Top 10 Questions About Platelet Rich Plasma (PRP) Injections

[@anuidiculla3255]

Incredibly informative video. Thanks, Dr. Peng. The fact that you want to help your patients get maximum results and are setting them up for that is amazing! I have an appointment with a Dr. Mathew Wells in FL to review my MRI and discuss PRP injections for knee arthritis. I am excited to potentially take better control of this disease through PRP, physical therapy, diet, sleep, stress reduction, etc. There should be more doctors like you in all medical specialities. Thank you thank you!

[@JeffreyPengMD]

Thanks for your kind words! Best of luck with your treatment

[@anuidiculla3255]

@@JeffreyPengMD thanks Dr. Peng. One follow-up if I may. I want to do some cardio ahead of my appointment (as you suggested). It’s an initial appointment so I probably won’t get the injection at this one. My cartilage damage is under my patella. In terms of biomechanics (I think that’s the right word), what cardio workouts are best for knee cap damage. Is the elliptical okay? I ask because I went on it a couple of times recently and did have some pain for a day or two afterword (the pain was bearable). I’m generally also wanting to stay in good cardiovascular health. Thanks again Dr. Peng!

[@JeffreyPengMD]

Excellent low impact cardio activities include elliptical, swimming, and cycling

[@aaminaa7380]

@JeffreyPengMD Hi , I had an ankle sprain 3 years ago and it has not healed yet. There is ligament thickening - as informed by the provider and he suggested PRP. I am just not sure if that will help. I have tried physical therapy and alternative medicine but it was of not much help. My ankle and calves hurt when i walk fast or walk too much (also i have flat foot) . please do reply.

[@ashleeashlee2078]

There is so much conflicting info on PRP injections to the knee. Understanding every patient is different , I have 2 important questions: in general, 1. what does your experience show to be the best frequency of intervals of shots? and 2. what is the best time period to spin the blood for--or what is the most appropriate amount of the concentration of plasma? Thank you so much for your ultra clear explanations. :))

[@arashjohn]

Hello, comments are helping just as much as the video. Is there any study on Bulged disk?

[@Truthmatters6385]

Just finished week 2 post-prp injection . So far, so good. I really appreciate your videos!

[@evasalcedo9182]

Just did this for my hair. It was sooo painful but it’s crazy when I washed my hair I had WAY less hair fallout than ever before. Hope it works well 🙏🏼 Thank you for the info Dr.

[@TheGuilleantonio82]

Hello 👋, how did this end up working for you since then?

[@slidles7302]

I would also love to hear the results a year after

[@octavioarias5006]

I have read all the questions from the people, and you are an amazing doctor! I have been researching about PRP for my lower back pain, and your videos are great! I just suscribed to your channel! :)

[@JeffreyPengMD]

Thanks so much for your support!

[@aaminaa7380]

@@JeffreyPengMD Hi , I had an ankle sprain 3 years ago and it has not healed yet. There is ligament thickening - as informed by the provider and he suggested PRP. I am just not sure if that will help. I have tried physical therapy and alternative medicine but it was of not much help. My ankle and calves hurt when i walk fast or walk too much (also i have flat foot) . please do reply

[@veronicalendore-skeete6326]

This video is very informative, I did 1 PRP injection on my left knee and it was very painful and my leg froze I couldn't walk it was horrible but after a few hours there was no pain, just discomfort for about 4days.and I have 2more to do, not looking forward to it but it's necessary.

[@squamish4244]

How is your knee now? I have a knee injury from 20 years ago that refuses to go away.

[@GeneTuminelli]

I have had the PRP and I recommend it. I have bone on bone and arthritis in my knees. It WORKS do it im doing the other knees and having my hips done

[@az-1rigel593]

For RA patient, suitable?

[@fnfgnfd]

Great information. Thank you! I wish I would have found this video a few weeks ago! I am having my PRP injection today.

[@AngieMUC]

How are you doing now?

[@mkmahooo9722]

I would be interested too. Doing better now?

