How Many PRP Injections for Knee Pain?

How many PRP injection for knee pain due to arthritis? I review the most recent medical literature as well as how I’ve adapted our current understanding of PRP and knee arthritis into my clinical practice.
► Things my patients have found helpful:
Please note that I get a lot of requests and questions about what equipment is ‘best’ for treating a variety of conditions. The following is not meant to be an exhaustive or definitive list. Please use it as a starting point. If you have questions, please discuss with your healthcare provider. With that said, I have tried a number of the products below, but not all. I have included some based on positive feedback from many of my patients. As an Amazon Associate, Dr Peng earns from qualifying purchases. If you purchase any product using the below affiliate links, you are helping Dr Peng maintain this channel.
Supplements
The following are Thorne supplements which are NSF certified. NSF independently assesses products without being affiliated with the companies that produce them. Not only do they certify that what’s on the label is in the bottle, they also do toxicology review to certify product formulation and contaminant review to ensure the product contains no undeclared ingredients or unacceptable levels of contaminants.
Boswellia Extract: amzn.to/3L00rYn
Turmeric & Curcumin: ​​amzn.to/47NacD9
Glucosamine & Chondroitin: amzn.to/44AVoow
Creatine Monohydrate: amzn.to/45JW9wq
Omega 3 and 6: amzn.to/45LTBh7
Vitamin D 5000: amzn.to/47T8MHs
Vitamin B complex: amzn.to/3L0Bdcm
Magnesium: amzn.to/3snHuZc
Soft Tissue & Rehab
Theragun: amzn.to/4363zJG
Massage ball: amzn.to/40BUC9f
Foam roller: amzn.to/4324E5c
Stretching strap: amzn.to/3U9a2iQ
TENS unit: amzn.to/3mcCqnI
Heating pad: amzn.to/40VidSc
Resistance bands: amzn.to/3nFyb4C
Braces & Supports
Hinged knee brace: amzn.to/3U6oyrH
Neoprene knee sleeve: amzn.to/3Zzhsgt
Volar wrist brace: amzn.to/3KawW55
Thumb spica brace: amzn.to/3nHj9vl
Ankle lace up brace: amzn.to/3m6iR0u
Tennis/Golfer’s elbow brace: amzn.to/3ZEGgE1
Superfeet orthotic inserts: amzn.to/436tRf5
Recommended Textbooks & Resources
The Trigger Point Manual: amzn.to/4340cTt
Trigger Point Wall Charts: amzn.to/3zrinVR
► Be Active. Live Healthy. Subscribe for more free videos like this: / @jeffreypengmd
► ABOUT ME
Jeffrey Peng MD is a nonoperative orthopedist and sports medicine specialist. He created a KZbin channel and blog to translate cutting edge medical knowledge and clinical research to benefit all those looking to live an active and healthy lifestyle. He focuses on maximizing non-surgical treatments for sports injuries and orthopedic conditions. He specializes in using orthobiologics and ultrasound guided minimally invasive techniques to treat osteoarthritis, tendinopathies, and musculoskeletal disorders.
Dr. Peng is board certified in sports medicine and family medicine. He completed residency with the Stanford family medicine residency program and completed his sports medicine training with the Stanford primary care sports medicine fellowship in San Jose. He is an active faculty member for both programs and is excited about training the next generation of physicians.
Dr. Peng’s sports medicine clinic is located in Campbell, California.
Twitter: @JeffreyPengMD; / jeffreypengmd
Website: www.jeffreypen...
► Disclaimer
My content reflects my own opinion and does not represent the views or opinions of my employers or hospital systems I am affiliated with. They are meant for educational purposes only. They do not substitute for the medical advice of a physician. Always seek the advice of your physician with any questions you may have regarding your health.

[@user-tg9bd7xf3e]

That is awesome you get the patients input on further PRP's. My MD did the same, the first two PRP's helped, but still not great,. The third injection was life changing, although I still had some pain. The fourth one is making it better. We see definite progress with each new PRP. So I will continue 4 PRP's a year, every three months, indefinitely . Costing $3,000 per YEAR. Not much for having no surgery. Thank you!

[@mmnairkochi]

Great video. I had one PRP injection on my right knee back in 2017 and got good relief. Then in 2019 I got one PRP injection on my left knee. Now it is Oct 2023 and I’m still doing well with only very minor pain in my knees after exertion. However, I’m thinking of going back and getting a second PRP injection on both knees as a “booster”.

[@maheshreddy6624]

Can you please tell me the Hospital name and the Doctor name details where you got the PRP injection. Thanks.

