Incredibly informative video. Thanks, Dr. Peng. The fact that you want to help your patients get maximum results and are setting them up for that is amazing! I have an appointment with a Dr. Mathew Wells in FL to review my MRI and discuss PRP injections for knee arthritis. I am excited to potentially take better control of this disease through PRP, physical therapy, diet, sleep, stress reduction, etc. There should be more doctors like you in all medical specialities. Thank you thank you!
@@JeffreyPengMD thanks Dr. Peng. One follow-up if I may. I want to do some cardio ahead of my appointment (as you suggested). It’s an initial appointment so I probably won’t get the injection at this one. My cartilage damage is under my patella. In terms of biomechanics (I think that’s the right word), what cardio workouts are best for knee cap damage. Is the elliptical okay? I ask because I went on it a couple of times recently and did have some pain for a day or two afterword (the pain was bearable). I’m generally also wanting to stay in good cardiovascular health. Thanks again Dr. Peng!
I am a 53 year old with severe OA in my subcalcaneal and knee joint. I had 2 PRP in the subcalcaneal joint, 1 PRP on the left knee, and 2 PRP on my right. I have been pain free for 5 years now. Just wish I could find a clinic to inject PRP into my hip. My current regenerative clinic does not have ultrasound or fluoro guidance imaging.
@@Cybernetic263 I noticed improvements about the 6 week mark. Ask your doctor what and when to start strengthening exercises. That part is super important. No squats or lunges. Buy a foam exercise roll, sit on the ground with the roll under the pocket of your back knee, isolating your thighs & knee, and just extend straightening your knee. No weights, just plain foot lower leg extensions. Eventually ankle weights or a large bag of ice in a pillow case if you don’t have weights, just for the mild resistance. Some people see results in 4 weeks, some 12. It just depends on the extent of knee damage. One knee I had a second injection after seeing no results after 3 months. That second one worked and has not given me problems since my 2019 procedures.
@@Cybernetic263 wait until you are cleared for exercises from your doctor. I think I was cleared after 6 weeks, but ask your doctor, especially if you don’t have a follow-up appointment scheduled.
Hello Dr. Patel, I‘m from Germany, been suffering from Hyposmia for1.5 now. I would like to get the injections and willing to travel to the USA for this. How can I get an appointment?
Painless my A$$ !!!! lol i’ve had epidural injections without anesthesia. I’ve had Cortizone injections in my shoulders, wrist and knees this PRP injection to the shoulder has been by far the most painful injection I’ve ever endure.
I think the pain level while undergoing prp is very much based on technique and experience of provider…..having mine in late October and freaking out about the pain because i am so needle phobic. But i really need this; trying to prevent a fusion.
I just watched this again and you are very convincing. I would love to try this therapy but have the following concerns. First of all my Uncle had the treatment on his hip and it did not work at all, I am not sure if he followed the instructions perfectly so am not sure as why it did not work. I also visited a regenexx office in Larkspur and they took xrays and told me it would not work. I assume because of lack of cartilage. Does this make sense to you and how do you diagnose the possibility of it working? Thank You.
There is so much conflicting info on PRP injections to the knee. Understanding every patient is different , I have 2 important questions: in general, 1. what does your experience show to be the best frequency of intervals of shots? and 2. what is the best time period to spin the blood for--or what is the most appropriate amount of the concentration of plasma? Thank you so much for your ultra clear explanations. :))
I have read all the questions from the people, and you are an amazing doctor! I have been researching about PRP for my lower back pain, and your videos are great! I just suscribed to your channel! :)
Hello Doctor.. Four days ago, I underwent plasma prp in my shoulder because I suffer from inflammation, calcification, and an occasional tear in the tendon. Now the pain has improved greatly, but I cannot move my arm. Should I try to move it and do a light exercise for it to regain its movement, or should I wait another period? Please answer. Thank you.
Hello Mr Peng ,thanks for the informative video.I got a PRP treatment on my knee for osteoarthritis and a week after it swallowed and got very painful no major incident I just used a strong pain relief cream with camphor ,chondrotine and collagen is that could be the reason of the sudden swallow and strong pain ?I m 10 days from the shot now the swallowing is slowly less so is the pain but still very painful can t walk properly ...will this affect the platelets ? have a good day thank you .