[@Furrybrothers01]

Thank you, I will be having this procedure done to me in a few days and your explanation really put me at ease and makes me hopeful that my lower back/lumbar pain will get better

[@JeffreyPengMD]

Thanks for your comment, good luck!

[@lucillelargey4674]

Good luck!!! This is what I am interested in. Peace, Love, and Light 🙏

[@josefinagalera9550]

Do you know how much is the cost f the injections? I need my both knees

[@MusicYoutube-s5u]

Any update? Did prp treatment 100%? thank you

[@chigui08]

​@@josefinagalera9550around 400-500

[@hafriz8746]

My knee has taken alot of abuse. 5 surgeries in all. Acl, mcl, pcl torn. Meniscus torn twice. Infection after operation, septic arthritis. Just before covid, found out hair line can be seen on cartilage. Pain as hell. Few months back, did prp on my knee. Extracted 5 tubes of blood for spinning in centrifuge. Knee feels so much better now. Am only in my 30+.gonna continue for maintenance purposes.

[@bishopruger]

Wow man, that sounds crazy. Great to hear PRP is working for you. If you don't mind, what was the cost of your injections?

[@Michael-kv7uw]

@@bishoprugerabout 800 in all

[@Cybernetic263]

@@bishoprugerI paid 450 per injection

[@moniquemurphy4851]

@@Cybernetic263how many injections?

[@nananoodles4346]

This is so helpful and hopeful. Thank you so much ❤

[@stevensaporito6966]

This channel is great. Thanks for all you do. I know you can't give medical advice here. I have what I think is a rare tendinopathy, it's bilateral calcific insertional triceps tendinopathy. The calcifications are visible on x-ray and MRI confirms fluid in the tendons. The problem goes back several years, I had taken a long layoff from the gym to resolve the left side. When I finally got back into it I only had minor pain. I built up slowly only doing pushups. Eventually starting triceps extensions with only 3 lbs. After many months I graduated up to 10 lbs and out of nowhere was getting pain on my right side, near full extension of the elbow, accompanied by tenderness on the lateral side of the olecranon. I stopped doing the extensions but continued with pushups because there was no real pain. That was 10 months ago. In an attempt to finally resolve this, I laid off pressing exercises altogether for 4 weeks, then did some very light pressing I had no pain but the elbow was irritated a few hours later. So, I seem to be worse off for taking the layoff. I'm scheduled for a PRP shot as I've had 2 opinions that think that's a reasonable option. Neither opinion thinks the calcifications are the issue or should be dealt with directly. So my question is if PRP has any research for insertional tendinopathies? Also, should the calcifications be dealt with could they be the source of the pain?

[@JeffreyPengMD]

Pretty much all the PRP research on tendons is insertional or origin. There are no (that I can think of) studies looking specifically at triceps tendinopathy, but anecdotally, yes it works. Good luck!

[@stevensaporito6966]

@@JeffreyPengMD Thanks!

[@ericalemon9008]

Does this work for the back? I got the impression that it does not. I am grateful for your videos. I am getting my PRP in my right knee next week. My doctor did not tell me any of the information you shared. SHM Im glad I found your channel. Thank you.

[@sophiemolinie9744]

Thank you so much for such a complete comprehensive technique and PRP injections. It answers to all my questions.

[@JeffreyPengMD]

Thanks for taking the time to comment, glad it was helpful!

[@priyankapagarer7738]

If person has early stage of chondramalacia patellaIs if she takes 3 injection shot so is it one time treatment? or it has to be repeated every year ?@@JeffreyPengMD

[@Stewmade64]

I am a 53 year old with severe OA in my subcalcaneal and knee joint. I had 2 PRP in the subcalcaneal joint, 1 PRP on the left knee, and 2 PRP on my right. I have been pain free for 5 years now. Just wish I could find a clinic to inject PRP into my hip. My current regenerative clinic does not have ultrasound or fluoro guidance imaging.