[@mmnairkochi]

@@maheshreddy6624 I had my PRP injections done at the Mayo Clinic in Phoenix, AZ. The doctor was Dr. Bryan Ganter.

[@frankholehouse6370]

If its only a 15 procedure using your own blood why do they charge over one thousand British pounds per injection.

[@bikkishaw1350]

Your age ?

[@mmnairkochi]

@@maheshreddy6624 I had the PRP injections done at the Mayo Clinic hospital in Phoenix Arizona. Sorry, didn’t see your question earlier

[@DEVanderbiltCecil]

Thank you, Dr. Peng. This is real hope.

[@djoj1986]

I have tennis elbow on my right elbow since last year. Had Mri done and found that I had a 3mm tear. Had 3 therapy sensions of 9 times each. 9 rounds of acupuncture and got a cortisone shot in August. I was off work for 6 months. After 2 weeks after the cortisone shot, I went back to work and was feeling great. I took it easy at work, but I started to feel my left elbow starting to get strained a month ago. And now my right both my elbows hurt. I ca n't sleep unless I wear my compression sleeves on both arms. It even hurts to lift my blanket at night. Just went with my specialist today, and he ordered a prp injection for my right elbow and a mri for the left side. I'm hoping this relives the pain.

[@JeffreyPengMD]

Good luck!

[@strovrpwr]

Any updates?

[@djoj1986]

@strovrpwr had a prp shot on April 28th. Shot was a little painful. I took it easy over the weekend and went back to work on Monday. Took it easy as work also. About 1 to 2 weeks after I noticed, I can get more range of motion. And was waking up pain-free in the morning. I still take it easy, not lifting anything too heavy. If I start to use my arm, it feels strained for a few hours. At this time I says it's pain wise it's about 70 percent better. And as for using arm it's about 50 percent better. I'm thinking of getting a other shot in a few months again.

[@rostyslavchaplynskyy7055]

Very interesting observations! Thank you for the opportunity to get to know the essence of this therapy better! Could you issue a questionnaire to assess the effectiveness of the therapy and the number of injections?

[@bhawanid9542]

Absolutely fabulous video. Very informative and exactly the way my specialist is providing me PRP treatment. Thank you

[@JeffreyPengMD]

Thanks for commenting!

[@flyonthe7013]

Thank you for sharing such important information.

[@JeffreyPengMD]

You're welcome! Thanks for your comment

[@Eva-li2pe]

Excellent video. I just need to know the cost. My insurance paid for the 3 series of hyaluronic. I’m scheduled for the single hyaluronic injection soon but after that my next treatment will be PRP.

[@chipbyrd]

I greatly appreciate your videos! I have been doing a lot of reading and listening to alternative treatments for knee arthritis. Yours are abundant, clear rest, so thank you. Is there a network of physicians who share your philosophy? I’m looking for someone in West Michigan.

[@DocJayWeed]

Thanks for posting. It’s good to hear other physicians treating patients similarly regarding PRP

[@JeffreyPengMD]

Just trying to spread the word!

[@christopherpritchett8243]

I do HA injections and I find that at the 4 week follow up, they are still having pain, it's often the Pes Anserine Bursa. A steroid into that Bursa gives instant relief. I've dine a few PRP and will be doing more in the future. Thank you for posting this video.

[@JeffreyPengMD]

Thanks for commenting

[@robochen9619]

Great Video. I've been shopping around for PRP in my area and discovered 1 Dr. Office that warns against some Doctors using PRP kits that provide a lesser, non effective concentration of platelets in their injections. Was curious what your concentration number is and how can we protect ourselves against getting a "watered down" version. ?

[@JeffreyPengMD]

Great question! As a patient, you have every right to ask which kit your provider is using and more importantly, ask WHY they are using that kit. Platelet concentration is one of many factors to consider.

[@t-mac2566]

Wat is the correct concentration of platelets?

[@loreleifajardo2430]

@@JeffreyPengMD what is the right concentration?

[@monimccoy5508]

Why does the cost of PRP vary location to location?

[@with.the.y]

@@JeffreyPengMD what is the ideal concentration when it comes to PRP

[@Conorj08]

Got a PRP injection w/ hyalruronic acid 3 weeks ago for cartilage lesion/ "chondral defect of lateral trochlea." Was this the right decision? Previously got a PRP injection for partial patellar tendon tear and next MRI showed the tendon healed. MRI CONCLUSION, 1 month ago before PRP; -Full-thickness full-thickness chondral defect of the lateral trochlea with subchondral reactive marrow change of the underlying bone. -Small knee effusion. -Tiny Baker cyst

[@servantofthecreator]

Does prp regenerate meniscus?

