The Truth About PRP Injections For Knee Arthritis: What You Need to Know

[@danyelpiccin]

I’ve tried PRP last year and all of my pain is gone. I’m a mountain biker and the therapy brings me to life again 😀

[@Armurp01]

that's good to know, I hurt my knee cycling on Zwift....got a MRI and it was determined I have wear and tear in the articular cartilage area (above kneecap) and will have to schedule to get a shot....haven't had one since 2021 and it worked well for my other issue. Tore ACL in 2006 as well as Meniscus, knee has since started to give me problems in 2021 which would be inclusive to Degenerative Cartilage.

[@dubtownman9508]

How many treatments did you require.. just had my first today

[@gtbike8142]

How many treatments did you have to achieve that

[@danyelpiccin]

@@gtbike8142 Once a year, two time injections. The second is applied 15 days after the first one. That works good for me. I'm 45 years old, cyclist and I workout a lot! I'm fine, no pain, no serious injuries in knees. The treatment really works!

[@augustokortright6279]

I have done 2 PRP injections and haven’t had pain in over 1 year.

[@LuvsHiking]

I had a cortisone injection one week ago for increasing knee pain I've had for over a 6-month period. Thankfully I got the immediate pain relief, but have been researching osteoarthritis and PRP injections and am so glad I found you here. My dog (pitbull/boxer) recently recovered from CCL (knee) surgery on both knees. She has a genetic condition with weakened CCLs and had surgery twice on one knee, (the first surgery failed) and once on her other knee. Last week her vet brought up the subject of PRP injections which was very new to me. She is fully healed from her surgeries which has been a very expensive and time-consuming road for my dog and me. I learned alot from the veterinarian about PRP (in my book he is a top veterinary surgeon) and am now also looking at PRP for my own knee. Your video is very helpful and I look forward to watching more of them. Your presentations are easy to understand and follow for this 68-year-old grandmother. Thank you.

[@jackie-k]

Steroids only break down bone density along with skin and veins. It is a temp solution with too many long term problems!!

[@johnskurulsky8296]

Hi Dr. Peng, I am 57 year old active male I have work in a factory for 35 years and still working there I tore my left knee medial meniscus due to dengeration last year and the MRI revele that I have osteoarthritis too done a lot of PT to strengthen my quad muscles plus all other muscles on around knee. In December 2022 I had the gel injection shot in left knee which is the hyronic acid shot knee feels better not as much pain as before but I still have continued symptoms in the knee unfortunately I still have that physical job for 3 more years till I retire. I seen your PRP video I wish my insurance would acknowledged this treatment very hopeful for the future to do this treatment so I don't have to get a knee replacement...Keep up the good info and work Thank You John S

[@JeffreyPengMD]

Thanks for sharing!

[@PAKAPONSawangpiean]

If you come to Thailand, the prp injection in hospital is around 200-300usd per knee and it's effective. In clinic is around 100usd.

[@th30ldman]

I got PRP injections through the VA it was an instant success the pain was gone after 1 week I got the PRP in both knees. I went from a wheelchair to walking miles

[@th30ldman]

After getting the first 2 of 3 PRP injections at the VA the VA has decided to refuse all veterans this very beneficial procedure without reasoning 😭😭🥵🤬

[@mrglass3617]

To those that are on the fence, get the injection. I'm 41 and am in need of a knee replacement but I'm too young. I've had 2 PRP injections on two separate occasions. I'm not saying it's magic but I have almost no pain. Gotta love medicine.

[@JeffreyPengMD]

Wow! Thanks for sharing

[@jackie-k]

I just got my first one today and I have very high hopes!!! My knee feels very tight, but I am sure that will change in a few days! I k we both knees replaced and I do not want them! I do not do steroids at all!!

[@mrglass3617]

@@jackie-k ya my knee was tight as well. It went away after a couple days. I found it took a few weeks until I started to really feel an improvement. It was one of those things where my knee hurt and then I realized it didn't hurt anymore. It sneaks up on you so don't expect instant magic but it was pretty darn close. If you don't mind, let me know how it goes. I'm wondering if it works as well for others as it did for me.

[@jackie-k]

@@mrglass3617 Thanks for sharing that! I am excited and have very high hopes. If it works along with my diet and exercise, I will pay out of pocket for the right knee. VA paid for my left knee, but right knee is shot and it was the one injured with a torn meniscus. I will keep the notification I got in my email and come back and give an update for sure!!

[@johnreynoso8120]

great blog. I had PRP and bone stem cell injections in my hip. I have great results and after a year I have been improved walking and less pain. I will continue with my treatments!

[@carmeldoherty]

Just had both knees done by PRP Injections and it really helped thank you doctor for explaining about the injections

[@Robot007]

The cherry on the cake information starts at min 8. Dr. Peng, hats off to you Sir. Crystal clear information. Blessings.

[@JeffreyPengMD]

Thanks!