[@Cybernetic263]

How long it took to see results? I’m 2 week of my first Prp I only some improvements

[@Stewmade64]

@@Cybernetic263 I noticed improvements about the 6 week mark. Ask your doctor what and when to start strengthening exercises. That part is super important. No squats or lunges. Buy a foam exercise roll, sit on the ground with the roll under the pocket of your back knee, isolating your thighs & knee, and just extend straightening your knee. No weights, just plain foot lower leg extensions. Eventually ankle weights or a large bag of ice in a pillow case if you don’t have weights, just for the mild resistance. Some people see results in 4 weeks, some 12. It just depends on the extent of knee damage. One knee I had a second injection after seeing no results after 3 months. That second one worked and has not given me problems since my 2019 procedures.

[@Cybernetic263]

@@Stewmade64 im on my 3rd week of my first Prp injection. I will do that exercise thanks brother 🙏

[@Stewmade64]

@@Cybernetic263 wait until you are cleared for exercises from your doctor. I think I was cleared after 6 weeks, but ask your doctor, especially if you don’t have a follow-up appointment scheduled.

[@joostvanherpen3138]

What are the results for PRP-injections in the Flexor Hallucis Longus tendon in the foot?

[@dieseldave2383]

I had PRP injection in my back and I am 90% better after 3 weeks

[@JeffreyPengMD]

Wow, amazing!

[@dieseldave2383]

@@JeffreyPengMD Truly amazing !!! I was very worried about my back.

[@mikea8294]

I just had PRP injections in my back last Friday and it seems like the pain is starting to get better. I have 3 bulging discs and a herniated disc with majority of the pain around L2/L3 and L3/L4. Just out of curiosity, did you have bulging or herniated discs and how are you now? Did you have to receive additional PRP injections?

[@mikea8294]

I have been dealing with constant pain in my lower back on my left side as well as muscle inflammation over the past 20 years, but it got worst this past year. MRIs showed a couple of herniated discs and an annular tear. PT and acupuncture did not seem to help relieve the pain at all. I even had an MIS discectomy, which did not help and may have been made the pain slightly worse. I have started doing softwave therapy, but not sure how much that is helping me so far, but I heard very good things about PRP, so I am still hopeful and optimistic. They even say that combining softwave with PRP can help the body heal and recover faster. Even if PRP/softwave does not help, I am considering DiscSeel as my next option. I am hoping to avoid any additional surgery, such as spinal fusion, at this point.

[@squamish4244]

Please keep us updated, and best of luck! I have a bad lower back too. A stupid job from 20 years ago that I did when I was young and dumb. You know, you're 22, what could possibly go wrong? If I'd have known it would still be messed up two decades later, I would have walked off that job immediately.

[@mikea8294]

@@squamish4244 Have you tried PRP and did you find something that helped you? As for me, I came to the realization that the intense pain I am experiencing is at the L2/L3 level, where I have a slight disc bulge with thecal sac indentation and where I did not have surgery. I am still doing softwave therapy and have my intradiscal PRP injections next week. I am hoping that the combination of both treatments will provide significant pain relief.

[@mikea8294]

@@squamish4244 So how is your back doing these days? Have you found something that helped you? The majority of my pain is at L2/L3, where I have a slight disc bulge with thecal sac indentation. My PRP is scheduled for next week, so I am hoping and praying that I can get some much needed pain relief.

[@squamish4244]

@@mikea8294 Yes. Actually, from the other source of rejuvenation therapy that has actually been shown to work: NAD+ intravenous therapy. Boy does it ever help my back pain. I just can't afford to get it enough. It's $1000/six-hour session. Soon I hope to be able to, as I could before: about once every three months. It's currently been a year.

[@edmoreno6926]

I was disappointed with my PRP treatments, inflammation did dissipate but the OA pain in my knee just came back. 3 months later second treatment and knee pain was worse. I personally had more success with Haurlic Acid injections, specifically Monovisc. I was so optimistic about the about the procedure. Good luck.

