PRP Aftercare Instructions and Recovery Protocol

[@BarbaraBiasotti-f9e]

Your presentations are so scientific and methodical and I have learned so much valuable information from you. Thank you for sharing your vast knowledge about PRP! Is there a regional listing somewhere of the sports medicine doctors or other specialist who provide PRP treatments for thumb arthritis?

[@kevinswaney5875]

Another great video, thank you. Without a doubt the best medical videos on KZbin.

[@JeffreyPengMD]

Thanks for your support and comment!

[@miked319]

Love your content! I had PRP in my hip and my Dr. sent me on my way, no protocol, no do's & don't's just "take it easy for the next few days", I know there's more to it! Thanks

[@anuradha20725]

Cost of prp injection pls??

[@RajKumar-ol7xn]

Respect from India , m a physical therapist and I completely agree wat doc says

[@JeffreyPengMD]

Awesome!

[@lulucatlovers6760]

​@@JeffreyPengMDwhy transversa myelitis doctor?

[@shawnswarm3409]

@@JeffreyPengMDmy son received a PRP injection 1 1/2 weeks ago. He is scheduled for a tonsillectomy exactly 2 weeks after he received the PRP Treatment. Could having the surgery diminish the effect of the PRP? Could the pain medication they give him effect it as well?

[@CourtsInPorts]

This is infinitely valuable. Thank you for sharing! Sorry if I missed it, is there a platelet count you recommend for golfers/tennis elbow (tendon) vs the 5-10B arthritis count?

[@JeffreyPengMD]

Thanks for your comment! Ideal platelet count hasn't been studied for tennis/golfer's elbow, though I would still recommend a 50-60cc blood draw to get 8-10 billion platelets.

[@CourtsInPorts]

@@JeffreyPengMD Thanks so much for the reply, keep up the great work!

[@86309]

WRT efficacy of the PRP injection - what about post op and pre injection, I was given a NSAID after meniscus surgery,(same procedure still on operating table) and right before the injection of PRP. My blood draw was Prior to the NSAIDs, so the shot was given at the end of the operation , so my NSAID clean PRP injection blood was then injected into my knee and the Tramodol was given IV. the NSAID application was NOT supposed to happen...the team just dropped the ball. there was lots of briefing to the Surgeon Dr. Anesthesiologist and the nurse . they just dropped the ball on the NSAID administration. What does this do or might do to the efficacy of the PRP shot?

[@ntnsty]

“Some soreness”?! My shoulder killed me for a full month after PRP. Now two months later, still painful and very limited. I’m treating it right, no pain killers whatsoever. But let me tell you, if this doesn’t fix my torn supraspinatus, no way I’m doing this again. No fricking way. I’ll prefer surgery, rehab and get back with my life. This has been just as painful and slow to recover as labrum tear surgery on my other shoulder, and insurance covered it. Frustrated.

[@theredbarron1850]

Hi, I have learned a lot from watching your videos. I am having a PRP injection into my knee because i have meniscus tears and arthritis and wondered do you recommend wearing a brace after the injection? Should I use crutches for the first couple of weeks? I have read several reviews that said don't use heat or ice for the first few days. Your thoughts? Thanks so much!

[@JeffreyPengMD]

I have not found bracing nor crutches to be necessary. My preference right now is heat rather than ice.

[@chandninaithani]

I just got my PRP injection for tennis elbow, and the pain is excruciating. I’m not able to tolerate the pain. I I am a dancer and I have have some commitments due to which I need to start my rehearsals tomorrow, is there anything that you can suggest to deal with this pain?

[@Gunshow0]

damn it!- no one told me any of this, stupidly had a Anti Inflammatory an hour before - probably wont do anything now, $500 wasted plus the day after my golfers elbow is killing me @Jeffery Peng MD

[@thanminhhung]

Hi Dr Peng, what are your thoughts on PRP for TFCC injuries? Is it ok to take collagen supplement after PRP injection?

[@gtford2452]

Are PRP results visible on an xray? If so, how long after treatment before being visible?

[@CandyBarnes-t8g]

Walker Helen Taylor Donald Jackson Ruth

[@SharonBellamy-k9n]

Thank you Doctor Jeff, I’m getting ready to get a PRP injection and your video was very informative.

