Do PRP and stem cell injections work?
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- Опубліковано 30 вер 2018
- The surgeons discuss two relative new treatments: PRP injections and Stem Cell injections - and their role in treating arthritis and other musculoskeletal issues.
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I had PRP done on my right knee which had ACL repair done back in 1993. Results were fantastic and quite good for my situation.
Glad to hear it Scott. Thanks for watching and subscribing if you did
Thank you, so glad to hear because I'm looking into this in place of trigger thumb surgery which was caused BY ortho doing bilateral carpel tunnel surgery with no rehab ordered and developed thick scar tissue! Going this rough and excited!
I had 3 rounds of PRP ($4k out of pocket) for my R knee, which the patella is "off". Ortho doc did exploratory procedure and caused more harm than good, as I ended up with R knee bone infection. Switched to a different ortho doc at same facility, who recommended trying PRP. Nobody at this facility caught on to the cause being my patella. (My physical therapist called it right after I started PT). Only when I switched to University hospital did the knee DR there tell me it was my patella and to live with it, and nothing could be done. Now my L3-4-5 & C1 have gone bad with how I have adjusted my walking. Hoping stem cell therapy can help my knee, but not sure my issue is a candidate... It's amazing how insurance will pay for exploratory surgery but not pay to fix issues caused by it. 😡
In May 2021, I received umbilical cord tissue and PRP injections in both knees and in my upper back (trigger points). I was told that I could start seeing improvement in 4-6 weeks but started to notice less stiffness and soreness in about 10 days. From there the improvement was pretty significant. In an effort not to cause a new injury, I began walking to create movement but not overexertion. I noticed that I was able to stand and walk for longer and longer without having the burning, fatigue sensation in the muscles between my shoulder blades which I had experienced for YEARS. I was also able to squat down to pick something up and push back to standing without assistance from another person or furniture. I had not been able to do that for many years.
I am in my 40's and KNEW deep down that I didn't want to start the decline of function that early on in life. I wanted to be able to walk and/or run and ride my horses without pain.
Nearly 1 year later, I still feel fantastic. I walk and/or run (weather permitting) and have also incorporated yoga and pilates. I can ride without "paying for it" the next day.
If you would like to investigate current research in these therapies, I recommend visiting clinicaltrials.gov and the NIH research articles. The Mayo Clinic is also doing some research, as well as other universities. A "google search" will not necessarily yield unbiased information.
Because my results were so wonderful, I want to share with people the positive aspects of the treatments and encourage others to do good, reputable due diligence. No, it's not covered by insurance but it is worth the cost of an injection that allows me to live the way I want.
Hi Coach Sarah. That is great news. We wish all the results were the same as yours. There are lots of trials going on and we look forward to the day when this works for all. Thanks for watching and subscribing
That sounds very promising! Who did your injections for you?
Thanks for this info . I was on website for HSS trials and clinicaltrials.gov last 2 days, but none had trials of PRP+/or stem cells AS PART OF TKA, which has huge potential (and many pro-athletes are doing!).Told since I was 37 (runner/lacrosse player)I needed TKA, I made it to 65 as a walking Jenga puzzle. Now bones worn so unevenly, thigh bone is shifting. I only have a partial ligament +no ACL, so instability is now dangerous for falls. It's INSANE w SO many successful procedures+desperation for these treatments that almost no one is STUDYING THEM TO GET FDA APPROVAL! I'll look into Mayo Clinic. Good luck! and thanks for sharing!
Who did you have do your injections?
I was at a pain level 8-9 daily almost unbearable on my rt knee and sleeping was miserable, I have had 5 PRP injections over the past 2 years and my daily pain levels went down to 4-5 after 2-3 weeks of the first set, 4 months later I had my 2nd series Andy pain went down to 1-2 pleasantly surprised. It didn't help the strength or stability of the damage but it sure helped the Pain management as Im not able to take any drugs due to being a Pilot and Boat Capt. After dealing with the situation for 4-5 years I am finally getting my TKR Feb 7th. Thanks for all the info you put out. God Bless
That’s cool Capt! It works for some just not enough. All the best. Thanks for watching and subscribing if you did
I had PRP in my right knee over 5 years ago and haven't had a problem since. I had an injury in my right shoulder that would not heal. After about 3 years, my primary suggested stem cell injection and it worked like a charm. A couple of years later, I injured it again, let it go for a year, and got the stem cells and, again, it worked like a charm. It is not covered by insurance, but it's still less expensive than my insurance deductible for surgery and no down time.
Interesting Mary. Glad it helped. Thanks for watching and subscribing
Aaaaaaand less surgical TRAUMA, scar tissues and adhesions. Love, learned the heard way nurse and now patient not taking mainstream approach to anything
Where did u go for this?
thats what i wanna know because i am researching going abroad to get it done@@cindylou7017
It's all a scam .. I had stem cells and prolotherapy, it did absolutely nothing!
Over several years I have had a combination of PRP and Prolozone injection therapy done to both my arthritic knees and right hip. I found that there was a definite relief in pain and inflammation and more mobility in all joints. The injections efficacy would last for about six months. The shots were done in a sterile lab and were not cost prohibitive though they weren't covered by extended medical insurance. Recently my right hip was replaced, but I have to say that this form of therapy gave me the pain relief and extra mileage in the very physically demanding work that I used to do. Based on my experience and the condition of my arthritis I would recommend it as an alternative to delaying surgery.
In regards to stem cell research, I've been told that South Korea and Japan are doing some clinical trials in growing knee cartilage and applying them to arthritic knees. Adhesion seems to be a problem. Two main US medical companies Carticell and Regenexx are doing research into stems cells and cartilage replacement
Hi vizmatter. Thanks for sharing your story. Yes cartilage research is being done everywhere including Canada and the US. Cartilage can be grown but you are right, the main issue is getting the body to incorporate the transplanted cartilage into the host. Good luck going forward and thanks for watching.
In my opinion stem cells could have saved ur natrual right hip side...
In 2017 I had stem cell and PRP by REGENIXX instead of knee replacement.
I had a bad knee. Immediately, I had less inflamation but still pain. For the next year plus 1 month more (total 6 injections every 3-4 month due to extreme pain returning off and on. Finally, that last PRP was a doozy. It was an extremely painful injection to point of tears. For 1 & half weeks after there was some pain. Then, no pain at all. I expected pain to return month after month, but no. For almost exactly 2 yrs I went pain free walking, exercising. No running, no extreme activity. Doc did something hadnt done before. I believe he concentrated PRP even more than ever. I don’t know if stem cell from bone did anything or if it was just the PRP’s. I know it definitely should be used in treatments for people who need extended time prior knee replacement; AND, it should be covered somewhat 50%-80% by insurance! I know there’s a clash between medical co and doctors who like doing surgery. But I was helped.
Some people need extra time before doing surgery or not at all for further down road. This is better for a patient than injections of steroids, Hauleronics, or ibuprofen/nalproxin which I was told
tend to distroy the tissue needed. acetaminophen can be used when necessary.
Cornel Bucur Probably, if I caught it in time. The ball of the joint was so badly worn that it caused my whole leg to twist to the right.
eva garden good to hear. There is a lot of promise in this area of orthopaedic medicine. I wish they would accelerate the research and development.
I'm having surgery to clean up a meniscus tear and PRP injection on April 9th. Your discussion supports all information I have been able to gather, including second and third opinions. Cleanup is to remove material that can interfere with function AND serve as an abrasive, making the early onset arthritis worse over time. PRP is to provide material to POSSIBLY make cartilage more "healthy". Great video, relevant content and reasonable advice. It is hard to find medical advice that is not actually trying to sell a treatment or medication. Now, if I could only find a family Doc that promotes wellness and Disease prevention!