Curcumin has anti-inflammatory properties, but (as far as I'm aware) they do not inhibit platelets and should be fine to take. Thanks for your comment!
Thanks for your question, these are all "in general" and of course needs to be individualized. There are less studies for ligaments and muscles. We lump them into the tendon category of most of the time needing just 1.
Thanks for the content , after Prp injection in my knee , it becomes swollen , with pain 12 hours after injection which lasts for three days , also i felt sometimes locking in my knees don’t know why !! May be because of the volume !! Anyway after the fourth day my knee movement returns back to normal without locking . Any explanation for these symptoms !! Is it indication that the injection in right place ?? Can it help for meniscus tear ? Theoretically it has huge amount of growth factors , can this induce cartilage or chondrocyte to regenerate the cartilage ?? Thanks
My knee has taken alot of abuse. 5 surgeries in all. Acl, mcl, pcl torn. Meniscus torn twice. Infection after operation, septic arthritis. Just before covid, found out hair line can be seen on cartilage. Pain as hell. Few months back, did prp on my knee. Extracted 5 tubes of blood for spinning in centrifuge. Knee feels so much better now. Am only in my 30+.gonna continue for maintenance purposes.
Is Longvida curcumin 400mg the same pathway as nsaids - will it inhibit platelet counts? Same question for Boswellia extract 350mg? Thanks for any help!
my ortho suggested prp for my shoulder, I have bursitis and 2 small tears. tried cortisone injection but did nothing other than ruin my diabetes control for a while
Sorry to hear about the pain. PRP for shoulder pain is definitely an option if cortisone and physical therapy / home exercise program doesn't help! ruclips.net/video/RjJWz-V_RIQ/видео.html
Is arthrofibrosis/ capsulitis a contraindication to PRP? I have post op decreased ankle ROM after ankle surgery and some pinching symptoms. (Primary surgery was debribement of scar tissue and removal of bone spur)
I had prp injection in January this year with 20ml Hyaluronic Acid 7 day's after the injection i ended up in A&E i was unable to move a leg for 6 day's the Hyaluronic acid caused me to have pseudogout which was very painful.
Another question I’ve seen videos and all the PRP are kind of like clear to yellow. I have not seen anything red my PRP injections today. The fluid was still red so I’m confused.
Just did this for my hair. It was sooo painful but it’s crazy when I washed my hair I had WAY less hair fallout than ever before. Hope it works well 🙏🏼 Thank you for the info Dr.
I got PRP injected to my shoulder joint in colombia. They used a shorter needle 1/2"- 1" and in kept in smaller tubes... Like 6 total moving around my shoulder. Is this as effective as one large shot?
Hi.It seems the prp has helped my knee.I don't have much pain,but the knee /arthritic is so swollen and it is hindering my walking a great deal.What now Dr.Peng?Please advice.
This video is very informative, I did 1 PRP injection on my left knee and it was very painful and my leg froze I couldn't walk it was horrible but after a few hours there was no pain, just discomfort for about 4days.and I have 2more to do, not looking forward to it but it's necessary.
I was diagnosed with osteoarthritis caused by hip dysplasia. The pain has rapidly increased day by day. I really need to buy some time before I have my THR since my wife is 6 months pregnant. Can PRP injection delay the day I need to have THR?
Thanks for the great videos. We re considering PRP for an injured knee. Question. I didn’t hear any mention of caffeine but read you should not have any 1-5 days before or after procedure. What are your thoughts ?
Does this work for the back? I got the impression that it does not. I am grateful for your videos. I am getting my PRP in my right knee next week. My doctor did not tell me any of the information you shared. SHM Im glad I found your channel. Thank you.
Thank you so much for this information! I really respect and appreciate your approach. could you recommend or I can get this treatment in the Austin Texas area?
Excellent video. Detailed information is given. Thank you. My wife is taking supplements like nutrajoint ( Rose hip extract, boswell sarrata and vitami C) for knee arthitis, immunosuppresants (Azaron Azathiooprine 25mg) for vasculitis , diabetic medicines (vildagliptin ) and diamicron and urotone ( Bethanochol chloride) for urinary bladder weakness plus cacicum , vitamin d3 and multi vitamins. Which of these she should stop before prp? Please reply.
