What to do AFTER Your Platelet Rich Plasma (PRP) Injection | Watch This!

[@SonamMD]

What questions do you have about PRP. Put them down in the comments!

[@anuradha20725]

Cost of prp injection pls

[@shammah98]

PRP vs Tenex procedure for tennis elbow?

[@leilanasser2122]

I am from Montreal and my instructions are kind of opposite.No Ice use heat.I had PRP in l4l5 facets.I had freezing without it I think I would have jumped off the table even with freezing I was experiencing a lot of pain especially on one side.

[@Martyliks2party]

What about a partial tear in the ligaments of the hip around the si joint/nerve? I’m in immense pain more than a steroid injection in the same area.

[@zauqeens5461]

My doctor prescribed bed rest for two weeks is it necessary and what is the reason for it as in cesarian operation doctor usually to walk as soon as possible but in prp treatment doctor advice two weeks rest no physical activity or physiotherapy

[@MC-kj8uy]

This is the second one of your videos I've watched about after-care of an injection - cortisone, I think. With the first one I was surprised at the details and realized that was no simple shot. But it was helpful after my own (shoulder) injection, because I didn't get that level of instruction from my doc. I wasn't surprised to find the same level of detail here for a different kind of treatment. Even though I haven't had PRP I am thinking it might a consideration later on (for a different joint!) so it's good to know what to expect. Thank you.

[@SonamMD]

Glad you found it helpful. You’re welcome.

[@santamaria2509]

My goodness ! I love your detailed explanation . It’s my first time landing on your channel , and I truly feel it’s god’s intervention. I have been suffering from a rt knee pain for about a year and just recently diagnosed with knee osteoarthritis. The pain and the restrictions on my mobility has really affected me both mentally and emotionally. Both OTC and prescriptionN NSAIDs have not been very helpful. I am now considering one of these injections, and I find your video so informative and encouraging and has given me such a sense of hope that I am now seriously considering the procedure. Thank you so much for sharing your expertise.

[@MishraMusicVocal]

Thankyou so much for the wonderful Information...i had knee PRP 3 days back... Instruction i m following from now😊👍🏻🍫Thankyou Dr. Sonam😊👍🏻

[@nawalalmaskari1590]

What is your experience PRP?

[@MishraMusicVocal]

@nawalalmaskari1590 it will be 1 month on 14th dec and still i m walking with the help of walker and go to washroom only...rest of the time on bed only....the pain and swelling was too much...now both are bit low...seems will take one month more to walk by self...😔

[@davidyancey554]

couldnt find anything on post PRP protocols, thank you!

[@SonamMD]

You’re welcome.

[@richardfile4001]

Thank you so much. Have had a PRP injection recently and was given some instructions, but you have added more information. Also watched the Hyaluronic acid video. Both Excellent. Have subscribed as a thank you, also for the future.

[@SonamMD]

Your welcome!

[@KausarKhan-Love]

Love ❤ and Greatness 🎉 your way kiddo!

[@tobizarre]

I am enjoying the information provided for pre/post PRP injection. I have been struggling with Achilles tendonopthy for 2 yesrs and have been recommended PRP by my doctor. I have been doing a lot of reading and have found a mixed bag of reviews concerning PRP and the Achilles tendon. I am curious to know if you have any insight or experience in treating the Achilles with PRP and if you can share anything with me 😊 Thank you!

[@SonamMD]

You’re going to read a lot of things about PRP online. I am very honest with my patients that this is not 100% effective in all patients. Patient selection is key. I tell people it is neither snake oil, nor the elixir of life, but sits inbetween. The vast majority of my patients that I perform this treatment on do show levels of considerable improvement. But this is after many years of experience, and knowing which patients would likely benefit from the procedure. Achilles tendonapathy can be extremely difficult to treat. However, I find that tendon injuries tend to respond better to PRP then osteoarthritis or joint issues.

[@juanblanch8705]

Make SURE it is a 30 ml tube. Make sure you are in PT while healing. I have excellent success with this method. Jeffrey Peng is great here

[@OlgaTkachykArt]

Thank you for the detailed explanation! I just got my prp for knee tendonitis and your video was very helpful!

