana9408]

Hello Dr. Two questions. 1 can stem cells treat manuscus tear grade 3 and acl partial strain or tear? What is success rate? Is regenex has potential for it? 2 is manuscus tear grade 3 be invited or undergo a surgical process.

[@TalkingWithDocs]

Hi Pardeep. Every case is different. Often larger tears will require surgery. Evidence for stem cells is weak for meniscal tears. Hope that helps. Thanks for watching and subscribing if you did.

[@virtualbeing5195]

How does this work for a torn bicep? How much would it cost? When would insurance cover it?

[@TalkingWithDocs]

Hi Virtual. It would likely only help for a partial tear or tendinitis. To reduce inflammation and help repair the tendon. Not sure about insurance coverage. Thanks for watching and subscribing if you did

[@ronalddelo8753]

I had a recurring injury to my Achilles’ tendon that would not heal, I had stem cells injected directly into the tendon, which was horrifically painful. I walked into the office and limped out, had to get a boot that limited the movement of ankle. After three weeks of immobilized, my ankle felt good. I have been able to resume a jogging routine with no recurrence of pain or injury. I do not jog as much as I used to, but feel the procedure helped. There was a noticeable bump on the tendon that has disappeared. In your professional opinion, what occurred?

[@TalkingWithDocs]

Hi ronald. Hard to say but there is some evidence for soft tissue indications for use of PRP. This may have lead to some healing with a scar type tissue that can be thicker and lead to a visible and palpable lump. Hope it all works out for you. Thanks for watching and subscribing

[@johnmansour-dumas5364]

Medicare doesn't cover Stem Cell injections in AZ and the research I've done watching you guy's video's and checking out the AAOS site, I'm doing the TKR surgery. Thanks for posting this. I love your video's.

[@TalkingWithDocs]

Hi John. Medicare doesn't cover it and neither does health care in Canada because there is a lack of evidence supporting its benefit. So glad you liked the videos. Good luck with the TKR. And check us out on Instagram

[@cornelbucur3577]

Evidence would be mel Gibson dad who was 92 year old living corpse with every issue a dieing oerson faces. His dad is 100 years old now. I think he went to mexico for stem cells from umbilical cord stem cells because an old person stem cells arent as strong.

[@joebruhin2098]

In the US Regenexx seems the place to go for stem cell or PRP...they state they have high success. I use to get PRP injections in my knees for OA with success but after twice with faulty injections that gave me much pain and couldn't walk for 6 months I stopped them....I would keep doing the PRP if I could find someone that is good with the injections mine were done by a pain doc at the VA...I'm a bit skeptical of Regenenexx but if I could afford the Panama, Cayman Islands stem cells I would do it.

[@TalkingWithDocs]

Hi Joe. We wish the companies that claim high success would do a proper trial and publish the results because the researchers that aren’t selling PRP don’t seem to have the same success 😀

[@TastyEatz]

Could you please do some demo videos for each specific shoulder surgery, namely rotator cuff repairs, acromioplasty, bursectomy, biceps tinodesis, etc. I had a fall on my right shoulder on 26 October 2020, with my right hand outstretched and tore my supraspinatus tendon (partial tear, through substance tear [9.5 mm x 8.3 mm] from MRI). I was operated on 25 Feb 2021 in Sydney by Dr.Geoffrey Smith (A shoulder & Elbow Surgeon), but my tendons were good in shape, hence he just performed Arthroscopic Acromioplasty & Bursectomy. PREOPERATIVE FIDINGS- There is a small glenohumeral joint effusion, Glenohumeral relationships are preserved. The long head of the biceps tendon demonstrates a tendon sheath effusion consistent with tenosynovitis. The biceps labral complex is intact. No labral tear is identified. The subscapularis tendon is heterogeneous with subscapularis tendinosis. No discrete tear is identified. The supraspinatus tendon demonstrates an articular surface tear involving the midportion. The tear measures [9.5 mm x 8.3 mm]. This is on a background of supraspinatus tendinosis. Infraspinatus and teres minor components of the rotator cuff define normally. In the posterior aspect of the humeral head, there is evidence of a subcortical cystic change which may indicate a geode or herniation pit. There is evidence of subacromial subdeltoid bursitis. AC joint arthropathy identified. The structures of the suprascapular notch defined normally. IMPRESSION- subacromial subdeltoid bursitis. Subscapularis and supraspinatus tendinosis with a partial thickness articular surface tear. AC joint arthropathy. Other findings as above. Please advise the best exercise for me.

[@TalkingWithDocs]

Hi Tasty Eatz. We can add those to our list for sure. With respect to physiotherapy, it will focus on range of motion and rotator cuff strengthening. It is best to sit down with a physiotherapist to design a plan specific to you. Best of luck. Thanks for watching and subscribing if you did.