[@danielpullmann]

Hello, I am after my 2nd PRP to the knee. I am a fitness guy, and doctor told me that after 3 days, i can exercise anything except legs. I have some pain after i did stretching including being on the knees, does it mean, healing process of the first 2 injections is lost, or It my knee is just irritated ? ... I am guessing if I can go to the gym and do the exercices while sitting or should I stop gym at all for whole healing process. Gym is very important to me, but dont want to destroy the healing process ... What do you recommend ? Doctor set healing plan 5 injections and break between them is 7-14 days

[@bethanywhitson2422]

Do patients need to stop supplements, such as turmeric (curcumin) when receiving these injections as well? Since it works like NSAIDs

[@ReadbyRita]

I took two advil by mistake. I wasn’t instructed correctly 😫

[@terencesaw2923]

Thanks Dr Peng for sharing information on PRP injections. I had PRP injections yesterday to my elbow for tennis's and golfer's elbows and my back spine C4,5 & 6. May I know if normal activities such as brushing teeth, washing dishes, washing hair and driving interfere in the healing process? or should I stop all movements to my arm? Your advise is most valuable

[@rielbertrand8255]

Just got my tennis elbow done and the pain is brutal. How did your recovery go? Thank you.

[@sherrytucker016]

This protocol was not good for me because all of that time being so careful about bending my knee, I lost a lot of range of motion

[@NeithDollhouse]

Thanks for the videos Dr. Jeffrey! I had a whiplash injury about 6 years ago that was undiagnosed at the time, and its been slowly getting worse especially this year. I have gone through 5 treatments of Prolotherapy injected into my cervical spine with slight improvement, and about 3 weeks ago a PRP session with my same provider. I have also had a DMX scan that revealed alot of loose tendons in my neck causing my upper cervical Atlus/Axis to be moving too much and banging/pushing into my vagus nerve among other things giving me continual feelings of dizziness, pinch, lethargy down my arms/hands/legs, difficulty swallowing, brain fog etc etc. I am hoping the PRP helps, I feel a little better than I did 6 months ago, going from bad daily neck pinches where I would need to lay down, to now feeling more of a constant low-grade pinch, not sure if that is better or not. I was going to give this PRP a full 2 months and not do any more injections for a while and go on a very anti-inflammatory diet and routine to see if my neck has healed up and get rid of this chronic inflammation I seem to have. Would love any advice or opinions, at this point I'll try anything, the daily dizziness, numbness, lethargy and such are so tiring, I'm constantly exhausted!!

[@kunaldogra5026]

can prp help in L345 disc bulge ۔۔۔pinching nerves

[@gcea123]

Very helpful information. Thank you. I'm going to have 3 injections for my hip arthritis, one week apart. Do I count the phases from after the third injection ?

[@rajeshKumar-dr2zo]

Hi Jeff , Can you please suggest if we can continue taken collagen supplements post PRP INJECTION

[@MzawywoFaqeuo]

Hernandez Jennifer Rodriguez Edward Clark Helen

[@anuradha20725]

Pain after prp is it in the injection place r injury place? Pls tell me any one because this is the 5th week of my minimal femur surgery of my knee😢

[@rajeshKumar-dr2zo]

Hi Jeff , Thanks so much for the video. Can you please suggest if we can continue taken collagen supplements post PRP INJECTION

[@KathrynDorsey-y9v]

Dr. Peng, thank you for your very informative presentation. I appreciate how thorough you are and especially how you broke down the various phases. Thank you again and I'll continue to watch for additional videos from you.

[@ObvStar48]

I was informed 2 PRP injections a week apart from one another was the best course of action for my 50% UCL tear. Are consecutive injections normally that close to one another?

[@JeffreyPengMD]

Each physician has his/her own favorite protocol. There is no consensus yet on what the "best" protocol is.

[@pamho5801]

Hi, thank you for taking the time to make these videos. I have been watching you all week. I just had a PRP injection in my rotator for bursitis & tendinitis & shoulder impingement syndrome. I was surprised when I saw that my injection was red. I wish I did more homework on it. My Dr used a PEAK kit. From what I read online, it looks old and out of date. Do you know of this brand?Did I just waste $1200.00? Wish your office was near me.