[@portcarlingboats]

Can you please speak about 1st generation prp where the platelets are spun for 5 min vs 2nd generation prp where the platelets are spun for 4 hours; what is the benefits of longing spinning time in treatment; thank you Dr. Peng

[@abuzarinayat8251]

It will be great if you can share the PRP prep technique and the type of kit you use.

[@JeffreyPengMD]

Thanks for your comment. New kits are always coming out and we are open to testing them so these change from time to time.

[@mohsensafaei3322]

Hey Jeff. Thanks for the videos. Can you please create a video about cold laser, low light level laser therapy for pain?

[@Go4omir]

Great video, doc! What about supplementation? I guess glucosamine, HCL, collagen (type 2) might help, right?

[@JeffreyPengMD]

You may find this helpful: kzbin.info/aero/PLrX971rgONtooFRotwN9sADDLwYWXMvoz

[@carolmurphy1863]

Wonderful video. I had PRP and Hyaluronic acid together last January for knee arthritis. Pain has decreased 80%. Plan for another injection in September. This combination has worked for me. What is your opinion about this combo. Thanks

[@JeffreyPengMD]

You may find this helpful! kzbin.info/www/bejne/gZ2zmn2KrtyYjJY

[@medicinenews4351]

How was your and your knee pain I am suffering this pain please reply and help me

[@rojarani355]

Thank you for good information

[@abuzarinayat8251]

Could you please share the symptoms sheet you carry on for the patient follow ups

[@JeffreyPengMD]

I use the WOMAC and VAS pain scores

[@lohpl954]

One of my doctor suggested PRP injection together with Gel. Thereafter, get a knee brace. Is this a good idea?

[@khishigeeravjir6086]

Thanks . How many times should PRP treatment be done for knee osteoarthritis ? How many days apart is it good to do it.

[@anastasiawhite7482]

Recent Australian study somewhat put a pin in the prp hype. It was a double blinded study which found no difference between PRP and saline injections in terms of long term improvement.

[@JeffreyPengMD]

The RESTORE trial and the more recent PEAK study both had fatal flaws. Both studies used LOW DOSE platelet rich plasma. It's like saying acetaminophen doesn't work for reducing fevers when compared to saline placebo because a study used 10mg of acetaminophen whereas the therapeutic dose is 500mg or even 1000mg. The conclusion of those studies should have stated "low dose PRP is no more effective than placebo". All the latest clinical trials report platelet counts and concentrations. What's CLEAR in the literature is high dose PRP provides incredible results. Here's more info: kzbin.info/www/bejne/hIHVf5ivrZt1rJo

[@fionah3433]

My husband has been dealing with a knee issue which flares up off and on after doing something to it about 5 years ago. He is normal weight, no chronic health issues and the X-ray shows no arthritis. For specific reasons, he does not want an MRI or CAT scan, and we already know it's soft tissue, so that would be a very expensive redundancy and the only info we would potentially get would be for PT, which isn't an option right now. I wonder if/how prp injections would help him? He does get a chiropractic adjustment to make sure all the leg joints are in alignment and that helps some. The pain SEEMS to be mostly in the PA bursae area but the swelling is on the other side of his knee, which is interesting.

[@findusonline3971]

Hi Jeffrey - I have been watching all your videos. I am curious to learn your opinion as to whether I would benefit from PRP in view of the condition of my right Knee. Yes or No would suffice! This may also help many of your subscribers.... Findings: A moderate joint effusion is seen and there is a large popliteal cyst. There is evidence of chronic synovitis in the lateral suprapatellar pouch. This is associated with generalised loss of retropatellar cartilage and chondral thinning across the trochlea but no gross subchondral signal change. There is complex degenerative tearing of the posterior horn of the medial meniscus with a developing parameniscal cyst. There is narrowing of the medial joint space compared to the lateral joint space which is well-maintained with a normal meniscus. The cruciate and collateral ligaments, popliteus tendon and iliotibial band remain normally attached Conclusion: The scans confirm the presence of a complex degenerate tear of the posterior horn of the medial meniscus associated with generalised chondral volume loss in the medial compartment and a prominent popliteal cyst. There is also established chondral loss in the patellofemoral compartment with chronic suprapatellar synovitis.

[@JeffreyPengMD]

Unfortunately, I can't give medical advice over the internet. All I can say is that your MRI describes a knee that has osteoarthritis. Please seek the advice of your trusted health care provider. Best of luck!

[@simo-dv5xk]

From your experience how many PRP shots are required to heal the ligaments in the cervical neck? (C4/5/6) Thank you.

