I have used PRP twice for tennis related injuries. First for a deep calf injury that didn't seem to be healing properly. And secondly for a 2nd toe MTP ligament injury that also didn't seem to be healing. In both cases I followed them up with intense and longer term rehab exercises of the types recommended by Dr. B. In both cases the injuries have healed and I have gotten a great deal stronger I think. It's hard to know what impact the PRP injections had on the tissue that was injured but it's clear that without the exercises I may have reinjured myself before long. I have also used a hyaluronic acid injection in a shoulder (as suggested by DR B) and that "knock on wood" has been extremely successful so far.
I remember from working in a pain clinic that did PRP: the greatest benefit from PRP was being able to get platelets to body locations that normally didn't have good blood flow such as tendons, ligaments, and joint capsules. I don't remember much help being attained from muscle (belly) injections.
Very useful information. Bit of a minefield, as no standardisation of PRP quality. Had injection for knee arthritis last week . Also engaged in strengthening surrounding muscles. I live in hope.
So true and there is plenty for you to be hopeful for. Check out the Knee Pain Solution program and regain control over your movement: www.precisionmovement.coach/knee-pain-solution-yt - Coach Joshua, Team PM
This is great info. Since platelets and plasma are not present within a joint capsule I don't see how this would have any affect on knee arthritis. Foe muscles and tendons it seems perfectly plausible but I wonder if deep manual therapy to the area could initiate a controlled reinjury and subsequesnt natural healing in effect being more helpful.
Thank you. Last video on cortisone injections and now PRP very helpful. Just about to see a specialist in November first time for knee arthritis now i know more options, what to avoid and ask.
I have used PRP on two occasions, (1x including HA)) both for the beginnings of knee osteoarthritis and some redemonstrated tearing of the medial meniscus through the posterior horn. As a clinician, I decided to order a CBC first before beginning treatment and also understanding that PRP won't correct the things I needed to work on in terms of building foundational strength to support the bilateral knee issues. Is it helpful? Yes for a period of time, (24months) in my case along with consistent strength building in the supportive structures of those knees. However, I wouldn't recommend for anyone not willing to build supportive strength before and post injection for the long term.
Thanks DrB. I have a rotator cuff tear (full thickness, partial width). I’ve tried 6m of restorative physio to no avail. And more recently I did 3 x weekly PRP injections. 6 weeks on there is no positive result (in fact the whole shoulder is weaker due to ceasing activity for 6 weeks). Has PRP been shown to help a full thickness tear?
Unfortuneately the data is just not good enough to show that it does or it doesn't. However, if you follow the Shoulder Pain Solution program you will be able to make improvements without PRP: www.precisionmovement.coach/shoulder-pain-solution-yt Check it out and let us know if you need any help getting started :) - Coach Joshua, Team PM
I have done 1 prp in each shoulder for slap tears. Insurance paid for one. I paid $1k for the other. I do not feel much better but kind of desperate, I will try again. I know 2 people who did it and they said it took 3 injections to notice. I have 1 failed surgery so not much else to do, I put it on a credit card, 🤷♀
I will get 2 prp injection zo my shoulder for hopefully heal cartilage damage, but i do rehabilitation exercise ( i had surgery) its not a hard workout but its training for the shoulder. Can i do workout my Rehabilitation or must i wait to finish reha to get prp?
How about you do the Shoulder Pain Solution program instead? www.precisionmovement.coach/shoulder-pain-solution-yt Take a look and let us know if you have any more questions :) - Coach Joshua, Team PM
Hi @PrecisionMovementCoach Really hoping to get a reply. Thanks in advance. Have been suffering from Sharp pain near Left Rhomboid minor and all MRIs were fine. Must have injured in workout or due to poor posture (got upper trap sharp pain near cervical thoracic junction) On doing any rehab , was getting left chest chronic pain and breathing was troublesome. Took steroid tablets and got reduced and left with only sharp pain with rhomboid minor, got injection on the area but no improvement. Recently came across your videos and have been doing segmented thoracic stretches and scapula exercises with posterior tilt. However getting left chest severe pain after doing this. Could you help any video incase already done?
Thanks so much for writing to us. The videos that you have found are good but the Shoulder Pain Solution program is better: www.precisionmovement.coach/shoulder-pain-solution-yt It contains the framework for you to follow in order to assess and address the root cause of your issue :) - Coach Joshua, Team PM
Hi Dr B,not sure if you monitor this, but wondering on your thoughts on PRP for a person with CPPD, I have found limited research on this cohort, For those of you who us that have it we don't have many options, even a knee replacement isn't certain as the calcium builds up between the bone and the implanted joint.
Hi, and that's a great question. Our position on injections covers CPPD. They are passive and will not address the root cause of the issue. However, we agree that the research on that specific cohort needs more attention. Thanks for watching and commenting. We are here if you need any more advice :) - Coach Joshua, Team PM
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I have used PRP twice for tennis related injuries. First for a deep calf injury that didn't seem to be healing properly. And secondly for a 2nd toe MTP ligament injury that also didn't seem to be healing. In both cases I followed them up with intense and longer term rehab exercises of the types recommended by Dr. B. In both cases the injuries have healed and I have gotten a great deal stronger I think. It's hard to know what impact the PRP injections had on the tissue that was injured but it's clear that without the exercises I may have reinjured myself before long. I have also used a hyaluronic acid injection in a shoulder (as suggested by DR B) and that "knock on wood" has been extremely successful so far.
