Top 10 Questions About Platelet Rich Plasma (PRP) Injections
Вставка
- Опубліковано 17 чер 2024
- This is a PRP questions and answers video. I answer some of the most common questions that I get about platelet rich plasma therapy and treatment for orthopedic conditions.
► TIMESTAMPS:
0:00 Introduction
0:42 What is PRP?
1:33 What is the PRP injection process?
2:07 What can PRP help treat?
3:12 What to do before a PRP injection?
5:55 What to do after a PRP injection?
7:25 When can I expect results?
8:22 How many shots do I need?
8:48 Any side effects of PRP?
9:24 Does PRP help regenerate tissue?
9:45 Where can I find more information?
► Things my patients have found helpful:
Please note that I get a lot of requests and questions about what equipment is ‘best’ for treating a variety of conditions. The following is not meant to be an exhaustive or definitive list. Please use it as a starting point. If you have questions, please discuss with your healthcare provider. With that said, I have tried a number of the products below, but not all. I have included some based on positive feedback from many of 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
The following are Thorne supplements which are NSF certified. NSF independently assesses products without being affiliated with the companies that produce them. Not only do they certify that what’s on the label is in the bottle, they also do toxicology review to certify product formulation and contaminant review to ensure the product contains no undeclared ingredients or unacceptable levels of contaminants.
Boswellia Extract: amzn.to/3L00rYn
Turmeric & Curcumin: amzn.to/47NacD9
Glucosamine & Chondroitin: amzn.to/44AVoow
Creatine Monohydrate: amzn.to/45JW9wq
Omega 3 and 6: amzn.to/45LTBh7
Vitamin D 5000: amzn.to/47T8MHs
Vitamin B complex: amzn.to/3L0Bdcm
Magnesium: amzn.to/3snHuZc
Soft Tissue & Rehab
Theragun: amzn.to/4363zJG
Massage ball: amzn.to/40BUC9f
Foam roller: amzn.to/4324E5c
Stretching strap: amzn.to/3U9a2iQ
TENS unit: amzn.to/3mcCqnI
Heating pad: amzn.to/40VidSc
Resistance bands: amzn.to/3nFyb4C
Braces & Supports
Hinged knee brace: amzn.to/3U6oyrH
Neoprene knee sleeve: amzn.to/3Zzhsgt
Volar wrist brace: amzn.to/3KawW55
Thumb spica brace: amzn.to/3nHj9vl
Ankle lace up brace: amzn.to/3m6iR0u
Tennis/Golfer’s elbow brace: amzn.to/3ZEGgE1
Superfeet orthotic inserts: amzn.to/436tRf5
Recommended Textbooks & Resources
The Trigger Point Manual: amzn.to/4340cTt
Trigger Point Wall Charts: amzn.to/3zrinVR
► 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 created a UA-cam channel and blog to translate cutting edge medical knowledge and clinical research to benefit all those looking to live an active and healthy lifestyle. 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.
This is so helpful and hopeful. Thank you so much ❤
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 so much for such a complete comprehensive technique and PRP injections. It answers to all my questions.
Thanks for taking the time to comment, glad it was helpful!
If person has early stage of chondramalacia patellaIs if she takes 3 injection shot so is it one time treatment? or it has to be repeated every year ?@@JeffreyPengMD
Thank you for your explanation
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
Thank you for this information Dr. Peng. Do you have any guidance on single spin vs. Double Spin PRP methods?
Great information. Thank you! I wish I would have found this video a few weeks ago! I am having my PRP injection today.
How are you doing now?
I would be interested too. Doing better now?
Thank you Dr. Peng! 👍😊
You're welcome 😊
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. :))
Thank you so much ...very useful information
You're welcome! Glad you found it useful
Have you ever done PRP into the TMJ? Please make a video on PRP for TMJ!
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.
Very informative thanks
Glad it was helpful!
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.
Great video. Thanks a lot
Glad you liked it!
Thank you, I will be having this procedure done to me in a few days and your explanation really put me at ease and makes me hopeful that my lower back/lumbar pain will get better
Thanks for your comment, good luck!
Good luck!!! This is what I am interested in. Peace, Love, and Light 🙏
Do you know how much is the cost f the injections? I need my both knees
Any update? Did prp treatment 100%? thank you
@@josefinagalera9550around 400-500
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!
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?
Excellent video, and appreciate the detail. I continue to get the "no data" response from doctors I'm seeing (and doctor friends) re: PRP, and it seems by your analysis there is a quite a bit of data. I'm considering it for a pesky, ongoing (+8 months) either brachioradialis strain or bicep tendonitis (two docs, two assessments). It continues to be irritated by select weight-lifting and other bicep pulling motions.