[@mlevi73]

Thank you Dr. Peng for all of your fantastic videos. I am 50 years old and am starting to deal with a degenerative meniscus tear (actually two - one on the medial and one on the lateral side, though the biggest challenge is on the lateral side). While I say degenerative, the truth is that they are likely the result of a soccer-induced ACL tear (and subsequent reconstruction) that took place in 1996. With the latest onset of pain, I did a deep dive into my options with a variety of renowned orthopedic surgeons (in the US, UK, and CH - I live in Geneva, CH) and while there was zero consensus among these experts, I think the best option is ultimately a partial knee replacement. That said, I am inclined to postpone as long as possible and have decided to do PRP injections. I have been managing the pain and swelling with fitness therapy (I love that you call this out - I know that I can't stop or I am f$#ked), NSAIDs, and ice so far. So finally my question: you recommend to have the PRP injection and then have a break from sports before restarting. I am moving into cycling season and would prefer not to break for too long. After the injection, how long should I wait before restarting cycling. Do you have a suggested program for the restart to sport after the injection? Thanks very much for your input! Also happy to have any other suggestions that you may have!

[@Sincebrassnorstone]

I have osteoarthritis in my hip and my doctor suggested this as well. Insurance doesn't cover it and this video is making me consider found this instead of cortisone ❤🎉

[@mistresssee1153]

🎉

[@sherrywegner9737]

Also, I have never heard a more detailed and understandable description of what is actually happening in my knee. Thanks again for being here for us. Hugs

[@JeffreyPengMD]

Thanks for your kind words!

[@veraognenovska3168]

I totally agree with you I have the same problems.

[@derekpeel22]

Just had my second PRP injection , started 4 weeks ago definitely feels better , pain free just walking around the house will try longer walks shortly but fingers crossed hopefully improvement will carry on !

[@JeffreyPengMD]

That’s awesome! Cardio and strengthening exercises are definitely important aspects of a multimodal treatment approach to arthritis!!

[@faithmarielake592]

P.R.P is a true blessing!! Very beneficial and I'm so grateful for it and my Dr. L treating me with it

[@JeffreyPengMD]

Yes! We still have so much more to learn about it

[@joesarver]

I underwent PRP injections for both knees. This along with daily use of a single daily dose of meloxicam has made a huge improvement with my knee pain, joint mobility, knee weakness and some grinding I was experiencing in my left knee. I am now one month in.

[@stef3565]

Hi, how are your knees doing? I'm just curious, as I just had my right knee injected 2 weeks ago.

[@joesarver824]

My knees are still feeling good. I haven't tried playing tennis yet. I also still take meloxicam daily. Pain remains greatly reduced since receiving the PRP injections. Note: my doctor did not use an ultrasound guided needle as Dr. Peng mentions in his video.

[@stef3565]

thanks and that's good news. I hope I'm improved at the 4 week mark. @@joesarver824

[@riccphoto]

What grade of knee arthritis did u have?

[@joesarver]

@@riccphoto near bone on bone right knee. Moderate arthritis left knee

[@mikeromero8162]

I had PRP injections for my shoulders recently and it seems to have helped.😊

[@923shelby]

I’ve been researching this forever and this was the most helpful and concise video I’ve found! I’m a 31 year old athlete and veteran and have late stage 3. It’s been horrible, but I’m staying optimistic!

[@JeffreyPengMD]

Awesome, glad you found it helpful!

[@frannelk]

Bro, look for the "knees over toes guy", just try to watch as many his videos you can... Then research on Collagen supplements, Vitamin C (cartilage precursor) and Magnesium (citrate) ..., internet has put to our disposal cases, information and testimonies, just try it all, good luck, you will find a solution.

[@923shelby]

@@frannelk NOPE, the knee over toes dudes aren't really helpful or nuanced for late-stage arthritis. i wish people would STFU about them.

[@fuyu5979]

Thanks Dr Peng for this vid. Have osteoarthritis in the knee n tried cortisone n HA shots; NSAIDs; knee braces, etc that help with the pain n stiffness to some extent. Intrigued by PRP if it's more effective n longer term than the other alternatives. Kudos for ur analysis n advice on the subject matter. Anticipating more on pain management, osteoarthritis, etc. Peace

[@kocs98]

Hey Doc, the information that you are providing is very educational...... it enables me to have a conversation with a provider the same way a person who became knowledgeable about cars with a mechanic.

[@JeffreyPengMD]

That's great! I love reading comments like these

[@marcob.7801]

Just read your bio and had a suspicion by your presentation style that ytou are quite the gifted professor! Again, many, many thanks!

[@JeffreyPengMD]

You're welcome and thanks for the kind words!!