[@JeffreyPengMD]

Thanks for your comment and sharing your experience. There's a lot of research (will make a vide on this very soon) on the different types of PRP, specifically looking at platelet counts. It'd be interesting to learn how many platelets you had in your PRP injection (can probably get a rough estimate by how much blood they drew) and correlate that with outcomes. HA injections are still a good option!

[@edmoreno6926]

@@JeffreyPengMD I am 54, very fit. I ran marathons, mud runs, and other competitive type races. I' have done weight training and calisthenics my entire life. I eat a healthy diet. My draw was about 5ml of blood both times. My platelets were over 350 based of my labs. I also was a PT patient for the same issue for over two yrs before trying the gels injections. I tried PRP because of the current information available, as I stated my results were not as positive. Thank you for the response.

[@stef3565]

Hi, I was just reading that you said they obtained about 5ml of your blood. I'm pretty sure that amount is no where near the required. 50cc is the goal! You need a platelet count of at least 10 billion or more.

[@janengelbrecht2305]

How long do you have to wait if you just had a cortisone injection?

[@studentfoevamo]

Excellent job Dr. Platlets all have a vibration that is connected to time and it is great that we are on the right path. Keep up the great work

[@FeliciaGin]

Have you ever done PRP into the TMJ? Please make a video on PRP for TMJ!

[@mirthanvi]

What’s should be the minimum interval between two PRP injections for knee osteoarthritis?

[@LolitaTrinidad-oi8qw]

How much is PRP for OA,n where is your clinic n how much per knee.

[@zauqeens5461]

Hi dr Peng how long we do rest after PRP and should we have to get bed rest for two weeks and what's the reason behind it?

[@luisgalicia4661]

Had PRP for knee OA. All pain is gone. Hope it lasts.

[@josecepeda6194]

So far did it work good ?

[@Cybernetic263]

How long it took you to have good results?

[@zauqeens5461]

Yes it has great benefits

[@mlongoria124]

Curious to know if the peptide BPC-157 and potentially others is jist a synthesized version of whats going on in these "natural" injections

[@sherrykirakosian3300]

Thank you for your explanation

[@bigdaddymex2003]

Another question I’ve seen videos and all the PRP are kind of like clear to yellow. I have not seen anything red my PRP injections today. The fluid was still red so I’m confused.

[@florencewoods2239]

I had injections in rotator cuff tear .Extremely painfull and lasted for a good 48 hrs.Should of had a driver .Couldn’t move my arm for a few days as well .Praying it works.

[@JeffreyPengMD]

Good luck!

[@revo.lution1749]

Well... how's it working for you?

[@rkemmerer1]

Thank you for this information Dr. Peng. Do you have any guidance on single spin vs. Double Spin PRP methods?

[@dondonner1095]

I just watched this again and you are very convincing. I would love to try this therapy but have the following concerns. First of all my Uncle had the treatment on his hip and it did not work at all, I am not sure if he followed the instructions perfectly so am not sure as why it did not work. I also visited a regenexx office in Larkspur and they took xrays and told me it would not work. I assume because of lack of cartilage. Does this make sense to you and how do you diagnose the possibility of it working? Thank You.

[@lululove6175]

I think the pain level while undergoing prp is very much based on technique and experience of provider…..having mine in late October and freaking out about the pain because i am so needle phobic. But i really need this; trying to prevent a fusion.

[@williamkinney2803]

What about curcumin for pain in the preceding 2 weeks?

[@kerimbalaban610]

Could you please make a comparison between stem cell and PRP for back pain? If you have already done that, could you please share the link?

[@djdroogie]

AGREED. My thoughts exactly.

[@hattieucoi91]

Could you please make an video for jumper knee treatment? Thank you so much!

[@JeffreyPengMD]

You may find this helpful: www.jeffreypengmd.com/_files/ugd/3b3e5d_013f301395d64217b5a8c1b0ee0ce3c7.pdf

[@monicanolasco3253]

Wish I had seen this video before my prp injection, it was SO painful no local was used. I have a 50% tear in my patellar tendon so hopefully it works, had it 2 days ago.