To be fair, there is not much data for PRP specifically for what you're describing, possibly distal biceps tendinopathy
Thank you...
Thank you Dr, 🇮🇩
Could you please make an video for jumper knee treatment? Thank you so much!
You may find this helpful: www.jeffreypengmd.com/_files/ugd/3b3e5d_013f301395d64217b5a8c1b0ee0ce3c7.pdf
Wish I had seen this video before my prp injection, it was SO painful no local was used. I have a 50% tear in my patellar tendon so hopefully it works, had it 2 days ago.
Local anesthetics such as lidocaine has been shown to damage platelets. However, ropivacaine, is much less damaging to platelets and a small amount can be used to make these procedures much more tolerable!
How is your injury now? How long did it take to see any improvement?
@@JeffreyPengMD My PRP ortho sports medical doctor was going to use lidocaine for me and I specially requested ropivaciane after reading Dr Peng's view on local anesthetics and he said he actually preferred ropivacaine too.. Thanks Dr Peng.
Great information..thanks....I have taken two prp sessions combined with dextrose injections.for my rotator cuff shoulder partial tear..in india...going to have third and last session after two days....i can still feel the pain but hopeful to get better after few more wks ...
Good luck!
Has it helped
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.
Had PRP for knee OA. All pain is gone. Hope it lasts.
So far did it work good ?
I had injections in rotator cuff tear .Extremely painfull and lasted for a good 48 hrs.Should of had a driver .Couldn’t move my arm for a few days as well .Praying it works.
Good luck!
Well... how's it working for you?
Great information. 4 years ago I had 3 doctors who told me I needed surgery for the rotatory cuff. I found and alternative Bio energetic Dr. I had various injections (7 sessions) PRP injections for my shoulder and I'm 90 % cured. Now I have a meniscus tear in my right knee. I have app with another Dr that also uses PRP. (the previous had retired)
I hope I will have the same results as my shoulder. I know at least 5 people that had knee arthroscopy surgery and was not successful. They are in pain and still going to physiotherapy. Thanks Dr Peng I just subscribe to your excelent videos.
Thanks for sharing your experiences, good luck!
Hi,
I have the same problem as yours and did prp injection for meniscus tear in knee. Could you please share your experience and result in knee prp? Thanks
This is new to you but my doctor has been doing it for 10 years
10 years is very new in medicine!! For whatever reason (of which there are many), it takes incredible effort to get new things approved in health care. Thanks for your comment.
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?
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
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.
Another great video Dr. Peng. As always, it is very informative. I was curious about supplements. Should we discontinue these also? Also, how long do we need to wait before more strenuous exercise such as climbing 14ers?
Thanks! There's a lot of back and forth on supplements. No definitive evidence that it impacts anything, though if you want to be SUPER careful, you can discontinue everything.
@Jeffrey Peng MD are there any supplements that would help? I don't want to discountinue something that I'm already taking that might actually help
Stem cell biopsy
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.
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?
Wow I wish I knew all the things I should’ve done before getting PRP. My doctor did not let me know of any of that. I had a Tylenol the day before for period cramps. 😪
In theory, Tylenol should be totally fine! You'd want to avoid NSAIDs.
I was disappointed with my PRP treatments, inflammation did dissipate but the OA pain in my knee just came back. 3 months later second treatment and knee pain was worse. I personally had more success with Haurlic Acid injections, specifically Monovisc. I was so optimistic about the about the procedure. Good luck.
Thanks for your comment and sharing your experience. There's a lot of research (will make a vide on this very soon) on the different types of PRP, specifically looking at platelet counts. It'd be interesting to learn how many platelets you had in your PRP injection (can probably get a rough estimate by how much blood they drew) and correlate that with outcomes. HA injections are still a good option!
@@JeffreyPengMD I am 54, very fit. I ran marathons, mud runs, and other competitive type races. I' have done weight training and calisthenics my entire life. I eat a healthy diet. My draw was about 5ml of blood both times. My platelets were over 350 based of my labs. I also was a PT patient for the same issue for over two yrs before trying the gels injections. I tried PRP because of the current information available, as I stated my results were not as positive. Thank you for the response.
Hi, I was just reading that you said they obtained about 5ml of your blood. I'm pretty sure that amount is no where near the required. 50cc is the goal! You need a platelet count of at least 10 billion or more.
How long do you have to wait if you just had a cortisone injection?
