Love your content! I had PRP in my hip and my Dr. sent me on my way, no protocol, no do's & don't's just "take it easy for the next few days", I know there's more to it! Thanks
@@JeffreyPengMDmy son received a PRP injection 1 1/2 weeks ago. He is scheduled for a tonsillectomy exactly 2 weeks after he received the PRP Treatment. Could having the surgery diminish the effect of the PRP? Could the pain medication they give him effect it as well?
What great timing Dr. Jeffrey, just got back from my first PRP injection in my hip joint this morning and first thing I did is turned into your channel and wow, just what I needed, thanks so very much for all your knowledge and extremely helpful videos!
rman h, can you tell me how much (if at all) your first PRP injection helped alleviate your hip pain? Do you have osteoarthritis in your hip?? Thats what I have and the pain is so bad and I'm getting more limited in movements. Pls let me know Thanks
I had tennis elbow for 5 months then I tore the tendon. At this point I decided on PRP. Very painful for 2 days. On the 3rd day I felt good, so I decided on a light jog.(I am a runner) Weird, I actually rolled my ankle! I started to walk on it felt better than I started to jog again. But this time I rolled the same ankle and fell! Now I am nursing a twisted ankle and elbow! I have never done that before on the same road I run everyday! My doctor only recommendto rest for a week. I should of watched this video first! Thank you
Your presentations are so scientific and methodical and I have learned so much valuable information from you. Thank you for sharing your vast knowledge about PRP! Is there a regional listing somewhere of the sports medicine doctors or other specialist who provide PRP treatments for thumb arthritis?
Thanks Dr Jeff for taking the time to post these videos and reply to all the comments . I find all your videos on PRP very helpful and think regenerative medicine has a very promising future. This last video answered a lot of my questions.
Dr. Peng, thank you for your very informative presentation. I appreciate how thorough you are and especially how you broke down the various phases. Thank you again and I'll continue to watch for additional videos from you.
Thanks for the videos Dr. Jeffrey! I had a whiplash injury about 6 years ago that was undiagnosed at the time, and its been slowly getting worse especially this year. I have gone through 5 treatments of Prolotherapy injected into my cervical spine with slight improvement, and about 3 weeks ago a PRP session with my same provider. I have also had a DMX scan that revealed alot of loose tendons in my neck causing my upper cervical Atlus/Axis to be moving too much and banging/pushing into my vagus nerve among other things giving me continual feelings of dizziness, pinch, lethargy down my arms/hands/legs, difficulty swallowing, brain fog etc etc. I am hoping the PRP helps, I feel a little better than I did 6 months ago, going from bad daily neck pinches where I would need to lay down, to now feeling more of a constant low-grade pinch, not sure if that is better or not. I was going to give this PRP a full 2 months and not do any more injections for a while and go on a very anti-inflammatory diet and routine to see if my neck has healed up and get rid of this chronic inflammation I seem to have. Would love any advice or opinions, at this point I'll try anything, the daily dizziness, numbness, lethargy and such are so tiring, I'm constantly exhausted!!
Thanks Dr Peng for sharing information on PRP injections. I had PRP injections yesterday to my elbow for tennis's and golfer's elbows and my back spine C4,5 & 6. May I know if normal activities such as brushing teeth, washing dishes, washing hair and driving interfere in the healing process? or should I stop all movements to my arm? Your advise is most valuable
I have a really bad rectus femoris tendon overuse injury in my right hip. The hip underwent two replacements in 5 years because the first replacement was loose from the beginning. I’ve just had a second PRP injection and I have to say each time I’ve had the injection I have descended into a really excruciating pain spiral. This has been the worst year of my life! I was doing quite well after the first injection but wasn’t aware about the NSAID issue prior to the shot, but not after it, so I’m not sure if the result was as good as it could have been. After two months I had plateaued so decided to get another shot. The first shot really helped begin the healing process but the week following was one of the most painful things I’ve ever experienced. Shooting pain to the point of screaming. I once gave birth to twins with the second twin being a breach delivery. No anesthesia. The pain I’ve experienced following both PRP shots has been as bad as my delivery of twins! I take acetaminophen every 5 to 6 hours and I’m desperate to take it to try to fend off the pain. Every day, I have at least one episode lasting about 45 minutes where I am screaming with pain. The only thing I can do is surround my hip with ice and not move in spite of the wracking pain. I won’t be able to tolerate another shot. I’ve been dealing with this injury for 6 months and still can’t walk. I’m hopeful the second shot will allow me to walk again. I’ve had a physical therapist coming to my house twice a week and she is brilliant. She may be the sole reason I had improved prior to the second shot. She will continue to support me for the next couple of months. I couldn’t have survived this without her!
Thanks Doctor for the advice I'm starting PT tomorrow and I'm listening to my body trying not to over do it I'm in my third week from my injection and still having pain on my hip I have bursitis and atleast now the pain is tolerable when I sit down but feels much better when I'm laying down I didn't know you could repeat a shot I'll be patient and see if in a few weeks I'm pain free I'm so glad I got the prp because cortisone did nothing for my bursitis
Hi, I have learned a lot from watching your videos. I am having a PRP injection into my knee because i have meniscus tears and arthritis and wondered do you recommend wearing a brace after the injection? Should I use crutches for the first couple of weeks? I have read several reviews that said don't use heat or ice for the first few days. Your thoughts? Thanks so much!
This is infinitely valuable. Thank you for sharing! Sorry if I missed it, is there a platelet count you recommend for golfers/tennis elbow (tendon) vs the 5-10B arthritis count?
Thanks for your comment! Ideal platelet count hasn't been studied for tennis/golfer's elbow, though I would still recommend a 50-60cc blood draw to get 8-10 billion platelets.
Just did PRP on elbow two days ago. The pain the first few days has been excruciating! Even while taking Vicodin every 3 hours for 48hrs straight. Now on third day and it is finally starting to subside. I need to do one more injection in 4 weeks
Hello get well soon .... May I know what happened exactly in your elbow ?? Are you in sports ? Myself having severe pain in right elbow .. I do mountaineering... Rock climbing..
@@Tslayer1966 yes.. I'm having ultrasound sesson for last 6/7 days.. pain is little less but nothing significant.. Therapist said to continue for atleast 10 days...Let's see...