My orthopedic specialist advised me that PRP may lend up having bacterial infection and that will worsen the matter as one will need operations to remove the bacteria infested knee. Moreover he said if this happens it will worsen the knee condition. He advised not to do PRP but have knee replacement. Please advise doctor
Dear Dr Peng. Would you rather suggest activated or non-activated PRP for osteoarthritis? What is the expected consequence if activated, resp. non-activated PRP is used? Thank you so much for your videos.
Hey doc , as the prp process is very painful and you said that nsaid would make this process less effective. So how can we manage the pain? Is giving anaesthesia before process also harmful?
Hi , Thankyou for your video , very helpful . I,ve had a few prp injections for my knee now over the past 2 years and all were a nice yellow colour but my last one was Rose red in colour , my doctor said it is ok but Now i,m a bit curious , is the Red PRP as good as the Yellow ?
This is the first video I've come across that really gets to the questions I have. Thank you for cutting the BS and just getting to the point. One question I do still have though, I have two completely torn ligaments in my left ankle (ATFL and CFL) so my ankle is pretty unstable. I'm running fine on it but I easily roll my ankle on trail runs even with a brace. This happened in Feb 2019. Does the 3.5 year gap matter or would I still be a candidate for this treatment? Thanks!
Unfortunately PRP has not been studied for ligament tears. We do it a lot for UCL problems in the elbow, but results have been mixed. Using PRP for ankle ligament issues would still be considered highly experimental, regardless of when the injury occurred. Best to discuss with your health care provider. Good luck!
@@JeffreyPengMD I'm having a consultation with a specialist regarding PRP or other injections for relief in my elbow where I had a UCL tear a year ago. After the initial tear, 3 months of physical therapy helped me regain use of my arm, and then a few months after that it felt pretty good. But its been degrading a bit the last few months. Are there alternatives to PRP for the UCL for pain relief and recovery?
Thanks for this and other video. Dr Penguin, do you know why insurance is still no covering the cost of PRP injection if there are data showing benefit ? I have knee pain after ACL and menisus operations 25 and 5 years ago. So am scheduling to do PRP injection shortly. Thanks again.
My mom is taking this injection tomorrow. She is having Amitriptyline 10 mg (for her PHN), blood pressure medication and Cholesterol medication. Can she take these meds on the day of the injection and then after? Thanks
If you had a patient with both knees with arthritis/ started off as a meniscus injury (over use, jogging) would you encourage that patient, or discourage that patient from having both knees done at the same time? New subscriber, looking into this procedure. Thank you
Hi, I have a question. I have EDTA tubes (anticoagulation). If I draw blood into this tube and let it stay vertically for 2-3 hours, you get automatically a separation into blood cells and plasma/platelet. Isn't it an alternative option for someone who does not have a centrifuge? The result of the tubes looks the same as with centrifuge. Thanks in advance.
Thanks a lot Dr Peng for this excellent information. I want to know that for stage 3 knee osteoarthritis Hyaluronic acid injection is better or PRP? I’m afraid of all the invasive procedures on my knees. Kindly reply. Regards
I had PRP for hip arthritis and small labrum tear. Doctor said my platelets were very high. Procedure worked but it has only lasted for 4 months and my pain is returning. Im not overweight, eat well, exercise. How long does PRP last? Seems like I paid a lot of money for short term comfort.
This channel is great. Thanks for all you do. I know you can't give medical advice here. I have what I think is a rare tendinopathy, it's bilateral calcific insertional triceps tendinopathy. The calcifications are visible on x-ray and MRI confirms fluid in the tendons. The problem goes back several years, I had taken a long layoff from the gym to resolve the left side. When I finally got back into it I only had minor pain. I built up slowly only doing pushups. Eventually starting triceps extensions with only 3 lbs. After many months I graduated up to 10 lbs and out of nowhere was getting pain on my right side, near full extension of the elbow, accompanied by tenderness on the lateral side of the olecranon. I stopped doing the extensions but continued with pushups because there was no real pain. That was 10 months ago. In an attempt to finally resolve this, I laid off pressing exercises altogether for 4 weeks, then did some very light pressing I had no pain but the elbow was irritated a few hours later. So, I seem to be worse off for taking the layoff. I'm scheduled for a PRP shot as I've had 2 opinions that think that's a reasonable option. Neither opinion thinks the calcifications are the issue or should be dealt with directly. So my question is if PRP has any research for insertional tendinopathies? Also, should the calcifications be dealt with could they be the source of the pain?