Dr Peng are there any current trial studies where I can participate w/o the great expense of these procedures ?
Excellent video Doc & you answered most of the questions that I had about PRP. However, I was wondering how exactly these injections are done. If you inject the knee for example, how do you avoid the needle from going into the meniscus rather than the joint space itself? It also seems like you would need a lot more plasma than just the amount that you described in this video. Is the injection limited to the area where the patient is experiencing pain, i.e., medial vs. lateral knee joint? Anyway, thanks in advance for answering these questions!
P.S. I live in CT & was wondering how I would go about finding a doctor that does these injections? I doubt that my Orthopod does them as he's old school. Anyway, thanks!
All PRP injections should be done with ultrasound guidance. Don't let anyone do injections on you the old school way which is landmark based.
TONS of doctors on the east coast. Usually your best bet is to start with your local academic medical center.
@@JeffreyPengMD Here in India, Bengaluru an ortho doctor in a hospital has put up a video advising people to take prp but I doubt if would use ultrasound which anyway he has not mentioned in the video. Is it better to not get PRP from him (and continue on supplements ) ? Or take the risk ? This is for my wife for knee arthitis. Thank you.
The related therapy rekindles the hope of a pathbreaking technology to a lasting relief from a crippling health condition plagueing a very large no. of populafion.All glory to Dr. Zeng! Is this facility available in India?
PRP is most definitely available in India
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
Dr Peng
Thank you for a very comprehensive video on PRP.
I have my left knee lateral meniscus traumatically torn with a radial crack of 7mm(0.28in) wide and 14mm (0.51in) long. In your opinion, would PRP help regeneration of meniscus tissue?
Thanks for your comment. It's VERY important to understand that as of this point in time, we have no definitive data to support that PRP or stem cell therapy "regenerates" anything. Rather, we think we are changing the biochemistry of the environment and that's what leads to improvements in both pain and function.
Thank you very much, Dr Peng
Your videos best and honestly explain the 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 ?
Dr. Peng, thank you for the excellent information. Is it allowed to drink coffee and tea after the prp treatment?
Yup
Thank you for such an informative video.
Question fir you if I may. Should I stop taking fish oil capsules before PRP injection?
Thank you 🙏
We don't know yet if fish oil affects PRP!
@@JeffreyPengMD thank you for your response.
Did one for foot pain. Omg almost puked the injection was so painful!
Curious to know if the peptide BPC-157 and potentially others is jist a synthesized version of whats going on in these "natural" injections
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.
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.
+1 vote for this comment "Could you please make a comparison between stem cell and PRP for back pain?"
Hi doc, what type of injury can prp treatment help?
Is it also helpful for muscle? Or anything else
Thank you
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.
Would love to know where this is done in Florida? Thanks for this info
I just had this therapy in Jacksonville, FL by the wonderful Dr. John Anderson, a foot and ankle orthopedic doctor. Because UF does a large number of these treatments, the cost was only $500 vs $1500 at other facilities.
What’s should be the minimum interval between two PRP injections for knee osteoarthritis?
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.
do u do platelet lysate at ur office? Its the better than PRP i heard
Hi, that's wonderful to know more on this. Today, I had a prp session but I'm truly confused when should I wash my head. Is it 6 hours after the treatment or 24 hrs, would you please help me on this
Thanks for your comment. Please address this with your health care provider!
Hi doc, may I ask if platelet count on cbc is a guideline?
Or having normal platelet count can still get prp?
Thank you
Thanks for letting us know about PRP. I want to ask a question? Is the combination of prp and hylaronic acid a substitute for knee replacement surgery
Great question! I will be making a video on this in the future. However, it's important to point out that PRP and hyaluronic acid treats symptoms and does not regenerate anything. If you have severe arthritis, the definitive treatment is a knee replacement surgery. The goal of PRP and HA is to reduce symptoms sufficiently so that you may not need a knee replacement surgery for as long as possible!
@@JeffreyPengMD wym PRP doesn’t regenerate anything lol? Type-o??
@@beezyb42011 agree with you. That's the whole point of it, to regenerate. It's called Regenerative Medicine. You never, ever want to put man-made devices inside the human body. Your just asking for an autoimmune disaster.
I had a PRP injection today and what my orthopedic Dr is saying is contradictory with what is being said here (makes me nervous and worried). I am suppose to take 600mg ibuprofen every 6 hrs for 2 wk and ice for the first couple days and I have restrictions along with a split to be used only to take off 4-6 times to do stretch exercises. He cancelled PT, ultrasound TX and massage - only stretching. So many drs have different opinions and instructions it is worrisome….