Hi J.D. Thanks so much for the positive feedback. That is one of the benefits of socialized medicine is that there is enough work for everyone so no one should be selling you anything. Especially in orthopedics, we feel strongly that the decision should be up to the patient - unless it is an infection, dislocation or fracture - sometimes we need to tell patients that surgery is absolutely necessary. Best of luck with your procedure. Keep us posted. Thanks for watching, subscribing and sharing if you did.
Functional medicine, holistic and GOOD nutritional naturopaths, holistic dentists that do NOT use fluoride, nitrous oxide, etc. They're out there :) I'm converting myself.
I am hooked on watching all of these videos that you have put out unfortunately they’re years old I wish you could do some updated ones because everything you say is relevant and it’s everything I need to hear in order to make up my mind if I want to go forward with a knee replacement
Hi Tanda. We are working on that. So glad you are watching. Most of the older videos are still very relevant. Best of luck. Thanks for watching, subscribing and sharing with someone if you did.
I have received a PRP injection in my right shoulder for my osteoarthritis. Almost one year now. It made a world of difference. Even though I still experience some pain at end range of motion, it's no longer constant pain.
Hi Francois. So glad the injection worked for you. It does seem to work for some people and some conditions. Thanks for sharing and for watching.
So it works alittle bit ?
@@miamor5929 It's not that it works just a little bit. It works quite well, actually. The only thing is that you cannot rely solely on a platelet injection. In my case, my physician highly recommended a ketogenic diet in order to minimize inflammation (because we all know that glucose wrecks havoc on joint linings). Also, there is the question of rehabilitating the surronding musculature. The shoulder is a very mobile articulation, and loss of ROM due to weaknesses also can cause pain and discomfort. In other words, it's a holistic approach. But each case is different. The best advice I can give is to be proactive and not depend on pharmaceuticals to relieve pain. It's a long road but it's worth it if you're strong enough.
@@ADAPTATION7do u think it can rebuild cartilage a bit? I have arthritis to in shoulder buwant rebuild it a little bit
@@Chef_cookk You must understand the cause of your arthritis first. Is it due to an injury or a muscle imbalance or both? Getting PRP for your shoulder is like changing the tires on your car because they are worn out without balancing your wheels and/or getting a four wheel alignment. Arthritis is only a symptom.
Thank you for all of this information about PRP and Stem Cells .
You are very welcome Jane! Thanks for watching and subscribing if you did.
@@TalkingWithDocs I subscribed yesterday ! You guys are wonderful ! BTW, I am from Hawaii.
Great video. Stem cell treatments have come a long way. I experienced a central tfcc tear, which i was told could not be repaired or could not be healed, and the only option was a debridement which should lessen pain. After having the procedure done and doing PT, i am worse off than before the procedure. Surely there are procedures that insurance pays for which have less efficacy than some stem cell treatments. If there is no risk other than expense, why doesn’t the FDA get serious about this? Have my theories.. sad, not everyone has 25k to plunk down.
Hi Jack. Tfcc is tricky for sure and can have persistent pain. Hope you find something that helps. Stem cells still have a long way to go. Thanks for watching and subscribing
I had stem cell injections in both knees in 2017 after about 20 years of bone on bone and severe osteoarthritis. They took the cells from bone marrow (hip) and put in what appeared to be a centrifuge to isolate the stems cells. The cost was just over C$2400 in total. It wasn’t a cure but i had a marked improvement in my mobility that was noticed by others. Unfortunately Canada’s health authorities stopped allowing the treatment in 2018 based on a lack of clinical evidence of its efficacy.
Agreed Gordon. 4 years later still no evidence. Thanks for watching and subscribing if you did
Its not that it doesn't work, it's that big pharma is in the pockets of all politicians and doctors and insurance scams. Exactly why surgeons push steroid injections, which ultimately deteriorate your soft tissue leading to more surgeries. (THEY MAKE MORE MONEY)
love your channel, I am a disabled vet one TKR at 55, need the other one done, lower back from L-1 to S-1 either herniated or ruptured, blown SI joints, had an active career, VA did experimental stem cell injections in my knees and back first one lasted 6 months the last two did zero for me. I appreciate your honest explanations
Hi joe. Thank you for your service. Sorry to hear you are having a difficult time. Yes stem cell treatment has a way to go. Best of luck with your TKR. all the best. Thanks for watching and subscribing if you did
Hey Dr's, I have a question for you gentlemen. A good friend of my mine and long time co-worker has just experienced a distal bicep tear while working. Following a surgical attempt at repairing the arm (re-attaching the bicep forearm) ; it was determined that the procedure had failed. The details of how this failure was defined and what characterizes a failure vs. a partial success are unclear to me and my friend (the patient) in this case (I suppose this characterization depends on which definition more closely falls into that of the diagnosing party at the time).
My question(s)... Please see part 2 comment
Hi Noots To Roots. This injection would not help. Many patients choose not to have distal biceps surgically repaired and live with it. It simply means they will have slightly decreased supination strength which often is not an issue. Hope that helps. Thanks for watching, subscribing and sharing with someone if you did.
I have had PRP into lumabr facet joint's at three level's and it helped a lot. I went three differnt times about a month apart between each shot(s). The only downside is, you can't take NSAIDS before or after for abt a week and no ice after either. The shot's hurt/burn at first and after about 48 hr's, you start to feel better gradually. Oh and insurance don't pay for it either. It work's though.
Thanks for sharing your experience Dan. Glad it worked for you. Thanks for watching, subscribing and sharing if you did.
@@sanpat2220 the disc is collapsed and I have RA now, so things are not good. Prp helped so I would try it.
I had stem cells and extensive therapy . My cells were umbilical cells from healthy birth. Ozone shots, infra red heat, vitamin injections, etc. I even wore a cumbersome off loader brace for 3 months. Walked 1.5 miles daily and did strengthening exercises and lost weight. My MD received stem cell training at George Washington University. I was convinced it would work for me. $18,000 later my knee is still killing me. Arthritis and bone on bone. They even did a second treatment at their expense. So disappointed. Wasted 2 whole years hobbling around and poor quality of life because of pain and limitations. Knee replacement Nov 4.
Sorry to hear that
Thank you so much for sharing your story Pamela. We feel that the scientific evidence is not there to support routine treatment of advanced arthritis of the knee. Good luck with the total knee replacement! Thanks for watching and subscribing if you did.
Either your a doctor or you went to the wrong place. Columbia and Panama are the places to go right now. Check out Life Force by Tony Robbins.
@@Fast_Eddie_ Are you kidding me?!! Tony Robins 😂
@@NoObligationToday Tony Robbins, Joe Rogan, Steve-O, Chuck Liddell, Mel Gibson's dad...etc....
If you don't know what you're talking about it's best to shut your mouth...
" It's best to be thought a fool then to open your mouth and remove all doubt"...🤐🙊😉
Hi docs! Last July started SCT in both knees. First injection were stem cells from a donated source. Come back two weeks later for PRP, another two weeks for PRP and a final third time. Doc said, “I should’ve felt it working after first PRP,” but no relief. Sent me for a MRI thinking my back must be playing a role in not getting better. He had me on a back stretching machine a magnet chair with no success. He prescribed me three more prp’s a month apart from each other with no success. He would ask me, “Why I wasn’t walking?”🤨 I use a wheelchair because I can barely walk. I was so dumbfounded I took a couple seconds to say, “I can’t. There’s no stability and it feels like my top of my knees, the bone is going to slide off.” He looked like he couldn’t understand how that could be. But I never did go back or call his office after my last visit the end of March/2023. I have an appointment with fellowship trained Orthopedic surgeon next week Friday June 11th. I like that he has a pre-op program that candidates need to attend and he also has PT go to our home to do therapy after surgery. Thank you, for your time, energy and expertise in helping your community. You both are so awesome and very much appreciated!