[@SonamMD]

Glad it was helpful! Good luck.

[@vivianeten6676]

Thanks for sharing this video.

[@c.rombaut1947]

I am going in for a consult this afternoon.. I've had medial epicondylitis for 2 yrs - two. 6-week rounds of PT, 2 steroid injections (2 years apart), and the pain is worse than it's ever been. I've been reading about PRP vs. PRP+stem cells (and, perhaps, adipose tissue?) But I recently listened to a video of a Dr. talking about multiple studies that show PRP ($) is just as effective as PRP+Stem cells ($$$). What is your experience/opinion?

[@fmg4537]

Hi Sonam, Family med doc here in Ottawa. I just wanted to say you have great videos and they are providing the public with a ton of reliable and much needed information. I shadowed a sports med doctor towards the end of residency for 2 weeks and always wish I had learned more way before graduating. Would love to pick your brain if possible😅

[@SonamMD]

haha thats amazing. small world. reach out to me via my email here and i'd love to chat with you more. [e-mail]

[@benpar8120]

Had PRP in my knee. I'm on aspirin daily due to a OHSCA and triple bypass. My surgeon didn't advise me to carry on taking the aspirin daily

[@FranDelRossi]

I recently had one ultrasound guided PRP injected into my right posterior tibial tendon after 3.5 years of unsuccessful treatment with conventional therapies (brace, rest, physical therapies). It’s been 4 weeks and I am not experiencing any relief from the procedure, any suggestions. My condition is bi-lateral and therefore may require injections into the left tendon

[@tambilepley5506]

OK that's new wasn't told not to take Aleve thank you.

[@SonamMD]

yes I ask my patients to avoid anti-inflammatories, because it will block the PRP process. We want a certain degree of inflammation during the treatment.

[@tambilepley5506]

thank you@@SonamMD

[@RaquelSantos-hj1mq]

​@@SonamMDWhat about cryotherapy? Should that be avoided?

[@lastboyscout1065]

Thank you for your advice. Today, I just had PRP injections in my left knee for torn meniscus and arthritis and my post op direction was consistent with yours EXCEPT ONE thing: you recommend against any heat but my Dr encourages it via hot moist towels or heating pad on the joint. Can you please provide any more insight on your recommendation? Thanks again!

[@SonamMD]

Heat is likely okay. Ice is the big thing you want to avoid since it’s anti inflammatory and we don’t want that.

[@JosellePamintuan-n9e]

I just had my prp injection fir my knee yesterday. Im just wondering, are there any exercises i need to do to strengthen my right knee? Thank you

[@melb8352]

Where did they inject you? I had one the other day for the first time. For starters, they withdrew 15ccs of fluid off of my vastus lateralis just above the knee. Then they injected me in a similar nearby area with my PRP. They didn't inject me in the actual meniscus tear like I thought they were going to🤷‍♀️

[@ilsepau20]

I had PRP today on my left knee and it was really painful, I cried a lot, the Doctor said I’m only allowed to take Tylenol for pain and to assist to my PT appointment tomorrow even if it hurts too much :(

[@SonamMD]

This is a very specific post-procedure question and will be at the discretion of your physician.

[@MishraMusicVocal]

Same here me too cried after left knee prp, it was too much painful and after 2 hours pain was like hell... It's been 40 days still swelling and pain is still there its coming down very very slowly.... I had ACL tear

[@chrisboyd1408]

Great advice! Question: articles vary on Tumeric, Glucosamine, and Fish oils avoidance pre and post-treatment. Please share your opinion.

[@SonamMD]

Evidence will likely be mixed. You will hear multiple different view points on them. Theoretically the anti-inflammatory effect may be minimal. I recommend people hold off on them for a few days prior and after, but probably not detrimental if you are still taking them.

[@chrisboyd1408]

@@SonamMD yes, data and peer reviewed articles are hard to find with definitive treatment agreements. Thanks again!

[@pikapolonica9705]

Thank you very much on this detailed explanation! It means a lot ❤

[@SonamMD]

Glad it was helpful!