Do ligaments in the cervical neck generally respond well to PRP injections?
Hello! Are vitamins and chondriotin glucosamine collagen should be also stopped before taking this prp? Please help!
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 injection in my back and I am 90% better after 3 weeks
Wow, amazing!
@@JeffreyPengMD Truly amazing !!! I was very worried about my back.
This video is very helpful but the part about preparing for your prp begs a new question. If we rid ourselves of Tylenol, Motrin and eat tons of fruits and vegetables, would that help osteoarthritis in all our joints overall? Or are some joints just stubborn?
Lifestyle has a HUGE impact on osteoarthritis flare ups. But once you have arthritis, modifying your lifestyle will not regrow cartilage and get you a new knee. PRP can help treat the internal environment of the knee to protect the cartilage that is remaining.
This Thursday is 4 weeks since my prp to shoulder and knees. Can I ice or heat? Also can I start hiking inclines?
Hello Doctor,
I am having PRP done, I’m aware the research isn’t clear on BPC157, regarding the anti-inflammatories, will this inhibit like the anti inflam would ?
Does PRP help with protrusion in lumbar disc and cervical stenosis?
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.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.
Does PRP work on a low grade tear in the elbow?
After listening to your video Iam going to focus on healthy eating and drinking water plus cardio vascular exercises before I fix an appointment for stem cell therapy and prp. Being said that how long should we do this before having the prp/ stem cell therapy to get ideal or best results ??
There are no studies answering your question "how long to make changes before starting a biologic treatment". With that said, what is certain is that healthy lifestyle changes are things you'll want to continue for the rest of your life!
Thanks for all the information. I had my first treatment today, I am on baby aspirin due to a stent/pipeline in the brain I have to take it daily, did I mess up my entire treatment? This Something I totally didn’t think about
Thanks for your comment. Check out my video tomorrow on NSAIDs and prp.
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?
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)
Hello Doctor, thank you for this informative video. Is it (PRP) useful for sciatica/ pyriformis syndrome???
Hasn't been specifically studied, but probably! It works for other nerve entrapment problems (carpal tunnel syndrome)
@@JeffreyPengMD Thank you for your response
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!
ua-cam.com/video/RjJWz-V_RIQ/v-deo.html
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
How much it is affective for acne scars removal?
Wonderful video sir..
This is very helpful for me
I have one doubt sir.. may i take alcohol after prp within 2hours
Alcohol should not affect PRP, though please discuss your specific situation with your health care provider. Thanks for your comment.
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!
My resting heart rate shot up ever since prp ,not happy .
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?
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
This prp injection is worked for hearing loss and tinnitus?
Hey Dr Peng can I donate blood while on PRP therapy?
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?
Can PRP injections work for neck injuries?
Is Longvida curcumin 400mg the same pathway as nsaids - will it inhibit platelet counts? Same question for Boswellia extract 350mg? Thanks for any help!
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.
Great video! I just did prp on both SI joints about 38 hours ago. This might sound funny and I forgot to ask my doctor just before he left on vacation for 3 weeks, but am I allowed to sit in the sun? I read that we should not go into the sauna or steam room after having prp. But I mean, I can sit in the sun right?
Thanks for your comment! Good luck with the PRP treatment. Sunlight does not affect PRP
@@JeffreyPengMD Thank you so very much!!!!!
Dr. Peng i have a question ❓ can I physical therapist give PrP therapy?
Im getting conflicting information about coffee and PRP. If you see this can you give me your opinion? Thanks
Would fasting prior to PRP injection help with platelet health?
Has anyone used it for neck pain (arthritis)?
Is it a good idea to eat beef liver before PRP injection for knee?
How long do the results last??
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.
Hi Dr. Peng
Thank you for the video! 2 years ago l tore my triceps. I couldn’t find a doctor to help me until just recently. I didn’t even know l tore my triceps until l did a MRI scan on my arm. I got 2 shots of PRP and l am waiting for the third one tomorrow. The first one didn’t help me at all. The second one had a lot more noticeable effects but l still feel a little pain. My doctor said my muscle is starting to feel more normal on the touch. I am hoping the third and final shot to finish my recovery!
How soon can l start going to the gym after the last shot and do you think with progressive overload the muscle will begin to feel like normal again? Thanks in advance!
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!
Any update? Do prp really works?
Thank you
Hello i couldn't find anything but ı have a disease called fmf so it is an autoimmune disease can i apply prp ?