[@JeffreyPengMD]

Just looked up the PEAK kit, it's got 30 and 60 cc versions, those are good volumes. I typically use a 60 cc blood draw for the shoulder. When doing tendons, you actually want a "leukocyte rich" protocol which turns the PRP a red color. So what you're describing sounds right on! Good luck!

[@pamho5801]

@@JeffreyPengMD Thank you so much for your reply. I really appreciate it. It will be a week Friday. My shoulder is still pretty soar from the injections. I’m taking that as a good sign!😀

[@jerrycook3273]

Hi pick your brain i had 3 prp injections a year ago i have scheduled 3 more for bone on bone hip throughout the the year i do ellipitical machine walking 10 mins i suat my own body weight for 2mins i do hip raises for 1 min and side leg lateral raises 36 reps each leg i do this 6 days a week i function in high 90% yes i have discomfort from long days at work .my question is (should i refrain from this activity or continue i work out 6 days a week i am fit & strong i take supplements tumeriac boswella ginger etc plenty of water. Thsnks love your input

[@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!

[@donskelton7298]

What about doing both PRP and HA injections into the knees?

[@c.v.gonzalez1940]

Thank you fir such a detailed video, I appreciate it. I have my first PRP tomorrow on my right knee for tendonitis.

[@maliik___wood6067]

How were your results?

[@ginacorefit]

I had tennis elbow for 5 months then I tore the tendon. At this point I decided on PRP. Very painful for 2 days. On the 3rd day I felt good, so I decided on a light jog.(I am a runner) Weird, I actually rolled my ankle! I started to walk on it felt better than I started to jog again. But this time I rolled the same ankle and fell! Now I am nursing a twisted ankle and elbow! I have never done that before on the same road I run everyday! My doctor only recommendto rest for a week. I should of watched this video first! Thank you

[@marktarascio4766]

If you tore a tendon and did not repair it will never heal on its own !

[@girishbhardwaj1441]

It’s been 3 months since my last injection and I’ve been regularly doing my strengthening exercises but the pain in my muscles comes up every other two days. Please reply.

[@mariakhan1536]

Hey how do you feel now? Kindly reply

[@lesiageni2909]

What if a person is on low dose daily (because of heart disease) aspirin because of heart disease? Is there still platelets to work with per injection and after?

[@JeffreyPengMD]

Low dose aspirin has been shown to negate the effects of PRP. Unfortunately, patients on anti-platelet therapy for ischemic heart disease or stroke may not be candidates for PRP injections.

[@GluedBarstool]

@@JeffreyPengMD why is hydrocodone allowed? My doctor gave me hydrocodone script after my prp and said it will be fine to take

[@pranaviallavarapu1088]

Thanks for sharing the information Dr. Jeffrey! I have been having pain with my heel since 1.5 years and got to know that this is due to overuse(heavy cardio) of my heel which caused Achilles tendinopathy with rectocalcaneal heal bursitis. I have taken a prp injection now and it’s my third week. I still cannot walk properly as I could. There is always a stiffness with my tendon after I do a little walk. Do you think that I should wait for the results and is this common?

[@tammysmith6252]

I have my PRP procedure tomorrow , bilateral. I feel well informed. Thank you Dr Peng. One question. How do you feel about applying Arnica to the injection site? I'm trying not to take any oral medications.

[@rajeshKumar-dr2zo]

Hi Jeff , Can you please suggest if we can continue taken collagen supplements post PRP INJECTION

[@Andreggs-v7k]

My doctor didn't recommend physical therapy. I did it on my shoulder , even though I had multiple therapy sessions before injection so I basically know all exercises but I wonder why some recommend and some don't...

[@titikyuniarti1395]

Thanks for all the information doc. I wanna ask, do you think PRP will works in SCI patients ?

[@JeffreyPengMD]

SCI = spinal cord injury? Unfortunately PRP has not been studied for that.

[@dadanmauluddin]

Thanks Dr Peng, after PRP I take 25OHD3 and Boron as ussual is it okay? and I not feel so many pain in day 2 after injection is it okay? I take PRP for OA grade 2

[@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!

