Watch this BEFORE your Platelet Rich Plasma (PRP) Injection | Doctor Explains

[@SonamMD]

Has anyone had a PRP procedure completed on themselves. How was the experience? For those who haven't, what questions do you have about it?

[@torontogal100]

Amazing video. Very informational.

[@SonamMD]

Glad you found it helpful!

[@blueharleyguy]

I had 3 PRP treatments about 14 years ago and it worked wonderfully for me! I am scheduled for another treatment next month through Kaiser. While Kaiser does not cover the cost, it is less than what I paid 14 years ago! Very little pain during procedure and almost no pain after and no complications! Success is very subjective, I don't run or ball room dance so no issues there. I just want to walk, maybe amble, without pain which I did for a long time! Cheers!

[@SonamMD]

amazing. glad you has such a great response.

[@lovehealthgratitude]

Stumbled across this! Getting PRP in two hours. You're adorable! And awesome. Thanks for the great videos! Hugs from Texas

[@ScottSummerill]

Late to comment but … I’m thinking about both PRP and hyaluronic acid. One for the healing benefits and the later for the lubrication. I’ve read that the best results come from staggering the treatments. If so, which might come first and how long between treatments? Enjoy your videos. Hmm. Guess hyaluronic acid to get off the NSAIDs and then PRP?

[@SonamMD]

This one is more of an art of medicine question as HA and PRP combination has not been widely studied. There are some papers of this, but they are quite limited. From our understanding there is a synergistic effect of combining HA and PRP. I will actually do this one of two ways. In some patients I will start with HA since their plan covers it, if they find that they are not fully responding in 4-8 weeks, we can consider topping up with PRP. This is when they want to maximize their insurance drug coverage first. If the coverage is not an issue, usually I prefer starting with PRP and then considering an HA injection 4-8 weeks later. But to be very honest, this is a grey zone and there is no documented protocol for this. This is where we use our tools to best help our patients. Both PRP and HA have different mechanisms of action so they work together and not against each other.

[@alial-ashwal6607]

Very well described. This presentation shows the doctor's capabilities and high skill and professional experience.

[@SonamMD]

Thank you.

[@4me1fish]

Thank you! Having PRP done on my shoulder next week !

[@SonamMD]

you are welcome. Good Luck!

[@darlenelengel1954]

Just the information I needed right now.

[@Sudhadevi-q8s]

Ecercise need after knee PRP injectio

[@brucepeppin2369]

I’m getting a PRP done tomorrow I have a ACL tear and meniscus tear to the knee. Wish me luck.

[@SonamMD]

good luck!

[@39pradipvaidya67]

Did you get results by prp

[@brucepeppin2369]

@@39pradipvaidya67 the results came in and my leg is perfect now no pain or discomfort.

[@cozmicmom52]

👌Thank you for all the info! I'm considering prp injections in both hips. X-rays show arthritis:(

[@SonamMD]

Good luck

[@richardgunter4677]

First I heard about not taking Warfarin prior to PRP. It’s not in the literature I have read. That’s something to bring up when I meet with Doctor in a few weeks.

[@SonamMD]

Its a tricky question because theoretically warfarin workings on the vitamin K pathway and not platelet. In my patient population I will not perform PRP in anyone who is anti-coagulated as the quality of their blood and platelets will be affected. Definitely speak with your doctor about this.

[@richardgunter4677]

How do you treat patients unable to have PRP due to taking blood thinners?

[@SonamMD]

We have to consider other options for treatment including cortisone, HA, exercise therapy. Unfortunately being on blood thinners excludes you from this treatment.@@richardgunter4677

[@SonamMD]

We have to maximize other therapies such as exercise, physiotherapy, cortisone injections and HA injections. @@richardgunter4677

[@DianeStewart-m6v]

Great videos full of information. Thank you.

[@SonamMD]

Thanks for watching!

[@Omarchiommy]

Please can I take omega3 supplement

[@ruvyannrosales4454]

❤

[@SonamMD]

Thanks!

[@GermanFrisbeeDog]

I have a hip PRP injection tomorrow morning. Should I play in my hockey game tonight?

[@LongIslandArmwrestlingClub]

Thank you

[@SonamMD]

You're welcome

[@Moosehomevideos]

Does it matter if provider spins our sample down twice? I am referencing Kakudo study

[@tailoredsuits]

Any advice on increasing platelets prior to procedure. Also, I didn’t hear anything about drinking caffeine but read it best not to have any 1-5 days before or after procedure. Agree or disagree ?

[@eileenoconnor770]

very helpful

[@SonamMD]

Glad it helped

[@coreyap1]

When avoiding anti-inflammatories does that include fish oil and turmeric?

[@SonamMD]

I do advise people too. It affects blood quality and they are natural anti-inflammatory supplements.

[@Mary-ii5ot]

great information, thank you.

[@naturallymichele4754]

How would you proceed with a plantar fascia tear -50 percent with a prp injection ? Crutches or Boot or can you walk ?