[@JeffreyPengMD]

Local anesthetics such as lidocaine has been shown to damage platelets. However, ropivacaine, is much less damaging to platelets and a small amount can be used to make these procedures much more tolerable!

[@specialk4125]

How is your injury now? How long did it take to see any improvement?

[@teresabasson3809]

@@JeffreyPengMD My PRP ortho sports medical doctor was going to use lidocaine for me and I specially requested ropivaciane after reading Dr Peng's view on local anesthetics and he said he actually preferred ropivacaine too.. Thanks Dr Peng.

[@马陆飞]

Hello! Are vitamins and chondriotin glucosamine collagen should be also stopped before taking this prp? Please help!

[@janengelbrecht2305]

Would love to know where this is done in Florida? Thanks for this info

[@Sunintheam8]

I just had this therapy in Jacksonville, FL by the wonderful Dr. John Anderson, a foot and ankle orthopedic doctor. Because UF does a large number of these treatments, the cost was only $500 vs $1500 at other facilities.

[@djdroogie]

+1 vote for this comment "Could you please make a comparison between stem cell and PRP for back pain?"

[@carlenecochran2459]

Can you tell me if this would helpful of Ischial Bursitis? I have it and nothing else has helped including steroid shots.

[@jamiesaari]

Thank you Dr. Peng! 👍😊

[@JeffreyPengMD]

You're welcome 😊

[@tailoredsuits]

Thanks for the great videos. We re considering PRP for an injured knee. Question. I didn’t hear any mention of caffeine but read you should not have any 1-5 days before or after procedure. What are your thoughts ?

[@Cybernetic263]

Can I take curcumin and boswelia after a prp injection I’m two weeks out from my first knee prp injection

[@fadisaadi6945]

Hello Dr. Patel, I‘m from Germany, been suffering from Hyposmia for1.5 now. I would like to get the injections and willing to travel to the USA for this. How can I get an appointment?

[@bethberry320]

Thank you so much for this information! I really respect and appreciate your approach. could you recommend or I can get this treatment in the Austin Texas area?

[@kfighter00]

Does PRP help with protrusion in lumbar disc and cervical stenosis?

[@nathanbruneau1822]

I got PRP injected to my shoulder joint in colombia. They used a shorter needle 1/2"- 1" and in kept in smaller tubes... Like 6 total moving around my shoulder. Is this as effective as one large shot?

[@jodihammer]

Thank you. You said one might need 3 injections into a joint and 1 into tendons to feel results. What about injections into ligaments and/or muscles?

[@JeffreyPengMD]

Thanks for your question, these are all "in general" and of course needs to be individualized. There are less studies for ligaments and muscles. We lump them into the tendon category of most of the time needing just 1.

[@mohamedsaeed1938]

Thanks for the content , after Prp injection in my knee , it becomes swollen , with pain 12 hours after injection which lasts for three days , also i felt sometimes locking in my knees don’t know why !! May be because of the volume !! Anyway after the fourth day my knee movement returns back to normal without locking . Any explanation for these symptoms !! Is it indication that the injection in right place ?? Can it help for meniscus tear ? Theoretically it has huge amount of growth factors , can this induce cartilage or chondrocyte to regenerate the cartilage ?? Thanks

[@farzane2606]

Thank you so much ...very useful information

[@JeffreyPengMD]

You're welcome! Glad you found it useful

[@Maliniaq2]

Do you also perform alar ligament injections through the mouth for CCI patients or is it too complicated for you doctor?

[@jyotiprakashchowdhury7252]

The related therapy rekindles the hope of a pathbreaking technology to a lasting relief from a crippling health condition plagueing a very large no. of populafion.All glory to Dr. Zeng! Is this facility available in India?