I really appreciate the information that you guys put out. Can you please do an update on this topic
We did. Check our more recent videos on this exact topic. Thanks for watching and subscribing
@@TalkingWithDocs thanks
Hi Docs, this is a 3 year video. Is there an update on stem cell injections? Also, here is a topic for your discussion - Frozen Shoulder.
How do you treat it so it goes away permanently?
Thanks!
Hi Isabel. There is an update. You just have to search it. Minimal new evidence to support it. And yes frozen shoulder is on the to do list. Thanks for watching and subscribing
Thanks for all the awesome information. Love your videos. Very informative.
Glad we could help Larry. All the best. Thanks for watching and subscribing if you did.
i just tried prp on my knee and so far the pain has diminished considerably after 3 weeks i am very happy with the results so far.
Glad to hear it A. Thanks for watching and subscribing if you did
Hello ...I m from india...can you share some more information regarding it..my mother is suffering from the same..dr suggest her of totol knee replacement
Would you please provide an update on this video about the longevity of pain relief and function wit PRP and Stem Cell? I was told by DO's office that it takes two treatments of PRP to get relief and one treatment of Stem Cell to get pain relief. The price ends up being the same if use 2 treatments of PRP as for 1 treatment of Stem Cell. DO's office says stem cell is usu taken from the patient's hip and injected in the arthritic joint.
Please see prior response. Thanks for watching.
I have an arthritic ankle and had a PRP injection a week ago for tendonitis of the Peroneal tendons. I was told that it might take up to a month to know if it had the required effect. I found some improvement within 24 hours; the improvement has increased over the week. As you say, it is not inexpensive. In Singapore, the cost is USD 764, but I am feeling that the money was well worth it and will schedule a second jab next month to maximise the improvement. Thanks for your informative videos.
Hi Russell. Glad to hear it. There is more evidence for its use in soft tissue conditions like tendinitis. Thanks for watching and subscribing if you did
Great to hear from you, and l wondering can share where can l go for this treatment in Singapore cause l'm suffering from knees pain too. Thanks
You say it csn repair cartilage? I want this for my shoulder
Thanks Docs for all your information. Waiting for new videos! Keep safe!
More to come Darlene! COVID has made filming a bit tricky.
@@TalkingWithDocs I hadn’t thought of that I guess, well I will be watching!
A few years back I read about research being done on the ankles as the ankles bear so much weight but are rarely arthritic. The idea was to possibly use those cells at the knees?
Hi maria. There is a lot of research being done especially at the cellular level. Nothing yet. Thanks for sharing. Thanks for watching and for subscribing if you did.
This has been a brilliant talk on treatment on cartridges! Good to know if it ever happens to me. Thanks docs!😊
Yes but let’s hope not Alida! Thanks for watching and subscribing
I’ve Got a hypothesis: Use the heart and ‘Legs up ‘ after a run to reduce post run injury. If a centrifuge is used to separate platelets and cells in the clinic then I propose using blood flow with legs raised to separate blood components. I regularly prevent injury after running by leg raising 10, 15 or 30 mins.
Hello Dr's, thank you for educating the viewers on PRP and Stem Cell Injections. My question to you, have you ever done PRP Therapy for CRPS 1 or 2? If so, was it successful?
Hi Queen. You’re welcome. We are not big advocates of PRP at this stage as the evidence is not quite there yet. We can’t really comment on its role in CRPS. Sorry if you have this as it can be very debilitating. Thanks for watching and subscribing
Thank you for all the information,
Hi Martie. You are very welcome. Thanks for watching.
@@TalkingWithDocs @aaa@
@@TalkingWithDocs a
FYI, They do PRP to regrow hair, the evidence is there by looking at the before and after pictures. I was considering doing this on my knee but my Ortho agrees with you guys that it's inconclusive and we just went with a Cortisone shot which works just as well if either are going to work at all. For my knee I was quoted 900.00 for a shot and was told I needed 3 shots and it's not covered by Insurance for anyone considering this.
Hi Joe. We don't think that growing hair inside your knee is going to reduce your pain or cure arthritis. Just kidding. Time will tell about PRP in joints. There is some weak evidence. We are waiting for the strong evidence. Thanks for watching.
cortisone ? works ? aspirin works , sometimes , but doesn't FIX anything
@@kcajmortsnnew1488 Could end up with a "hairline" fracture. (sorry, couldn't resist).
Cortsone does not work "just as well," It's harmful for the body, and just a bandaid. Find another place.
This is a brilliant talk on these treatments. Would PRP be beneficial for post op tissue recovery after THR?
Hi Kat59. It wound typically not be beneficial after THR and we do not believe it has been tested in that capacity. Thanks for watching.
@@TalkingWithDocs ill be having PRP used in my knee post op in an effort to see if it helps healing.. Bucket handle tear in my meniscus
I'll follow up after surgery if you'd like some anecdotal data!
I had stem cells put into both knees where the cells were extracted from fat. Results at 6 months are good. I wasn't walking before them without great difficulty but now I'm I can manage about 5000-6000 steps a day as well as cycle.
Thanks for sharing your experience Rob. Sounds like it has worked for you. Every patient is a bit different. Thanks for watching and subscribing if you did.
@@TalkingWithDocs So from what I'm understanding this helps repair the knee with needing a total knee repair ?
Hi rob. Where did u do the stem cell treatment? Im devastated and would want to learn more about your experience.
@@pavelbure007 I'm in Australia. I chose a reputable and professional clinic and doctor and cannot fault them. I was grade 4 osteoarthritis and very bow legged so its difficult to treat and I was advised. I chose to try it anyway and I felt some benefits about 3 months later. Decreased pain, able to walk further. I had a high tibial osteotomy 2 months ago because the knee was getting worse.
Look at a procedure called BAM, Biological Autologous Drilling. Thats using stem cells in conjunction with microfrature surgery. That is yielding excellent results. Ill be getting this in the next few years
How r u now?
I broke/cracked 3 front side ribs in 1984. For about 30 years they would continue to hurt… sometime significant pain if I simply laid on my side or chest. A local DO (Doctor of Osteopathic) use PRP in the area of the ribs. I had to pay for the process as my insurance would not pay (I think it was around $450). After the process I was very “bruised” for about 2-3 months. After 6 months there was no bruising and I have been pain free for about 7 years. The PRP worked for me. A friend did it on his knee the same month and has not had any pain since his process.
Interesting Tom. Thanks for watching and subscribing
Thank you so much for this video and your informative channel! I was wondering if you have any insights on stem cell therapy (8) years after ACL surgery? I basically developed chronic knee pain after the surgery and tried all sorts of things - physical therapy, seen a chiropractor, orthopeed, none detected the issue and my range of motion is fully functioning. Strengthening the muscles around helps for a bit but later on in the day it just starts hurting again.. so never sustainable. Any tips/ insight/ references would be greatly appreciated 🙏🏽
Hi Torkan. The most common cause of pain would be arthritis. NSAIDs if safe for you, physio and possibly injections of cortisone or hyaluronic acid. No real evidence for stem cells being effective yet. Thanks for watching and subscribing
Why is there virtually NO new videos about stem cell treatments? Especially amniotic stem cell therapy for tendon damage, etc.
As this video was done in 2018, 7 years should have allowed for far more information. I do know that AAOS determined its efficacy after OTC treatments. Perhaps an update for of studies and usage the last 7 years.
