Knee Arthritis Treatments That ACTUALLY Work: The In-Depth Truth You Need to Know
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- Опубліковано 17 тра 2024
- Dr Jeff Peng provides an in depth summary of knee arthritis treatments. Topics include PRP injections, stem cell injections, hyaluronic acid injections, dietary supplements, oral and topical medications, exercise, weight loss, genicular nerve blocks, red light therapy, trigger point injections, knee braces, arthroscopic surgery and partial meniscectomy, and knee replacement surgery.
Download Knee Arthritis Treatment Table:
www.jeffreypengmd.com/_files/...
Timestamps:
00:00 Introduction
2:38 Exercise Therapy
5:31 Weight & Diet
13:27 Oral & Topical Medications
16:06 Dietary Supplements
22:30 Cortisone injections
26:27 Hyaluronic Acid Injections
30:08 Stem Cell Injections
33:52 Platelet Rich Plasma Injections
39:16 Genicular Nerve Blocks
44:57 Red Light Therapy / Photobiomodulation
47:37 Myofascial Trigger Point Injections
52:43 Knee Braces
59:36 Arthroscopic Surgery
61:42 Knee Replacement Surgery
► Things my patients have found helpful:
I get a lot of questions about what equipment is ‘best’ for treating a variety of conditions. The following is not meant to be an exhaustive or definitive list. If you have questions, please discuss with your healthcare provider. I have personally tried a number of the products below, but not all. I have included some based on positive feedback from my patients. As an Amazon Associate, Dr Peng earns from qualifying purchases. If you purchase any product using the below affiliate links, you are helping Dr Peng maintain this channel.
Supplements
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Braces & Supports
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► Be Active. Live Healthy. Subscribe for more free videos like this: / @jeffreypengmd
► ABOUT ME
Jeffrey Peng MD is a nonoperative orthopedist and sports medicine specialist. He focuses on maximizing non-surgical treatments for sports injuries and orthopedic conditions. He specializes in using orthobiologics and ultrasound guided minimally invasive techniques to treat osteoarthritis, tendinopathies, and musculoskeletal disorders.
Dr. Peng is board certified in sports medicine and family medicine. He completed residency with the Stanford family medicine residency program and completed his sports medicine training with the Stanford primary care sports medicine fellowship in San Jose. He is an active faculty member for both programs and is excited about training the next generation of physicians.
Dr. Peng’s sports medicine clinic is located in Campbell, California.
Twitter: @JeffreyPengMD; / jeffreypengmd
Website: www.jeffreypengmd.com/
► Disclaimer
My content reflects my own opinion and does not represent the views or opinions of my employers or hospital systems I am affiliated with. They are meant for educational purposes only. They do not substitute for the medical advice of a physician. Always seek the advice of your physician with any questions you may have regarding your health.
![Can We Reverse Arthritis & Regrow Cartilage? [New Studies]](/img/n.gif)
This is a great resource. I can’t imagine how long it took to make it. Thanks for the great information and I’ll definitely be referring people to this video!
Thank you so much for this very informative video. I have arthritis in my knees as well as in many other places in my body. I'm finally seeing an orthopedist and the information you provided is really useful for me to bring into my discussions with the doctor. Thank you so much!
Appreciate the effort you put into this
Impressive knowledge. Thanks for sharing the information with us.❤
dr. Peng, I just want to say a big thank you for all these info! As a scrub I was able to discuss this topic with Orto surgeons and where not aware for some of these info.. I actually suffer with knee problems after two ACL repair and soon as I over do (10-12K steps) it’s flare up.. My experience icing , turmeric paste ( self made) and tumaric supplement along with red light therapy and cabbage wrap is very helpful. I do specific exercises to strengthen gluten and other muscles and after that either ice or cabbage wrap is the most helpful. I do believe the PRP treatment a good option. I had for lower back pain and worked very well . Thank you again for your hard work !
Very informative and detailed!
Excellent and thorough video. Good advice - especially first establishing a healthy diet, strength exercises, and weight loss before resorting to knee replacement surgery.
Thank you for such comprehensive explanations and the downloadable material. I am a 59 year old with practically no cartilage left in both knees and a torn meniscus in one knee. I have severe pain most days, exercise does help but I have to gauge how much is too much. Working has become a nightmare, as obviously being on my legs for long shifts, with little chance of sitting, is pretty much hell and wipes me out for the next day. I really can't see me working up to my retirement age. I am currently receiving steroid injections and strong analgesia, so having every treatment evaluated is invaluable.