[@anuidiculla3255]

Dr. Peng, thank you for this incredible information. Physicians like yourself are invaluable to society. I had a recurring patella injury in my teens and early 20s. I’m now 39 and was feeling dull pain, light stiffness and swelling, and light instability in my patella. Before the results of my MRI came in and without speaking to me about my pain level and/or risks, the orthopedic that I went to see stuck me with a cortisone injection about a month ago. I only learned about the toxic effects afterwards. I have to let this go because there is no point in crying over spilt milk. My MRI shows extensive loss of cartilage under my patella (grade 3 and 4). I love what you said about PRP possibly creating a neutral environment to help delay the progression of arthritis. Two questions and, of course I know you won’t be able to give me absolute answers - 1. In terms of cortisone injections being toxic to cartilage, does the research show that even one can cause significant damage? And 2. Because of the growth factors and healing capabilities, will PRP help to negate the toxic effects of the cortisone injections. Dr. Peng, thank you again for what you do. You are helping so many by sharing this information. I know it sounds crazy but I live in Florida and thinking of coming to California for a PRP injection from you (as I’ve read that, with PRP, process and technique matter a lot!)

[@JeffreyPengMD]

Thanks so much for your kind words! My hope is to get the word out on new treatments such as PRP. There are lots of providers who do ultrasound guided PRP injections in Florida, so please do your due diligence and search! Yes, there are studies which suggest a few cortisone injections can cause damage, albeit the risk is low. kzbin.info/www/bejne/p4CZXqusjNFnpZY No PRP cannot "undo" the effects of cortisone. I would not fret over the fact that you got a cortisone shot in your knee. Focus on what you can change and affect going forward!

[@MsNiya1515]

Thank you so much for this video. I am seeking PRP therapy and of course insurance won't cover it because they classify it as an "investigational treatment". However, I am tired of limited range of motion, pain, and my knee intermittently giving out.

[@JeffreyPengMD]

You're very welcome, glad you found it helpful

[@jerrysanders9101]

How much do prp injections cost out of pocket?

[@jessehalexander897]

Really well explained and simple to understand! Thanks!

[@JeffreyPengMD]

Glad it was helpful! Thanks for your comment

[@farzane2606]

Thank you so much for this wonderful presentation.

[@JeffreyPengMD]

You're welcome! Thanks for your comment

[@billw4481]

Dear Doctor Peng: Or should I say, Maestro Peng!? I came upon your wonderful series of videos by quite accident while investigating the effectiveness of PRP in treating my bilateral OA, from which I have been suffering for more than 10 years. I have received injections of hyaluronic acid (Supartz 25mg) twice a year and fortunately am one of those for whom this treatment has been very effective. However, based on your explanations through a series of very clear and helpful KZbin videos…you should be awarded an Oscar!…I am now considering Platelet Rich Plasma as a next step in my treatment journey. Two reservation: (1.) At 75 years of age, I suspect this procedure is less likely to be successful for me; after all, how “platelet-rich” could my plasma be? (2.) The orthopod with whom I have discussed this protocol…in whom I have a great deal of confidence and who has administered the infusion many times in order to treat arthritis in elbows, hips, shoulders, knees, etc., always guided by ultrasound, prefers to use L-PRP (Leukocyte + PRP), which as you know, contains white blood cells & low fibrin matrix, as opposed to the alternative, and I believe your favored choice, L-PRF (Leukocyte + PRF) which includes no white blood cells & a high fibrin matrix and is believed to be more effective, especially in the treatment of OA of the knees. When I suggested that though not very large or double blind, studies to date have demonstrated that the L-PRF (Leukocyte + PRF) was more effective, he disagreed and said one study of 700 patients concluded no statistically different results were measured. What to do? I think if I were able to show him the studies that you have reviewed (the more, the better!), he would be open to trying it regardless of how slim the advantage. At my age, anything that increases my chances of success is worth trying. I would appreciate you sending me links to the most reliable and prestigious studies you have seen. I think that would be an invaluable first step of this physician being converted to some new thinking on the PRP issue as a viable standard of care. Many thanks! Will

[@ltyr-mr2if]

I couldn't walk 100 yards last summer, pain all the time. I had this procedure in August, three shots over three weeks. I am a high school teacher. This worked for me! It really worked! Last summer I could barely walk for the pain. It WORKED for me! Please try it, if you're in pain.

[@JeffreyPengMD]

Thanks for your comment. It's amazing the response people can get with PRP injections! May not work for everyone, especially those with more severe arthritis. But it seems like an excellent option for those with mild to moderate arthritis or for those who have tried cortisone injections with minimal to no sustainable relief!

[@tr6151]

@ltyr-mr2if how are you now

[@lisasantiago2784]

Thank you. Helpful and informative.

[@chooseyou2499]

Excellent explanation

[@andreahughes6288]

Can you please tell me how PRP injections work for osteo arthritis of the finger joints. My hands are in so much pain and I refuse to get my finger joints fused to where I can never bend my fingers again. There has to be something better then fusing my finger joints. I had 3 toes fused and its the worst thing I've ever done, never again. I pray you can give me some good news on this. Thank you Doctor Peng

[@tconcotelli]

I can only imagine how hard big pharma is lobbying to keep insurance companies from providing coverage for PRP.