Thanks Dr Jeff for taking the time to post these videos and reply to all people making comments . I have a question please : Can PRP injections heal mucoid degeneration of the meniscus ?
PRP has not been shown to heal the meniscus. However, most meniscus tears are degenerative in nature and are due to underlying arthritis. And PRP can help treat underlying arthritis! More info here: ruclips.net/video/hmSsJgpg03k/видео.html
Thanks for sharing the information Dr. Jeffrey! I have been having pain with my heel since 1.5 years and got to know that this is due to overuse(heavy cardio) of my heel which caused Achilles tendinopathy with rectocalcaneal heal bursitis. I have taken a prp injection now and it’s my third week. I still cannot walk properly as I could. There is always a stiffness with my tendon after I do a little walk. Do you think that I should wait for the results and is this common?
Hi, thank you for taking the time to make these videos. I have been watching you all week. I just had a PRP injection in my rotator for bursitis & tendinitis & shoulder impingement syndrome. I was surprised when I saw that my injection was red. I wish I did more homework on it. My Dr used a PEAK kit. From what I read online, it looks old and out of date. Do you know of this brand?Did I just waste $1200.00? Wish your office was near me.
Just looked up the PEAK kit, it's got 30 and 60 cc versions, those are good volumes. I typically use a 60 cc blood draw for the shoulder. When doing tendons, you actually want a "leukocyte rich" protocol which turns the PRP a red color. So what you're describing sounds right on! Good luck!
@@JeffreyPengMD Thank you so much for your reply. I really appreciate it. It will be a week Friday. My shoulder is still pretty soar from the injections. I’m taking that as a good sign!😀
Very helpful information. Thank you. I'm going to have 3 injections for my hip arthritis, one week apart. Do I count the phases from after the third injection ?
I messed up the first prp injection I went hard because I’m used to heavy lifting but my shoulder started getting worse so I got another prp n now I’m going to take it slow
Thank you Dr Peng! Such great video for first timers like me. Today I got knee prp in both knees because of patellar tendonitis. I love going to the gym but I got tendonitis while hiking a mountain. It’s been so frustrating because I can’t workout like I used to. My question is: does it affect if I walked after my prp shots because I don’t have a car and I had to take public transportation 😞 thank you. Greeting from 🇵🇪
This is something that you'll want to discuss with your healthcare provider. Walking after PRP is generally okay, but really depends on the site of the injection. Good luck!
@@paynter3420 I believe so, because it was right in the center of my knee. I had no pain during the procedure but I felt a little pain after because my knee got a little bit swollen and I had to walk to take a bus. You will be recovered but it might take time, just be patient. I have been able to lift again and do functional training like I used to.
I have my PRP procedure tomorrow , bilateral. I feel well informed. Thank you Dr Peng. One question. How do you feel about applying Arnica to the injection site? I'm trying not to take any oral medications.
@@newts1964 yes it has......thinking about getting another one for this year (3rd shot) and then getting two shots annually (6 months apart). I've had one before for arthritis in the meniscus area and it helped tremendously without having to get a continuous shot.....but this intra-articular OA I'm dealing with is different and I would like to get ahead of it before it gets worse......I often cycle to stay in shape and it has helped me get back on the bike.....was able to ride twice yesterday
My doctor didn't recommend physical therapy. I did it on my shoulder , even though I had multiple therapy sessions before injection so I basically know all exercises but I wonder why some recommend and some don't...
WRT efficacy of the PRP injection - what about post op and pre injection, I was given a NSAID after meniscus surgery,(same procedure still on operating table) and right before the injection of PRP. My blood draw was Prior to the NSAIDs, so the shot was given at the end of the operation , so my NSAID clean PRP injection blood was then injected into my knee and the Tramodol was given IV. the NSAID application was NOT supposed to happen...the team just dropped the ball. there was lots of briefing to the Surgeon Dr. Anesthesiologist and the nurse . they just dropped the ball on the NSAID administration. What does this do or might do to the efficacy of the PRP shot?
I got PRP for cracked cartilage in the knee. I had gotten a sprain earlier this year and have pain lingering when I put weight on it in certain ways. I’m on day 8
Dr Peng thanks for excellent series of video on prp and other similar OA treatments. I have a question and wonder if you could shed some insight. If we have a patient who undertakes 75mg of plavix daily (blood thinning agent) for his heart condition, he could potentially stop taking plavix 1 week prior to the prp injection; but how long post injection would he potentially need to wait before resuming plavix? Of course he would consult his heart doctor as well.
Can you please make videos for patient having both osteoporosis + osteoarthritis treatment , prognosis etc ... It is a request 😶 all your evidence based videos are sooo helping in med school #no-words 😍😍😍😍😍😍
Any guidance for Physical therapist from day 4-14 and 14-6 weeks after post-injection? Can you please list out the exercises. That would be greatly helpful. Your information is very valuable. Greatly appreciate your service. Thanks doctor
damn it!- no one told me any of this, stupidly had a Anti Inflammatory an hour before - probably wont do anything now, $500 wasted plus the day after my golfers elbow is killing me @Jeffery Peng MD
I just had my PRP injection done in my shoulder. The first two or three nights, I had to sleep sitting up. Almost two weeks, and I'm still pretty miserable. The pain post-injection was worse than the pain from my original injury. I'm rehabbing the best I can. The statement that it is a bit of discomfort is a total understatement..
Yea, it's really hard to predict who's going to flare up BIG and who's going to have a little mild discomfort. But I agree, most people are very surprised by how big a flare up the post injection period can get
I did a PRP injection into my shoulder and the pain was extremely mild. I could sleep the first night without any painkillers. It seems there is substantial variability between patients and perhaps between precise injection sites inside the shoulder?
I agree, the shoulder pain post injection was brutal. I could barely move my arm the first 3 days. I’m now 9 days out and while the initial soreness has improved, still feeling much worse than I did before the shot. I’m hoping the 4-6 week timeline will hold true for me.
Very helpful video ! I am generally healthy 66 years old and had a (yellow) PRP injection 3 weeks ago for golfers elbow and I still have muted pain (3 out of 10) during extension. I am doing AROM and light stretching per your guidance. Should I hold off on more aggressive stretching and weight training until pain subsides ?
Great video, doctor! I was wondering if you ever treated anyone with TFCC/ecu tendinosis at the wrist with PRP? And if PRP can help restore the damages done from a cortisone injection? Thank you in advance!