[@TastyEatz]

Thank you so much and looking forward to watching more. I’m seeing my physio tomorrow. Thanks again

[@robdavidson1876]

Stem cell sounds most promising and I've heard good reports Ray Kurzweils buddy in one of his books referred to it he stores his stem cells and it worked for an arthritic knee injury pretty fast ...I'd like to know a lot more about genomic etc

[@TalkingWithDocs]

Hi Rob. There is a hint of promise but very little evidence at this point that stem cells work. Hopefully that changes. Thanks for watching and subscribing

[@NickiMacB]

Any thoughts about nSTRIDE therapy? I have read that this yields more consistent results than PRP.

[@TalkingWithDocs]

Hi Nicki. We have read a little about this. There is not a lot of research with outcomes of its use at this point. Thanks for watching and subscribing

[@TopNotchPressureWashingNZ]

Thank you for sharing your non biased opinions and knowledge. I’m a type1 diabetic with penile neuropathy and ED. Is it really worth $2000nzd. I feel I have very few options left to help with my issue. Has any further conclusion come from PRP or is this just another ‘get rich quick’ scheme. Thanks Josh

[@TalkingWithDocs]

Hi Jollymilkman Jolly. We are not familiar with PRP for ED. We feel that at this time the evidence for PRP for treating arthritis is not conclusive or supportive. Good luck to you. Thanks for watching and subscribing if you did.

[@Jennifer-gr7hn]

Nope, not a get rich quick scheme AT all. I actually was introduced to IV ozone as a covaids longhauler from march 2020 severe reaction and was left to die when I properly refused the vent. Anyway, I thought there was "no option" to my multiple disabilities, coming off a very healthy, fit, active life ...and I discovered IV ozone, IV chelation and now I just had dental work down with PRP and ozone...SUPER fast and efficient healing time....having my bilateral trigger thumb from gardening, done next week! What's a scheme and scam? Mainstream approaches that keep you dying a death of a thousand cuts. Most "doctors" are on here to argue against things people are pursing that WORK

[@connieevans3863]

What about the use of CBD tabllets for pain management after a knee replacement surgery.

[@TalkingWithDocs]

It is becoming more common Connie. Doesn’t work for everyone but some. Thanks for watching and subscribing

[@rogerjacobs3136]

I've always thought that stem cell injections or PRP (which I haven't heard of before), would be a good way to treat hearing loss. Could nerve damage be reversed if these injections were applied or has it ever been tried?

[@TalkingWithDocs]

Hi Roger. Interesting thought. Not sure if it has been tried but quite possibly. Thanks for watching and subscribing if you did

[@abjalgu8435]

@@TalkingWithDocs the my boo

[@batman7401]

I know for mice researchers were able to return their sense of smell with stem cells but the olfactory system naturally regenerates cells while inner ear cells don’t regenerate so idk if it’d work. I do know I’ve heard of research being done for using stem cells to try and reverse hearing , smell, and vision loss.

[@cryptoninjaz]

Just read the comments !

[@monaamingergis2988]

What we should eat and what we should avoid eating before PRP injection, thanks…

[@TalkingWithDocs]

Hi Mona. There are no specific guidelines for food intake before or after PRP but in general you should likely eat more plants and less animals. Thanks for watching and subscribing if you did

[@fabianabarros994]

Hello Dr. So how much is this treatment Stem cells? Thank you.🙋🏻‍♀️

[@TalkingWithDocs]

Hi Fabiana. It varies from surgeon to surgeon. Best to discuss this with someone locally. But it is typically expensive. Thanks for watching and subscribing if you did.

[@greenleavesofsummer9673]

Fabiana Fernandes Hi Fabiana, over 2 years ago I had stem cell procedure done with PRP from REGENIXX. They were 1st to get it started and have most work with it. Most cities have an office. Many flight attendants have it done. So I had several PRPs the following year until doctor got concentration right and it worked. I had 2 years pain-free living. I did a lot of walking in airports until this past march when I began having pain walking. CoVid shut us in our homes. With that I was only walking around my home. Pain went away. I continued using exercise bike and walking around my home. I'm hoping to see doctor soon for possible booster PRP so at least I can hold off surgery until next year. I think stem cell and the PRPs are great help if you need to BUY TIME before having surgery. I've been told some people go 5-8 yrs getting booster. Mayo Clinic is not connected to REGENIXX. A nurse at Mayo told me if their patients get 1 yr pain free that's good. My arthritis was pretty bad. I did not pay for every PRP. Entire Procedure cost around $8000. Insurance, sadly, doesn't help; insurance should!

[@fisherohvf-men623]

I'm going to have both CMC thumb joints done by Regenexx in Raleigh NC. Cost currently is $1500.00 each hand, (not covered by Insurance....yet)

[@mehrooshmalik6526]

@@greenleavesofsummer9673 hey dear i am planning to get a prp injection on my chronic wrist pain, you mentioned about getting prp and whole thing cost around 8000$ so how many injection was it and for how long ?