[@weehiongbek7742]

Can I take arcoxia after prp

[@rajeshKumar-dr2zo]

Hi Jeff , Thanks alot for the video Can you please suggest if we can continue taken collagen supplements post PRP INJECTION

[@concretehoustonpro]

Thanks Dr Jeff for taking the time to post these videos and reply to all the comments . I find all your videos on PRP very helpful and think regenerative medicine has a very promising future. This last video answered a lot of my questions.

[@JeffreyPengMD]

You're very welcome, thanks for your support!

[@jerichopuri3774]

@@JeffreyPengMD Dr. Any exercises for prostate

[@nizamshariff1984]

Great info, thank you

[@BMerinoC3]

Thank you Dr Peng! Such great video for first timers like me. Today I got knee prp in both knees because of patellar tendonitis. I love going to the gym but I got tendonitis while hiking a mountain. It’s been so frustrating because I can’t workout like I used to. My question is: does it affect if I walked after my prp shots because I don’t have a car and I had to take public transportation 😞 thank you. Greeting from 🇵🇪

[@JeffreyPengMD]

This is something that you'll want to discuss with your healthcare provider. Walking after PRP is generally okay, but really depends on the site of the injection. Good luck!

[@paynter3420]

Was your injection into your patellar tendon directly? If so, how was the pain of the procedure. Mine is in the next weeks. Thanks!

[@BMerinoC3]

@@paynter3420 I believe so, because it was right in the center of my knee. I had no pain during the procedure but I felt a little pain after because my knee got a little bit swollen and I had to walk to take a bus. You will be recovered but it might take time, just be patient. I have been able to lift again and do functional training like I used to.

[@royhall9069]

I see often how long I would need to be off of Eliquis before PRP, but how long do I need to stay off Eliquis after PRP? Concerned about stroke risk when off my Eliquis. Thanks!

[@lesiageni2909]

When can a PRP patient have Accupunture treatment post PRP injection?

[@JeffreyPengMD]

This is something that should be individualized and discussed with your healthcare provider.

[@paleface1911]

Hey Doc! I had my first prp a week ago on the QL ( Quadratus Lumborum ) muscle due to MPS , I heard that a patient should not consume fish oil and herbs that are anti inflammatory, is that true ?

[@harryvanderlans384]

I did get an prp injection in Davao Philippijnes. It was my second after 1 month thr first. I have an bot on both hip without cartilige. But the injections coult only be done with 20ml blood. They also could not do a double spin. They have not the best prp protocol and of course there was even not place for a bigger amount of blood in the hip. So in fact in three sessions they reach the 60 ml dosis. After first injection i did feel alreddy better, the pain is less than before minus 20 procent. The finally result is not sure becouse of bot on bot situation.

[@TheRMcghee]

I'm having a meniscus tear repaired tomorrow 12/20 when should I get PRP?

[@sonnyvirk6084]

I messed up the first prp injection I went hard because I’m used to heavy lifting but my shoulder started getting worse so I got another prp n now I’m going to take it slow

[@ThiyagarajanMurugan-pl7dw]

Hi sir,i had ankle sprain grade2(there are three ligament like atfl,tibio talar,tibio navicular).now 6 weeks completed but didn't improve my ankle mobility, swelling and pain.now will i take prp injuction is possible for my ankle ligament healing sir

[@essj3334]

I'm getting my PRP treatment for hair growth tomorrow. Thanks for the tips

[@nickdemonte8695]

Hello Dottor Peng , I'm a bodybuilder and I'm having 3 PRP sessions inside the acromion-clavicular joint due to pain that was causing me limitations in training, in the gym, in those movements that put the most stress on this small joint (in the MRI the report speaks of acromioclavicular arthrosis). Please,I would like to understand when I will be able to perform pushing exercises with weights above my head again (such as the military press) or the inclined bench again ?

[@thenomadicDR]

would you recommend methylsalicylate/LMS cream or patch post injection?

[@michelelena6851]

thoughts on protocol for plantar fascia tear 50 percent? how long to immobilize? and bike with boot or just a regular athletic shoe days 7-14?