I liked the video and the doctors seem genuine and nice. I do think (and they probably have in other videos) disclose their practice interest (I.E. if they're orthopedic surgeons) when discussing treatment options.
Hi C. Our disclaimer for the channel does list that we are both board certified Canadian orthopaedic surgeons Hope that helps. Thanks for watching, subscribing and sharing with someone if you did.
I only have Medicare and it doesn’t cover PRP. One doc I’ve seen does it, but his prices are too expensive for me. I’m permanently disabled and have seen Medicare change it’s opinion on covering a treatment. I’m hoping they will cover PRP in the future. I enjoy all your vids!
Hi Lorraine. Thanks so much for the positive feedback - glad you like the videos. If you do not have coverage for PRP which still does not have definitive evidence for its benefit, you could consider cortisone or hyaluronic acid to help reduce your pain. Maybe discuss these options with your surgeon. Good luck and thanks for watching. Good luck!
I'm under the poverty line, disabled nurse, covaids longhauler, very damaged by the system's neglect and malpractice (can't sue for it - see prep act 1984) and well? My "insurance" covers NOTHING. You do it anyway. Payment plans, loans, whatever. It's your health and these things are the BEST. Ozone, chelation, PRP.......they will never cover what works, just like they withheld CHEAP effective, safe eyeVrMk10 from covid patients. Once you 'get it,' how they work, you ...get it and don't get what they have to offer. Worth spending the money you can prioritize with a loans or borrowing....
Hello, I have 2 torn tendons in my left hip area. The pain is pretty tough at times and very uncomfortable. I'm going for PRP injections on March 14th. I would like to keep in contact and fill you in with my results as time goes on. Thanks, Rick
Best of luck Rick. It has a higher chance of helping with a soft tissue problem like that than arthritis. Good luck. Thanks for watching and subscribing
How did it go???
@TalkingWithDocs
It's all a scam .. I had stem cells and prolotherapy, it did absolutely nothing!
Love your approach. Have you taken a look at exosomes derived from distressed MSC's as a possible tool in regenerating cartilage? It has become clear that the value of Stem cell therapy is not in the cell's ability to replicate invivo but in their ability to signal native stem cells to begin replication via exosmaL signalling. Why not bypass the host (stem cells) and go directly to the active agent? I'm imagining a cocktail of PRP, HA and exos as potentially a powerful anti-inflammatory, pain reducer that may induce regeneration via angiogenesis, neurogenesis and finally the formation of novel cartilage cells. For a month post injection, the knee would receive PEMF TX's daily to help senile MSC's reach their action potential in order to replicate. Multiple treatments would of course be required. As you know, stem cells will expand infinitely in a petri dish but there is no evidence yet that transplanted stems will replicate in vivo in humans. Signalling the need for replication (exos) combined with charging senile MSC's (PEMF) all held in place by an HA scaffold can do no harm. BTW, there are mountains of evidence in support of each of these modalities. Unfortunately, there has never been a study that addresses this combination. Each modality has been dropped down a rabbit-hole, yet all are required in order to induce regeneration. 1) Put out the flame 2) signal replication of native stems 3) charge stems in order to reach their Action potential to make replication possible.
Hi Larry. Very interesting for sure and gives us hope. Lots of smart people are working on it. Time will tell. Stay safe. Thanks for watching and subscribing if you did.
I had stem cell replacement for my knee snd it took the pain away completely for the last four years. Now it’s coming back but I loved the results.
@@acooksla This is one thing that bothered me in one of their last statements: "There's no evidence to say that it works really well..." at minute 5:30. Have they actually NOT heard the 100's of testimonials out there? I only know, NOT because I'm in the medical field, but I did some BASIC research. I haven't even had a consultation yet...but I KNOW that the statement that there is NO EVIDENCE to show that it works is UNTRUE.
@@lvmyfam11 YOU ARE RIGHT, I had PRP for my severe left tennis elbow, the injection was painful as hell, and it also cured me 100% at age 40!! full strength and range!!!! Im an athlete. last year I did my rotator cuffs, both shoulders, no pain during, same place, i am 70% better. I paid $700 at Cellaxys in Las Vegas, a great Dr. Otten and place. dont hesitate to do it, cortizone injections and physical therapy failed for 3 years on me. Get PRP asap wherever you can that is reputable. In San Diego, I paid $1200
@@lvmyfam11 I believe they made this video 3 years ago maybe back then
Thanks for the great work. I have a question although it's off topic for this video. Would be great to know if you think it's good to do a stress/stability manipulation X-ray on a non displaced bimalleolar fracture?
Hi H. This can be useful to see if the medial side will open up and if the syndesmosis has been disrupted. Thanks for watching and subscribing
Very good video. Yes I am in charge of my own health! Good quote!
Just went thru the process today on my left shoulder. The process was relatively fast, and a little bit more painful when they injected the platelets. Ultrasound was used to guide the needle to the specific areas. Hoping to feel better after 4-6 weeks. As for cost, I’m in the military so our medical insurance covered it🙏🏼
Thanks so much for sharing your experience Jorge. We wish you all the best. Let us know how it worked out! Thanks for watching, subscribing and sharing if you did.
How's everything now Jorge. I am in bad shape from Cervical Instability considering getting it done.
I have a partially torn rotator cuff and I am just not convinced that an injection of cells can make it just regrow. It’s just so expensive. I spoke to one person online that claimed it healed its shoulder, I talked to another that had them in his knees; paid thousands and got nothing from it.
I think something should be seriously done in the advancement of medical science for issues like osteoartheritis as now a days younger generation is also facing the joints issues earlier to their age.
We agree samriddhi. They are working on it but nothing quite yet. Thanks for watching, subscribing and sharing with someone if you did.
How do you feel about shockwave therapy and do you use it in your practice?
Hi Jeremie. So shockwave therapy has more evidence for its use in tendon issues like tennis elbow and Achilles tendonitis. There are however many therapists that use it routinely alongside physiotherapy and massage for any musculoskeletal problem and it can likely be helpful as an adjuvant treatment. Thanks for your question and thanks for watching.
Thank you for your time.
Very welcome RHM. Thanks for watching and subscribing
You guys are awesome! I just found you+been watching for 2 days. Have you done any vids on TKA when there's severe uneven bone-on-bone wear, as well as severe damage to ligaments, tendons and ACL? AND it's been aggravated by 20 yrs of running w a moderately clubfoot? They say I need all the bones in both feet broken and rebuilt! But the knee is now so unstable I'm falling.So, I think I must do knee first. I asked about Oscar Pitorious prosthetics in lieu of replacing both useless feet and knees, but I know that's drastic. .Thanks for all your v. helpful info!
Yes most knees have severe wear and often ligament damage so that should be ok. Best of luck.
My doctor just recommended this procedure to me just waiting on my referral to go through. I am 42 years old, prior military with osteoarthritis in my hips and joints. My tight hip has been giving me hell. So, we'll see.
Hi Enicka. Thank you for your service. May be worth a try. Best of luck. Thanks for watching and subscribing if you did
I had a recurring injury to my Achilles’ tendon that would not heal, I had stem cells injected directly into the tendon, which was horrifically painful. I walked into the office and limped out, had to get a boot that limited the movement of ankle. After three weeks of immobilized, my ankle felt good. I have been able to resume a jogging routine with no recurrence of pain or injury. I do not jog as much as I used to, but feel the procedure helped. There was a noticeable bump on the tendon that has disappeared. In your professional opinion, what occurred?