Pretty much all the PRP research on tendons is insertional or origin. There are no (that I can think of) studies looking specifically at triceps tendinopathy, but anecdotally, yes it works. Good luck!
I have developed tendinosis in my extensor carpi ulnaris tendon in both of my wrists due to an old Factory job that required repetitive movement and the tendons just didn't heal properly. How helpful would PRP be in my situation in your opinion? I have undergone occupational therapy on and off for the past year now, and I'm not seeing the results I want.
Yellow? I had prp booster shot yesterday after my stem cell shot a month ago. I saw the PRP after being spun and it was like a diluted/weak orange brown colour. Kind of like rusty water. Would you say to cut out peptides and naturual anti inflammatorys after stem cell and Prp shots Serrepeptase Nattokinase Eve prim oil Fish oils Vit e etc Are you supposed to cut these out also?
+1 vote for this comment "Could you please make a comparison between stem cell and PRP for back pain?"
Incredibly informative video. Thanks, Dr. Peng. The fact that you want to help your patients get maximum results and are setting them up for that is amazing! I have an appointment with a Dr. Mathew Wells in FL to review my MRI and discuss PRP injections for knee arthritis. I am excited to potentially take better control of this disease through PRP, physical therapy, diet, sleep, stress reduction, etc. There should be more doctors like you in all medical specialities. Thank you thank you!
Thanks for your kind words! Best of luck with your treatment
@@JeffreyPengMD thanks Dr. Peng. One follow-up if I may. I want to do some cardio ahead of my appointment (as you suggested). It’s an initial appointment so I probably won’t get the injection at this one. My cartilage damage is under my patella. In terms of biomechanics (I think that’s the right word), what cardio workouts are best for knee cap damage. Is the elliptical okay? I ask because I went on it a couple of times recently and did have some pain for a day or two afterword (the pain was bearable). I’m generally also wanting to stay in good cardiovascular health. Thanks again Dr. Peng!
Excellent low impact cardio activities include elliptical, swimming, and cycling
I am a 53 year old with severe OA in my subcalcaneal and knee joint. I had 2 PRP in the subcalcaneal joint, 1 PRP on the left knee, and 2 PRP on my right. I have been pain free for 5 years now. Just wish I could find a clinic to inject PRP into my hip. My current regenerative clinic does not have ultrasound or fluoro guidance imaging.
How long it took to see results? I’m 2 week of my first Prp I only some improvements
@@Cybernetic263 I noticed improvements about the 6 week mark. Ask your doctor what and when to start strengthening exercises. That part is super important. No squats or lunges. Buy a foam exercise roll, sit on the ground with the roll under the pocket of your back knee, isolating your thighs & knee, and just extend straightening your knee. No weights, just plain foot lower leg extensions. Eventually ankle weights or a large bag of ice in a pillow case if you don’t have weights, just for the mild resistance.
Some people see results in 4 weeks, some 12. It just depends on the extent of knee damage. One knee I had a second injection after seeing no results after 3 months. That second one worked and has not given me problems since my 2019 procedures.
@@Stewmade64 im on my 3rd week of my first Prp injection. I will do that exercise thanks brother 🙏
@@Cybernetic263 wait until you are cleared for exercises from your doctor. I think I was cleared after 6 weeks, but ask your doctor, especially if you don’t have a follow-up appointment scheduled.
Hello Dr. Patel,
I‘m from Germany, been suffering from Hyposmia for1.5 now. I would like to get the injections and willing to travel to the USA for this. How can I get an appointment?
Painless my A$$ !!!! lol i’ve had epidural injections without anesthesia. I’ve had Cortizone injections in my shoulders, wrist and knees this PRP injection to the shoulder has been by far the most painful injection I’ve ever endure.