[@mellindataylor4846]

Love your videos. I had the cortisone shot 3 weeks ago and had little relief. I have requested prp now and have tricare so hopefully, I can get on the mend. I have referenced your findings and my questions are regarding what you have recommended. My only question is do they need to use the ultrasound for a knee for the shot or just for the muscle issues?

[@noxer88]

1) All PRP injections are made in Gerdy's tubercle independly of the knee condition? 2) Whats the frequency of the PRP injections? 1 per week? In the study cited by you said 3 injections (one week interval of each other).

[@JeffreyPengMD]

1. Not sure what you mean here. 2. The frequency of PRP injections in studies administering more than 1 shot is once a week. However, other studies have shown that 1 shot also gives excellent benefits. In the real world (ie. outside a clinical trial), the frequency of shots is often individualized.

[@gerardmoran9560]

Great video Dr. Peng! I have psoriatic arthritis and a knee injury which we believe is unrelated. Eleven years ago I had a surgery to repair the meniscus. It was an easy out patient procedure, pain free and successful. A bit more than a year ago I had knee pain and an MRI showed damage to the medial aspect of the meniscus, damage that couldn't be surgically repaired. A PRP shot provided relief but almost a year later pain returned and I got another PRP injection. Do you have experience with PRP injections for a damaged meniscus as vs. osteoarthritis? Thanks!

[@SheldonBilsker]

I have severe knee osteoarthritis. I got a PRP injection 1 month ago. The injection met all of the criteria you mentioned in your videos(including 10 Billion double spinned platelets and ultrasound). There has been no change in my pain since then. I am trying to answer the question about wether I should get a knee replacement or keep waiting to see if the PRP starts to work. Any comments would be very much appreciated.

[@mr.schnitzel3053]

Does this work for a thickening of the synovium, leading to fluid buildup? This was offered as an alternative to plica surgery.

[@monalisasweetheart7369]

How many treatments should I get if I got acl surgery about 2 weeks ago? I really want to help the healing to improve and I read that prp or stem cell injections can really help with healing even after knee surgery! Do you think this would be good for me and how many treatments so my knee can have more flexibility? It feels so stiff from surgery!! Thanks and great video!!! 🤩😍

[@JeffreyPengMD]

This is something you'll need to discuss with your surgeon!

[@SRIRAMGURUMURTHY]

Thank you for posting, Dr !! I had PRP plus Hylauronic Acid together for chondronmalacia Patella Grade IV treatment on 15th May 2023 in my right knee. Just three days got over. Can I expect the betterment for my chondronmalacia patella Grade IV knee pain. I was asked to take a rest for a week and thereafter to start exercising slowly on VMO, IT band, and hamstring exercises as well. Please provide your input and recommendations.

[@JeffreyPengMD]

Best to discuss with your doc

[@chrisbessolo9074]

Insurance companies should cover these but unfortunately don’t which makes no sense to me. I am getting a prp next Month for my hip.

[@JeffreyPengMD]

I 100% agree. My goal is to get the word out, educate people, and support more studies. Once more and more studies show benefit, insurances will start covering. Thanks for your comment.

[@johnkap5740]

How did it go for your hip? I thought I needed one for both hips as well..instead however it was both of my Sacroiliac joints that I needed to get prp on. Just had them done 4 days ago

[@Keepswimming....123]

Thanks!!!

[@JeffreyPengMD]

No problem! Thanks for your comment

[@Tweety2U2]

Patient had PRP in both legs. Now has developed extreme swelling in both legs without any relief. More painful than prior to injections. Both legs are swollen all the way through ankles and feet. Should legs be drained? Inflammation appears similar to lymphedema. Suggestions please? Have you encountered extreme inflation after injections. Weeks later?

[@mkirwan7165]

Dose anyone know if any side affects from PRP injections, would be most grateful for reply

[@Aldertkingofflanders]

Hi Jeffrey, what is the kit to get the most platelets out? That what we are interested in.

[@gtbike8142]

Hi doctor is N stride a better treatment then prp

[@thomaspescod1381]

Dr. Peng: Is it a good assumption to make that what you present for knees also apply to shoulder osteoarthritis?

[@user-tg9bd7xf3e]

Issue I have with mu MD, his PROP is slightly red, I talked to him about this and he said its because he uses 7X concentration, and draws 60 CC of blood. Per you other videos, you state yes on 60 CC of blood, but 10 to 20 X concentration. And You feel amber PRP is better for joints because the red blood cells can cause inflammation. Any comments? thx

[@amymiclat6704]

Thank you if you answer my comment..