[@SonamMD]

These are very tricky to treat regardless. It will really depend on the location of the tear, the size of the tear, and how long it has been present. Usually PRP injections into the plantar fascia are quite painful, so I do warn my patients and have them prepare for this. In most cases, I will ask my patients to wear a boot for a certain amount of time following the treatment. Unfortunately, for your specific case, it will be important to speak with your treating provider for personalized recommendations.

[@cherylcable5517]

Very informative!

[@SonamMD]

Glad it was helpful!

[@robertrjackson]

Thank you for the great information. How much water should you drink. I've heard you should start 48 hours prior and your urine should be clear.

[@SonamMD]

I just want people to be hydrated so the blood draws easier. I wouldn’t say you have to start 48hr prior.

[@robertrjackson]

Okay, thank you..

[@notanormalgent]

❤thank you

[@SonamMD]

Your welcome

[@Ndfourlife]

Hello Doc. Love your channel. Can a person still use CBD before getting an injection? Does CBD interact. Thx

[@mamat792]

The thumb? Would trigger finger in the thumb fit the osteoarthritis?

[@mamat792]

How do you use it? High potency kit? Number of doses and amounts? Don't want to waste my money and want to be well educated. Thank you

[@MrTreyd3]

Does testosterone replacement which affects inflammation have any bearing? Testosterone cypionate specifically. Concerned it would be a strong negating influence. What do you think?

[@SonamMD]

TRT is known to cause weakening of tendon fibres. Lots of patients on TRT are at higher risk of tendon tears etc.. So that is something to be aware of. In terms of its effect on PRP (well TRT does increase the Hgb level), however I cannot comment on the specifics effects of TRT on PRP product.

[@Omarchiommy]

Doctor I'm done with my PRP can I take Tylenol caplets

[@SonamMD]

There’s no issue with taking Tylenol.

[@ojtiongson1227]

Doc does prp cure meniscus tear? Ty!

[@SonamMD]

Depending on the type, size, and location of the tear PRP does have the potential of helping the tear scar down. However, if there are significant mechanical symptoms, in those cases, the meniscus is truly getting stuck as the knee is moving and surgery may be required.

[@coolcha]

Is it possible to still see benefits of PRP treatment if you had Ibuprofen? My doctor didn't tell me to stop it.

[@SonamMD]

You still can but it can just diminish the response theoretically. I'm not sure if this has been proven with studies, but I air on the side of caution.

[@Ndfourlife]

What’s your take on alcohol affecting prp? I’ve heard to stop drinking 3 days prior to the injection. Thx Dr

[@SonamMD]

That’s a good question. Alcohol can affect your blood and bleeding. Usually we do recommend people avoid and abstain from alcohol a few days before and a few days after the injection.

[@Ndfourlife]

@@SonamMD Thank you for your response dr.

[@ankychoudhary6532]

Is there any chance of healing as i toee my meniscus and acl prtially

[@SonamMD]

I would suggest listening to the advice of your physician as they know your complete medical history.

[@ankychoudhary6532]

@SonamMD can u consult..plz

[@aaronhall3129]

What doesing is recommended how many cc or prp for knee joint

[@SonamMD]

This varies depending on the machine. Mine range from 3-5mL. Also each persons blood produces different levels of PRP.

[@shalinigupta6320]

😊

[@SonamMD]

Thanks for watching

[@tailoredsuits]

Curious about the blood draw amount. How many cc’s are you normally drawing for one knee injection? It’s a knee that has had a full ACL reconstruction surgery 25 years ago and we are trying the PRP to see if it helps or if we need knee replacement. Want know until we do X-rays next week how bad her knee is.

[@SonamMD]

This depends on the PRP kit. For myself, I will use anywhere from 30 to 60 ML of blood per knee.

[@tailoredsuits]

@@SonamMD are you using a single or double spin protocol? Also can you answer about drinking caffeine please. Is it recommended you don’t drink it before injection ?

[@fabiolas4]

I wish I knew why prp/hyaluronic mix is so expensive and FDA will not approve it. My whole case is $2,100!!! I'm still thinking about it because it's so expensive but not really long lasting.

[@SonamMD]

Yea the coverage issue can be hard for many people. It really does limit who can access some of these procedures.

[@tristhetrainer]

can prp heal a hip labrum tear fully?

[@SonamMD]

I’m not convinced that any injection can fully heal a meniscus tear, or a labrum tear. But I do think that they help things scar in, to help settle down symptoms. Even surgery is limited in fully repairing these structures as well. The issues with repair and healing is that there’s limited blood flow in the joint. I do think so that PRP can help stimulate decreased inflammation and potential scarring down of the labrum if it is the primary concern.

[@Stephanie-nj8jt]

Great info! Really appreciate your before and after videos. Having a hip PRP injection Wednesday. Have been off all pain meds, no alcohol. Now, I’m curious about inflammatory foods after procedure. I’m going to really limit sugar ( excluding some fruit) do you have any further thoughts on this part of the equation?

[@MishraMusicVocal]

Beautiful explanation...but i m watching this first time after my PRP...which gave me too much pain after 1 Hour...😢 Thankyou Doctor 😊👌👌

[@BK-zy6lw]

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