@jefferypengmd Hi Doctor, do I need to stop anti inflammatory supplement too like MSM, fish oil, and cucurmin before and post PRP?
Thompson Kimberly Williams Margaret Lee Sharon
I think the pain level while undergoing prp is very much based on technique and experience of provider…..having mine in late October and freaking out about the pain because i am so needle phobic. But i really need this; trying to prevent a fusion.
celebrex doesn't affect thromboxane a2, resulting in sparing platelets.
Brown Edward Lopez Ronald Thomas Michael
Anderson Timothy Hall Frank Brown Eric
I just watched this again and you are very convincing. I would love to try this therapy but have the following concerns. First of all my Uncle had the treatment on his hip and it did not work at all, I am not sure if he followed the instructions perfectly so am not sure as why it did not work. I also visited a regenexx office in Larkspur and they took xrays and told me it would not work. I assume because of lack of cartilage. Does this make sense to you and how do you diagnose the possibility of it working? Thank You.
Can I take curcumin and boswelia after a prp injection I’m two weeks out from my first knee prp injection
Davis Matthew Thompson Frank Harris Frank
Jackson Thomas Williams Brenda Martin Sarah
Perez Angela Martin Jessica Perez Kimberly
There is so much conflicting info on PRP injections to the knee. Understanding every patient is different , I have 2 important questions: in general, 1. what does your experience show to be the best frequency of intervals of shots? and 2. what is the best time period to spin the blood for--or what is the most appropriate amount of the concentration of plasma? Thank you so much for your ultra clear explanations. :))
I have had the PRP and I recommend it. I have bone on bone and arthritis in my knees. It WORKS do it im doing the other knees and having my hips done
For RA patient, suitable?
I have read all the questions from the people, and you are an amazing doctor! I have been researching about PRP for my lower back pain, and your videos are great! I just suscribed to your channel! :)
Thanks so much for your support!
Thank you for this information Dr. Peng. Do you have any guidance on single spin vs. Double Spin PRP methods?
Hello Doctor.. Four days ago, I underwent plasma prp in my shoulder because I suffer from inflammation, calcification, and an occasional tear in the tendon. Now the pain has improved greatly, but I cannot move my arm. Should I try to move it and do a light exercise for it to regain its movement, or should I wait another period? Please answer. Thank you.
Why is it difficult to find someone who does high-dosage PRP?
Clark Paul Martinez Steven Miller Edward
How much ml of blood should we go with for someone who just starting losing hair and have a thinning hair ?
Moore Jeffrey Anderson Kevin Lewis Brian
Hello Mr Peng ,thanks for the informative video.I got a PRP treatment on my knee for osteoarthritis and a week after it swallowed and got very painful no major incident I just used a strong pain relief cream with camphor ,chondrotine and collagen is that could be the reason of the sudden swallow and strong pain ?I m 10 days from the shot now the swallowing is slowly less so is the pain but still very painful can t walk properly ...will this affect the platelets ? have a good day thank you .
This is something that needs to be discussed with your healthcare provider. Good luck!
Hi.I had prp on my knee,but suffering from so much pain lately.Is this normal?How long does it take to work after all the 3 injections?Help.
Has it helped yet
how much blood draw u need for back? like 200ml
Anti-inflammatory medication,..... is curcumin also under this category?
Curcumin has anti-inflammatory properties, but (as far as I'm aware) they do not inhibit platelets and should be fine to take. Thanks for your comment!
Could you please make a comparison between stem cell and PRP for back pain? If you have already done that, could you please share the link?
AGREED. My thoughts exactly.
Thank you. You said one might need 3 injections into a joint and 1 into tendons to feel results. What about injections into ligaments and/or muscles?
Thanks for your question, these are all "in general" and of course needs to be individualized. There are less studies for ligaments and muscles. We lump them into the tendon category of most of the time needing just 1.
Thanks for the content , after Prp injection in my knee , it becomes swollen , with pain 12 hours after injection which lasts for three days , also i felt sometimes locking in my knees don’t know why !! May be because of the volume !!
Anyway after the fourth day my knee movement returns back to normal without locking .
Any explanation for these symptoms !!
Is it indication that the injection in right place ??
Can it help for meniscus tear ?