Hi ronald. Hard to say but there is some evidence for soft tissue indications for use of PRP. This may have lead to some healing with a scar type tissue that can be thicker and lead to a visible and palpable lump. Hope it all works out for you. Thanks for watching and subscribing
Hey Doc,
I had a tfcc in my left wrist, 3 years ago. My wrist is popping and a little weaker than the other one, and i have pain in that area after a bad move. I would like ask you, if the PRP would be effective after such a long time? Should i give it a try? Thank you in advance!
Hi Spee. It would be unlikely to help. Often you would need an MRI or MR arthrogram to assess it further. Sometimes these do require surgery to reattach the ligament. Thanks for watching, subscribing and sharing with someone if you did.
Hi Docs,
Stationary bike exercise? Great for cardiovascular, I no longer run, so what's your opinions in relationship to my knee arthritis? I still play aggressive tennis. Your thoughts please.
Hi Ronald. We love the cycling. Tennis is ok and we would tell our patients to enjoy our it while you still have your own knees because once you get replacements it will be lazy doubles tennis. Hope that helps. All the best. Thanks for watching and subscribing if you did
I just was injected yesterday; 3/3/23, I wanted to try this before actually getting into surgery where I would be laid up longer. I have read a lot of positive things about the PRP procedure and then the total knee replacement.
I know I am going to have on again off again for awhile, and then we'll se how well the PRP did.
Good luck Teresa
Could you please do some demo videos for each specific shoulder surgery, namely rotator cuff repairs, acromioplasty, bursectomy, biceps tinodesis, etc. I had a fall on my right shoulder on 26 October 2020, with my right hand outstretched and tore my supraspinatus tendon (partial tear, through substance tear [9.5 mm x 8.3 mm] from MRI). I was operated on 25 Feb 2021 in Sydney by Dr.Geoffrey Smith (A shoulder & Elbow Surgeon), but my tendons were good in shape, hence he just performed Arthroscopic Acromioplasty & Bursectomy. PREOPERATIVE FIDINGS- There is a small glenohumeral joint effusion, Glenohumeral relationships are preserved. The long head of the biceps tendon demonstrates a tendon sheath effusion consistent with tenosynovitis. The biceps labral complex is intact. No labral tear is identified. The subscapularis tendon is heterogeneous with subscapularis tendinosis. No discrete tear is identified. The supraspinatus tendon demonstrates an articular surface tear involving the midportion. The tear measures [9.5 mm x 8.3 mm]. This is on a background of supraspinatus tendinosis. Infraspinatus and teres minor components of the rotator cuff define normally. In the posterior aspect of the humeral head, there is evidence of a subcortical cystic change which may indicate a geode or herniation pit. There is evidence of subacromial subdeltoid bursitis. AC joint arthropathy identified. The structures of the suprascapular notch defined normally. IMPRESSION- subacromial subdeltoid bursitis. Subscapularis and supraspinatus tendinosis with a partial thickness articular surface tear. AC joint arthropathy. Other findings as above. Please advise the best exercise for me.
Hi Tasty Eatz. We can add those to our list for sure. With respect to physiotherapy, it will focus on range of motion and rotator cuff strengthening. It is best to sit down with a physiotherapist to design a plan specific to you. Best of luck. Thanks for watching and subscribing if you did.
Thank you so much and looking forward to watching more. I’m seeing my physio tomorrow. Thanks again
Thank you for this. You mentioned in the video there would be more videos concerning Stem Cell and PRP treatments. Do you have one planned? I'm considering total hip replacement for both hips and would rather seek an alternative if possible.
Hi Dennis. There will be a follow up soon but there is still limited evidence for benefit in the setting of arthritis. It would not be an appropriate substitution for a hip replacement. Hope that helps. Thanks for watching and subscribing if you did
Any updated info on this topic ? Would love to hear the latest in 2023.
We have an updated video. Didn’t change much yet
Awesome stuff, thank you both
Very welcome Chet. Thanks for watching and subscribing
Dr. Weening voice reminds me a little bit of Jim Rohn's voice. :)
Great video!
Thanks Carlos. Glad you liked the video! Hope you are well. Thanks for watching, subscribing and sharing if you did.
Has there been any advancements in PRP or Stem Cell technology since you made this video? I'm a 57 year old life long Rheumatoid Arthritis sufferer that's on a waitlist to have both my knees replaced and would prefer to only have them replaced as a last resort. Thanks in advance.
Hi JC F. We would say still little convincing evidence for use in moderate to advanced arthritis. We are planning an update video once there is something worth reporting. RA is very difficult for sure. All the best. Thanks for watching, subscribing and sharing with someone if you did.
Thank you for info docs.
Very welcome Connie
Being ahorse surgeon started treating horse tendonitis way before human medicine. We started research with UC Davis1999 and found bone marrow injections greatly increased tendinous and ligamentous healing. Initially we assumed it was d.t. stem cells in the bone marrow, however UC Davis found similar results by injecting the supernatant after spinning down the bone marrow. In my clinical experience I have found to be PRP of limited benefit ia or intra tendonous in 1000's of patients. However, IRAP treatment for ia use has been exceptional especially in arthritic joints that stopped responding to corticosteroids.
That is super interesting Bernd. Thanks for sharing. Thanks for watching and subscribing
Hey Doc,
first of all, a great video thank you, I am suffering from a tfcc tear on my both wrists I did surgery on my right wrist and it did not help its been 4 years and doctors have no idea what is going on, I was thinking of getting a PRP injection and I am not sure if its the right option for me.
Hi Mehroosh. So if you already had a wrist scope with no benefit, it is hard to say if PRP would help. The evidence is limited for sure. Best to discuss it with your wrist surgeon to review the pros and cons. Best of luck. Thanks for watching and subscribing if you did.
Same for me too. No surgery... but strengthening exercises. It worked.
Thanks so much for this information. The blood I have been considering is cord blood. Can you add cord blood next time? Also a guess at how far off do you think we are? Couple years? 10 years? 20? I want to buy the cord blood of the next grandchild. Would we have to be the same blood type? Do you think that is a good idea? If I don’t use it, it still can help in other ways. Thank you for a place to get informed.
Kudos for the video content! Forgive me for the intrusion, I am interested in your opinion. Have you researched - Riddleagan Best Ukulele Remedy (probably on Google)? It is a good one off product for getting rid of your symptoms of Multiple Sclerosis naturally without the headache. Ive heard some pretty good things about it and my cousin after a lifetime of fighting got astronomical results with it.
Hi Willow. At this point the cord blood probably won’t help. Yes likely decades away. But you just never know. Thanks for watching and subscribing
I had a torn meniscus from a fall in 2016, and I was not told to have surgery. As the years have gone on, the pain has worsened, and my other knee is now worse, bec I began depending on that knee to go up and down the stairs. Now both knees are in constant pain, and I have Baker's cysts behind both knees (diagnosed by a rheumatologist). She just gave me meloxicam and said nothing could be done. I refuse to believe this, because my life is totally changed since the fall. I never go out in fear of falling. I need help grocery shopping as well. Do you think stem cell injections might work? Would you recommend seeing an orthopedic surgeon? I've gained so much weight over the last few years bec I've been unable to exercise. I can't live like this much longer.....Any advice would be appreciated. Physical therapy hasn't done anything. I'm going to try ice packs to see if that helps..... Thank you.
Hi Sofia. Yes we would definitely think it is worth seeing an orthopedic surgeon. Have an exam, take some xrays, and maybe an MRI and diagnose what is going on so you can make a treatment plan. Advocate for yourself. Good luck. Thanks for watching and subscribing if you did.
Hi DR! I had prp done on my elbow as I have a small 2mm tear on my extender flexor tendon. The first injection helped me a little bit to bring inflammation down in my elbow/forearm and is there any other more aggressive approach I can take for full recovery besides getting another prp injection and see how it goes. Thnaks!
