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

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  • Опубликовано: 1 окт 2024

Комментарии • 58

  • @SonamMD
    @SonamMD  Год назад +3

    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?

  • @4me1fish
    @4me1fish 24 дня назад +1

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

    • @SonamMD
      @SonamMD  24 дня назад

      you are welcome. Good Luck!

  • @torontogal100
    @torontogal100 Год назад +4

    Amazing video. Very informational.

    • @SonamMD
      @SonamMD  6 месяцев назад

      Glad you found it helpful!

  • @darlenelengel1954
    @darlenelengel1954 2 месяца назад +1

    Just the information I needed right now.

  • @MrTreyd3
    @MrTreyd3 11 дней назад

    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
      @SonamMD  11 дней назад

      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.

  • @shalinigupta6320
    @shalinigupta6320 Месяц назад +1

    😊

    • @SonamMD
      @SonamMD  Месяц назад

      Thanks for watching

  • @ScottSummerill
    @ScottSummerill 7 месяцев назад +1

    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
      @SonamMD  6 месяцев назад

      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.

  • @coreyap1
    @coreyap1 26 дней назад

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

    • @SonamMD
      @SonamMD  26 дней назад

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

  • @coolcha
    @coolcha Месяц назад

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

    • @SonamMD
      @SonamMD  Месяц назад

      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.

  • @aaronhall3129
    @aaronhall3129 Месяц назад

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

    • @SonamMD
      @SonamMD  Месяц назад

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

  • @cozmicmom52
    @cozmicmom52 Месяц назад +1

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

  • @DianeStewart-m6v
    @DianeStewart-m6v 5 месяцев назад +1

    Great videos full of information. Thank you.

    • @SonamMD
      @SonamMD  5 месяцев назад

      Thanks for watching!

  • @brucepeppin2369
    @brucepeppin2369 Месяц назад +1

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

  • @naturallymichele4754
    @naturallymichele4754 7 месяцев назад +1

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

    • @SonamMD
      @SonamMD  7 месяцев назад

      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.

  • @eileenoconnor770
    @eileenoconnor770 19 дней назад

    very helpful

    • @SonamMD
      @SonamMD  18 дней назад

      Glad it helped

  • @Ndfourlife
    @Ndfourlife 6 месяцев назад +1

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

    • @SonamMD
      @SonamMD  6 месяцев назад

      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
      @Ndfourlife 6 месяцев назад +1

      @@SonamMD Thank you for your response dr.

  • @Moosehomevideos
    @Moosehomevideos 2 месяца назад

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

  • @Ndfourlife
    @Ndfourlife 3 месяца назад

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

  • @GermanFrisbeeDog
    @GermanFrisbeeDog 4 месяца назад

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

  • @tailoredsuits
    @tailoredsuits 2 месяца назад

    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 ?

  • @Mary-ii5ot
    @Mary-ii5ot 2 месяца назад

    great information, thank you.

  • @fabiolas4
    @fabiolas4 8 месяцев назад

    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
      @SonamMD  6 месяцев назад

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

  • @alial-ashwal6607
    @alial-ashwal6607 5 месяцев назад

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

    • @SonamMD
      @SonamMD  5 месяцев назад

      Thank you.

  • @mamat792
    @mamat792 2 месяца назад

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

    • @mamat792
      @mamat792 2 месяца назад

      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

  • @tailoredsuits
    @tailoredsuits 2 месяца назад

    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
      @SonamMD  2 месяца назад +1

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

    • @tailoredsuits
      @tailoredsuits 2 месяца назад

      @@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 ?

  • @BK-zy6lw
    @BK-zy6lw 2 месяца назад

    🥰

  • @richardgunter4677
    @richardgunter4677 8 месяцев назад

    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
      @SonamMD  8 месяцев назад

      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
      @richardgunter4677 8 месяцев назад

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

    • @SonamMD
      @SonamMD  8 месяцев назад

      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
      @SonamMD  7 месяцев назад

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

  • @cherylcable5517
    @cherylcable5517 10 месяцев назад

    Very informative!

    • @SonamMD
      @SonamMD  10 месяцев назад

      Glad it was helpful!

  • @notanormalgent
    @notanormalgent 4 месяца назад

    ❤thank you

    • @SonamMD
      @SonamMD  4 месяца назад

      Your welcome

  • @tristhetrainer
    @tristhetrainer 7 месяцев назад

    can prp heal a hip labrum tear fully?

    • @SonamMD
      @SonamMD  7 месяцев назад

      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
      @Stephanie-nj8jt 2 месяца назад

      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?