Thanks for your support! Most patients can start gentle PT on week 2. I give my patients my preferred PRP rehab program to take to their PT office as most physical therapists don't know how to approach post PRP injection cases.
My pain doctor did my infection and didn't give me any instructions. I am now wishing I had gone to a sports medicine doctor or orthopedist. Would you be so kind as to share your PT instructions so I can give them to my PT this week?
Hello Dottor Peng , I'm a bodybuilder and I'm having 3 PRP sessions inside the acromion-clavicular joint due to pain that was causing me limitations in training, in the gym, in those movements that put the most stress on this small joint (in the MRI the report speaks of acromioclavicular arthrosis). Please,I would like to understand when I will be able to perform pushing exercises with weights above my head again (such as the military press) or the inclined bench again ?
Hi pick your brain i had 3 prp injections a year ago i have scheduled 3 more for bone on bone hip throughout the the year i do ellipitical machine walking 10 mins i suat my own body weight for 2mins i do hip raises for 1 min and side leg lateral raises 36 reps each leg i do this 6 days a week i function in high 90% yes i have discomfort from long days at work .my question is (should i refrain from this activity or continue i work out 6 days a week i am fit & strong i take supplements tumeriac boswella ginger etc plenty of water. Thsnks love your input
Thanks for your comment. Unfortunately I cannot give medical advice over the internet. Please seek the advice of your trusted health care provider. Best of luck!
Turmeric / Curcumin should in theory be fine but if you want to be really safe, you may want to hold it for 1-2 weeks after PRP. ruclips.net/video/B4Wf5-K5PmM/видео.html
I just had PRP on my both knees.. Its now 12 hours and my right knee is fine, but feeling pain in my left knee. Im 60yr old and quite active.. Question 1. How soon can i start Golf 2. How soon can i start cycling. Thanks And thanks for your support, as i watch all your videos on knee treatment and decide based on them....
Hello, I am after my 2nd PRP to the knee. I am a fitness guy, and doctor told me that after 3 days, i can exercise anything except legs. I have some pain after i did stretching including being on the knees, does it mean, healing process of the first 2 injections is lost, or It my knee is just irritated ? ... I am guessing if I can go to the gym and do the exercices while sitting or should I stop gym at all for whole healing process. Gym is very important to me, but dont want to destroy the healing process ... What do you recommend ? Doctor set healing plan 5 injections and break between them is 7-14 days
Your videos have been very valuable in weighing my options. If one does PRP, ideally would you also still stop glucosamine/ chondroitin, boswellia for 2 weeks, too? Also, if one has ankle misalignment/pain, back/ si issues, due to valgus in both knees, is TKA the only option? Thanks so much for all you do!
I did get an prp injection in Davao Philippijnes. It was my second after 1 month thr first. I have an bot on both hip without cartilige. But the injections coult only be done with 20ml blood. They also could not do a double spin. They have not the best prp protocol and of course there was even not place for a bigger amount of blood in the hip. So in fact in three sessions they reach the 60 ml dosis. After first injection i did feel alreddy better, the pain is less than before minus 20 procent. The finally result is not sure becouse of bot on bot situation.
I see often how long I would need to be off of Eliquis before PRP, but how long do I need to stay off Eliquis after PRP? Concerned about stroke risk when off my Eliquis. Thanks!
“Some soreness”?! My shoulder killed me for a full month after PRP. Now two months later, still painful and very limited. I’m treating it right, no pain killers whatsoever. But let me tell you, if this doesn’t fix my torn supraspinatus, no way I’m doing this again. No fricking way. I’ll prefer surgery, rehab and get back with my life. This has been just as painful and slow to recover as labrum tear surgery on my other shoulder, and insurance covered it. Frustrated.
What if a person is on low dose daily (because of heart disease) aspirin because of heart disease? Is there still platelets to work with per injection and after?
Low dose aspirin has been shown to negate the effects of PRP. Unfortunately, patients on anti-platelet therapy for ischemic heart disease or stroke may not be candidates for PRP injections.
I was informed 2 PRP injections a week apart from one another was the best course of action for my 50% UCL tear. Are consecutive injections normally that close to one another?
Thank you for sharing this! What do you recommend your patients who take PRP in combination with surgery and are in need of pain relieving medication after surgery?
@Dr Jeffery Peng, very informative video. Would like to know if it's possible to have two injections on the same day TROPOCELLS PRP 22 ML and Monovisc-sodium hyaluronate 22 ML ?
I haven't heard of the Tropocells PRP system. A quick review of their manufacturer site shows they use only 11 cc of blood. I will be making a new video on how many platelets are required for successful outcomes. It seems you need about 5-10 billion platelets per PRP injection. There's no way 11 cc of blood will get you this amount of platelets. Generally, you need >50cc of blood to achieve this. This video goes into whether you want to combine PRP and HA: ruclips.net/video/iK3zTFRTzsA/видео.html
@@JeffreyPengMD Thank you for your prompt reply your related links! 1) My receipt is Monovisc 22 mg/ml pre- filled syringe 4 m. My prescription is Monovisc (Sodium hyaluronate 22 mg/ml ) injection 2 milliliter. Are they the same ? Procedure-injection1, tendon sheath/ligament aponeurosis 2) Tropocells PRP using 22 ml, is it enough for platelets activation n healing process of my knees osteoarthritis? Sorry to bother you again n looking foward to your reply. Thank you !
Great information. Thank you. Do you consider Red Light Therapy the same as heat for post injection? This was recommended for helping recovery after ankle sprain.
Dr. Peng: Could utiliizing therapeutic ultrasound count as the application of deep heat following a prp injection for soft tissue injuries like tendonosis of the elbow?
Great Video Dr. Jeffrey. Do you think PRP is effective in treating chronic pain in the ankle joint after an ankle sprain? I sprained my ankle 2 years ago and I am still experiencing chronic pain in my ankle. Thanks!
Quite possibly, but it really depends on the cause of your persistent ankle problems. This is something that needs to be discussed with your health care provider. Best of luck!