[@nawalalmaskari1590]

Thanks a lot Just I have a question .I t is informative What is your experience a PRP for rheumatoid arthritis with osteoarthritis?

[@SonamMD]

It can be done. Likely will be addressing more of the underlying osteo. It will not be effective for treating the inflammatory RA (which usually needs oral pain meds/biologics to do so). However, I have treated patients with RA with PRP.

[@jsmohar9313]

Hi Dr Sonam , my mom is 87 yrs old and had severe OA of the both knee joints with degenerated medial menisci ( KL classification grade 4 ) having pain in the knees while walking . Will PRP injection helpful to reduce the pain ?

[@SonamMD]

PRP is less commonly indicated in KL grade 4. Its more effective in mild OA, even moderate OA. However, in bone on bone, it is really a shot in the dark, and not indicated. At that point one would be thinking about surgical options.

[@WrldExplorer]

I have an appointment tomorrow for my shoulder. I’ll try to remember to give an update.

[@douss11]

Did it work?

[@WrldExplorer]

@@douss11 It’s been just over 1 month. Pain is still there, but not as much. There is some things I can do than before, like brush my teeth. Shaving is still a issue. My specific issue is turning my wrist a certain way. I was told I have multiple tears in my shoulder, 50%. I believe I caused this injury doing pull-ups, palms facing each other. Bringing my arm toward my shoulder in that same position at rest, or wrist turned a little more clockwise hurts still. Any sudden, fast twitch movement, it’s a very intense pain. I was told not to do anything until my next doctor visit which is in a few weeks. No therapy, or nothing. I think my progress will be slow. Hopefully it’s slow, than surgery. I’ll give an update after the visit on what’s next.

[@douss11]

@@WrldExplorer patience is the key, speed recovery thanks for the updates

[@colinpowell8194]

Will this work for my proximal hamstring tendinos

[@SonamMD]

Yes it can. It’s actually quite a common reason will we treat with prp. These areas can be quite tricky to treat as a whole.

[@deborahfleming-t8m]

I have had 4 PRP injections since 2022 in the shoulder for impingement/bursitis, rotator cuff supraspinatus & infraspinatus tendinopathy, articular surface fraying and glenohumeral OA. It helps for a while but the pain always comes back. My question is; Does PRP help regenerate? I am on antibiotics for urology issue for months, will taking antibiotics interfere with the PRP?

[@SonamMD]

PRP can regenerate tendon, but it does not regenerate cartilage, it can merely stabilize it. That is why you are likely seeing pain return. However, tendons can be regenerated/healed with PRP and in those cases only a few treatments (or one) may be required.

[@robinnasatir3323]

Thanks for the great information! I had a PRP shot in my hip for arthritis 4 days ago. I am a dance teacher and was hoping to do some stretches and PT starting next week and then to go back to teaching after 10 days. Will I ruin the effect of the shot if I start exercising too soon? How do I know when it’s ok to do more? Thanks!

[@loreeebee]

Great to meet you last week, looking forward to my turn!

[@youtoobin2day]

Thank you for posting these videos, as they are truly educational! Would PRP likely reduce further damage and pain associated with hallux limitus / rigidus? Currently I have a painful grinding / grating sensation and limited mobility in my hallux joint. My podiatrist has suggested a cortisone injection and eventual fusing of the joint, to address arthritis pain, but I do not want to lose the mobility in my foot (as I am very active, climbing ladders, swimming, hiking, etc.). I feel that the grating / grinding sensation could be caused by a bone spur (or something similar in the joint) which, if removed, might reduce further damage to the joint, and allowing PRP to be more effective. Would this combination of surgery and PRP likely provide the best long-term option for active use of the joint?

[@lovehealthgratitude]

Awesome, thank you so much!

[@GermanFrisbeeDog]

I had a PRP injection in my hip 7 days ago for gluteal tendonopathy. I mostly rested and it started feeling good so I played a hockey game tonight. My hip felt better than it has in years and years. Is this normal?

[@SonamMD]

Thats amazing. Some people notice benefits much sooner than others. I've had people tell me they feel good 1-2 weeks after, and others say it takes 3 months. The usual however is 8-12 weeks.