[@JeffreyPengMD]

100%!

[@MsNiya1515]

Yes, I will have to pay out if pocket. But they'll pay for artificial steroid injections though. Smh.

[@Itsnotaboutbeingperfect]

Exactly!!!!!

[@ineedhoez]

Insurance will catch up. They will see the cost of surgery vs injections. It will become the new conservative treatment

[@mohamedn87]

@@ineedhoez . . .there is also shockwave therapy and laser therapy. these do the same as prp injections. All three 3 treatments provide immediate pain relief within the first 2 days of treatment as it works to heal the musckolotal condition wether injury or otherwise. Shockwave therapy and laser therapy both might be less costly than prp injections . .multiple shockwave therapy sessions might be cheaper and more effective than 1 or 2 prp injectons. Also all 3 prp injections, shockwave therapy and laser therapy are most effective when combined with one another or physical therpay or exercise especially low impact. Shockwave and laser are less invasive than prp injections.

[@reimleinreimlein9767]

Amazing explanation! I've been having knee problems for over a year and doctors say nothing is wrong.After hearing your information, i now understand that my cartilage is injured and inflamed and now i know how to proceed.

[@JeffreyPengMD]

Glad you found it helpful!

[@wqv5423ln]

you need an MRI

[@jackkauer7022]

Great video, very informative and helpful

[@christouvelos4897]

i have them done and i feel much better! you will need 2-3 injections to give best relief

[@JeffreyPengMD]

That's awesome! Yes, it does seem 2 (maybe 3) injections is the sweet spot for most people

[@dimples262009]

@@JeffreyPengMD I Had my second injection 12/15/2021. Can I go do another injection, even if I do not feel Pain in right leg? Or start with the left leg injection treatment ?

[@theentertainmentshows6296]

Hi you are amazing. Explain so clear as I now understand more. Thank you However, I do have a few question did you came a cross or you know. Q. 1) Can PRR injection help me to improve factional movement which is to be able to seat on my HEELS ? Q -2) What is the name a part of my knee that preventing me to seat all the way down and seat on my heels? I try to find out trough pictures but I am not sure. Please help me - if there is anything I can improve as it is very important to me. Thanks

[@RomePama]

I had two treatments in less than one month I dont feel any difference…I have the third one in one week ..I m hoping for a miracle

[@marcob.7801]

Incredibly informative and obviously well researched Dr. Peng! Kudos and thank you from one whom was considering full or partial knee replacement! Thank you again for such a well delivered, easily understandable explanation of a biological that I never even knew existed! BTW,....does Medicare w/supplemental cover this proceedure??

[@JeffreyPengMD]

Thanks for commenting! Unfortunately, at this time PRP is not covered by insurances, including medicare.

[@marcob.7801]

@@JeffreyPengMD Dr. Peng, I was wondering if you have knowledge of a procedure being "pushed" (heavily advertised here on TV in the NYC area), involving the injection into the knee of some type of synthetic cushioning (NOT a biological) to help alleviate pain! I am waiting for a brochure on this and apparently this procedure is accepted by most insurances and medicare. Is it possible to have a video on this in the near future? I am sure all who watch you would be greatly interested in your opinion. Thanks again for all your well presented information. All the more viable as there is obviously no agenda other than the dissemination of valuable information and knowledge!

[@AcrossEurope]

28 years young, professional basketball player out in France. PRP+HA is magic, helped regenerate the small defect in my articular cartilage. Anybody reading this don’t lose hope.

[@JeffreyPengMD]

AMAZING! Thanks for sharing your experiences

[@Armurp01]

thats great to know......have the same issue, some days I can cycle and some days I can't.....this requires the knee to bend at a 90 degree angle

[@AcrossEurope]

The process takes time, do not get discouraged, knee will be sensitive as the prp cells are attaching. Rehab will be key, building a strong foundation in quads, hamstrings will help elevate the impact and pain. I’m pretty much back to normal.

[@BowlingwithMar]

Wish they had this when I was in Italy playing for corona basket! Thanks for the comment, gl out there on the court & NBA wishes for you!

[@deeptisharma8704]

Does this help in stage 4 osteoarthrities ?? Pls do reply...i am in lot of pain..only 29 years old

[@dbrahmbhatt4589]

Detail information, thanks

[@humanbeing9981]

More explanation and illustration please. Thank you

[@JeffreyPengMD]

You may find this helpful: kzbin.info/www/bejne/mqLHnqSVnLmsY68

[@magda7224]

You have conviced me ,doctor. Thank you.❤❤❤

[@MrZenon1234]

I wanted to ask when I can expect visible results from PRP therapy on my knee. I'm 3 weeks in and I'm not seeing much improvement. Is there a specific amount of time after which I should see improvement or does it vary for each person? Thank you for giving me this information."