I had peroneal longus tendon resection between the left ankle bone and the 5th metatarsal as well as the brevus tendon repair. I thought the surgery would “fix “ my pain but I still had pain for a year. This was very problematic for my golf swing and weight shift to the outside of the left foot and ankle on the downswing. After doing research on PRP I decided to give it a try. First, I had to convince my original surgeon to give me the shot. As I said this was more than year after surgery. Well I can say that after 2 weeks of laying off golf I had only minor pain and started playing golf again. And 3 weeks after the PRP shots I was pain free. It has been a several years ago now and I am still pain free in the ankle. I will tell you that the surgeon expressed he did not do a lot of PRP injections. Whether that had anything to do with the very significant pain I had during the injections I don’t know. But he did inject me at 3 different points during the one session. I have since had PRP near the knee at the top of the peroneal tendon and this past week for the upper long head bicep tendon. Anyway, I wish I had been able to get a PRP shot in the ankle before surgery. I did live with the tendonits in the ankle for about a year before I first got it checked out hoping it would heal on its own. The first mistake was not staying away from golf long enough for the tendon to fully heal. I would wait a week and then go play again which just kept the tendon inflamed. I think I should have not played for at least three weeks and then if the tendon flared up again at that point tried PRP with a significant rest period. I think if I had done that I would not have had to have the longus tendon resection due to tendinosis. As the doctor described it the tendon was shredded and unsaveable once he was able to see it in surgery.
Have you ever heard of someone being inflamed long after the first 2 weeks? Im at 6 weeks in tendon injections and I am still very inflamed and I cant really progress any rehab because of it.
Wow thanks for this video. I just had this treatment today for tennis elbow but I’ve taken around 4 advil pills. Do you think I ruined my PRP injection?
Hey Doc! I had my first prp a week ago on the QL ( Quadratus Lumborum ) muscle due to MPS , I heard that a patient should not consume fish oil and herbs that are anti inflammatory, is that true ?
I had my hip PRP done two days ago. Because I have back issues it's hard for me to stay in bed. I get up every hour and take a very slow walk around my house. I hope this doesn't ruin my PRP?
Doctor i have bursitis and i was getting better than had a setback and now im wondering what i need to do at the 4 week mark? I havent started any PT and if i need another injection what kind of doctor should i see a Orthopedic doctor or Physio doctor? My doctor never used ultrasound for any of my injections and told me to start PT right away but my PT is not familiar with PRP injections and what you should do after getting one
Thanks for the video! If I've had a prp injection in my knee, am I able to do upper body weight lifting excercises if there is zero to very light load on the knee during the first few days ? (Sitting down, bench press etc)
For a healthy 14 year old how long would you expect to move back to competitive baseball play (ie: pitching and hitting) after after PRP therapy in the UCL?
Hi sir,i had ankle sprain grade2(there are three ligament like atfl,tibio talar,tibio navicular).now 6 weeks completed but didn't improve my ankle mobility, swelling and pain.now will i take prp injuction is possible for my ankle ligament healing sir
My bedroom is upstairs and I will be stuck for a few days upstairs ; but how do I get upstairs after my PRP injection which is in l0 days, without hurting my knee
Love your content! I had PRP in my hip and my Dr. sent me on my way, no protocol, no do's & don't's just "take it easy for the next few days", I know there's more to it!
Thanks
Cost of prp injection pls??
Respect from India , m a physical therapist and I completely agree wat doc says
Awesome!
@@JeffreyPengMDwhy transversa myelitis doctor?
@@JeffreyPengMDmy son received a PRP injection 1 1/2 weeks ago. He is scheduled for a tonsillectomy exactly 2 weeks after he received the PRP Treatment. Could having the surgery diminish the effect of the PRP? Could the pain medication they give him effect it as well?
Another great video, thank you. Without a doubt the best medical videos on RUclips.
Thanks for your support and comment!
What great timing Dr. Jeffrey, just got back from my first PRP injection in my hip joint this morning and first thing I did is turned into your channel and wow, just what I needed, thanks so very much for all your knowledge and extremely helpful videos!
Wow! Good luck with your PRP injection!
rman h, can you tell me how much (if at all) your first PRP injection helped alleviate your hip pain? Do you have osteoarthritis in your hip?? Thats what I have and the pain is so bad and I'm getting more limited in movements. Pls let me know Thanks
Me too..my first PRP injection in my left knee..on 7/2022 and my other PRP on my right knee on 12/2022..still under treatment and exercise..
@@hajaredudayev Did PRP injection helped?
@@TechieGhost Yes..
I had tennis elbow for 5 months then I tore the tendon. At this point I decided on PRP. Very painful for 2 days. On the 3rd day I felt good, so I decided on a light jog.(I am a runner) Weird, I actually rolled my ankle! I started to walk on it felt better than I started to jog again. But this time I rolled the same ankle and fell! Now I am nursing a twisted ankle and elbow! I have never done that before on the same road I run everyday! My doctor only recommendto rest for a week. I should of watched this video first! Thank you
If you tore a tendon and did not repair it will never heal on its own !
Your presentations are so scientific and methodical and I have learned so much valuable information
from you. Thank you for sharing your vast knowledge about PRP! Is there a regional listing somewhere of the sports medicine doctors or other specialist who provide PRP treatments for thumb arthritis?
Thanks Dr Jeff for taking the time to post these videos and reply to all the comments . I find all your videos on PRP very helpful and think regenerative medicine has a very promising future.
This last video answered a lot of my questions.
You're very welcome, thanks for your support!
@@JeffreyPengMD Dr. Any exercises for prostate
Dr. Peng, thank you for your very informative presentation. I appreciate how thorough you are and especially how you broke down the various phases. Thank you again and I'll continue to watch for additional videos from you.
Thank you Doctor Jeff, I’m getting ready to get a PRP injection and your video was very informative.
Thank you fir such a detailed video, I appreciate it. I have my first PRP tomorrow on my right knee for tendonitis.
How were your results?
Thanks for the videos Dr. Jeffrey!
I had a whiplash injury about 6 years ago that was undiagnosed at the time, and its been slowly getting worse especially this year.
I have gone through 5 treatments of Prolotherapy injected into my cervical spine with slight improvement, and about 3 weeks ago a PRP session with my same provider.
I have also had a DMX scan that revealed alot of loose tendons in my neck causing my upper cervical Atlus/Axis to be moving too much and banging/pushing into my vagus nerve among other things giving me continual feelings of dizziness, pinch, lethargy down my arms/hands/legs, difficulty swallowing, brain fog etc etc.