[@JeffreyPengMD]

PRP is most definitely available in India

[@straxxxxxx]

Dear Dr Peng. Would you rather suggest activated or non-activated PRP for osteoarthritis? What is the expected consequence if activated, resp. non-activated PRP is used? Thank you so much for your videos.

[@user-vc9or5uc4x]

Does PRP work on a low grade tear in the elbow?

[@steveroberson1488]

Dr Peng are there any current trial studies where I can participate w/o the great expense of these procedures ?

[@MathbyteacherAzhar]

Hello Doctor.. Four days ago, I underwent plasma prp in my shoulder because I suffer from inflammation, calcification, and an occasional tear in the tendon. Now the pain has improved greatly, but I cannot move my arm. Should I try to move it and do a light exercise for it to regain its movement, or should I wait another period? Please answer. Thank you.

[@AntonLjucovic]

Hello. I see you comment this 11 months ago.i'm intrested how are you now. Is your sholder free from pain and can you do everything with it?

[@riccardodepaoli8871]

This is new to you but my doctor has been doing it for 10 years

[@JeffreyPengMD]

10 years is very new in medicine!! For whatever reason (of which there are many), it takes incredible effort to get new things approved in health care. Thanks for your comment.

[@charletjeanbaptiste]

Hello Mr Peng ,thanks for the informative video.I got a PRP treatment on my knee for osteoarthritis and a week after it swallowed and got very painful no major incident I just used a strong pain relief cream with camphor ,chondrotine and collagen is that could be the reason of the sudden swallow and strong pain ?I m 10 days from the shot now the swallowing is slowly less so is the pain but still very painful can t walk properly ...will this affect the platelets ? have a good day thank you .

[@JeffreyPengMD]

This is something that needs to be discussed with your healthcare provider. Good luck!

[@simo-dv5xk]

Do ligaments in the cervical neck generally respond well to PRP injections?

[@Cfgirl1980]

Very informative thanks

[@JeffreyPengMD]

Glad it was helpful!

[@tugbadogan7014]

Hello i couldn't find anything but ı have a disease called fmf so it is an autoimmune disease can i apply prp ?

[@sanaz7361]

Does PRP have effect on meniscus tear and degeneration? How many shots is recommended by what timeline?

[@bhavnasood8231]

Great information..thanks....I have taken two prp sessions combined with dextrose injections.for my rotator cuff shoulder partial tear..in india...going to have third and last session after two days....i can still feel the pain but hopeful to get better after few more wks ...

[@JeffreyPengMD]

Good luck!

[@newts1964]

Has it helped

[@snoopylau1]

Thanks for this and other video. Dr Penguin, do you know why insurance is still no covering the cost of PRP injection if there are data showing benefit ? I have knee pain after ACL and menisus operations 25 and 5 years ago. So am scheduling to do PRP injection shortly. Thanks again.

[@dr.UsamaPT]

Dr. Peng i have a question ❓ can I physical therapist give PrP therapy?

[@ReponMiah01]

How PRP Works in the pain of secondary osteoarthritis in gorali joint

[@JeffreyPengMD]

Hi thanks for your comment, I'm actually not sure what a gorali joint is!

[@ReponMiah01]

@@JeffreyPengMD How PRP Works in the Pain of secondary osteoarthritis in the ankle joint

[@zahiedabayat6340]

Hi.It seems the prp has helped my knee.I don't have much pain,but the knee /arthritic is so swollen and it is hindering my walking a great deal.What now Dr.Peng?Please advice.

[@simonefongkong134]

This Thursday is 4 weeks since my prp to shoulder and knees. Can I ice or heat? Also can I start hiking inclines?

[@dr.shamsuddinmohammadi7001]

Hello doctor, in which part of the spine is PRP applied, thank you in advance

[@JeffreyPengMD]

Depends on the indication! I've heard of spine docs putting it intra-discal, facet joints, foramina, etc.

[@gayathriramakrishnan4627]

This prp injection is worked for hearing loss and tinnitus?