Theoretically it has huge amount of growth factors , can this induce cartilage or chondrocyte to regenerate the cartilage ??
Thanks
My knee has taken alot of abuse. 5 surgeries in all. Acl, mcl, pcl torn. Meniscus torn twice. Infection after operation, septic arthritis. Just before covid, found out hair line can be seen on cartilage. Pain as hell. Few months back, did prp on my knee. Extracted 5 tubes of blood for spinning in centrifuge. Knee feels so much better now. Am only in my 30+.gonna continue for maintenance purposes.
Wow man, that sounds crazy. Great to hear PRP is working for you. If you don't mind, what was the cost of your injections?
@@bishoprugerabout 800 in all
@@bishoprugerI paid 450 per injection
Omg i just did one today but prp butt an in so much pain 😢
Too long talks..going on..n..on abt PRP
Is Longvida curcumin 400mg the same pathway as nsaids - will it inhibit platelet counts? Same question for Boswellia extract 350mg? Thanks for any help!
my ortho suggested prp for my shoulder, I have bursitis and 2 small tears. tried cortisone injection but did nothing other than ruin my diabetes control for a while
Sorry to hear about the pain. PRP for shoulder pain is definitely an option if cortisone and physical therapy / home exercise program doesn't help!
ruclips.net/video/RjJWz-V_RIQ/видео.html
Can I have PRP in my spine and left hip?
Is arthrofibrosis/ capsulitis a contraindication to PRP? I have post op decreased ankle ROM after ankle surgery and some pinching symptoms. (Primary surgery was debribement of scar tissue and removal of bone spur)
I had prp injection in January this year with 20ml Hyaluronic Acid 7 day's after the injection i ended up in A&E i was unable to move a leg for 6 day's the Hyaluronic acid caused me to have pseudogout which was very painful.
Another question I’ve seen videos and all the PRP are kind of like clear to yellow. I have not seen anything red my PRP injections today. The fluid was still red so I’m confused.
Just did this for my hair. It was sooo painful but it’s crazy when I washed my hair I had WAY less hair fallout than ever before. Hope it works well 🙏🏼 Thank you for the info Dr.
Hello 👋, how did this end up working for you since then?
I would also love to hear the results a year after
I got PRP injected to my shoulder joint in colombia. They used a shorter needle 1/2"- 1" and in kept in smaller tubes... Like 6 total moving around my shoulder. Is this as effective as one large shot?
Hi.It seems the prp has helped my knee.I don't have much pain,but the knee /arthritic is so swollen and it is hindering my walking a great deal.What now Dr.Peng?Please advice.
This video is very informative, I did 1 PRP injection on my left knee and it was very painful and my leg froze I couldn't walk it was horrible but after a few hours there was no pain, just discomfort for about 4days.and I have 2more to do, not looking forward to it but it's necessary.
Frederick Pass
Is PRP effective on Gout?
Im getting conflicting information about coffee and PRP. If you see this can you give me your opinion? Thanks
Hello! Are vitamins and chondriotin glucosamine collagen should be also stopped before taking this prp? Please help!
I was diagnosed with osteoarthritis caused by hip dysplasia. The pain has rapidly increased day by day. I really need to buy some time before I have my THR since my wife is 6 months pregnant. Can PRP injection delay the day I need to have THR?
Thanks for the great videos. We re considering PRP for an injured knee. Question. I didn’t hear any mention of caffeine but read you should not have any 1-5 days before or after procedure. What are your thoughts ?
Senger Gardens
Does PRP help with protrusion in lumbar disc and cervical stenosis?
Does this work for the back? I got the impression that it does not. I am grateful for your videos. I am getting my PRP in my right knee next week. My doctor did not tell me any of the information you shared. SHM Im glad I found your channel. Thank you.
How many days to be out of work
Dr. Thanks so much for all the info . My question is do they add any synthetic things to the blood before they inject it or it’s all my blood ?
TIA
Thank you so much for this information! I really respect and appreciate your approach. could you recommend or I can get this treatment in the Austin Texas area?
Can my mom receive PRP from me?