I am hoping the PRP helps, I feel a little better than I did 6 months ago, going from bad daily neck pinches where I would need to lay down, to now feeling more of a constant low-grade pinch, not sure if that is better or not.
I was going to give this PRP a full 2 months and not do any more injections for a while and go on a very anti-inflammatory diet and routine to see if my neck has healed up and get rid of this chronic inflammation I seem to have.
Would love any advice or opinions, at this point I'll try anything, the daily dizziness, numbness, lethargy and such are so tiring, I'm constantly exhausted!!
I'm getting my PRP treatment for hair growth tomorrow. Thanks for the tips
Thank you doctor!!!!
This morning a had a PRP inyection. (left hip)
Very valuable information!❤
how did it go?
Thanks Dr Peng for sharing information on PRP injections. I had PRP injections yesterday to my elbow for tennis's and golfer's elbows and my back spine C4,5 & 6. May I know if normal activities such as brushing teeth, washing dishes, washing hair and driving interfere in the healing process? or should I stop all movements to my arm? Your advise is most valuable
Just got my tennis elbow done and the pain is brutal. How did your recovery go? Thank you.
Great info, thank you
I have a really bad rectus femoris tendon overuse injury in my right hip. The hip underwent two replacements in 5 years because the first replacement was loose from the beginning. I’ve just had a second PRP injection and I have to say each time I’ve had the injection I have descended into a really excruciating pain spiral. This has been the worst year of my life! I was doing quite well after the first injection but wasn’t aware about the NSAID issue prior to the shot, but not after it, so I’m not sure if the result was as good as it could have been. After two months I had plateaued so decided to get another shot. The first shot really helped begin the healing process but the week following was one of the most painful things I’ve ever experienced. Shooting pain to the point of screaming. I once gave birth to twins with the second twin being a breach delivery. No anesthesia. The pain I’ve experienced following both PRP shots has been as bad as my delivery of twins! I take acetaminophen every 5 to 6 hours and I’m desperate to take it to try to fend off the pain. Every day, I have at least one episode lasting about 45 minutes where I am screaming with pain. The only thing I can do is surround my hip with ice and not move in spite of the wracking pain. I won’t be able to tolerate another shot. I’ve been dealing with this injury for 6 months and still can’t walk. I’m hopeful the second shot will allow me to walk again. I’ve had a physical therapist coming to my house twice a week and she is brilliant. She may be the sole reason I had improved prior to the second shot. She will continue to support me for the next couple of months. I couldn’t have survived this without her!
By the way…. The video is fantastic. I’ve watched it many times!
Thanks Doctor for the advice I'm starting PT tomorrow and I'm listening to my body trying not to over do it I'm in my third week from my injection and still having pain on my hip I have bursitis and atleast now the pain is tolerable when I sit down but feels much better when I'm laying down I didn't know you could repeat a shot I'll be patient and see if in a few weeks I'm pain free I'm so glad I got the prp because cortisone did nothing for my bursitis
Hi, I have learned a lot from watching your videos. I am having a PRP injection into my knee because i have meniscus tears and arthritis and wondered do you recommend wearing a brace after the injection? Should I use crutches for the first couple of weeks? I have read several reviews that said don't use heat or ice for the first few days. Your thoughts? Thanks so much!
I have not found bracing nor crutches to be necessary. My preference right now is heat rather than ice.
Great information! ✅ Just today I received a shot in each shoulder.
Awesome, good luck!
This is infinitely valuable. Thank you for sharing!
Sorry if I missed it, is there a platelet count you recommend for golfers/tennis elbow (tendon) vs the 5-10B arthritis count?
Thanks for your comment! Ideal platelet count hasn't been studied for tennis/golfer's elbow, though I would still recommend a 50-60cc blood draw to get 8-10 billion platelets.
@@JeffreyPengMD Thanks so much for the reply, keep up the great work!
Thank you for your work!’
Just did PRP on elbow two days ago. The pain the first few days has been excruciating! Even while taking Vicodin every 3 hours for 48hrs straight. Now on third day and it is finally starting to subside. I need to do one more injection in 4 weeks
Hello get well soon .... May I know what happened exactly in your elbow ?? Are you in sports ? Myself having severe pain in right elbow .. I do mountaineering... Rock climbing..
@@Chaudhurii It was mainly from Golf, computer mouse and guitar. Still in pain!
@@Tslayer1966 I see... God knows what is waiting for me ..Having an expeditie in July ...And now im down with tennis elbow pain.. 😢😢😢
@@Chaudhurii if you can, go get an ultrasound to see if your tendon is torn. If it is you will probably have a long recovery
@@Tslayer1966 yes.. I'm having ultrasound sesson for last 6/7 days.. pain is little less but nothing significant.. Therapist said to continue for atleast 10 days...Let's see...
Thanks Dr Jeff for taking the time to post these videos and reply to all people making comments . I have a question please : Can PRP injections heal mucoid degeneration of the meniscus ?
PRP has not been shown to heal the meniscus. However, most meniscus tears are degenerative in nature and are due to underlying arthritis. And PRP can help treat underlying arthritis! More info here: ruclips.net/video/hmSsJgpg03k/видео.html
@@JeffreyPengMD Thank you for you quick response. I wish you plenty of succes
@@JeffreyPengMD what about superior labrum and labrum pathologies.
Thanks for sharing the information Dr. Jeffrey! I have been having pain with my heel since 1.5 years and got to know that this is due to overuse(heavy cardio) of my heel which caused Achilles tendinopathy with rectocalcaneal heal bursitis. I have taken a prp injection now and it’s my third week. I still cannot walk properly as I could. There is always a stiffness with my tendon after I do a little walk. Do you think that I should wait for the results and is this common?
Hi, thank you for taking the time to make these videos. I have been watching you all week. I just had a PRP injection in my rotator for bursitis & tendinitis & shoulder impingement syndrome. I was surprised when I saw that my injection was red. I wish I did more homework on it. My Dr used a PEAK kit. From what I read online, it looks old and out of date. Do you know of this brand?Did I just waste $1200.00? Wish your office was near me.
Just looked up the PEAK kit, it's got 30 and 60 cc versions, those are good volumes. I typically use a 60 cc blood draw for the shoulder. When doing tendons, you actually want a "leukocyte rich" protocol which turns the PRP a red color. So what you're describing sounds right on! Good luck!