Try changing your diet 🙃
That will really help the fact that I have no cartilage, a torn meniscus and am now bone on bone. They are physical changes that can not be corrected by diet. 🙄
@@magpie1492not true. Look up collagen and cartilage supporting foods. You'll be surprised. Just UA-cam your specific issue.
@@magpie1492Anti-inflammatory foods and losing weight does help …
Thnx for this Podcast, very Interesting. I don’t seem to be able to locate a link to your ‘Table’ mentioned throughout this podcast. Would you be willing to provide a link to the table please.
Appreciate the very objective description of the various options for treatment as well as the overall interaction of other influences on inflammation. This all will help my approach moving forward as I have been dealing with knee issues for 25 years and have had many of the treatments you mentioned in the video. I'm really trying to avoid a TKR.
Thank you so much for this extensive study. Comprehensive. For me the long format was ok, because I watched it over 2 sessions.
Glad it was helpful!
How about knee decompression I have had acl mcl and meniscus tear 45 years ago. Was able to walk a couple of miles for years. Suddenly about a year and a half ago I developed a lot of pain and could only get around with a cane. Took physical therapy for 6 weeks. Definitely helped the strength in the muscles but was still needing a cane.Than after about the same period of time as we speak to today I've been doing leg swings using 10 lbs ankle weights.rsults have been I've been able to walk with out a cane and considerable reduced pain. Have not been able to get back to long walks but I'm able to ride exercise bike for 30 minutes under light loads
Thank you doctor ❤
Hello Dr Peng Can you recommend me the right direction to take in UK thanks ,
Dr Peng you are my go to information for osteoarthritis knees. Your thorough examination of treatments are gold!!Surgeon says I need total replacements. However I am still doing everything possible to avoid it. Had a combination of hydrochloric acid and prp injection but was not administered with ultrasound guidance. It has made a difference but not significant. Love walking but struggling. Reverting to cycling. Will continue to explore. Thanks to you !!
Thanks for commenting, glad you’re finding the info useful. Good luck!!
Hows the cycling. going for your knee
What do you think of the herb Cissus?
Question: concerning the supplements. Many of these supplements are relatively expensive and not covered by insurance plans. What is a reasonable timeframe to expect to see a supplement to have a registerable impact?
Very nice! Is the table available for download??
Thanks for this info!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
Yes, it's added to the comments
Excellent the way you explain everything Lord bless you!!
Good information
Thanks!
"Is the recovery period after PRP injection linear, or can it have ups and downs? I received the PRP injection three weeks ago, and now I am experiencing pain near the patella in both of my knees, including the one that was not previously experiencing pain."
Amazing doc .
I had arthroscopic surgery last year 💔 wish I would have seen this video before 😩
Where can I get PRP in Toronto? How cost is it?
I'm a former long/triple jumper who suffers from OA. Thankfully, i'm able to train like an athlete despite occasional (at times frequent) inflammation. I have optimal knee flexion (squat below parallel), but no knee pain 🙏🏿. I'm 46, 6' 1", 183 lbs, 7% body fat.
What about BP-157 peptides?
Here is what worked for me.
1. Lose weight.
2. Two tablespoons of ACV daily.
3. cod liver oil
4. Daily intake of glucosamine, chondroitin, MSM & Turmeric.
5. Vitamin B3
6. Walk daily for 30 minutes.
Does Glucosamine- Chondroitine trigger blood sugar .As I am taking Osteo joint ease and found my blood sugar spike
Yes. I did a paper on it as a medical resident. It certainly can.
PLEASE DO A VID on HERNIATED DISKS!!!!! LOVE YOU!! L5s1 specifically
Will add that to the list!
@JeffreyPengMD thank you! I have herniated l5s1 with left impingement and athropathy on both sides. only symptoms is extreme numbness and weakness. no pain. have no idea how to fix. I've been diagnosed
i have exosome injections in few week ago.Kindly advice on exosome
I'm from New York. Any good doctor or hospital you can recommend me to go visit?
I'm 74n meniscuis tore seriously. One doctor not explained anything but just suggest me to get PRP injections.