[@carolyngurney5376]

😃Thanks for such good information.

[@SonamMD]

Glad it was helpful!

[@abdulhuq]

Doctor, i had a prp today for plantar fascitis. My doctor prescribed antibiotics for 3 days. Can i proceed with that?

[@1tojoin]

Thank u doctor

[@SonamMD]

You are welcome.

[@claud1834]

PRP injections helped my hip arthritis and labral tear 2 years ago. Really helped but now the hip pain has returned 24 months later. The injections into both hips were extremely painful, Do u think I can find a doctor to give me general anesthesia? I can’t take the pain of deep injections again but I benefitted from the PRP injections. Comments?

[@SonamMD]

It's not routine to do these injections under GA, at least not commonly in Canada. It's not usual for people to experience much pain with the injection, rather I find pain can get worse afterwards for a few days.

[@Tumble96]

Wish you were here in San Diego

[@SonamMD]

There are lots of doctors in US that perform these procedures. Ask around and you may get good recommendations.

[@rasta8088]

Thanks!

[@SonamMD]

You are welcome!

[@csawserv]

Good info.

[@SonamMD]

Glad it was helpful!

[@BobbyB3rd]

I go to the VA .. and i take a lot of medicine.. I just happened to check my medications 1 by 1 myself.. and about 2/3s had a negative reaction with prp.. but I was only told about the pain reliving meds . Anxiety and sinus meds also were said to have a negative affect. Also for my PRP to my hip.. this doctor went in straight through my hip through all of the muscles and things.. the pain kicked in about 3 hours later. And it was terrible.. I could barely breathe when I had to walk.. the pain was a solid 8 for nearly 20 hours.. I had the shakes it was so bad..

[@christineferrario1700]

Wondering if your doc used ultrasound to guide the injection? I've heard the VA's really support and pay for this b/c it helps get troops active. I wish our health care agencies would cover the cost. Saving my pennies!

[@BobbyB3rd]

@christineferrario1700 they used xray

[@noortjebella7631]

Can i take it for rheumatoid arthritis?

[@SonamMD]

This will not treat the underlying cause of RA. Usually this addresses the local cartilage damage. If you have some OA in the joint, then yes.

[@tambilepley5506]

😊 thank you

[@SonamMD]

You’re welcome 😊

[@sixtwoflame]

I have meniscus tear on both knees, was doing alot of rehab with so so response.. I have prp scheduled next week. I have been struggling with not having my strength flexibility and range of motion...wanted to know realistic expectations.

[@SonamMD]

Good luck with your procedure. Definitely speak with your Doctor Who is performing the procedure, they can discuss realistic expectations with you in accordance to your pre-procedure exam and history.

[@moniquemurphy4851]

Is one prp injection enough for torn meniscus?

[@SonamMD]

It can be, some do need repeats as well. I tend to evaluate this on a case by case basis.

[@mistyrose76]

❤Just had PRP today.

[@zauqeens5461]

I have prp injections just now

[@GypsyinAus]

Husband had first of 3 injections this one was the anti-inflammatory one and my husband is in more pain now than he was before... it has been one week and he can hardly walk.

[@claud1834]

Hang in there. The area has purposefully been inflamed with platelets. Do NOT take meds. Pain will go away in a few days. PRP really worked for me. Hang in there. No meds or you will ruin the treatment!

[@karenedwards937]

Just back from meeting with doctor. Considering PRP for tennis elbow. Pain is not that bad but know something is off. There is a tear. He is saying he will give me OxyContin which seems like a strong addictive pain reliever for this. Thoughts?

[@SonamMD]

Its not uncommon to give a small dose of high strength pain relievers for a few days. Many patients may not require it, but tendon PRP can be painful which is why its nice to send people home with something incase you need it. However, if you don't require it then thats great as well. Patients just cannot take NSAIDS which is why this is offered.

[@karenedwards937]

@ thank you for the reply.