@@JeffreyPengMD Thank you so much for your reply. I really appreciate it. It will be a week Friday. My shoulder is still pretty soar from the injections. I’m taking that as a good sign!😀
Great clear info.
Awesome, thanks for commenting!
Very helpful information. Thank you. I'm going to have 3 injections for my hip arthritis, one week apart. Do I count the phases from after the third injection ?
I messed up the first prp injection I went hard because I’m used to heavy lifting but my shoulder started getting worse so I got another prp n now I’m going to take it slow
Thank you Dr Peng! Such great video for first timers like me. Today I got knee prp in both knees because of patellar tendonitis. I love going to the gym but I got tendonitis while hiking a mountain. It’s been so frustrating because I can’t workout like I used to. My question is: does it affect if I walked after my prp shots because I don’t have a car and I had to take public transportation 😞 thank you. Greeting from 🇵🇪
This is something that you'll want to discuss with your healthcare provider. Walking after PRP is generally okay, but really depends on the site of the injection. Good luck!
Was your injection into your patellar tendon directly? If so, how was the pain of the procedure. Mine is in the next weeks. Thanks!
@@paynter3420 I believe so, because it was right in the center of my knee. I had no pain during the procedure but I felt a little pain after because my knee got a little bit swollen and I had to walk to take a bus. You will be recovered but it might take time, just be patient. I have been able to lift again and do functional training like I used to.
I have my PRP procedure tomorrow , bilateral. I feel well informed. Thank you Dr Peng. One question. How do you feel about applying Arnica to the injection site? I'm trying not to take any oral medications.
Getting my shot this friday....can't wait
Has it helped
@@newts1964 yes it has......thinking about getting another one for this year (3rd shot) and then getting two shots annually (6 months apart).
I've had one before for arthritis in the meniscus area and it helped tremendously without having to get a continuous shot.....but this intra-articular OA I'm dealing with is different and I would like to get ahead of it before it gets worse......I often cycle to stay in shape and it has helped me get back on the bike.....was able to ride twice yesterday
Did it cause pain after@@Armurp01
Dr Jeffery very informative videos…. What’s the best way to give heat to joints after PRP injection
Any heat pack that can wrap around the entirety of the knee would work
My doctor didn't recommend physical therapy. I did it on my shoulder , even though I had multiple therapy sessions before injection so I basically know all exercises but I wonder why some recommend and some don't...
thank you!
WRT efficacy of the PRP injection - what about post op and pre injection, I was given a NSAID after meniscus surgery,(same procedure still on operating table) and right before the injection of PRP. My blood draw was Prior to the NSAIDs, so the shot was given at the end of the operation , so my NSAID clean PRP injection blood was then injected into my knee and the Tramodol was given IV. the NSAID application was NOT supposed to happen...the team just dropped the ball. there was lots of briefing to the Surgeon Dr. Anesthesiologist and the nurse . they just dropped the ball on the NSAID administration. What does this do or might do to the efficacy of the PRP shot?
Thank you very much for your in-depth videos on osteoarthritis, treatment and outcomes.
in japan a shot is 600 dollars out of pockets. Also my office nurse said 80 percent show no improvement (maybe because my problem is groin)
I got PRP for cracked cartilage in the knee. I had gotten a sprain earlier this year and have pain lingering when I put weight on it in certain ways. I’m on day 8
Good luck!
How are you doing after your injection?? I just had mine a week ago. @beefwellington3180
Dr Peng thanks for excellent series of video on prp and other similar OA treatments. I have a question and wonder if you could shed some insight. If we have a patient who undertakes 75mg of plavix daily (blood thinning agent) for his heart condition, he could potentially stop taking plavix 1 week prior to the prp injection; but how long post injection would he potentially need to wait before resuming plavix? Of course he would consult his heart doctor as well.
Can you please make videos for patient having both osteoporosis + osteoarthritis treatment , prognosis etc ... It is a request 😶 all your evidence based videos are sooo helping in med school #no-words 😍😍😍😍😍😍
Thanks for commenting!
Great instruction!
Glad it was helpful!
Any guidance for Physical therapist from day 4-14 and 14-6 weeks after post-injection? Can you please list out the exercises. That would be greatly helpful. Your information is very valuable. Greatly appreciate your service. Thanks doctor
Best to discuss with your doc!
Excellent
damn it!- no one told me any of this, stupidly had a Anti Inflammatory an hour before - probably wont do anything now, $500 wasted plus the day after my golfers elbow is killing me @Jeffery Peng MD
I just had my PRP injection done in my shoulder. The first two or three nights, I had to sleep sitting up. Almost two weeks, and I'm still pretty miserable. The pain post-injection was worse than the pain from my original injury. I'm rehabbing the best I can.
The statement that it is a bit of discomfort is a total understatement..
Yea, it's really hard to predict who's going to flare up BIG and who's going to have a little mild discomfort. But I agree, most people are very surprised by how big a flare up the post injection period can get
I did a PRP injection into my shoulder and the pain was extremely mild. I could sleep the first night without any painkillers. It seems there is substantial variability between patients and perhaps between precise injection sites inside the shoulder?
I got one in my bicep tendon on my front delt about 3 weeks ago and I feel worse then I did before I got the infection how do you feel now?
I agree, the shoulder pain post injection was brutal. I could barely move my arm the first 3 days. I’m now 9 days out and while the initial soreness has improved, still feeling much worse than I did before the shot. I’m hoping the 4-6 week timeline will hold true for me.
Hi Jeff ,
Thanks so much for the video.
Can you please suggest if we can continue taken collagen supplements post PRP INJECTION
Great video and guidance\
Thank you!
Very helpful video ! I am generally healthy 66 years old and had a (yellow) PRP injection 3 weeks ago for golfers elbow and I still have muted pain (3 out of 10) during extension. I am doing AROM and light stretching per your guidance. Should I hold off on more aggressive stretching and weight training until pain subsides ?
In general, PRP injections for soft tissue take 6 weeks to take effect. Sounds like it's still early for you
Great video, doctor! I was wondering if you ever treated anyone with TFCC/ecu tendinosis at the wrist with PRP? And if PRP can help restore the damages done from a cortisone injection? Thank you in advance!
Yes! Anecdotally, it works well but I cannot back that statement up with data from a randomized controlled trial.