Excellent video. Detailed information is given. Thank you. My wife is taking supplements like nutrajoint ( Rose hip extract, boswell sarrata and vitami C) for knee arthitis, immunosuppresants (Azaron Azathiooprine 25mg) for vasculitis , diabetic medicines (vildagliptin ) and diamicron and urotone ( Bethanochol chloride) for urinary bladder weakness plus cacicum , vitamin d3 and multi vitamins. Which of these she should stop before prp? Please reply.
Hi sir,i have ankle sprain grade2 ligament tear.prp injuction help my healing sir
Curious to know if the peptide BPC-157 and potentially others is jist a synthesized version of whats going on in these "natural" injections
Had PRP for knee OA. All pain is gone. Hope it lasts.
So far did it work good ?
How long it took you to have good results?
Does PRP have effect on meniscus tear and degeneration? How many shots is recommended by what timeline?
Do you also perform alar ligament injections through the mouth for CCI patients or is it too complicated for you doctor?
Hi doc, may I ask if platelet count on cbc is a guideline?
Or having normal platelet count can still get prp?
Thank you
This Thursday is 4 weeks since my prp to shoulder and knees. Can I ice or heat? Also can I start hiking inclines?
What about curcumin for pain in the preceding 2 weeks?
What’s should be the minimum interval between two PRP injections for knee osteoarthritis?
Did one for foot pain. Omg almost puked the injection was so painful!
My orthopedic specialist advised me that PRP may lend up having bacterial infection and that will worsen the matter as one will need operations to remove the bacteria infested knee. Moreover he said if this happens it will worsen the knee condition. He advised not to do PRP but have knee replacement. Please advise doctor
Dear Dr Peng. Would you rather suggest activated or non-activated PRP for osteoarthritis? What is the expected consequence if activated, resp. non-activated PRP is used? Thank you so much for your videos.
I had PRP injection in my back and I am 90% better after 3 weeks
Wow, amazing!
@@JeffreyPengMD Truly amazing !!! I was very worried about my back.
Hey doc , as the prp process is very painful and you said that nsaid would make this process less effective. So how can we manage the pain?
Is giving anaesthesia before process also harmful?
haw match pitch prp
Hi , Thankyou for your video , very helpful . I,ve had a few prp injections for my knee now over the past 2 years and all were a nice yellow colour but my last one was Rose red in colour , my doctor said it is ok but Now i,m a bit curious , is the Red PRP as good as the Yellow ?
Hello i couldn't find anything but ı have a disease called fmf so it is an autoimmune disease can i apply prp ?
Hi doc, what type of injury can prp treatment help?
Is it also helpful for muscle? Or anything else
Thank you
Dr. Peng i have a question ❓ can I physical therapist give PrP therapy?
This is the first video I've come across that really gets to the questions I have. Thank you for cutting the BS and just getting to the point. One question I do still have though, I have two completely torn ligaments in my left ankle (ATFL and CFL) so my ankle is pretty unstable. I'm running fine on it but I easily roll my ankle on trail runs even with a brace. This happened in Feb 2019. Does the 3.5 year gap matter or would I still be a candidate for this treatment?
Thanks!
Unfortunately PRP has not been studied for ligament tears. We do it a lot for UCL problems in the elbow, but results have been mixed. Using PRP for ankle ligament issues would still be considered highly experimental, regardless of when the injury occurred. Best to discuss with your health care provider. Good luck!
@@JeffreyPengMD thanks for the quick reply. I'll book a consult locally
@@JeffreyPengMD I'm having a consultation with a specialist regarding PRP or other injections for relief in my elbow where I had a UCL tear a year ago. After the initial tear, 3 months of physical therapy helped me regain use of my arm, and then a few months after that it felt pretty good. But its been degrading a bit the last few months. Are there alternatives to PRP for the UCL for pain relief and recovery?
Thanks for this and other video. Dr Penguin, do you know why insurance is still no covering the cost of PRP injection if there are data showing benefit ? I have knee pain after ACL and menisus operations 25 and 5 years ago. So am scheduling to do PRP injection shortly. Thanks again.
Would fasting prior to PRP injection help with platelet health?
Do ligaments in the cervical neck generally respond well to PRP injections?
Does PRP help with healing broken bones?
Has anyone used it for neck pain (arthritis)?
How many platelets are needed for successful treatment?
This prp injection is worked for hearing loss and tinnitus?