[@sethschwartz6344]

Hello Doctor, My mother is 87 y.o. with bone on bone in the left hip and left shoulder. Is this a viable treatment for her? Pain management wants to do steroid injections in her spine for the hip. I'm concerned about complications with that treatment. Do you know of anyone doing PRP in the state of Georgia. Thank you for your assistance.

[@faithf5846]

Check out Dr Ross Hauser In Florida. Not that far to fly. Watch his utubes most ages have results that are positive.

[@kyrawehby]

Thanks for sharing this information!

[@SonamMD]

You are welcome

[@randyburk142]

U r great. Good info!

[@SonamMD]

Thanks and welcome

[@stevenross8155]

2 weeks ago had a tenex procedure on medial side of elbow for scar tissue and calcium deposits. One week ago I had PRP on lateral side for torn tendon. The doctor also injected the PRP in the joint as he indicated I had a lot of arthritis/inflammation there. The swelling and pain has subsided though it is still tender. Hot tub acceptable after 2 weeks since PRP? He indicated 6-8 weeks before I can get back to weights and golf because of injecting into the joint as well as the tendon? Sound accurate? Thank you for your wonderful video. Steve

[@zornzack]

I have early OA, should it be effective with stem cell + PRP or just PRP will do ? Currently every time i run hard, at fast tempo, my left knee will swell for few days. I love running and i need to get rid of this bad knee due to OA

[@EvertonNomadalifeworthliving]

Is it available in England? Would it or could it be used for the spine (I had my coccyx removed and damaged both L4 & L5 ,having to have morphine for relief) But my right knee is where I think it would be most beneficial. Or is it only for private patients

[@SonamMD]

I would think that you could access this in the UK. It tends to be a private pay procedure however.

[@gordanaimamovic2917]

My knee swelling after surgery meniscus a lot

[@bevwebs1]

Appointment at 2:00 pm today for PRP for hip!

[@SonamMD]

Good luck!

[@juanblanch8705]

How are you today. I am NOT looking for you as a patient. I do this. Want to know results Take OREBRO survey online (FREE) from 2 months ago to now. Keep score for yuourself

[@carloslino4580]

Did it hurt or was painful??

[@ijeomaonuorah5845]

Got mine 2days ago and it hurts for sometime but it stops soon after ​@carloslino4580

[@fgarrison2910]

Fèedback?

[@rezabellana7074]

you are good looking doctor. thank you for the video

[@DeloresThomas-g3r]

Dr. Sonam Love the simplicity of your video explaining in layman's word procedure, for prp. Is prp good for hip injection. Have you done prp for hip injections

[@SonamMD]

Appreciate the kind words. Yes I have. I do them quite a lot for hip OA and even just some hip pain due to mild arthritis or hypermobillity/labral tears.

[@Nimfourmers]

Thanks for sharing this❤

[@SonamMD]

You are welcome

[@christopherdias1790]

I’m a person who consumes alcohol regularly. So after my first PRP injection to my shoulder I was told no alcohol by my doctor. But I wish to know for how many days do I resist alcohol after injection and also my regular exercise routine?

[@SonamMD]

Alcohol makes your blood thinner and induces even more inflammation. This is why we ask patients to avoid it prior and a short period of time after. The other thing is alcohol honestly has no positive effect on the body and is really slightly toxic at any dose, but that is another issue/concern entirely.

[@kiranhas]

Love your videos very informative

[@Kanhu_Charan_Mohanty]

I had the prp 3 days ago for a cyst in my shoulder and my dr gave me antibiotics cefpodoxime and potassium clavulanate tablets should i eat or not ? And does masterbation reduce the effects of prp ? And aslo the Dr said if your pain doesn't reduces we will do surgery , please mam give me your opinion.

[@sdelis1285]

Excellent video. I had my PRP into my knee joint and my doc gave me no aftercare notes or instruction. I am 4 days in a feeling no pain at the injection site, can I get back into my regular workout routine and golf? I am still unclear even after watching the video on whether this could damage the results of the PRP.

[@SonamMD]

This is an individualized question based on your pre-injection issues and how severely injured the tendon was prior. My personal recommendations for my patients vary case by case.