[@lilybarretto2389]

Hey Doctor, would you recommend acupuncture as part of recovery program after PRP for chronic heel pain. Thank you!!

[@michaelbeard5]

in japan a shot is 600 dollars out of pockets. Also my office nurse said 80 percent show no improvement (maybe because my problem is groin)

[@ryanskokoanf]

Have you ever heard of someone being inflamed long after the first 2 weeks? Im at 6 weeks in tendon injections and I am still very inflamed and I cant really progress any rehab because of it.

[@5picyVeg]

would daily drops of white willow and gingerols produce antiinflammatory effects that interfere with the efficacy of PRP healing?

[@bettymoreno1332]

Thank you doctor!!!! This morning a had a PRP inyection. (left hip) Very valuable information!❤

[@matthewstall3902]

how did it go?

[@drbell26]

I wish I could have liked this video more than once. Great info. Would you advise your patient with knee O.A. to wait on P.T. for 2 weeks or 6?

[@JeffreyPengMD]

Thanks for your support! Most patients can start gentle PT on week 2. I give my patients my preferred PRP rehab program to take to their PT office as most physical therapists don't know how to approach post PRP injection cases.

[@mosellelelandbohorquez5162]

My pain doctor did my infection and didn't give me any instructions. I am now wishing I had gone to a sports medicine doctor or orthopedist. Would you be so kind as to share your PT instructions so I can give them to my PT this week?

[@sanjaydahiya9709]

Dr Jeffery very informative videos…. What’s the best way to give heat to joints after PRP injection

[@JeffreyPengMD]

Any heat pack that can wrap around the entirety of the knee would work

[@NancylynnMaineMadesoaps]

I had my hip PRP done two days ago. Because I have back issues it's hard for me to stay in bed. I get up every hour and take a very slow walk around my house. I hope this doesn't ruin my PRP?

[@yassinenyab]

Thanks Dr Jeff for taking the time to post these videos and reply to all people making comments . I have a question please : Can PRP injections heal mucoid degeneration of the meniscus ?

[@JeffreyPengMD]

PRP has not been shown to heal the meniscus. However, most meniscus tears are degenerative in nature and are due to underlying arthritis. And PRP can help treat underlying arthritis! More info here: kzbin.info/www/bejne/np62pH2dpcxjac0

[@yassinenyab]

@@JeffreyPengMD Thank you for you quick response. I wish you plenty of succes

[@batman-sr2px]

@@JeffreyPengMD what about superior labrum and labrum pathologies.

[@ThomasTGH]

Thank you so much for these videos! Is Tumeric/Curcumin supplementation okay to help with pain or can it also inhibit the healing process?

[@JeffreyPengMD]

Turmeric / Curcumin should in theory be fine but if you want to be really safe, you may want to hold it for 1-2 weeks after PRP. kzbin.info/www/bejne/eGW6l2hjgJqDo68

[@randyhorne1367]

Very helpful video ! I am generally healthy 66 years old and had a (yellow) PRP injection 3 weeks ago for golfers elbow and I still have muted pain (3 out of 10) during extension. I am doing AROM and light stretching per your guidance. Should I hold off on more aggressive stretching and weight training until pain subsides ?

[@JeffreyPengMD]

In general, PRP injections for soft tissue take 6 weeks to take effect. Sounds like it's still early for you

[@erikabeca852]

My partner had lower back prp injections month ago and is now supposed to do excercises, next doc visit is after another month. But the pain hasn't gone anywhere and now he cant even stretch, the pain is different now and feels like he will snap his back or loose feeling in his leg if he stretches a bit more. Is that common during recocery?

[@susievidal4134]

Doctor i have bursitis and i was getting better than had a setback and now im wondering what i need to do at the 4 week mark? I havent started any PT and if i need another injection what kind of doctor should i see a Orthopedic doctor or Physio doctor? My doctor never used ultrasound for any of my injections and told me to start PT right away but my PT is not familiar with PRP injections and what you should do after getting one

[@Jaji1948]

Can you recommend a doctor who does PRP injections properly?

[@davidvondersmith7957]

Would tramadol diminish the efficacy of a PRP injection?