Thanks so much for sharing your perspective :)
I remember from working in a pain clinic that did PRP: the greatest benefit from PRP was being able to get platelets to body locations that normally didn't have good blood flow such as tendons, ligaments, and joint capsules. I don't remember much help being attained from muscle (belly) injections.
Thanks for your thoughts :)
Oh how I wish I could see you! Thank you so much. 🌟
That is possible :)
Email us at vip@pmcoach.pro and I'll tell you how.
- Coach Joshua, Team PM
Very useful information. Bit of a minefield, as no standardisation of PRP quality. Had injection for knee arthritis last week . Also engaged in strengthening surrounding muscles. I live in hope.
So true and there is plenty for you to be hopeful for.
Check out the Knee Pain Solution program and regain control over your movement:
www.precisionmovement.coach/knee-pain-solution-yt
- Coach Joshua, Team PM
Already enrolled on rehab phase. Thanks.
This is great info. Since platelets and plasma are not present within a joint capsule I don't see how this would have any affect on knee arthritis. Foe muscles and tendons it seems perfectly plausible but I wonder if deep manual therapy to the area could initiate a controlled reinjury and subsequesnt natural healing in effect being more helpful.
Thanks for your thoughts :)
Thank you. Last video on cortisone injections and now PRP very helpful. Just about to see a specialist in November first time for knee arthritis now i know more options, what to avoid and ask.
Glad it was helpful!
So clear...and coherent❤❤❤❤
Glad that you think so :)
I have used PRP on two occasions, (1x including HA)) both for the beginnings of knee osteoarthritis and some redemonstrated tearing of the medial meniscus through the posterior horn. As a clinician, I decided to order a CBC first before beginning treatment and also understanding that PRP won't correct the things I needed to work on in terms of building foundational strength to support the bilateral knee issues. Is it helpful? Yes for a period of time, (24months) in my case along with consistent strength building in the supportive structures of those knees. However, I wouldn't recommend for anyone not willing to build supportive strength before and post injection for the long term.
Thanks for sharing your thoughts.
We appreciate the contribution to the PM community.
Stop by anytime :)
- Coach Joshua, Team PM
Thanks DrB. I have a rotator cuff tear (full thickness, partial width). I’ve tried 6m of restorative physio to no avail. And more recently I did 3 x weekly PRP injections. 6 weeks on there is no positive result (in fact the whole shoulder is weaker due to ceasing activity for 6 weeks). Has PRP been shown to help a full thickness tear?
Unfortuneately the data is just not good enough to show that it does or it doesn't.
However, if you follow the Shoulder Pain Solution program you will be able to make improvements without PRP:
www.precisionmovement.coach/shoulder-pain-solution-yt
Check it out and let us know if you need any help getting started :)
- Coach Joshua, Team PM
I have done 1 prp in each shoulder for slap tears. Insurance paid for one. I paid $1k for the other. I do not feel much better but kind of desperate, I will try again. I know 2 people who did it and they said it took 3 injections to notice. I have 1 failed surgery so not much else to do, I put it on a credit card, 🤷♀
Try this instead and save your money:
www.precisionmovement.coach/shoulder-pain-solution-yt
- Coach Joshua, Team PM
I am sorry it did not work!
I will get 2 prp injection zo my shoulder for hopefully heal cartilage damage, but i do rehabilitation exercise ( i had surgery) its not a hard workout but its training for the shoulder.
Can i do workout my Rehabilitation or must i wait to finish reha to get prp?
How about you do the Shoulder Pain Solution program instead?
www.precisionmovement.coach/shoulder-pain-solution-yt
Take a look and let us know if you have any more questions :)
- Coach Joshua, Team PM
Hi @PrecisionMovementCoach Really hoping to get a reply. Thanks in advance. Have been suffering from Sharp pain near Left Rhomboid minor and all MRIs were fine. Must have injured in workout or due to poor posture (got upper trap sharp pain near cervical thoracic junction) On doing any rehab , was getting left chest chronic pain and breathing was troublesome. Took steroid tablets and got reduced and left with only sharp pain with rhomboid minor, got injection on the area but no improvement. Recently came across your videos and have been doing segmented thoracic stretches and scapula exercises with posterior tilt. However getting left chest severe pain after doing this. Could you help any video incase already done?
Thanks so much for writing to us.
The videos that you have found are good but the Shoulder Pain Solution program is better:
www.precisionmovement.coach/shoulder-pain-solution-yt
It contains the framework for you to follow in order to assess and address the root cause of your issue :)
- Coach Joshua, Team PM
Hi Dr B,not sure if you monitor this, but wondering on your thoughts on PRP for a person with CPPD, I have found limited research on this cohort, For those of you who us that have it we don't have many options, even a knee replacement isn't certain as the calcium builds up between the bone and the implanted joint.
Hi, and that's a great question.
Our position on injections covers CPPD. They are passive and will not address the root cause of the issue.
However, we agree that the research on that specific cohort needs more attention.
Thanks for watching and commenting.
We are here if you need any more advice :)
- Coach Joshua, Team PM