[@doesitreallymatterat]

Great video, thanks

[@SonamMD]

Thanks!

[@donbreda]

Great video, thank you Dr Sonam

[@SonamMD]

My pleasure

[@Flyinggirl893]

triamcinolone hexacetonide doctor i will receiving these injection on my knee pls advise me or any explanation about this injection in your vlog ?? ❤🙏

[@SonamMD]

I have a video on cortisone injections: kzbin.info/www/bejne/q4CkoqmNdqpshdk

[@kodyevan6333]

I’m having PRP tomorrow for hip labrum tear, when can I resume running again?

[@fpandjic16]

I had Autocart surgery for my right knee (28mm x 18mm of cartilage damage) and 4 weeks after the surgery, I had PRP (Arthrex Angel PRP), with around 9.8M of leukocytes (if I wrote that correctly?). Since I want to provide my knee better chance of recovery, would you suggest another PRP for it? And if yes, what would be the timeframe? Thanks!

[@THERISHI-h3z]

I did prp in my wrist today,i really didn't face much pain Till now. will it work for my lunar bone.?

[@RaquelSantos-hj1mq]

I've just made an appointment for this.

[@az-1rigel593]

Dr Sonam, is PRP suitable for RA patient?

[@SonamMD]

Can be done. As long as their platelet and fibrin counts are within range. Have to do a full medication review prior to considering an injection in this patient population.

[@aliceosmond4862]

LOVE YOUR VIDEOS!! Thank you sooo very much!! I had one done in my left injured knee and my right rotator cuff August 7/24. Surgeon ( in North Miami) said I needed two but because of airline issues I didn’t get it. If you can please send me info on your clinic I’d entertain the option to seeYOU instead. Please help me. Thank you in advance!!! I’ll actually look up your clinic and msg there. TIA

[@benpar8120]

My dad is recovering from a SCA and has had a PRP injection, but he wasn't told that he should stop his 80mg Daily Aspirin tablet after the injection. What do you suggest

[@LawrenceLawHK]

Great video doc, subscribed. From your experience, what percentage of patients with medial meniscus tear can gain back full range of motion and painlessness when running and turning? Thanks very much.

[@SonamMD]

Thank you! This is a difficult question to answer without knowing age, the type of tear, and the mechanism of injury. Usually smaller tears in the vascular portions of the meniscus and younger patients tend to heal and settle down quickly. On the other hand, bucket handle tears and those tears in older patients with OA may be less inclined to settle down with conservative treatment. The other thing to consider is if someone has mechanical symptoms, like locking, catching, and buckling. In some cases, those symptoms may require surgery to settle down. On average about 70% of meniscus injuries can settle down on their own, but like I said MRI findings, and patient demographics are really important.

[@LawrenceLawHK]

@@SonamMD Thanks, that helps a lot! Really appreciate your detailed answer to the (now I know) broad question!

[@LawrenceLawHK]

@@SonamMD I am 48/M with a very active lifestyle. The (to be confirmed by MRI) tear limited the range of motion on my right knee towards both ends by a little - maybe 5 degree or so, however it didn't cause any locking catching type of thing. But it is painful, especially after longer runs, turns during a run, standing up after sitting for a while. I'm considering PRP injection, your video is great, useful and easy to understand.

[@Nuggetsjourney44]

What’s the cost of this?

[@SonamMD]

Varies - can be anywhere from 600 dollars and above depending on the type, machine, and technology.

[@Nuggetsjourney44]

@@SonamMD wish I’d known this 12 months ago because I’ve recently come to the Philippines for stem cells mysomes and I realize that they can’t guarantee the sample will be alive so I refuse to spend $10,000, so my Osseo/Physio here in the Philippines he is putting me onto PRP injections, If only I was nearer to you guys, I’m actually from Australia and I think it would be

[@suadalkandari8338]

Hello please advise me on what to do My daughter does Rhythmic gymnastics she is 12 years and suddenly had shrapnel pain in feet could be from traning. When we did MRI it showed that there is edema on bone. The feet bone has water and inflammation. Now I am advice to do PRP and traumeel injection. She is also doing magnetic therapy and lazer. Would you recommend to do the plasma injection and the traumeel injection or just one thank you

[@justinarguello5674]

What about the sc joint

[@melissathompson7483]

Does PRP help with chronic IT band tendonitis?