[@esterbright1477]

Really good explanation. Thank you very much. Now i know what to do

[@JeffreyPengMD]

You are welcome! Thanks for commenting

[@faithmarielake592]

Thank you so very much for this very accurate video explaining P.R.P!!

[@JeffreyPengMD]

You're welcome, thanks for commenting!

[@nataliemaclise3022]

Thank you for the info on the research and how PRP works. I'm scheduled to have PRP later in January in my rt knee and low back. I've been feeling a little apprehensive. Your video has helped me to know I am doing a likely helpful treatment. 🙂

[@JeffreyPengMD]

Good luck with your treatments!

[@thijs9395]

How did it go?

[@TheDazboo]

How'd you go?

[@traderpete007]

@@thijs9395can I ask what it costs for the treatment, how many injections are needed? I got the knee gell which did mostly nothing. Injections every week for 5 weeks. Only to have to do it again in the next few months. Would like something that actually try’s to fix things

[@ingrida.r.1533]

I need knee, shoulder and back. How much do your treatment cost you and do you have help with insurance?

[@ineedhoez]

Interesting... so damn Interesting. I have post traumatic injury induced arthritis. I was told that this would be an issue when I had the surgery. What I wasn't told was that I needed to be intentional about rehabilitation and protective strength training. To be fair, I probably wouldn't have complied anyways but at least I would have known. Flash forward 10 years and I am at a level 2 knee arthritis with bone spurs🤨🤨🤨 I want to start the injections. I want to stave off a knee replacement. My doctor says that if I do the PT and Strengthening, I can buy myself another 15 years before a joint replacement. Thank you for this content. This has been so illuminating. I can now be incredibly proactive about my knee health.

[@JeffreyPengMD]

Thanks for sharing!

[@the1socialmediadivafloyd470]

just got mine done thank you Dr. Peng 谢谢你， 我 更觉啊 非常好 我 六十一岁！

[@rtamizh1696]

*Mild knee joint effusion is noted in tha tibiofemoral joint space *There is evidence of lateral meniscus showing meniscocapsular separation. *There is evidence of subtle T2 hyperintensities noted in the ACL. *Subchondral sclerosis noted in the medial tibial plateau. *There is mild tilt of the patella noted laterally with subtle chondral hyperintensities in the median ridge and the opposing trochlea of the femur. *Grade 1 signal in posterior horn and body of medial meniscus. Sir, left leg knee MRI report. Can PRP injection cure my problem?

[@DésiréeGabbana]

My doctor advised me to get knee surgery on my left knee 15 years ago and I didn’t listen to him. I had two treatments of plasma on my knee and on my face for melasma also. it worked great. I had it done in Colombia and I spent $500. I’m planning to go again.

[@TrueRev]

I am bone on bone in the medial side of my left knee. Expecting to get partial knee replacement surgery in about 18 months. Would PRP and HA injections help during this 18 month window?

[@NYCAppl3]

So, how do I know if it's right for me? What patient profile would you consider to be a poor candidate for this treatment?

[@yeth6458]

I was gonna have a HA injection with my ortho doctor since the steroid injection he gave me only lasted 6 months. Then I asked him about PRP and he suggested it too. I also heard from someone who had PRP injections done to her plantar fasciitis that relieved her pain for 2 years now so I’m also thinking of doing it on my heel. I also went to a clinic that do stem cell but it will cost me $8500 for a series of 4-5 injections because they said the success rate is higher that way instead of just one. I do not want knee replacement and I still have 10 more years before retirement and with the kind of job that requires me to be on my feet 12 hours a day is killing me. The plantar fasciitis and osteoarthritis both on my right knee is debilitating. If PRP works just to buy me time before retirement that would be fantastic. If it doesn’t work then I’m going for the stem cell regeneration later on.

[@JeffreyPengMD]

PRP and HA are both great options to treat knee arthritis if the injections are done ultrasound guided. With that said, head to head trials suggest PRP is superior, though HA can be covered by insurances. In my opinion, definitely worth the cost (though please shop around as costs vary widely) to preserve your knees! As far as plantar fasciitis goes, most studies suggest 1 PRP injection is often sufficient. You can always get more if symptoms return! kzbin.info/www/bejne/rZ_JoGZ6qrV-b6s

[@Imacatmom]

Am I ask what clinic would use stem cells?

[@richardhamilton3163]

@@JeffreyPengMD I had HA injections that were not ultrasound guided. I too was thinking that would be the most logical approach. The 2 different PA's that administered the injections (series of 3 shots Supartz) claimed that the knee is encapsulated and ultrasound guiding is not needed. Just different thought processes or what? Thank you.

[@alextrotman2743]

Such big figures id go on holiday get the injection s and still have change .