[@djlarrypee2491]

Hi Doc after 1 week of PRP can i drink alcohol for socialization ?? Tia 🙂🙏🏻

[@ingrida.r.1533]

My bedroom is upstairs and I will be stuck for a few days upstairs ; but how do I get upstairs after my PRP injection which is in l0 days, without hurting my knee

[@kembangsari1]

thanks Dr, can I eat suppliment such as boswellia or tumeric or cumin after the injection?

[@tungdiep2832]

Dr Peng thanks for excellent series of video on prp and other similar OA treatments. I have a question and wonder if you could shed some insight. If we have a patient who undertakes 75mg of plavix daily (blood thinning agent) for his heart condition, he could potentially stop taking plavix 1 week prior to the prp injection; but how long post injection would he potentially need to wait before resuming plavix? Of course he would consult his heart doctor as well.

[@fioncruz3536]

@Dr Jeffery Peng, very informative video. Would like to know if it's possible to have two injections on the same day TROPOCELLS PRP 22 ML and Monovisc-sodium hyaluronate 22 ML ?

[@JeffreyPengMD]

I haven't heard of the Tropocells PRP system. A quick review of their manufacturer site shows they use only 11 cc of blood. I will be making a new video on how many platelets are required for successful outcomes. It seems you need about 5-10 billion platelets per PRP injection. There's no way 11 cc of blood will get you this amount of platelets. Generally, you need >50cc of blood to achieve this. This video goes into whether you want to combine PRP and HA: kzbin.info/www/bejne/n3yWq4d8h7mtqaM

[@fioncruz3536]

@@JeffreyPengMD Thank you for your prompt reply your related links! 1) My receipt is Monovisc 22 mg/ml pre- filled syringe 4 m. My prescription is Monovisc (Sodium hyaluronate 22 mg/ml ) injection 2 milliliter. Are they the same ? Procedure-injection1, tendon sheath/ligament aponeurosis 2) Tropocells PRP using 22 ml, is it enough for platelets activation n healing process of my knees osteoarthritis? Sorry to bother you again n looking foward to your reply. Thank you !

[@maxrey4055]

Several doctors and ortho clinics are not recommending heat or ice for the first 3 days and some are. This is confusing

[@thomask8884]

How about icing for pain and swelling day 0. -7

[@cjchikuni6022]

Amazing informative videos. How long do you recommend to stay away from consuming alcohol after a PRP injection?

[@JeffreyPengMD]

In theory, alcohol shouldn't interfere with the PRP injection. If you want to be safe, 1 week.

[@cjchikuni6022]

@@JeffreyPengMD thanks for responding. I have now completed a week since my PRP injection.

[@valeriewanjala8513]

What is the recommended dose of PRP injection for knee osteoarthritis?

[@JeffreyPengMD]

Glad you asked! You may find this helpful: kzbin.info/www/bejne/hIHVf5ivrZt1rJo

[@andreis9908]

Are there any risk of thrombosis after this procedure?

[@rmanbike]

What great timing Dr. Jeffrey, just got back from my first PRP injection in my hip joint this morning and first thing I did is turned into your channel and wow, just what I needed, thanks so very much for all your knowledge and extremely helpful videos!

[@JeffreyPengMD]

Wow! Good luck with your PRP injection!

[@LEFTaTIP]

rman h, can you tell me how much (if at all) your first PRP injection helped alleviate your hip pain? Do you have osteoarthritis in your hip?? Thats what I have and the pain is so bad and I'm getting more limited in movements. Pls let me know Thanks

[@hajaredudayev]

Me too..my first PRP injection in my left knee..on 7/2022 and my other PRP on my right knee on 12/2022..still under treatment and exercise..

[@TechieGhost]

@@hajaredudayev Did PRP injection helped?

[@hajaredudayev]

@@TechieGhost Yes..

[@aarongreen121]

Is CBD to be avoided after a prp injection?

[@paulbonfiglio8661]

Would laser therapy post PRP injection to the wrist and thumb be ok?

[@JeffreyPengMD]

In theory, should be fine.

