Thank you for this report on PRP hip injections; I look forward to learning more about this topic and its acceptance by insurance companies. While the Iranian researchers and the Springer Nature journal are probably very creditable, the work would have had greater impact if published in a top tier journal. (And, yes, as a scientist I am aware of the bias of some journals and editors.)
Hi Jeffrey. Thanks for all of your video posts, we are learning a ton. My son has OCD in knee after doing some strength training (he is 11 years old). He has been recommended for surgery. I was wondering if any study out there show PRP works for union if OCD or if you have clinical results.
What insurance covers hyaluronic acid injections into the hip? My understanding is hyaluronic acid injections are only ever covered by any insurance if it is for the knee
It's typically only covered for the knee. On rare occasions I've seen it covered for the hip. Some orthopedists buy the medication and sell it back to patients at significant discounts.
How often are PRP injections needed and since I live on a modest, retired monthly income as a widow. I understand insurance doesn't cover PRP? I have CRPS with active Neuropathic Pain and tge protocols to protect me from NP spread are complicated and would require both Orthopedic Surgeon and Anesthesiologist to be on board and petition Medicare for linger stay and administer Steroids along with Marcaine to prevent spread. My hope is to prolong surgery in hopes that another substance which has been developed which targets enzymes (Johnson and Johnson) has been administered to 8,000+ patients but more resources are needed for more clinical trials which insurance in future might pay for...Thank you for your response, Dr. Peng. Veronica
I am 60, and I have practices a lot of sports all my life. I have an incipient arthrosis. I went through an ACL surgery and years later a partial menisectomy, all those serveral year ago. Now I had to cut off some of my activities due to pain (contact sports). Now I don't know how to work my leg muscles to help prevent further progress of the problem. Everybody says that I must keep my quads and thighs in general strong to help with my knee arthritis. But the exercises to keep or gain muscle strengh have impact on the joint, and a day or two after my workout I feel soar in the knee. So this is a dilemma, if I do very light moves in the gym they won't get my muscles strong. It would be great if you could recommend a leg workout. Thanks for your videos!
Thanks for your comment! You can try this, otherwise please discuss with your healthcare provider or physical therapist. For those with exercise, modifying is key. Lighter weights, more reps will still build strong muscle. ua-cam.com/video/aMMHfFjwAmM/v-deo.html
I understand that usually PRP should be given not less than 6 months as it’s a slow process and so it’s best to wait 6 months before repeating process , so you agree? So then in this case, HA can feasibly be used “in between” PRP injections, as a way to keep hip more healthy.. Love your thoughts!
I have patients follow up with me in 4 weeks to decide if they want a repeat injection. Other providers do shorter follow up and yet others do longer. And yes, HA can be seen as a bridge maintenance option in between PRP injections.
What about stem cell , can it be combined with prp injection or prolozone ? Or combination of 3 of them ? and what kinda stem cell going work best for someone in there 40s? thanks
I see no point in combining stem cells and PRP. Do one or the other. Many recent studies suggest PRP is just as effective as stem cell therapy, so PRP seems like a great starting point. If it ever starts to wear off and not work, then stem cell would be a good option.
@Jeffrey Peng MD do you think or recommend PLLD spinal laser surgery for dic herniation and bolgess over other kinda surgery for spin, like uper back ? Witch kind is less Risky?
The cost of PRP injections vary WIDELY across the US, even within region to region. Unfortunately you'll have to "shop" around by calling medical offices.
Hi Dr here is Dr huma. Please I am osteoarthritis patient of knee joint. Diagnosed 3 years back. Now bowing of knee joint present of both joints. How can I improve bowing. Is surgery needed at this stage or any exercise improve it??
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!
@@JeffreyPengMD yes true. But I was thinking more along the lines of NAD + and certain things like creatine, glycine, and other supplements aimed at keeping joint healthy not just about pain.
Thank you for this report on PRP hip injections; I look forward to learning more about this topic and its acceptance by insurance companies. While the Iranian researchers and the Springer Nature journal are probably very creditable, the work would have had greater impact if published in a top tier journal. (And, yes, as a scientist I am aware of the bias of some journals and editors.)
Got to start somewhere right?
Hi Jeffrey. Thanks for all of your video posts, we are learning a ton. My son has OCD in knee after doing some strength training (he is 11 years old). He has been recommended for surgery. I was wondering if any study out there show PRP works for union if OCD or if you have clinical results.
Great video, Can you suggest exercises for knee arthritis.