[@ianmayhew7325]

Hi. What's your thoughts on exercising in the weeks after prp injections? I've got osteoarthritis in my right knee and am going through a course of 3 injections, with a 6 week gap between each (just had my 2nd) I'm struggling to find clear answers re how long after an injection I can resume exercising (my things are hiking, cycling, swimming, tennis and running) I have however seen mention of resting for 6 weeks after an injection - which if I follow that for all 3 injections, is 18 weeks (i.e. over 4 months) without doing any of the things I love doing. I'm mentally really struggling with the thought of this much time off - exercise is my feel good thing that keeps my head up and stops me struggling.

[@TalkingWithDocs]

Hi Ian. We don’t perform PRP injections as we feel the evidence to support their use isn’t quite there. So we can’t really advise you on exercise after. Best to talk to your surgeon. Thanks for watching and subscribing

[@terrapinalive6192]

Ian..I have the same condition.Can you pls tell me if the first two injections did you any good? Thanks

[@ianmayhew7325]

@@TalkingWithDocs ok no probs

[@ianmayhew7325]

@@terrapinalive6192 too early to tell really. The 1st one I'm not 100% convinced was done right as my knee felt totally fine after. Whereas it's supposed to be swollen and sore in the days immediately after (which it has been this time - I had the 2nd injection 6 days ago). It's too early to tell how successful it's been but I do know that the research into prp for knee osteoarthritis has been very positive (hence why I've been willing to pay £500 a pop for the injections)

[@Truth1000.]

@@terrapinalive6192 I had PRP for my severe left tennis elbow, the injection was painful as hell, and it also cured me 100% at age 40!! full strength and range!!!! Im an athlete. last year I did my rotator cuffs, both shoulders, no pain during, same place, i am 70% better. I paid $700 at Cellaxys in Las Vegas, a great Dr. Otten and place. dont hesitate to do it, cortizone injections and physical therapy failed for 3 years on me. Get PRP asap wherever you can that is reputable. In San Diego, I paid $1200

[@kyounao]

Question. What are the literature on PRP on the subject having an autoimmune condition. Would that affect the PRP quality? And is there an age range of the subject where PRP was slower to work or that did not matter?

[@kaiserboy3317]

they definitely work 100% ask any body doing those procedures if they got paid or not...

[@TalkingWithDocs]

Hi Kaiser Boy. Thank you for sharing your opinion. Nothing works 100% in medicine unfortunately. Some people do report benefit but scientific studies have failed to show they to be beneficial enough for them to be recommended as an approved treatment. We will continue to watch the literature. Every patient and every problem is different though. Thanks for watching, subscribing and sharing if you did.

[@kaiserboy3317]

@@TalkingWithDocs hi docs, what i meant was that it works for the doctors doing the procedure because they get paid whether it helps the patient or not. you guys are cool, keep up the good work! you guys are well tolerated. medicine talk.

[@karenbudreau5665]

Have you used this PRP treatment for Scleroderma?

[@TalkingWithDocs]

We have not Karen. Thanks for watching and subscribing

[@nootstoroots8068]

Part 2: (Questions) 1) Which therapies are most likely to be most suitable (again will not take this as a direct recommendation) for repairing an injury of this nature ; PRP or stem cells? 2) Looking at various stem cells therapies we know of today; adipose tissue stem c's vs. Bone marrow stem c's vs. umbilical cord stem c's (knowing full well this isn't or wouldn't be taken as an objective or medically backed recommendation)... Which of those three do we know to have been either successful or potentially capable to effect this type necessary regenerative repair? 3) If you have any character space left to answer this one, what is your take on a 2nd attempt at surgical repair for this distal tear; taking into consideration approximately 2 years have passed since the first procedure (deemed ''failed'" at that time). I'm sorry for the grueling questioning and multiple comments. I wanted to provide as much context as KZbin could allow. I very much look forward to hearing your thoughts and thank you using you knowledge to appeal to the common man

[@TalkingWithDocs]

Hi Noots to Roots. We feel at this point science has not shown stem cells to be useful in the setting of arthritis. Cartilage simply cannot be grown with current treatments. Repeat arthroscopy only works in the setting of a large symptomatic tear. Best of luck to you. Thanks for watching, subscribing and sharing with someone if you did.

[@nootstoroots8068]

@@TalkingWithDocsThank you Doc! Sorry I can't help myself.. Statistically speaking: what are the odds of a successful 2nd attempt at surgical repair of a distal bicep tear after a first failed attempt? (basically I'm seeking your knowledge of patients who fall into this category of having needed a 2nd surgery)

[@dennisracicotdjrdrones655]

Thank you for this. You mentioned in the video there would be more videos concerning Stem Cell and PRP treatments. Do you have one planned? I'm considering total hip replacement for both hips and would rather seek an alternative if possible.

[@TalkingWithDocs]

Hi Dennis. There will be a follow up soon but there is still limited evidence for benefit in the setting of arthritis. It would not be an appropriate substitution for a hip replacement. Hope that helps. Thanks for watching and subscribing if you did

[@Yorkiepoocharlie]

There is not an alternative to THA. If you need THA and are planning on living 7+ more years, get THA.