[@lesleyparkin1340]

I have a really bad rectus femoris tendon overuse injury in my right hip. The hip underwent two replacements in 5 years because the first replacement was loose from the beginning. I’ve just had a second PRP injection and I have to say each time I’ve had the injection I have descended into a really excruciating pain spiral. This has been the worst year of my life! I was doing quite well after the first injection but wasn’t aware about the NSAID issue prior to the shot, but not after it, so I’m not sure if the result was as good as it could have been. After two months I had plateaued so decided to get another shot. The first shot really helped begin the healing process but the week following was one of the most painful things I’ve ever experienced. Shooting pain to the point of screaming. I once gave birth to twins with the second twin being a breach delivery. No anesthesia. The pain I’ve experienced following both PRP shots has been as bad as my delivery of twins! I take acetaminophen every 5 to 6 hours and I’m desperate to take it to try to fend off the pain. Every day, I have at least one episode lasting about 45 minutes where I am screaming with pain. The only thing I can do is surround my hip with ice and not move in spite of the wracking pain. I won’t be able to tolerate another shot. I’ve been dealing with this injury for 6 months and still can’t walk. I’m hopeful the second shot will allow me to walk again. I’ve had a physical therapist coming to my house twice a week and she is brilliant. She may be the sole reason I had improved prior to the second shot. She will continue to support me for the next couple of months. I couldn’t have survived this without her!

[@lesleyparkin1340]

By the way…. The video is fantastic. I’ve watched it many times!

[@valroze1647]

What if I took it once or twice within a month after? Hopefully it didn’t mess with it too much.

[@infectdiseaseepidemiology2599]

NSAIDs *do not* work by inhibiting platelets. They work by inhibiting pro-inflammatory cytokines. A *side effect* is inhibition of platelet aggregation.

[@JeffreyPengMD]

Yup. Correct.

[@watashidk]

Sir I am a football player. I injected PRP in my left knee on 11th March 2023. Today is 20 th March. After I week of injecting prp I played football. The pain comes back. I couldn't run because of that pain but still It is not hurting like it used to. Will it be cured if I pay more attention? Or will I have to take PRP again? Too late to start using heating pad? Can I do leg workout? What should I do sir? Sir please help me.

[@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!

[@Whatdidakilsay]

Can you take ashwagandha prior to or post a prp injection?

[@douglasatkins1378]

Dr. Peng: Could utiliizing therapeutic ultrasound count as the application of deep heat following a prp injection for soft tissue injuries like tendonosis of the elbow?

[@ishikaasawa1598]

i only found out about not using NSAIDS a while after already having taken a tablet. would a single tablet affect the prp outcome? this is on the same day as the injection was received.

[@JeffreyPengMD]

Hopefully won't affect it too much

[@MusicYoutube-s5u]

Hi doc, is PRP good for ligament laxity? Thank you

[@JanetCooley-kr2jn]

Can I use lidocaine patches on my injection area afterwards 1:45

[@flymommah]

Hi Dr! I wished I have seen your video before I had my PRP. So, I took a local medicine named Dolfenal which is basically mefenamic acid. Is it considered NSAID? If it is and you said my treatment could have the worst effect, is there a remedy? I am 2weeks post PRP but I have not felt a relief from the pain. COuld it be because of the Dolfenal intake?

[@JeffreyPengMD]

Mefenamic acid is an NSAID

[@Bandana928]

Hi sir, I am 26 years old. I have knee injury. Dr. Adviced me to get PRP. But still I have a question "is this prp a permanent solution for my injury ". After prp should I continue running?? Please answer🙏🙏

[@JeffreyPengMD]

Best to discuss with your health care provider, good luck

[@francenebrown5387]

Hello Dr. Jeff. What exercise bike do you recommend for my OA knees?

[@claymalone523]

For a healthy 14 year old how long would you expect to move back to competitive baseball play (ie: pitching and hitting) after after PRP therapy in the UCL?

[@designnclimb]

Great video, doctor! I was wondering if you ever treated anyone with TFCC/ecu tendinosis at the wrist with PRP? And if PRP can help restore the damages done from a cortisone injection? Thank you in advance!

[@JeffreyPengMD]

Yes! Anecdotally, it works well but I cannot back that statement up with data from a randomized controlled trial.

[@saraa16]

Hi doctor, Does prp heal calcaneal spur on heel in post menopausal women with osteoarthritis??