[@Better_Call_Raul]

Why do some patients report swelling/stiffness and pain (for a few days) after a PRP injection while this is rare with steroid injections? Is the PRP injection more invasive than a steroid injection? Or is the pain due to the body's response to the growth factors?

[@JeffreyPengMD]

Thanks for your comment. Think of it this way. When you get a cut on your skin, it starts off red and hot and can be swollen. This is a local inflammatory response that is initiated by platelets. This can happen after a PRP injection and will resolve in a few days. I have not found this to have any negative effect on outcomes.

[@cobar5342]

"Hi I am Jeff. My goal is to help my bank balance" How about telling us the cost. Here is Australia it is about $1,000 per injection

[@choosenickey7562]

In Oakland California it’s $1700!!!

[@amarkukolj1777]

Hi doctor, 2 years ago I was daignosticated to have shoulder osteoarthritis. I got during the first year 4 cortison injections, but that wasnt long term. Now I've got 3 prp injections and expecting a fourth, and Im feeling good, altough my rotator is still poping on some movements. Can I expect of the prp injections to heal my osteoarthritis once for all? I appreciate your time, thanks in advance!

[@jerrysanders9101]

Hi Dr. Peng, do you have a good referral to a orthopedic specializing in knee/sports injury in the San Diego area? Thank you for the great material you put up.🙏

[@JeffreyPengMD]

UCSD sports medicine!

[@thefrustratedguy2185]

How much ml of blood to draw per knee joint?

[@irarai8205]

Hi Dr. Peng, would you recommend to try PRP Injections for someone aged 69 with severe OA?

[@jondstewart]

If you’re bone on bone in at least one compartment of your knee, will PRP do any good? I had a total knee replacement on my right knee, which was even worse, bone on bone in the medial and middle part and a lot of scar tissue. I just want something to hold me out another 6 months to a year before I get my left knee replaced. I like to ski in the winter and don’t want to burn up what’s left of my sick leave, which is why I want to delay. I got cortisone in both knees a little over a year ago and they put a bandaid on it for a short time.

[@karinabowlby7735]

When you have a second and third injection do you you have to go back to square one with regard to what exercise you can do or can you continue from where you are at?

[@stevebrown6906]

At what stage of arthritis is prep effective. I have quite a bit of narrowing in space in my knee cartilidge/meniscus. I have had visco supplementation mixed with cortisone and this has seemed to improve my stiffness.

[@JeffreyPengMD]

PRP is most effect at grades 1 and 2. It still works for grade 3 as well as grade 4, but not as robust for grade 4.

[@hangsong564]

I had two PRP on my knee and my ankle. The first injection is great both, feel a lot better, so I did a second injection 6 month later. However, the second injection didn’t do much. I’m now 9 months from the second PRP. Should I get a third injection? I’m ok with the cost as long as it make me feel better

[@JeffreyPengMD]

Thanks for your comment. Unfortunately I cannot give medical advice over the internet. Please seek the advice of your trusted health care provider. Best of luck!

[@mrunmayee8686]

Answer the question

[@tibsyy895]

Make ADSC MSC with BMP2

[@leslieadler9081]

When getting back to running, is a treadmill turf or track (dirt or rubber ) or grass better on knees?

[@JeffreyPengMD]

In general, go for the lighter impact surfaces. That's going to be a sports track and even some good high end treadmills. Concrete running will be the hardest on the knees. Grass and dirt such as trail running can be good but tends to be uneven which, for people returning from injury, can sometimes cause problems. Hope that helps!

[@mrcswawlugo]

Is there any data for people suffering with arthritis in the hip joints?

[@dravidcricketreports2033]

I’m a athlete, I’m suffering from Patellar Tendinopathy. And Trochlear Cartilage grade 3. 1 PRP injection done, Is I need to take one more PRP r any other medications? Please help me doctor

[@JeffreyPengMD]

Thanks for your comment. Unfortunately I cannot give medical advice over the internet. Please discuss your situation with your trusted health care provider. Best of luck!

[@dravidcricketreports2033]

@@JeffreyPengMD thanks doctor

[@shoulderarmhealth]

Great videos Dr Peng. I’m just curious what PRP kit you like to use for tennis elbow and knee OA. thanks.

[@JeffreyPengMD]

I currently use Emcyte PRP kits.

[@truthseekers8528]

Best one double spun there are studies that it’s super effective compared to single spun machine.

[@nimalekanayake7675]

Do you have this in Sri Lanka. I have G4 in my left knee.