I wish I could have liked this video more than once. Great info. Would you advise your patient with knee O.A. to wait on P.T. for 2 weeks or 6?
Thanks for your support! Most patients can start gentle PT on week 2. I give my patients my preferred PRP rehab program to take to their PT office as most physical therapists don't know how to approach post PRP injection cases.
My pain doctor did my infection and didn't give me any instructions. I am now wishing I had gone to a sports medicine doctor or orthopedist. Would you be so kind as to share your PT instructions so I can give them to my PT this week?
Hi Dr Peng, what are your thoughts on PRP for TFCC injuries? Is it ok to take collagen supplement after PRP injection?
Hello Dottor Peng , I'm a bodybuilder and I'm having 3 PRP sessions inside the acromion-clavicular joint due to pain that was causing me limitations in training, in the gym, in those movements that put the most stress on this small joint (in the MRI the report speaks of acromioclavicular arthrosis).
Please,I would like to understand when I will be able to perform pushing exercises with weights above my head again (such as the military press) or the inclined bench again ?
Hi pick your brain i had 3 prp injections a year ago i have scheduled 3 more for bone on bone hip throughout the the year i do ellipitical machine walking 10 mins i suat my own body weight for 2mins i do hip raises for 1 min and side leg lateral raises 36 reps each leg i do this 6 days a week i function in high 90% yes i have discomfort from long days at work .my question is (should i refrain from this activity or continue i work out 6 days a week i am fit & strong i take supplements tumeriac boswella ginger etc plenty of water. Thsnks love your input
Thanks for your comment. Unfortunately I cannot give medical advice over the internet. Please seek the advice of your trusted health care provider. Best of luck!
Thank you so much for these videos! Is Tumeric/Curcumin supplementation okay to help with pain or can it also inhibit the healing process?
Turmeric / Curcumin should in theory be fine but if you want to be really safe, you may want to hold it for 1-2 weeks after PRP. ruclips.net/video/B4Wf5-K5PmM/видео.html
Do patients need to stop supplements, such as turmeric (curcumin) when receiving these injections as well? Since it works like NSAIDs
Thanks for all the information doc. I wanna ask, do you think PRP will works in SCI patients ?
SCI = spinal cord injury? Unfortunately PRP has not been studied for that.
I just had PRP on my both knees..
Its now 12 hours and my right knee is fine, but feeling pain in my left knee. Im 60yr old and quite active..
Question
1. How soon can i start Golf
2. How soon can i start cycling.
Thanks
And thanks for your support, as i watch all your videos on knee treatment and decide based on them....
Did the injection helped considering it has been about 1 month?
Hi Jeff ,
Thanks alot for the video
Can you please suggest if we can continue taken collagen supplements post PRP INJECTION
Hello, I am after my 2nd PRP to the knee. I am a fitness guy, and doctor told me that after 3 days, i can exercise anything except legs. I have some pain after i did stretching including being on the knees, does it mean, healing process of the first 2 injections is lost, or It my knee is just irritated ? ... I am guessing if I can go to the gym and do the exercices while sitting or should I stop gym at all for whole healing process. Gym is very important to me, but dont want to destroy the healing process ... What do you recommend ? Doctor set healing plan 5 injections and break between them is 7-14 days
Amazing informative videos. How long do you recommend to stay away from consuming alcohol after a PRP injection?
In theory, alcohol shouldn't interfere with the PRP injection. If you want to be safe, 1 week.
@@JeffreyPengMD thanks for responding. I have now completed a week since my PRP injection.
What about doing both PRP and HA injections into the knees?
Your videos have been very valuable in weighing my options. If one does PRP, ideally would you also still stop glucosamine/ chondroitin, boswellia for 2 weeks, too? Also, if one has ankle misalignment/pain, back/ si issues, due to valgus in both knees, is TKA the only option? Thanks so much for all you do!
Use Physical Therapy to fix the hips first and keep taking glucosamine
Hi Jeff ,
Can you please suggest if we can continue taken collagen supplements post PRP INJECTION
I did get an prp injection in Davao Philippijnes. It was my second after 1 month thr first. I have an bot on both hip without cartilige. But the injections coult only be done with 20ml blood. They also could not do a double spin. They have not the best prp protocol and of course there was even not place for a bigger amount of blood in the hip. So in fact in three sessions they reach the 60 ml dosis. After first injection i did feel alreddy better, the pain is less than before minus 20 procent. The finally result is not sure becouse of bot on bot situation.
I see often how long I would need to be off of Eliquis before PRP, but how long do I need to stay off Eliquis after PRP? Concerned about stroke risk when off my Eliquis. Thanks!
“Some soreness”?! My shoulder killed me for a full month after PRP. Now two months later, still painful and very limited. I’m treating it right, no pain killers whatsoever. But let me tell you, if this doesn’t fix my torn supraspinatus, no way I’m doing this again. No fricking way. I’ll prefer surgery, rehab and get back with my life. This has been just as painful and slow to recover as labrum tear surgery on my other shoulder, and insurance covered it. Frustrated.
What if a person is on low dose daily (because of heart disease) aspirin because of heart disease? Is there still platelets to work with per injection and after?
Low dose aspirin has been shown to negate the effects of PRP. Unfortunately, patients on anti-platelet therapy for ischemic heart disease or stroke may not be candidates for PRP injections.
@@JeffreyPengMD why is hydrocodone allowed? My doctor gave me hydrocodone script after my prp and said it will be fine to take
Can you recommend a doctor who does PRP injections properly?
I was informed 2 PRP injections a week apart from one another was the best course of action for my 50% UCL tear. Are consecutive injections normally that close to one another?
Each physician has his/her own favorite protocol. There is no consensus yet on what the "best" protocol is.
I took two advil by mistake. I wasn’t instructed correctly 😫
Hey Doctor, would you recommend acupuncture as part of recovery program after PRP for chronic heel pain. Thank you!!
Thank you for sharing this! What do you recommend your patients who take PRP in combination with surgery and are in need of pain relieving medication after surgery?
Thank you Doctor!!!
Your'e welcome! That's definitely something you'll want to discuss with your health care provider. Every case is slightly different.
What is the recommended dose of PRP injection for knee osteoarthritis?