[@yeth6458]

Update- it’s been 7 months since my PRP and so far so good. I feel my knee has cushion in between the 2 bones. I don’t have the “click” sound anymore and it’s comfortable going up the stairs now. I’ll do it again if the pain comes back. I think its how you use your knee in your day to day life.

[@majeedahmed46]

I did plasma for my knees, I have a little roughness My weight is approximately 68 lbs. Do I need to walk lightly every day and do knee exercises? Is walking and exercises beneficial or harmful to the knee? Should I continue taking nutritional supplements for the knee? Please let me know and thank you

[@Abuzhumagulov]

Awesome video. Thank you !

[@JeffreyPengMD]

Glad you liked it! Thanks for your comment

[@rajeshmehra1522]

Dr Peng, you provide amazing details and information in your videos. Thank you for your valuable info to society. I take clopidogrel and aspirin for stents placed in coronary arteries two years ago. My cardiologist recommends taking these drugs for a lifetime. Does that mean PRP is not my option for knee OA?

[@theentertainmentshows6296]

Please reply as soon as possible- Thank you Dr so much 😊

[@pamnaidoo4006]

Thank you, well explained. My name is Pamela NaidooI am a South African 66 year old Indian lady. I am following you regularly. Please advise if there is a Orthopedic Dr here in Johannesburg , Gauteng. South Africa. whom I can visit.

[@chha289]

Superb video. Thank you very much!

[@JeffreyPengMD]

Glad you liked it!

[@reyhanehmoradi-fu8mh]

Hi dr. I can prepare PRP and I inject it in face and scalp. but I really like to learn how I can inject it in knee. please teach knee injection. thank you very much.

[@sarahschevelowitz7602]

THANK YOU FOR THE INFORMATION I WOULD LIKE TO KNOW IS IT COVER BY HEALTH INSURANCE AND IF NOT WHAT THE PRICE, AND ALL THE DETAIL OF THE PROCEDURE -HOW MUCH PLASMA U TAKE ,HOW LONG BETWEEN THE DRAWING OF THE BLOOD AND PUT IT BACK TO THE KNEE? AND WHERE ARE U LOCATED? THANK U

[@maryamkhan5242]

How often should we get it for knee osteoarthritis

[@dilipdesai7234]

I am diagnosed with Osteoarthritis of the knee. My doctor has ordered ORTHOVISC gel for me. My question is "Can I have Gel injection and PRP injection simultaneously? Or should I wait till Gel injection effect is gone.?

[@JeffreyPengMD]

You may find this helpful: kzbin.info/www/bejne/n3yWq4d8h7mtqaM

[@JOPAPPY]

is PRP injection on the knee possible without ultrasound? is there landmarks?

[@charletjeanbaptiste]

Dr Peng , how many days after PRP knee injection can i put ice on it ? better not at all ? have a good day

[@JeffreyPengMD]

Best to discuss your situation with your healthcare provider. I like heat better than ice!

[@RRK9102]

Hi Dr Pang once again an excellent video. You are extremely well informed and I want to know whether stem cell treatment is able To treat arthritis and secondly, if it is better than prp injections.

[@JeffreyPengMD]

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

[@RRK9102]

Dr Pang I have just heard the video you had already made and which addressed my question regarding stem cells vs prp. You are brilliant. Your analysis of things is clear and logical and sincere - all at the same. Thank you. After hearing your video, I wanted to ask you whether stem Cells from a donor Umbilical cord more effective than the prp and stem cells at 70. Would it be possible to advise me what to go with?

[@simplysoutherncooking7154]

If there have been so many successful studies and trials, why won't Medicare and other insurance companies cover the treatments? It is very expensive without help from insurance. Is there hope for the insurance companies to start covering PRP in the near future? It would be an answer for so many of us who would prefer not to have a knee replacement. Also, are the benefits of PRP cumulative? For example, would the regenerative effect of the procedure eventually build up new cartlidge in the knee? Thanks for all your help.

[@JeffreyPengMD]

Great question - will make a video on this soon as I get a lot of questions like this. It's important to point out that PRP does NOT regenerate anything and does NOT result in new cartilage. It helps change the biochemistry of the joint from one that is filled with toxic inflammatory molecules to one that is neutral. Eventually, those effects wear off which is why booster injections (typically around 1 year but YMMV) are necessary.

[@simplysoutherncooking7154]

@@JeffreyPengMD Thank you for your quick reply. I was offered the option of having PRP instead of the usual cortisone injections. I did not know enough about it to make an informed decision. I think now I will select the PRP treatment regardless of the cost. Thank you for the helpful information. I will continue to keep up with your channel and spread the word to all my friends and family.

[@AA-lq5bj]

PRP injections are 350$ in Tijuana Mexico

[@sharonpeterson1803]

I have had two injections of cortisone in my shoulder (bursa) since April 2022 and at the end of July,2023 I’m due to receive another injection. Is PRP helpful for the pain and my reduced range of motion in my shoulder?