[@iscored8055]

Hi Dr, Where would you put MACI in your matrix?

[@JeffreyPengMD]

Thanks for your comment. As far as I am aware, MACI is not used for the treatment of osteoarthritis. It really is reserved for those with a focal osteochondral defect. This is because those with more diffuse arthritis need a fairly large graft surface area. My guess is one day this will happen, but not at this time.

[@milanpatel1693]

You recommend or start PT at 3 weeks post PRP injection for knee OA or tendinosis?

[@saidulislam-jr4ox]

If someone has Chondromalacia along with mild cartilage thinning, does PRP re attach the wear and tear of cartilage to the patella and prevent the cartilage from tearing?

[@JeffreyPengMD]

PRP does not regenerate anything, rather it helps change the microenvironment of the joint to decrease symptoms and protect the cartilage from getting worse

[@eymettv4325]

Hi Dr. Peng, my wife has early signs of osteo arthritus in her left hip. can this treatment help? Weare able to pay for treatment.

[@JeffreyPengMD]

PRP can help treat symptoms related to hip osteoarthritis: kzbin.info/www/bejne/ZqS9dqmshbykbpo

[@mohamedsaeed1938]

What’s more potent prp injection or exosome injection ? Which of them can help regenerate cartilage damage in chondromalacia grade VI ?

[@JeffreyPengMD]

Exosomes have not been studied extensively in randomized controlled trials. No orthobiologic therapy to date (including 'stem cells') have been shown to make anything regenerate. Rather, the cells help change the toxic environment of an arthritic joint to make it more neutral and 'healthy'.

[@jondstewart]

If you have a fear of needles and injections, they should put you out for local anesthesia for PRP injections. I had synvisc injections and they were torture! And they didn’t do any good.

[@JeffreyPengMD]

How painful the injections are really depends on technique. Doing them ultrasound guided really minimizes pain and guarantees correct placement of the PRP into the joint.

[@chrisbuterakos3108]

I just recently learned about PRP. I have knee arthritis in both knees and I am getting scheduled for injections. Should I do one knee at a time. I have seen videos and I know it is painful. Thanks for the great videos. I am nervous but hopeful it helps.

[@JeffreyPengMD]

Thanks for your comment. For the most part it's fine to do both knees at the same time, but please discuss with your health care provider. Best of luck!

[@kadiry3144]

Hey Chris it's not that painful,but after prp your knee may become swelling and for two days you you may need crutches this is what happened to me but now I'm okay, I think that swelling makes pressure on nerves that's why

[@meanwhome]

Does PRP heal a complex 4mm meniscus tear on medial horn root with full baring weight because the surgeon said too and wants to address the arthritis first

[@JeffreyPengMD]

PRP does not "heal" anything or "repair" anything. It changes the micro-environment of the joint to decrease symptoms.

[@meanwhome]

@@JeffreyPengMD Thank you so much for the clarification , helping me understand the reason for the shot. 🙏🥰

[@noxer88]

@@JeffreyPengMD but it could help in the regenetarion of cartilage, isnt it?

[@anastasiawhite7482]

@@noxer88 no, it doesn’t. It delays cartilage degeneration

[@Jerry-zf3cn]

They could give one group one PRP and two saline injections and give the other group three PRP injections.

[@gerrygizzygarcia2572]

So how many you think are required for herniated discS in the back lower back specifically and is it a permanent or temporary fix

[@JeffreyPengMD]

Unfortunately PRP has not been extensively studied for spinal conditions. You may find this helpful: kzbin.info/www/bejne/lYq9co1ti9lld9U

[@angiefuentes2021]

I got my 1st steroid on my left knee last August much better i feel than before my question is if i have pain which is not worst can i take Predisone your explanations are very clear thank you from Philippines

[@JeffreyPengMD]

Best to discuss with your health care provider, good luck

[@FearOfGeorge]

You mean one injection of low dose PrP vs 3 low prp or 1 high dose Prp vs 3 low dose prp?

[@kelseybrowne148]

New to your videos and finding them helpful! I have my first PRP injection coming up for chronic pes ansirine bursitis. I also had runner’s knee. Is it recommended to have a few areas in same knee injected at once? If the bursae is injected, will it be spread to other areas of knee?

[@JeffreyPengMD]

Thanks for your comment and glad you find the videos useful! It really depends on what's going on in your knees, so you'll want to discuss with your health care provider. With that said, if the PRP is put in the bursa, it stays in the bursa and will not go into other areas of the knee.