[@samiahtariq1930]

My orthopedic specialist advised me that PRP may lend up having bacterial infection and that will worsen the matter as one will need operations to remove the bacteria infested knee. Moreover he said if this happens it will worsen the knee condition. He advised not to do PRP but have knee replacement. Please advise doctor

[@JesusRod-]

do u do platelet lysate at ur office? Its the better than PRP i heard

[@alaanialaani5105]

Great video. Thanks a lot

[@JeffreyPengMD]

Glad you liked it!

[@gwenwelch7593]

Is arthrofibrosis/ capsulitis a contraindication to PRP? I have post op decreased ankle ROM after ankle surgery and some pinching symptoms. (Primary surgery was debribement of scar tissue and removal of bone spur)

[@AntonLjucovic]

I had a acp max injected in wrist joint 4 weeks aho and i am still recovering and still can not move with my hand. I can but it hurts

[@ronvanhereweghe764]

Can PRP injections work for neck injuries?

[@tracyblack1509]

If you had a patient with both knees with arthritis/ started off as a meniscus injury (over use, jogging) would you encourage that patient, or discourage that patient from having both knees done at the same time? New subscriber, looking into this procedure. Thank you

[@electricalandelectronicsla5002]

How much it is affective for acne scars removal?

[@ngoc-anhnguyen9891]

I was diagnosed with osteoarthritis caused by hip dysplasia. The pain has rapidly increased day by day. I really need to buy some time before I have my THR since my wife is 6 months pregnant. Can PRP injection delay the day I need to have THR?

[@geode232]

Is Longvida curcumin 400mg the same pathway as nsaids - will it inhibit platelet counts? Same question for Boswellia extract 350mg? Thanks for any help!

[@EstherZafrani]

Dr. Thanks so much for all the info . My question is do they add any synthetic things to the blood before they inject it or it’s all my blood ? TIA

[@saharothman6322]

Dr. Peng, thank you for the excellent information. Is it allowed to drink coffee and tea after the prp treatment?

[@JeffreyPengMD]

Yup

[@jeremylicop998]

Is PRP effective on Gout?

[@hakansarikus103]

Thank you...

[@robbayuk]

Excellent video, and appreciate the detail. I continue to get the "no data" response from doctors I'm seeing (and doctor friends) re: PRP, and it seems by your analysis there is a quite a bit of data. I'm considering it for a pesky, ongoing (+8 months) either brachioradialis strain or bicep tendonitis (two docs, two assessments). It continues to be irritated by select weight-lifting and other bicep pulling motions.

[@JeffreyPengMD]

To be fair, there is not much data for PRP specifically for what you're describing, possibly distal biceps tendinopathy

[@zaheer25]

This is the first video I've come across that really gets to the questions I have. Thank you for cutting the BS and just getting to the point. One question I do still have though, I have two completely torn ligaments in my left ankle (ATFL and CFL) so my ankle is pretty unstable. I'm running fine on it but I easily roll my ankle on trail runs even with a brace. This happened in Feb 2019. Does the 3.5 year gap matter or would I still be a candidate for this treatment? Thanks!

[@JeffreyPengMD]

Unfortunately PRP has not been studied for ligament tears. We do it a lot for UCL problems in the elbow, but results have been mixed. Using PRP for ankle ligament issues would still be considered highly experimental, regardless of when the injury occurred. Best to discuss with your health care provider. Good luck!

[@zaheer25]

@@JeffreyPengMD thanks for the quick reply. I'll book a consult locally

[@JJDon5150]

@@JeffreyPengMD I'm having a consultation with a specialist regarding PRP or other injections for relief in my elbow where I had a UCL tear a year ago. After the initial tear, 3 months of physical therapy helped me regain use of my arm, and then a few months after that it felt pretty good. But its been degrading a bit the last few months. Are there alternatives to PRP for the UCL for pain relief and recovery?