[@SonamMD]

Can definitely be considered as an option. PRP is very effective for tendons.

[@earthplanetballs6154]

Feel down. I have pain at bilateral tennis elbow. A week post Injection PRP. Still in pain and stiffness

[@claud1834]

Hang in there. Doctor said it can take up to 8 weeks for recovery. My pain was gone after 6 weeks. Your area is inflamed and that’s what is suppose to happen. Do not take meds! Pain will start to decrease. PRP really works, just give it time

[@khalidsaleem8910]

How many days after PrP injection can we take others pain killer tablets ?

[@SonamMD]

i advise no NSAIDS for approx 5 days, other pain killers can be taken earlier as they do not effect the PRP

[@shreddagorge]

I'll be doing my first consultation next week for elbow and ankle problems - thanks for your helpful tips! I have recently started doing cold plunges, three times a week and only a few minutes each, in a filtered and ozonated tub that I built. Would it be OK to resume them after the 24+ hours of the infection risk passes?

[@SonamMD]

Theoretically, I'd advise against cold plunges for 4-5 days because of its anti-inflammatory effects (not just infection risk).

[@colinpowell8194]

Dose this help with a adductor longus strain grade 2

[@SonamMD]

Adductors can be tricky but yes prp can also be considered in this area. It’s extremely important to make sure you work on an adductor strengthening program as this can be an area easily reinjured

[@DavidConiglio-t3l]

What about PRP for post concussion syndrome, i.e. headaches from screen time affecting my ability to go to school?

[@SonamMD]

Not something I am aware of or use in my practice so I can't comment on this further.

[@aleky67]

how about for plantar fasciitis?

[@SonamMD]

Yeup I have done it in this area, but it can be quite painful I do warn people. Results are pretty promising as well.

[@lilychou-ro4sp]

@sonam md,Hello doctor, after the prp injection, is it possible that it will get worse after 8 weeks? Thank you.

[@anuradha20725]

Hi doctor This is 5th week of my minimally displaced fracture of medial femoral condyle of my knee. Xray is ok physio therapy is to be started. Now can I have prp injection? Is it safe? Again pain will be worsen I think. Can go on with physio while taking the prp injection? Pls reply

[@PBV722]

Hello Doctor. I have a 2nd grade meniscus tear. What do you recommend me, PRP or Hyaluronic acid? Thank you.

[@SonamMD]

I’d start with PRP personally. Both options have their benefits. Sometimes my patients want to use their drug coverage so we start with HA. But I do prefer to start with PRP

[@PBV722]

@@SonamMD Thank you doctor! Maybe in the future you will make a video about why would you recommend PRP first and HA after?

[@nute742]

Can you "Combine" Prp + Hyaluronic Acid?

[@SonamMD]

Yes. But I will space them out a few weeks apart. I will not do them in the same session.

[@davidtorna7514]

I’ve got hip impingement and a tear in my R labrum…would PRP be helpful? Would it be a joint or tendon injection? Great vid

[@SonamMD]

Yes some patients will find it helpful.

[@chanellenumba5]

@davidtorna7514 I have the same issue in my right hip. I just received my second PRP injection 2 days ago, one month apart exactly. I asked the physiatrist and he said he injects directly into the joint, and right behind the labral tear if I recall correctly.

[@theohafner1857]

Very helpful, Dr. Sonam. The only suggestion I have is to slow your speaking down just a tad. Thank you.

[@SonamMD]

You can slow down the video

[@melissathompson7483]

​@@SonamMD how do you slow down the video? Thanks

[@pandeyji9803]

Reduce Playback speed​@@melissathompson7483

[@coreyap1]

PRP 3 weeks ago for knee arthritis. Followed all instructions TO THE LETTER! Condition is worse than prior. I'm sure whatever the reason is for this I"M at fault. Right Doc?

[@claud1834]

I started feeling better around 6 weeks later so hang in there. Pain will be gone soon.