[@gloriahesson3691]

Hello Dr. Peng , Can PRP injection be used on my hip ? Thanks

[@JeffreyPengMD]

Depends on the indication, you may find these helpful: kzbin.info/www/bejne/ZqS9dqmshbykbpo kzbin.info/www/bejne/eqOno4CJnZKMa7s

[@vickymcaffer649]

I am 52 and have a degenerative lateral meniscus with mild/moderate arthritis, resulting in continuous pain. I had one prp a year ago and it helped a bit but not enough to be pain-free. My consultant has recommended a course of 3 prp's, which I'm happy to do, but he suggested weekly intervals between prp's and I'm concerned from research, that weekly is too quick for optimum impact. (I've been told surgery isn't recommended). What is your opinion on the timing apart to really get the absolute best benefit?

[@medicinenews4351]

Now how are you and your knee pain

[@susananderson9619]

Both of my knees are bone on bone..My orthopedic mentioned PRP. I got home and researched it. Seems it wont be much good for me ,my knees are too far gone. Am I correct.And i wonder why he even revomended it.

[@BrandonFailsForward]

Did you end up doing it?? That’s the boat I’m in

[@komoldas7830]

Thanks for the information, ( DR: Man oran jan das, d, m,f,).

[@JeffreyPengMD]

Thanks for your comment! You are welcome

[@rickbackous1041]

Can PRP be used for shoulders?

[@carlosreyes6448]

How long after a prp injection, would I feel pain relief in my knee, I have a torn meniscus.

[@JeffreyPengMD]

You may find this helpful: kzbin.info/www/bejne/lWirhpJjjqmZh7s

[@karene9131]

Is there a specific kit that is the best...I’m not sure how to ask the question about concentration when talking to my doctor?

[@JeffreyPengMD]

No consensus kit is "best". Lots of different types of kits though, each with its own pros and cons! I think it should be fair game to ask your doctor why he/she has chosen to use a particular kit.

[@sonakshisharma7105]

Hi Doc, So i got an ACL sprain/tear with a mucoid degeneration of posterior horn medial meniscus along with a Tibiofibular joint arthrosis.The docs that i consulted with first hand had asked me to rest for a couple weeks and take physiotherapy if needed and then see if i feel alright.else we ll discuss arthroscopy. Its been three weeks of rest and physio and even though the shooting pain that made get an MRI have significantly reduced..i feel that it's gotten worse,dk if that's even possible but i could walk properly and everything even though with painbefore i saw the reports and went on complete rest ..now i can't stand longer than 15ins..i feel like my knees just can't stand my weight.. i can't bend the knee while walking..and I'm nt able to walk properly..and even when I'm resting i always this weird sensation..sometimes muscle spasms..sometimes discomfort..sometimes tightness .. and the pain sometimes is in the centre.msometimes near the proximal tibiofibular joint. I'm just 28 and these are early signs of osteoarthritis..since the space seems to be reduced..i want to go back to dancing and Idk if PRPs are right for me and if there are even doctors here in India that are proficient enough. Some people said that it may affect my hormones and shoot my already existing weight issues. Do u have any suggestions?

[@8Olivia8]

I want to have PRP injections into my SI joints. My doctor said he doesn't do this. I need to repair damage by one leg being longer by bad hip replacement. My SI joints are under tremendous stress. Do you know anyone who gives PRP injections to SI joints?

[@JeffreyPengMD]

I would start by asking the orthopedics department at your nearest academic medical center.

[@saidulislam-jr4ox]

Does PRP work with Chondromalacia and some cartilage thinning?

[@JeffreyPengMD]

Yup! That's actually the best studied indication (mild knee osteoarthritis)

[@saidulislam-jr4ox]

@@JeffreyPengMD does PRP re attach the wear and tear of cartilage to the patella and prevent the cartilage from tearing?

[@tutor4519]

hi Doc My father has got one prp injection 3 days ago , he had felt extreme pain for first night and day after the injection. The doctor has suggested us 3 prp injections after every two weeks, but my father felt so much pain , should we /can we delay the second injection and how to avoid extreme pain during the second prp which is scheduled on 13th of this month Would be really thankful if you can give a detailed answer

[@medicinenews4351]

Hallo how was your father knee pain after take PRP injection

[@tutor4519]

@@medicinenews4351 hi There has been slight improvement , but I think after each injection he had to take rest and not walk , because the doctor told us that its like a wound so let it settle then start walking , but my father started walking during the course of injections because he felt like it has recovered

[@tutor4519]

is there any painkiller to be taken for more relief ?

[@tutor4519]

It has decreased slightly

[@medicinenews4351]

@@tutor4519 I am not able to understand what you are saying, please tell me whether I can recover from meniscus tear and what is its treatment?