My mom is taking this injection tomorrow. She is having Amitriptyline 10 mg (for her PHN), blood pressure medication and Cholesterol medication. Can she take these meds on the day of the injection and then after? Thanks
Best to discuss with your doc
If you had a patient with both knees with arthritis/ started off as a meniscus injury (over use, jogging) would you encourage that patient, or discourage that patient from having both knees done at the same time? New subscriber, looking into this procedure. Thank you
Can PRP injections work for neck injuries?
Hi, I have a question. I have EDTA tubes (anticoagulation). If I draw blood into this tube and let it stay vertically for 2-3 hours, you get automatically a separation into blood cells and plasma/platelet. Isn't it an alternative option for someone who does not have a centrifuge? The result of the tubes looks the same as with centrifuge. Thanks in advance.
The concern is that a large portion of platelets and growth factors will still be in the upper plasma layer.
Hey Dr Peng can I donate blood while on PRP therapy?
Thanks a lot Dr Peng for this excellent information. I want to know that for stage 3 knee osteoarthritis Hyaluronic acid injection is better or PRP?
I’m afraid of all the invasive procedures on my knees. Kindly reply.
Regards
PRP seems to be better than HA for osteoarthritis
I had PRP for hip arthritis and small labrum tear. Doctor said my platelets were very high. Procedure worked but it has only lasted for 4 months and my pain is returning. Im not overweight, eat well, exercise. How long does PRP last? Seems like I paid a lot of money for short term comfort.
This is something that needs to be discussed with your health care provider, good luck!
This channel is great. Thanks for all you do.
I know you can't give medical advice here. I have what I think is a rare tendinopathy, it's bilateral calcific insertional triceps tendinopathy. The calcifications are visible on x-ray and MRI confirms fluid in the tendons. The problem goes back several years, I had taken a long layoff from the gym to resolve the left side. When I finally got back into it I only had minor pain. I built up slowly only doing pushups. Eventually starting triceps extensions with only 3 lbs. After many months I graduated up to 10 lbs and out of nowhere was getting pain on my right side, near full extension of the elbow, accompanied by tenderness on the lateral side of the olecranon. I stopped doing the extensions but continued with pushups because there was no real pain. That was 10 months ago. In an attempt to finally resolve this, I laid off pressing exercises altogether for 4 weeks, then did some very light pressing I had no pain but the elbow was irritated a few hours later. So, I seem to be worse off for taking the layoff. I'm scheduled for a PRP shot as I've had 2 opinions that think that's a reasonable option. Neither opinion thinks the calcifications are the issue or should be dealt with directly. So my question is if PRP has any research for insertional tendinopathies? Also, should the calcifications be dealt with could they be the source of the pain?
Pretty much all the PRP research on tendons is insertional or origin. There are no (that I can think of) studies looking specifically at triceps tendinopathy, but anecdotally, yes it works. Good luck!
@@JeffreyPengMD Thanks!
In regards to diet. Would a healthy keto diet be good for PRP? It's higher in fats but mostly healthy fats. Plus virtually no sugar.
Yes. In general it's the processed foods and excess carbohydrates that are really problematic
My resting heart rate shot up ever since prp ,not happy .
I have developed tendinosis in my extensor carpi ulnaris tendon in both of my wrists due to an old Factory job that required repetitive movement and the tendons just didn't heal properly. How helpful would PRP be in my situation in your opinion? I have undergone occupational therapy on and off for the past year now, and I'm not seeing the results I want.
Does PRP injections works for Urological problems. Increase sexual desire or evn girt ?
Sorry, not my area of expertise
Yellow? I had prp booster shot yesterday after my stem cell shot a month ago. I saw the PRP after being spun and it was like a diluted/weak orange brown colour. Kind of like rusty water.
Would you say to cut out peptides and naturual anti inflammatorys after stem cell and Prp shots
Serrepeptase
Nattokinase
Eve prim oil
Fish oils
Vit e etc
Are you supposed to cut these out also?
Thanks for your comment. There are no studies looking at those supplements in relationship to PRP.
Sorry spelling. DR Peng
Instead my doc told me to put some ice after PRP. Do it will badly affect the growth doc ?
Should be fine.