[@TajciLaura]

Hello Dr, is PRP injection also gut for torn ACl and Meniskus?

[@luboyashekinah5957]

I have a question so PRP only last for a year?

[@abrad3061]

Hey, Dr., do you think getting prp treatment along with an unloading knee brace can be the magic ticket?

[@ofrank6551]

Does PRP work for near bone on bone pain? Does it help to regenerate cartilage?

[@thirst-t2653]

Omg ..the chain reaction of having bad cartilage was this bad...never knew Abt this...will see if I can ask my dad to get this...also doc do u hv any food recommendations for people above 75 years of age ?

[@americasass3674]

What about knee tendenosis? Jumpers knee? Pain right below the patella on the bottom of it As well as quad tendon pain

[@akbarzibaie9288]

Does PRP heal the joint?

[@JeffreyPengMD]

PRP does not regrow or regenerate anything, rather it helps change the microenvironment of the joint to flush away inflammatory markers and replacing it with healthy growth factors that decrease pain and symptoms.

[@CollegeRecruitsNW]

My doc just referred me to our injection doc. I try to be highly active but the arthritis in both my knees keeps knocking me out, gotta wait for swelling to go down, pain to alleviate, then all over again. I believe I can get synvisc injection covered by insurance, but not PRP. I've had multiple cortisone injections in both knees, I hope I can find an affordable PRP therapist.

[@JeffreyPengMD]

Synvisc can work great, and it's covered by insurance! I recommend HA if my patients can get it covered by insurances. Great option for those who can't afford PRP

[@rudbeckia885]

What about shoulder ?

[@DEVanderbiltCecil]

I wonder if lidocaine infusions would help your pain?

[@TexasLNC]

What about torn meniscus

[@helenromanus2528]

I am 63 and full of chronic knee pain; l wish all these treatments were available to people who cannot work due to knee problems and are on Medicaid. What a great treatment that l desperately need in both knees. Well, l suppose it's back to the only one l can afford, and that is cortisone again. Such a pity it is this way.

[@JeffreyPengMD]

Such a pity. 100%

[@annettecolon1357]

Can you get PRP when you had partial knee replacement 18:years ago?

[@Goldnight000Goldday00]

My question is the PRP plasma can fixed the herniated disc????

[@lindasoaft9303]

Wow, I need PRP ASAP!

[@JeffreyPengMD]

Same with most people with arthritis! Just make sure you find a doc that does it in line with evidence based medicine.

[@TheKayFThree]

I partially tore my patella tendon and had to get a few sessions of prp injections. missed summer aau but was back by the time varsity started in the fall

[@JeffreyPengMD]

That's awesome! Patellar tendon tears are so difficult to treat. Glad to hear it worked out for you.

[@alanrobb6161]

I went through the process three times. The third time after 8 days my knee seized and wouldn't bend it took weeks for some of the flex. It still after 3 years can not fully bend. A much simpler solution is to bend the knee sideways to open the damaged cartilage. When so bent, plasma flows into the joint cavity. Takes about 3-5 seconds. Flex the knee to mix the synovial fluid with the plasma repeat a couple of times, then twice a day, every day for several months. Use an elastic brace to stabilize the joint. Process increases the nutrients to the knee 20 to 50 fifty times the natural process which is insufficient. This cost nothing. Wrapping with a heating pad to medium speeds up the process.

[@TechieGhost]

Sorry to hear about your condition. So this means PRP injection should be avoided.

[@alanrobb6161]

@@TechieGhost sorry for the delay. I like my solution better. You have to ask yourself what do the platelets do. I think they are a temporary lining that lasts about 6 months. I like the idea of growing new new cartilage if there are any remnants of the cartilage left. A

[@SnowHoarder]

@@alanrobb6161 Hi Alan. I see based on your photo your a skier :) I am big into snowsports and have had a hell of a year with knee surgeries. Now clicking and popping all the time , unable to regain full rom yet. What do you mean by your method. Do you have a video or guide. Where did you hear about this? Do you mean to say that certain exercises naturally release platelets to the area without the need for injections?

[@alanrobb6161]

Hi SnowHoarder, I give a deeper explanation on Sunday 26, 2020 blog. It just before COVID 19 hit us. Your knee joint is enclosed by a synovial membrane that keeps synovial fluid in and red and some white blood cells out. Plasma which all the necessary nutrients can pass through. If your cartridge is warn on one side of the knee joint you can feel it open when you bend the knee sideways. Bending the knee sideways causes a negative pressure in the membrane and plasma is sucked in. It is almost instantaneous. I did this twice a day, everyday, for about 9 months. After two weeks I noticed a slight difference. So I kept going. I cancelled my pending knee implant. That was near the first of Jan, 2017, about a year after I stopped the PRP treatment I don't know what triggered the platelet but would guess it was some virus as they are much smaller than white blood cells. My website is www.alanrskitalk.com . Alan

[@SnowHoarder]

​@@alanrobb6161Interesting. I have a damaged patella and cartilage from a tree skiing accident. I checked out your blog post. I def feel the knee cap/ligaments flexing sideways. Good isolated stimulation. Though I'm skeptical this produces effect similar to PRP or PRF. I get similar flexing if not higher load activation going the kneesovertoes guy exercises. Backward walking, Sled pulling. I think this is a great addition for rehab exercises . Likely doing more good than harm. But not a replacement of PRP for relief.