[@vineettripathi222]

Is Plasma therapy also helpful in rhemutoid arthritis as well.

[@JeffreyPengMD]

Thanks for your question, unfortunately there are very few clinical trials looking to answer this question. So right now, we don't know if PRP can be used in the setting of rheumatoid arthritis.

[@vasudhakandregula]

Hi Doctor, How is your PRPclinical trials on Rheumatoid arthritis!!...

[@julieidowuwuraola9319]

Can my blood plasma be converted to prp knee injection

[@JeffreyPengMD]

Thanks for your comment. Yes -- PRP is made from your own blood!

[@patrickmagtoto1938]

Hi Doc.Do they do it PRP Here in Australia?Thanks for info

[@JeffreyPengMD]

Yes they do!

[@patrickmagtoto1938]

@@JeffreyPengMD thank you Doc.This is Patrick from Down under Melbourne Australia.Your you tube are very educational.Thanks God bless you and always at good health.

[@MaryCosentino-c1y]

Amazing information! Is it possible to have a PRP injection into a knee that has a total knee replacement?

[@jeannettegray2398]

Gret Video Dr. Peng! Do you have experience with PRP with stem cells? Specifically, combining PRP and stem cells to treat knee pain and an MCL tear?

[@JeffreyPengMD]

There is no evidence that combining PRP and stem cells is more effective than PRP alone.

[@celiapartlow6316]

If I had a cortisone injection, how long after this would I need to wait for a prp injection??

[@JeffreyPengMD]

We don't know the best timing. Some doctors will wait 1 month, others want to wait 3 months.

[@user-tg9bd7xf3e]

I would be your patient, but I live 2,000 miles away.

[@alishaniraula7255]

My mother got 3 prp injection but the knee is still hurting even she cannot walk and there is stiffness n swelling in her knee

[@JeffreyPengMD]

Getting 3 injections and noting ZERO relief is pretty rare. Makes me wonder the type of PRP that was used as well as if the injections were done with imaging guidance. As always, please discuss with your healthcare provider. You may find this helpful as well: kzbin.info/www/bejne/hIHVf5ivrZt1rJo

[@wk9378]

From my experience, cord blood plasma is more effective.

[@JeffreyPengMD]

Thanks for your comment. I plan on making a video on that as well, stay tuned!

[@loreleifajardo2430]

I have knee oa level 2. Should i take prp or ha?

[@JeffreyPengMD]

Thanks for your comment. Unfortunately I cannot give medical advice over the internet. Please seek the advice of your trusted health care provider. Best of luck!

[@ikramjarral7829]

Is this also helpfull in last stage of arthritis ?

[@JeffreyPengMD]

PRP has not been extensively studied for the treatment of stage 4 arthritis. With that said, smaller studies have shown benefits to pain reduction and improvements to function. The effects do not seem to last as long as for those with mild to moderate arthritis.

[@daliasmith9557]

How much experience do you have very young not good for me

[@JeffreyPengMD]

For what it's worth... I'm experienced enough to know that the "old school" docs are not keeping up to date with the latest medical literature and clinical trials. I don't have enough experience (and never will) in the sense that I understand there is always more to learn.

[@prathipatirambabu2597]

what is the duration in between 2 injections

[@JeffreyPengMD]

Anywhere between 1 week and 4 weeks. Unfortunately there is not enough data behind this

[@prathipatirambabu2597]

@@JeffreyPengMD thank you

[@stilllearning7981]

Had prp on my wrist 6 weeks ago for a torn tfcc. Feel like it sped up healing and strength. Should I get another and if so when. I have a physicaly demanding job and need to get back to full strength as soon as possible. I'm a 51 year old male. Also what's the chance of me reteraring or hurting the healing process with over use or trying to lift to much to soon?

[@JeffreyPengMD]

Thanks for your comment. Unfortunately I cannot give medical advice over the internet. Please seek the advice of your trusted health care provider. Best of luck!

[@sotthakhunn4531]

❤❤❤

[@meself2149]

@JeffreyPengMD do you recommend for knee oa and torn meniscus both hyaluronic acid and then 6 weeks after get prp should i do both trying to put off knee replacement i am only in my 40s

[@DavidLewis-g3e]

Johnson Donald Hall Edward Lopez Helen

[@raghvendramishra5142]

Tell me breast PRP lift

[@kingkanoworldmedia4389]

You sound like you care more about the insurance company than your patients. One of anything does squat. It will take 3 to 5 per year to stop the damage improve the joint and prevent occurrence Glad you are not my doctor