[@mariavenegas6105]

Great information. 4 years ago I had 3 doctors who told me I needed surgery for the rotatory cuff. I found and alternative Bio energetic Dr. I had various injections (7 sessions) PRP injections for my shoulder and I'm 90 % cured. Now I have a meniscus tear in my right knee. I have app with another Dr that also uses PRP. (the previous had retired) I hope I will have the same results as my shoulder. I know at least 5 people that had knee arthroscopy surgery and was not successful. They are in pain and still going to physiotherapy. Thanks Dr Peng I just subscribe to your excelent videos.

[@JeffreyPengMD]

Thanks for sharing your experiences, good luck!

[@sanaz7361]

Hi, I have the same problem as yours and did prp injection for meniscus tear in knee. Could you please share your experience and result in knee prp? Thanks

[@binadhakan6023]

Hello have taken ultra sound guided inj in my shoulder for bursitis last week and i have tennis elbow so can take prp injections in elbow please advice

[@JeffreyPengMD]

Thanks for your comment. I'm guessing you are saying you had a cortisone injection for your shoulder and are now asking if you can get a PRP injection in your elbow. This is tricky and you'll need to discuss optimal timing with your health care provider. Some doctors will go ahead and do it. Some will wait 1 month. Some will wait 3 months. Unfortunately, there are no studies looking at "best timing". Best of luck

[@ervianfajarkusuma6548]

Thank you Dr, 🇮🇩

[@LEVEL2FIT]

Has anyone used it for neck pain (arthritis)?

[@ceciliac6887]

Is it a good idea to eat beef liver before PRP injection for knee?

[@wazzabanzook5028]

my ortho suggested prp for my shoulder, I have bursitis and 2 small tears. tried cortisone injection but did nothing other than ruin my diabetes control for a while

[@JeffreyPengMD]

Sorry to hear about the pain. PRP for shoulder pain is definitely an option if cortisone and physical therapy / home exercise program doesn't help! kzbin.info/www/bejne/iJutiK1ji8SFf7M

[@jentang4830]

@jefferypengmd Hi Doctor, do I need to stop anti inflammatory supplement too like MSM, fish oil, and cucurmin before and post PRP?

[@zahiedabayat6340]

Hi.I had prp on my knee,but suffering from so much pain lately.Is this normal?How long does it take to work after all the 3 injections?Help.

[@newts1964]

Has it helped yet

[@johnbrennan9778]

This video is very helpful but the part about preparing for your prp begs a new question. If we rid ourselves of Tylenol, Motrin and eat tons of fruits and vegetables, would that help osteoarthritis in all our joints overall? Or are some joints just stubborn?

[@JeffreyPengMD]

Lifestyle has a HUGE impact on osteoarthritis flare ups. But once you have arthritis, modifying your lifestyle will not regrow cartilage and get you a new knee. PRP can help treat the internal environment of the knee to protect the cartilage that is remaining.

[@guitarlover889]

Hi , Thankyou for your video , very helpful . I,ve had a few prp injections for my knee now over the past 2 years and all were a nice yellow colour but my last one was Rose red in colour , my doctor said it is ok but Now i,m a bit curious , is the Red PRP as good as the Yellow ?

[@epicham08]

Hi. My PRP was also a bit pinkish and the doctor said it was okay. How are you now?

[@milanpatel1693]

celebrex doesn't affect thromboxane a2, resulting in sparing platelets.

[@Monty1996]

I have developed tendinosis in my extensor carpi ulnaris tendon in both of my wrists due to an old Factory job that required repetitive movement and the tendons just didn't heal properly. How helpful would PRP be in my situation in your opinion? I have undergone occupational therapy on and off for the past year now, and I'm not seeing the results I want.

[@yaraacevedomiranda3903]

Can I have PRP in my spine and left hip?

[@profdrroshanaraqazi8243]

Thanks a lot Dr Peng for this excellent information. I want to know that for stage 3 knee osteoarthritis Hyaluronic acid injection is better or PRP? I’m afraid of all the invasive procedures on my knees. Kindly reply. Regards

[@JeffreyPengMD]

PRP seems to be better than HA for osteoarthritis