[@SonamMD]

I do follow ups at three months because sometimes the responses delayed. I tell all my patients to wait three months before confirming that it did not work for them. Most people get the benefit around 8 to 12 weeks

[@kasturiradhakrishnan4181]

Hi Dr I m 67 Years I Have Sevia Pain On Both My Knees it’s very Difficult For Me To Stand In The Same Position For Sometime I Feel My Knees Getting Locked. Will I Feel Batter If I Do A PRP. I Hv Also Donated My Left Kidney To My Sister 28 Years Ago Will This Procedure Effect My Only Kidney.

[@Irene-tz8cv]

Can u PRP injection to fingers joint?

[@preetik3234]

Can i take PRP for my partial supraspinatus tendon tear in pregnancy

[@SonamMD]

I do not perform this procedure on pregnant patients. This is one of the contraindications as we don’t have any studies as to how this may affect the baby. Unfortunately, it is an exclusion.

[@jarnec9428]

Oh boy. I’m getting PRP ankle in August. That after surgery pain is a little scary for me c

[@tspeth8277]

). In general would you put a restriction on driving during phase one? Phase one post PRP relative to being a single father (50/50) healthy co parenship. Days I drop my son off consist of approx 72 miles in total. Surgery 7 months ago for partial Achilles tear and bone spur in my heel. PRP scheduled in a week. Greatly appreciate a response

[@SonamMD]

When I perform a procedure on someone's driving leg, I always discuss with them if I would restrict driving. Usually my cortisone/Ha injections don't have much of an issue. But with PRP, the injected area will be quite sore and extending driving if is the driving foot may not be the most comfortable. I always encourage you to ask this question of your doctor prior to receiving the procedure.

[@pradipranabhat7136]

Hello! Dr Sonam Namaste I am from Nepal and have been experiencing issues with my left meniscus for the past four years. Up until a year ago, I didn't have any significant pain, but now the pain has returned, and I am unable to stand on my leg for more than 20 to 30 minutes. I started going to the gym to strengthen my quadriceps, but I now also have issues with my right meniscus. I consulted with doctors, and after examination, they informed me that my condition is not too severe. They suggested Platelet-Rich Plasma (PRP) treatment as a possible solution. However, I am experiencing pain in both legs. I would appreciate any advice or guidance on what to do next. Thank you.

[@melissathompson7483]

Strengthen your glutes more than the quads! Check out El Paso Manual Physical Therapy videos.

[@hcchoker5622]

Where are you based please

[@karensanchezgomez9662]

If I have an hematoma on my hip tendón can I have a prp injection there?

[@SonamMD]

the first question is diagnosing why you have a hematoma prior to injecting the area. I do not inject hematomas with PRP

[@harryvanderlans384]

Dr.Its pity that prp injections has not the same protocol. I did get 2 times a shot based on 20 ml blood and there was no possibility of double spin so the effect cant be very good. The docter here said in three injections you have the same effect as in 1 shot of 60ml. Is that right? In the Philippines there is no possibility to get 1 shot with the very best options.

[@SonamMD]

The protocols are truly very difference. Double and single spin as well. I've used all sorts of machines with different protocols and to be honest the end result is quite similar to them. However, because there is no standardization it will be hard to get a concrete answer.

[@henryaphilip]

Hi Dr. I had taken one shot of PRP on my knee for my laxed ACL, and it's been a month, however I do not see much improvement on my pain. Do you suggest more than 1 shot?

[@henryaphilip]

Sorry you responded at the end of the video. Thanks,

[@ADHD-ENTREPRENEUR]

Shold we treat the knee with warm instead of cold?

[@SonamMD]

Cold tends to feel better.

[@mb1958jay49]

I am getting PRP in r shoulder Tuesday. Which is better? Double or single spin centrifuge?

[@SonamMD]

Each centrifuge is different, the products also change. I've used single and double machines. Honestly, at the end of the day, you are looking for a high platelet count, so some machines can do it with a single spin (they are getting more advanced). Look at the quality of the end product, not the number of spin's it may need. I use a single spin right now and its got amazing cell retention.