Here you go! ua-cam.com/video/aMMHfFjwAmM/v-deo.html
What insurance covers hyaluronic acid injections into the hip? My understanding is hyaluronic acid injections are only ever covered by any insurance if it is for the knee
It's typically only covered for the knee. On rare occasions I've seen it covered for the hip. Some orthopedists buy the medication and sell it back to patients at significant discounts.
How often are PRP injections needed and since I live on a modest, retired monthly income as a widow. I understand insurance doesn't cover PRP? I have CRPS with active Neuropathic Pain and tge protocols to protect me from NP spread are complicated and would require both Orthopedic Surgeon and Anesthesiologist to be on board and petition Medicare for linger stay and administer Steroids along with Marcaine to prevent spread. My hope is to prolong surgery in hopes that another substance which has been developed which targets enzymes (Johnson and Johnson) has been administered to 8,000+ patients but more resources are needed for more clinical trials which insurance in future might pay for...Thank you for your response, Dr. Peng. Veronica
You say osteoarthritis, but what about psoriatic arthritis? Is there nothing for hip pain caused from this type of arthritis?
I am 60, and I have practices a lot of sports all my life. I have an incipient arthrosis. I went through an ACL surgery and years later a partial menisectomy, all those serveral year ago. Now I had to cut off some of my activities due to pain (contact sports). Now I don't know how to work my leg muscles to help prevent further progress of the problem. Everybody says that I must keep my quads and thighs in general strong to help with my knee arthritis. But the exercises to keep or gain muscle strengh have impact on the joint, and a day or two after my workout I feel soar in the knee. So this is a dilemma, if I do very light moves in the gym they won't get my muscles strong. It would be great if you could recommend a leg workout. Thanks for your videos!
Thanks for your comment! You can try this, otherwise please discuss with your healthcare provider or physical therapist. For those with exercise, modifying is key. Lighter weights, more reps will still build strong muscle.
ua-cam.com/video/aMMHfFjwAmM/v-deo.html
I understand that usually PRP should be given not less than 6 months as it’s a slow process and so it’s best to wait 6 months before repeating process , so you agree?
So then in this case, HA can feasibly be used “in between” PRP injections, as a way to keep hip more healthy..
Love your thoughts!
I have patients follow up with me in 4 weeks to decide if they want a repeat injection. Other providers do shorter follow up and yet others do longer.
And yes, HA can be seen as a bridge maintenance option in between PRP injections.
@@JeffreyPengMD Great , thank you so much!
So the HA can feasibly be used “in between” PRP injections, as a way to keep hip more healthy..
Yup!
@@JeffreyPengMD awesome 👏 thank you!
What about stem cell , can it be combined with prp injection or prolozone ? Or combination of 3 of them ? and what kinda stem cell going work best for someone in there 40s? thanks
I see no point in combining stem cells and PRP. Do one or the other. Many recent studies suggest PRP is just as effective as stem cell therapy, so PRP seems like a great starting point. If it ever starts to wear off and not work, then stem cell would be a good option.
@Jeffrey Peng MD what kinda stem cell is better for someone in age of 40s ,becuse there are a few different kinda of stem cells .
@Jeffrey Peng MD do you think or recommend PLLD spinal laser surgery for dic herniation and bolgess over other kinda surgery for spin, like uper back ? Witch kind is less Risky?
What is the approximate cost of PRP injections. for someone who doesn't have medical insurance.
The cost of PRP injections vary WIDELY across the US, even within region to region. Unfortunately you'll have to "shop" around by calling medical offices.
Hi, it's my understanding that insurance doesn't pay for prp
Hi Dr here is Dr huma. Please I am osteoarthritis patient of knee joint. Diagnosed 3 years back. Now bowing of knee joint present of both joints. How can I improve bowing. Is surgery needed at this stage or any exercise improve it??
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!
Sir my husband facing avn problem so pRP is useful to him
PRP has not been studied for the use of AVN. Please discuss your options with your healthcare provider. Best of luck
@@JeffreyPengMD
pubmed.ncbi.nlm.nih.gov/25281062/
This article talks about adipose stem cell and prp for AVN and helping to resolve it
What supplements do you suggest for osteoarthritis?
Turmeric has some support to help relieve symptoms related to arthritis. Studies are mixed whether glucosamine / chondroitin help.
@@JeffreyPengMD yes true. But I was thinking more along the lines of NAD + and certain things like creatine, glycine, and other supplements aimed at keeping joint healthy not just about pain.
Turmeric, UC-ii, collagen peptides type 1 and 3, vit D, Omega 3.
Pain: boswellia, Devil's claw and MSM
Plus an anti inflammatory diet.
@@littlevoice_11 yes these are good staples absolutely