[@sarageo1731]

Thank for this excellent information. My mother who is 73 is undergoing PRP injections. What supplements can she take to boost the quality of the PRP that is drawn?

[@JeffreyPengMD]

kzbin.info/aero/PLrX971rgONtooFRotwN9sADDLwYWXMvoz

[@tsage8408]

My doctor wants me to stop pain relief for 2 weeks before and 2 weeks after doing PRP. This seems unrealistic to me. Why does the doctor want to stop pain relief before and after the PRP treatment? Thank you

[@elwirastadnik]

In Europe, PRP treatment for knee osteoarthritis is combined with HA injection which follows in 3 weeks after a PRP injection.

[@JeffreyPengMD]

Yes! That seems like the best way of doing things and is similar to what I recommend my patients as well.

[@larainebentley1546]

What do you think about prf

[@manju1807]

Thanks a lot doctor

[@JeffreyPengMD]

You're welcome!

[@servantofthecreator]

Hi, does PRP heal torn meniscus? How many sessions do I need to get a good outcome?

[@javaidashraf7397]

Very informative

[@JeffreyPengMD]

Glad it was helpful!

[@jamesrennie8684]

I am a 70 year old man. 5 years ago I had a series of 7 PRP injections over 18 months by ROSM in Maryland at $1,100. each. Minimal result. Went to Annapolis Pain Management and tried again, 6 injections at $1,000 each. No significant result. I have been getting steroid injections every 4 months since. They provide great relief for about 2 months. Not a good candidate for knee replacement because of bad circulation.

[@connorho8115]

Thank you for your detailed video presentation, Dr. Peng. It shattered my thoughts about to get my 84 yrs old mama to get Prp injection when you mentioned that stroked p.t. is on aspirin and clopigrel will inhibit the effect of platelets. So will stem cell will help my mama bilateral knees osteoarthritis and osteoporosis? Thank you Dr. Peng.

[@JeffreyPengMD]

You may find this helpful: kzbin.info/www/bejne/nH_aXqJjg61-npY Short answer is we don't know if anti-platelet agents will affect stem cells. Though animal studies given naproxen post stem cell injection showed significantly worse outcomes.

[@josephanaya7292]

What are gel injections which I get every 6 months. Does insurance cover prp ?

[@thetambay684]

Dr Peng, i have damaged cartilage on both of my knees. My orthopedist recommends either injection of HA + PRP or surgery repairing the damaged cartilage on both of my knees with hyalofast. Could you give me your thoughts about it.

[@JeffreyPengMD]

Unfortunately I cannot give medical advice over the internet, but you might find this helpful. kzbin.info/www/bejne/n3yWq4d8h7mtqaM

[@WAFIKAMIN1]

Dr. Jeff, can we gîte PRP while the knee has big effusion.

[@davidchang6288]

Is PRP good for SI Joint pain ?

[@kingkanoworldmedia4389]

How do you convince the doctor to use it when he has good success with the WD-40 injection? I do not want to wait until it is bad

[@MADNIMobile-s6l]

Prp price???? heamophillia patient knee joint,,, please tell me 😢😢😢😢

[@riccphoto]

I have grad 2 knee arthritis - played soccer and also got injuries. I’m 39 now. Does that mean no matter what I will get to stage 4 or can I keep it at stage 2 with prp?

[@TO-ed7bg]

I wish it works and because of this video I went to do PRP knee injection but nothing happens😢. I did it 3 weeks ago and still in pain. I wonder these people giving honest comments?

[@whatever9770]

I had to have 4 with two weeks break between. Probably one won’t work.

[@JoeEngineersThings]

I had one that fixed my deep deltoid sprain - that was after 6 weeks of crutches and 12 PT visits didn’t help. A couple years later I had one in my ankle joint because surgery left the cartilage in pain. A couple days later I’m already feeling better.

[@gerbeh]

Thanks for good work.. I am 72 with mod oa and recent flare.. had a single prp 8 Bn leukocyte poor shot.. 5 weeks later don’t notice anything but did play tennis a few times .. should I do a repeat prp now or wait? Many thanks

[@JeffreyPengMD]

Best to discuss with your docs!

[@TEL250r]

I had a motorcycle accident and have had bad knee’s for the five years recovering I broke one of my knee caps slightly will this help me