The other doctor told me that as long as insurance company not cover. He doesn't believe n he even suggest me to change completely replacrment instead of half. I only had inner meniscuis torn.
That made me so scared. At the moment. I'm doing rehab exercises. Thanks Gad. After 45days The inflammation and swelling finally had gone. Now I can bend my knee.
So many places offer PRP injections, but their procedures vary widely. Some offer one injection, and some offer three. But what about the dosage or number of platelets in the injection? Is there data showing the effectiveness of various doses? How do we know what we're getting?
Ah, you are correct. Too many providers make the same 3 mistakes that affect PRP outcomes. Here you go:
ua-cam.com/video/r5x88xeMhd8/v-deo.html
@@JeffreyPengMD
Doc, what do you think of exogenous stem or cellular injections?
Agree that PRP varies widely.
It is important that you smoke your apartment with real incense two times a year. This avoids all these diseases like rheumatism, sciatica, joint pain, Alzheimer's, Parkinson's. The highest quality of Boswellia sacra comes from Oman.
@@lenny108I think this is a myth.
Weight loss and yoga exercises helped me a lot
gold, this is some real evidence based advice.
Thanks!
If I don't eat plant base food ,what am I going to eat?
Awareness gives us options instead of fallowing doc who has no time to say zbt side effects thznq doc
Best is zero carbohydrates carnivore diet and leg exercises
Great info. I am treating with gel injections, cold-laser therapy, shockwave therapy and PT along with collagen supplements to prevent getting a knee replacement. You should advise that any injection be done with ultrasound imaging so the medicine gets in the knee joint.
He did
Even if you have bone on bone
Yes. Granted, most treatments will not work as well as for severe bone on bone as those with mild to moderate arthritis. But check out the patient testimonial I talk about at the end. She has bone on bone and is thriving.
❤❤❤
PRP definitely helped my torn meniscus
How many injections did it take bro?
Two.
How old are you? How bad is your meniscuis torn? How many point they give you shot?
How n Where you found reliable doctor?
I had same problem now. Age 74. Doctor not explained my MRI just said very complicated n told me PRP injection.
Two only? Nice! I had about 5 and my tears are still there, maybe because of my job demanding me to stand all day long
@Deb0752 age 65. I also exercise / strength train. I watched youtube videos by El Paso Physical Therapy.
👏👏👏👏👏
Ty , but can this all be put in a shorter point form , instead of over an hour of info that is already on mainstream pd 😊
Many thanks
🤗
This is the short form. I've spent probably 100 times this 1 hour trying to find this information. If you can't spend 1.25 hours getting educated, then go ahead and get the surgery, knowing there's a 1 in 4 chance you won't be happy with the outcome. I've spent 9 years hunting for these alternatives to surgery and this is the first time I've heard several of these. Surgeons make way too much with a surgery to recommend alternatives. Pharmaceuticals make way too much to recommend alternatives. I've had my knee replaced twice now and I've regained 100% flexibility each time. Still a poor outcome.
Love it just the way it is
What causes metabolic syndrome, and type 2 diabetes is the low fat high carbohydrate diet that the medical professionals told us to eat for the last 45 years.
I get shots. I will continue. I have been keeping ahead of knee replacement. The shots keep me going. Meds keep changing their minds on what works. Gel shots do nothing for me. I am bone on bone. I have a torn meniscus. Let’s face it how much can these shots hurt me. As long as they work, I will continue on. Surgery is my last resort.
What kind of injections ?
@@karahamil3657 knee injections. Every three months. Going tomorrow. We go to sports medicine Dr.
Shots of what, vodka?!
Just do a carnivore diet, exercise, intermittent fasting and avoid plant based foods
Carnivore diet has not been studied for a long time and is high in saturated fats. A lot more studies show the benefits of whole, healthful, plant food diets. See this link. No benefits from high sugar, refined plant foods. Soluble fiber in plant foods is anti-inflammatory.
www.ncbi.nlm.nih.gov/pmc/articles/PMC4359818/#:~:text=Conclusion.,functional%20status%20among%20osteoarthritis%20patients.
Why avoid plant based food?
Avoid plant ????
Not necessary to avoid plants.
Autophagy is the new stemcell treatment, with epigenetics and fasting and nutrition