Glad you asked! You may find this helpful: ruclips.net/video/NPrNeyx6Bv8/видео.html
@Dr Jeffery Peng, very informative video. Would like to know if it's possible to have two injections on the same day TROPOCELLS PRP 22 ML and Monovisc-sodium hyaluronate 22 ML ?
I haven't heard of the Tropocells PRP system. A quick review of their manufacturer site shows they use only 11 cc of blood. I will be making a new video on how many platelets are required for successful outcomes. It seems you need about 5-10 billion platelets per PRP injection. There's no way 11 cc of blood will get you this amount of platelets. Generally, you need >50cc of blood to achieve this.
This video goes into whether you want to combine PRP and HA: ruclips.net/video/iK3zTFRTzsA/видео.html
@@JeffreyPengMD Thank you for your prompt reply your related links!
1) My receipt is Monovisc 22 mg/ml pre- filled syringe 4 m.
My prescription is Monovisc (Sodium hyaluronate 22 mg/ml ) injection 2 milliliter. Are they the same ?
Procedure-injection1, tendon sheath/ligament aponeurosis
2) Tropocells PRP using 22 ml, is it enough for platelets activation n healing process of my knees osteoarthritis?
Sorry to bother you again n looking foward to your reply. Thank you !
Great information. Thank you. Do you consider Red Light Therapy the same as heat for post injection? This was recommended for helping recovery after ankle sprain.
It's proposed mechanism is slightly different, though needs more studies
Dr. Peng: Could utiliizing therapeutic ultrasound count as the application of deep heat following a prp injection for soft tissue injuries like tendonosis of the elbow?
Great Video Dr. Jeffrey. Do you think PRP is effective in treating chronic pain in the ankle joint after an ankle sprain? I sprained my ankle 2 years ago and I am still experiencing chronic pain in my ankle. Thanks!
Quite possibly, but it really depends on the cause of your persistent ankle problems. This is something that needs to be discussed with your health care provider. Best of luck!
I had peroneal longus tendon resection between the left ankle bone and the 5th metatarsal as well as the brevus tendon repair. I thought the surgery would “fix “ my pain but I still had pain for a year. This was very problematic for my golf swing and weight shift to the outside of the left foot and ankle on the downswing. After doing research on PRP I decided to give it a try. First, I had to convince my original surgeon to give me the shot. As I said this was more than year after surgery. Well I can say that after 2 weeks of laying off golf I had only minor pain and started playing golf again. And 3 weeks after the PRP shots I was pain free. It has been a several years ago now and I am still pain free in the ankle. I will tell you that the surgeon expressed he did not do a lot of PRP injections. Whether that had anything to do with the very significant pain I had during the injections I don’t know. But he did inject me at 3 different points during the one session. I have since had PRP near the knee at the top of the peroneal tendon and this past week for the upper long head bicep tendon. Anyway, I wish I had been able to get a PRP shot in the ankle before surgery. I did live with the tendonits in the ankle for about a year before I first got it checked out hoping it would heal on its own. The first mistake was not staying away from golf long enough for the tendon to fully heal. I would wait a week and then go play again which just kept the tendon inflamed. I think I should have not played for at least three weeks and then if the tendon flared up again at that point tried PRP with a significant rest period. I think if I had done that I would not have had to have the longus tendon resection due to tendinosis. As the doctor described it the tendon was shredded and unsaveable once he was able to see it in surgery.
Pain after prp is it in the injection place r injury place? Pls tell me any one because this is the 5th week of my minimal femur surgery of my knee😢
would daily drops of white willow and gingerols produce antiinflammatory effects that interfere with the efficacy of PRP healing?
Have you ever heard of someone being inflamed long after the first 2 weeks? Im at 6 weeks in tendon injections and I am still very inflamed and I cant really progress any rehab because of it.
Wow thanks for this video. I just had this treatment today for tennis elbow but I’ve taken around 4 advil pills. Do you think I ruined my PRP injection?
Best to discuss with your health care provider if you have questions about your treatment.
Hi doc, is PRP good for ligament laxity? Thank you
Hey Doc! I had my first prp a week ago on the QL ( Quadratus Lumborum ) muscle due to MPS , I heard that a patient should not consume fish oil and herbs that are anti inflammatory, is that true ?
I had my hip PRP done two days ago. Because I have back issues it's hard for me to stay in bed. I get up every hour and take a very slow walk around my house. I hope this doesn't ruin my PRP?
Are PRP results visible on an xray? If so, how long after treatment before being visible?
would you recommend methylsalicylate/LMS cream or patch post injection?
Doctor i have bursitis and i was getting better than had a setback and now im wondering what i need to do at the 4 week mark? I havent started any PT and if i need another injection what kind of doctor should i see a Orthopedic doctor or Physio doctor? My doctor never used ultrasound for any of my injections and told me to start PT right away but my PT is not familiar with PRP injections and what you should do after getting one
What if you're on Aspirin for your ❤?
Several doctors and ortho clinics are not recommending heat or ice for the first 3 days and some are. This is confusing
Thanks for the video!
If I've had a prp injection in my knee, am I able to do upper body weight lifting excercises if there is zero to very light load on the knee during the first few days ? (Sitting down, bench press etc)
For my patients that MUST exercise, I tell them to sit down and do upper body exercises so as to not load the knee
For a healthy 14 year old how long would you expect to move back to competitive baseball play (ie: pitching and hitting) after after PRP therapy in the UCL?
Hi doctor, Does prp heal calcaneal spur on heel in post menopausal women with osteoarthritis??
Hi Dr. Jeffery would ice be okay for pain management for after the 3 days mark?
How does this differ for complex meniscus tears?
Hi sir,i had ankle sprain grade2(there are three ligament like atfl,tibio talar,tibio navicular).now 6 weeks completed but didn't improve my ankle mobility, swelling and pain.now will i take prp injuction is possible for my ankle ligament healing sir
Hello Dr. Jeff. What exercise bike do you recommend for my OA knees?
This protocol was not good for me because all of that time being so careful about bending my knee, I lost a lot of range of motion
What if I took it once or twice within a month after? Hopefully it didn’t mess with it too much.
My bedroom is upstairs and I will be stuck for a few days upstairs ; but how do I get upstairs
after my PRP injection which is in l0 days, without hurting my knee
thanks Dr, can I eat suppliment such as boswellia or tumeric or cumin after the injection?