Hi Muda. Sounds like you are doing the right things. Physio will often be beneficial. The surgical options for your problem are limited so keep up what you are doing. Many patients will also wear a brace. Hope that helps. Thanks for watching.
@@TalkingWithDocs Thanks for the advice DR really appreciate )
I had PRP for my severe left tennis elbow, the injection was painful as hell, and it also cured me 100% at age 40!! full strength and range!!!! Im an athlete. last year I did my rotator cuffs, both shoulders, no pain during, same place, i am 70% better. I paid $700 at Cellaxys in Las Vegas, a great Dr. Otten and place. Get a 2nd PRP, sometimes it takes 3. mine only took 1. was your injection painful, my sure was, but like i said, it worked great
Would these procedures help with a slight torn rotator cuff ?
I've always thought that stem cell injections or PRP (which I haven't heard of before), would be a good way to treat hearing loss. Could nerve damage be reversed if these injections were applied or has it ever been tried?
Hi Roger. Interesting thought. Not sure if it has been tried but quite possibly. Thanks for watching and subscribing if you did
@@TalkingWithDocs the my boo
I know for mice researchers were able to return their sense of smell with stem cells but the olfactory system naturally regenerates cells while inner ear cells don’t regenerate so idk if it’d work. I do know I’ve heard of research being done for using stem cells to try and reverse hearing , smell, and vision loss.
Hello Dr. Two questions.
1 can stem cells treat manuscus tear grade 3 and acl partial strain or tear? What is success rate? Is regenex has potential for it?
2 is manuscus tear grade 3 be invited or undergo a surgical process.
Hi Pardeep. Every case is different. Often larger tears will require surgery. Evidence for stem cells is weak for meniscal tears. Hope that helps. Thanks for watching and subscribing if you did.
Hi Docs I am having a rod inserted to my tibia and femur do you have any videos on how this is done? My first surgery is on May 21. Stay well Docs and thanks for your information.
Hi Darlene. We don't at this point. It is similar to a regular total knee replacement however the canal (or hollow part of your tibia and femur) is prepared with what is a called a reamer to clean out part of the inside of the bone so the stem fits tightly). Hope that helps. Good luck on May 21!
@@TalkingWithDocs well I will be finding out what it’s like very soon. Thank you for making it clearer! You Docs have been a great help and glad you are on UA-cam.
How does this work for a torn bicep? How much would it cost? When would insurance cover it?
Hi Virtual. It would likely only help for a partial tear or tendinitis. To reduce inflammation and help repair the tendon. Not sure about insurance coverage. Thanks for watching and subscribing if you did
Hello great video! Does Prp injections help to repair the military neck back into a curve? Would it be necessary to do trigger point injections as well?
It likely wouldn’t help the neck
What do you think about doing both total knee replacements at the same time?
Hi Virginia. Some surgeons will do both at the same time. We feel that staged surgery is better for our patients. There are some studies that also have shown an increased risk of heart attack or stroke in patients older than 70 undergoing bilateral total knee replacement. The obvious benefit of doing them at the same time is severe pain only once. It is a lot of surgery though. Best to discuss with your surgeon beforehand. Best of luck. Thanks for watching and subscribing if you did.
My mom had both done at the same time and frankly I thought it was pretty irresponsible of the physician (I was living in another state and she said nothing about the surgery) .. my mom couldn’t walk for 6 months because of the pain and it literally took 2 years for the pain to go completely away …25+ years later, she’s 86 - if she falls and does, the fake knees crushes the skin between the knees and the floor…and same with bumping her knee as there is zero shock absorption as you would receive with a bone opposed to metal and if it’s cold outside the knees ache terribly from the cold.
Question. What are the literature on PRP on the subject having an autoimmune condition. Would that affect the PRP quality? And is there an age range of the subject where PRP was slower to work or that did not matter?
Gentlemen, Thank you for the information about this important topic. I have had a rapid onset of arthritis in the last two years, and in addition, both of my meniscus's (?) are pretty torn up as well. The question I have concerns stem cell treatments. I have learned that professional athletes, for example, (NFL, NBA) that experience joint injuries are quite often put on a plane and sent to Europe (Germany) for stem cell treatments. Others, with more money than I, (Mel Gibson) have sent relatives down to Costa Rica for treatments. Evidently, Mel's father had a 'miraculous' recovery from the stem cell treatment he received down there. Thanks for doing these videos.
Hi Jeff. So stem cell treatments are in the early stages and the verdict is definitely not in yet. Science has not shown a definitive benefit. Having said that there are lots of people who will provide that service for a price. This exists in cancer treatment as well. So the bottom line is proceed with caution. The known risk is financial however we are not sure what these injections will do long term just like other experimental treatments. Try and stay lean, stay active, and do your best to control your symptoms. Hope that helps. Thanks for watching.
I had a useless left knee, I did stemcells here in Las Vegas, no more metal brace and i can hike without pain, I couldnt walk without pain. I paid $7000 at Cellaxys. I am 90% better with all activities, no brace, but I wouldnt run, oh im 100% pain free. I will probably do my plantar fasciatis next. go to a reputable place. oh Mel goes to Panama City , Panama for his. they can get you 150 million stem cells, where in the US, about 7 million, that is the difference of international.
Can you do an update on PRP? My 24 yo daughter’s spine specialist wants to use it for lumbago, but says insurance won’t pay and not approved by FDA. Seems fishy
Hi David. We are not spine surgeons however there are some surgeons who do advocate for PRP injections in the knee. The evidence is certainly not universally supportive of its use. It may be worth a second opinion. Best of luck to your daughter. Thanks for watching, subscribing and sharing if you did.
@@TalkingWithDocs Thanks. I will see about a second opinion. But it seems like there is not a good additional option for the pain. Just cortisone, but she would be doing that for the rest of her life. She is only 24... I will subscribe! I got a bilateral knee replacement last May and watched a lot of your videos.
Where is the update from this video? It says this video came out 3 years ago. I am mostly interested in the PRP update and it being done in the neck joints and ligaments. Also does the research show good results with Prolotherapy and PRP done at the same time? (Location being in the same area of the body) Thanks
Hi Anonymous Hippo. Update coming soon actually. You will be disappointed at the scientific evidence for its use. Very limited. Poor clinical studies. The risk is primarily financial and if you talk to enough people some will say they received benefit. We are certainly not convinced at this point. Thanks for watching and subscribing if you did
@@TalkingWithDocs Thanks for the reply back. I look forward to seeing the updated research and it's results.
In 2014 i injured my shoulder snowboarding, then again in 2018 & 2019. Although the pain is gone, and my range of motion is basically 100%, it still feels unstable to the point where if I fall on it in the wrong way snowboarding again I will injure myself.
My question is, will PRP help stabilize my shoulder so I can be confident in my sports again, or even with PRP I will never feel the stability again?
Also, since there’s no pain in my shoulder at all, will recovery be faster or different than if it were a fresh injury?
These are the results from my MRI:
CLINICAL INDICATION:
Assess for internal derangement.
TECHNIQUE:
Fat/sat T1 in the axial, coronal and sagittal oblique planes as well as a T2 in the
coronal oblique, using 3 tesla field strength. A high resolution 3D gradient
sequence was also performed in the axial plane for cartilage and labrum.
FINDINGS:
Thickening with increased signal in the supraspinatus tendon consistent with
moderate tendinopathy. Undersurface fraying but no full-thickness tear.
Remainder of the rotator cuff is normal and muscle bulk and rotator cuff is
preserved.
Increased fluid in the subacromial/subdeltoid bursa representative of moderate
bursitis.
There are mild osteoarthritic changes in the acromioclavicular joint with
evidence of previous type 1 to 2 sprain. Associated with bone marrow edema
and capsular distension indicating likely a subacute injury. Mildly downsloping
acromion with a small subacromial enthesophyte.
Increased linear signal in the biceps anchor consistent with a small SLAP lesion
(superior labrum anterior-posterior). Likely a type 1-2 lesion.
IMPRESSION:
1. Supraspinatus tendinopathy with low-grade partial tearing/undersurfact
fraying.
2. Subacromial/subdeltoid bursitis.
3. Mild AC joint arthrosis with previous sprain.
4. Small SLAP lesion.
Any advice would be amazing! Cheers
Hi Dimos. So it is hard to say but it may help. It doesn’t show that you have a large labral tear that would lead to instability. Usually pain is the issue with an MRI like that. Worth considering physical therapy as well. Good luck. Thanks for watching and subscribing
What are your thoughts on sodium hyaluronate injections for both pain mitigation and Cartlege regeneration?
Hi Rick. They help with pain. They do not grow new cartilage. We use them a lot. Thanks for watching and subscribing if you did
Hi there I have nerve damage for my back sciatica after surgeries I still have pain in my both legs does the PRP help me for the pain nerve damage?
Hi Suha. There is no evidence that PRP injections would help reduce nerve damage from sciatica. Best of luck to you. Thanks for watching, subscribing and sharing if you did.
My understanding is that both PRP and stem cell injections are both considered experimental therapy so the insurance will not cover the cost
We think you are right Sgilmore69. Thanks for watching and subscribing if you did
I had prp to my lower back about 4 years ago. Great results
Thanks for all the wonderful information and giving your valuable insight to different
therapies. We all know your time is valuable. I will subscribe and tell friends to check out your site. What's your take on vitamin D supplements?
Thanks so much jewelleryaddict. We have a video on vitamin D but the take home message is that most people should take it. Thanks for watching and subscribing if you did
Part 2: (Questions)
1) Which therapies are most likely to be most suitable (again will not take this as a direct recommendation) for repairing an injury of this nature ; PRP or stem cells?
2) Looking at various stem cells therapies we know of today; adipose tissue stem c's vs. Bone marrow stem c's vs. umbilical cord stem c's (knowing full well this isn't or wouldn't be taken as an objective or medically backed recommendation)... Which of those three do we know to have been either successful or potentially capable to effect this type necessary regenerative repair?
3) If you have any character space left to answer this one, what is your take on a 2nd attempt at surgical repair for this distal tear; taking into consideration approximately 2 years have passed since the first procedure (deemed ''failed'" at that time).
I'm sorry for the grueling questioning and multiple comments. I wanted to provide as much context as UA-cam could allow. I very much look forward to hearing your thoughts and thank you using you knowledge to appeal to the common man
Hi Noots to Roots. We feel at this point science has not shown stem cells to be useful in the setting of arthritis. Cartilage simply cannot be grown with current treatments. Repeat arthroscopy only works in the setting of a large symptomatic tear. Best of luck to you. Thanks for watching, subscribing and sharing with someone if you did.
@@TalkingWithDocsThank you Doc! Sorry I can't help myself.. Statistically speaking: what are the odds of a successful 2nd attempt at surgical repair of a distal bicep tear after a first failed attempt? (basically I'm seeking your knowledge of patients who fall into this category of having needed a 2nd surgery)
My V.A. doctor, that can in certain cases use the stem cell treatment injections said the exact same thing you just outlined.
Thanks for the honesty of trying to give solid information to the patient rather than extract cash from them.
You are welcome Danny. We do our best to keep it real. If science shows us it works we would both be happy to start doing it but not until then. Thanks for watching, subscribing and sharing with someone if you did.
I love your videos. They are so informative! I have restless legs at night. Is there anything that I can do prior to going to bed to prevent this? I do not like to take meds. I have used baby aspirin but I don’t want to take them every night.
Hi Sandi. Restless legs are difficult for sure. Best of luck. Thanks for watching and subscribing
Doctors I have heard 2 different stories. One you can not mix PRP cells with Stem Cells for lets say a knee injections that depending on the damage you might have after examined after a XRay you just might use Stem Cells from Bone marrow in a Augmented ACL/PCL Reconstruction and Osteoporosis or Partial Ligament Tears or Partial Meniscal Tears
Hi Wesley. We would agree that there is some evidence to help soft tissue problems like ligament and meniscal tears. The evidence for arthritis and for osteoporosis is not convincing at this point. Thanks for watching and subscribing if you did.
What about the use of CBD tabllets for pain management after a knee replacement surgery.
It is becoming more common Connie. Doesn’t work for everyone but some. Thanks for watching and subscribing
Hi. I have a herniated disc. It was recommended that I do PRP but it's not covered by insurance. I was told if I didn't do procedure my disc could get worse and I would need surgery. If not in severe pain would you recommend procedure?
Hi Melissa. We are not back surgeons but it does seem like a difficult decision to have treatment for something that is asymptomatic. The evidence is limited at this point to support its routine use. Best of luck with your decision. Maybe a second opinion? Thanks for watching, subscribing and sharing with someone if you did.
Thank you for sharing your non biased opinions and knowledge. I’m a type1 diabetic with penile neuropathy and ED. Is it really worth $2000nzd. I feel I have very few options left to help with my issue. Has any further conclusion come from PRP or is this just another ‘get rich quick’ scheme. Thanks Josh
Hi Jollymilkman Jolly. We are not familiar with PRP for ED. We feel that at this time the evidence for PRP for treating arthritis is not conclusive or supportive. Good luck to you. Thanks for watching and subscribing if you did.
Nope, not a get rich quick scheme AT all. I actually was introduced to IV ozone as a covaids longhauler from march 2020 severe reaction and was left to die when I properly refused the vent. Anyway, I thought there was "no option" to my multiple disabilities, coming off a very healthy, fit, active life ...and I discovered IV ozone, IV chelation and now I just had dental work down with PRP and ozone...SUPER fast and efficient healing time....having my bilateral trigger thumb from gardening, done next week! What's a scheme and scam? Mainstream approaches that keep you dying a death of a thousand cuts. Most "doctors" are on here to argue against things people are pursing that WORK
Are y’all familiar with patients that have been crippled in tendons and joints by the fluroquinolones antibiotics? Would these procedures help someone like me that has suffered fluroquinolone toxicity??
I may need this. It’s been six months of in and out of a wheelchair.
Hi luvfitall. Yes this can happen. It may benefit this population but we are uncertain if it has been tested for this indication. Thanks for watching and subscribing if you did
I am 62 and recently had 2 back surgeries a double lamy and constant reprotrusion of the discs.(L4-SI), multiple corticosteroid injections and little relief. Doc suggested stem cell at a cost of 1500, insurance won’t pay. Or an ablation? The original surgeon thinks I may need a fusion but won’t do it for a year? Please help with your thoughts or pearls of wisdom? I am a bedside nurse so that says a lot 😞
Hi Cassandra. Hard to say as there is limited evidence for PRP in spine surgery but it is evolving rapidly. Maybe another opinion but the back is very tricky for sure. Best of luck. Thanks for watching and subscribing
Have you had any experience with ulcerative colitis and stem cell therapy? Been on a variety of medications with terrible effects. Nothing is working and I am really suffering.
Hi Sonny. We have not. Stem cell therapy clinically is still really in its infancy however there are countries where the legislation is more lenient where it is being used for a host of conditions with variable results. Tread carefully. Thanks for watching and subscribing if you did
How effective is it for Lumbar disc? My surgeon said he has not seen good results with the lumbar spine?
We would agree BRAD. it is very expensive and there are lots of people who will do it for you but the science is weak to non existent to support it’s routine use. Thanks for watching and subscribing if you did
@@TalkingWithDocs I will subscribe right now! Thx
I have lots of limited mobility and coordination problems etc have ligament damage all throughout neck and a disc bulge/extrusion in L5/S1 would regenerative medicine possibly help?
Hi Matt. There is limited evidence that this will help. Worth a conversation with your doctor. Thanks for watching and subscribing
I wish insurance would pay for it. My mom had injections in the knee with great improvement...and waiting to see what insurance can do to help before starting with the other. The insurance considers it "experimental " and she got sent a bill. It's been around for awhile and helped so many people...they just don't want to validate it as useful so they don't have to pay.
So they are probably not willing to pay for it because the evidence fo supports its use in the setting of moderate to advanced arthritis is weak. Best of luck. Thanks for watching and subscribing
Hi Dr's, ok, because I was given a presentation for my Stenosis C3-4; C5-6 no fractures; with PRP treatment. I was not aware there was a difference of PRP. Now my senior friend who enlightened me has had the prp and it worked for her. Her pain went away...however when I rehashed this issue, I realized I needed to ask more questions...#1, My Medicare HMO company does not cover this procedure, but other's do?...we're in Open Enrollment season and will check that option do I keep my company, or change to one that does cover it...#2 How long does this treatment potentially last? I know part of the answer/ for those people that it does work for- each case is unique, we're all different and will have different results...Q. so what are the cases that have been documented how long this treatment lasts? #3...my son in law said in Europe this same procedure is done with much better results...why not here? Could it be due to what you said, there are different types of PRP treatment.... FDA not approved? (Buracracy) Then how can Medicare cover this??? I don't get it...unless we are being used as guinea pigs and aren't aware #4 Colby Bryant , and a whole slew of athletes had this done in Europe and they went back to playing...#5-If when the injection goes into the affected area- how much will stay there and how much will be lost to the rest of the body?? My son in law thinks we haven't figured out how to fixate this procedure so just the affected area will be treated...I really really appreciate your candid approach and all those videos. Haven't seen them all but I believe I am in control of my body, and with all the information in hand I make the decisions. Also I appreciate a holistic approach over surgery. Let me tell you the treatment I was offered (female age 73) P.T. 8 visits; traction for the cervix; 3 -Vitamin B Complex injections and finally the PRP treatment. They supposedly have the state of the art equipment and do it all in their clinics. #6-I should have asked what role will the 3 Vitamin B Complex injections have with this treatment (B.T.W.) The injections are Made in Germany (Zeel)Just now read an article by Dr. PRP why PRP is not approved FDA/MEDICARE because the growth factor in the makeup of the platelets may not be the same amount in every case. If a different concentration 3x concentration vs 2.1 ...I guess one has to know how much to use to get the desired affect...with P.T. included and that makes sense. Platelets alone don't do the trick, also the RBC count, etc. etc. Many variables maybe if not used in correct amounts than this treatment may not work. Your thoughts
Hi Gladys. Thanks for sharing and for watching. We are happy that you have found the videos useful. With respect to PRP there are many unknowns as well as different techniques. As you mentioned, combine this with all of the different problems people have, it is understandable that the outcomes will vary. With respect to PRP for cervical stenosis, we are primarily hip and knee surgeons and that question should probably be posed to someone who focuses on the spine. The bottom line is that there is no quick fix or solution that reverses arthritis regardless of the location in the body. All treatments are designed to treat the symptoms and we need to do our best to figure out what works the best for most patients with the least risk and expense. The decision on whether or not to have an injection of PRP is a very personal one. We wish you luck with that and with your stenosis.
@@TalkingWithDocs - Thank you Dr's for your time. I will hold off from the PRP only because I am close to Enrollment and will not have all my research in time, have been offered that Facet Joint block...need to check this out and it's risks...
@@Twins0302 Hi Gladys, have you finally taken the PRP? Did it help? Please let us know that would be very reassuring.
@@tapaseedeb104 - It is now 4/28/22 a little update. I'm in Miami, Fl, I changed insurance and went with the HMO that did cover the treatment. I"ve since learned the Vitamin B injections were to give me the best possible results. After doing the procedure I didn't feel it worked for me. I don't know if it's supposed to be a gradual thing or not..I took Alpha Lipoic acid for a while, watch my posture, eat healthy and my pain is no longer...but I'm now 76, and still do the 6 mo Synvisc One injection and that works for me. I was 73 back then. I switched insurances did the PRP...and switched back, because while they were willing to do a 2nd round of treatments, I returned to my old insurance for convenience to see my own Dr's. PRP was not covered by Medicare but, to get you to join their Health Plan they provide it free to their subscribers...and yes a Medicare HMO/Advantage plan. It's a great deal...some people may need a 2nd round of treatments to get the effect you want.
Hey Doc's I had Prp in both knees 3 weeks ago, feeling deflated as no improvement.
I have osteoarthritis with very limited mobility,even after Physio, still in a lot of pain and have been for the past 8 months after a knee injury. Do you think it's too soon to think its not worked?
Reading other comments it seems patients have experienced relief a lot sooner, at times it actually feels worse 😔
I also only had 1 injection( In the UK) on the outer side of each knee, could that have been not enough?
Hi Naima. Hard to say. We have a newer video on PRP and the evidence is not quite there for its use in arthritis. It definitely does not work in everyone. If it hasn’t worked yet it likely won’t. Sorry. Thanks for watching and subscribing if you did
@@TalkingWithDocs thank you, I have the option of repeating the process, would it be worth doing so? Or if it doesn't work the first time will it not again? Thanks
Maybe you have a tooth infection that is hidden....see "Root Cause" here on UA-cam or rumble. Picture of a mouth
That was interesting information.
Glad you think so Darlene! Thanks for watching.
In the US Regenexx seems the place to go for stem cell or PRP...they state they have high success. I use to get PRP injections in my knees for OA with success but after twice with faulty injections that gave me much pain and couldn't walk for 6 months I stopped them....I would keep doing the PRP if I could find someone that is good with the injections mine were done by a pain doc at the VA...I'm a bit skeptical of Regenenexx but if I could afford the Panama, Cayman Islands stem cells I would do it.
Hi Joe. We wish the companies that claim high success would do a proper trial and publish the results because the researchers that aren’t selling PRP don’t seem to have the same success 😀
Do you have any updates on stem cell for knee , 62 yrs, arthritis?
Hi Dudly. Not yet. There are many ongoing studies. The main indication would be for soft tissue conditions and weaker evidence for early stages of arthritis. Thanks for watching and subscribing if you did.
Hi docs, any new research on stem cells for complete acl tears? I am a young, active, healthy male looking for an alternative to surgery and found Regenexx. The MRIs show the acl tightening and darkening (similar to a normal acl) 6 months post op with many patients getting full range of motion back and able to continue playing sports/staying active. Would appreciate your thoughts on the new research and developments regarding this procedure, thank you!
Hi dna. So stem cells won’t solve a complete ACL and you can return to sports but any plant or twist type activities woukd require a custom brace or reconstruction which is a good operation these days. Best of luck. Thanks for watching and subscribing
Hi doctor, I am a runner. please tell me what is the best option for patella chondromalacia ? And also tell me patella chondromalacia need surgery! Thanks advance 🙏
Hi Biswajit. The best treatment is pain control strengthening and bracing. Sometimes injections. Occasionally surgery. Good luck. Thanks for watching and subscribing if you did