Anyone tried platelet rich plasma therapy??

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long story short been dealing with knee issue very long time...MRI shows everything to be healthy....but intense soreness over the patellar tendon...tendonitis that doesn't seem to be resolving with regular PT, icing etc. Doc is recommending PRP...anyone used it that can share their story?
 
long story short been dealing with knee issue very long time...MRI shows everything to be healthy....but intense soreness over the patellar tendon...tendonitis that doesn't seem to be resolving with regular PT, icing etc. Doc is recommending PRP...anyone used it that can share their story?

Every web source I could find that had a positive opinion of PRP therapy was also selling it. Coincidence, right?

From wikipedia --

PRP has been investigated and used for chronic tendinitis,[1] osteoarthritis,[2] in oral surgery,[3] and in plastic surgery.[4]

A 2015 meta-analysis on PRP for osteoarthritis (OA) of the knee and found that nine were worth considering and concluded that with respect to short term outcomes, PRP was no better than placebo.[5]

A 2009 review found few randomized controlled trials that adequately evaluated the safety and efficacy of PRP treatments and concluded that PRP was "a promising, but not proven, treatment option for joint, tendon, ligament, and muscle injuries".[6]

A 2010 Cochrane analysis on PRP use in sinus lifts during dental implant placement found no evidence that PRP offered any benefit.[3]

A 2013 review stated more evidence was needed to determine PRP's effectiveness for hair regrowth.[7]

A 2014 Cochrane review of PRP use in musculoskeletal injuries found very weak evidence for a decrease in pain in the short term, and no difference in function in the short, medium or long term. There was weak evidence that suggested that harm occurred at comparable, low rates in treated and untreated people.[8]Similarly, another 2017 review for treating pain on skin graft donor sites found the evidence for benefit was poor.[9]

It has not been shown to be useful for bone healing.[10] A 2016 review of PRP use to augment bone graft found only one study reporting a difference in bone augmentation, while four studies found no difference.[11]

Since 2004, proponents of PRP therapy have argued that negative clinical results are associated with poor-quality PRP produced by inadequate single spin devices. The fact that most gathering devices capture a percentage of a given thrombocyte count could bias results, because of inter-individual variability in the platelet concentration of human plasma and more would not necessarily be better.[12]

PRP is also being injected into the vagina, in a procedure called "O-shot" or "orgasm shot" with claims that this will improve orgasms.[13] There is no evidence, however, to support these claims.[13]
 
My mom (70s) had it done 3 or 4 times. Not cheap but she said it really helped.

My dad (late 70s) said he had it done once and it didnt help.

As I understand it, you are supposed to have it injected a few times and wait for it to take effect.

Ill hit them up about it again over Christmas.
 
Right knee MCL treatment, worked for me shorter term but insurance don't cover so cost around $700 per injection and needed mutiples. Not a one time fix for me so your results may vary.
 
Right knee MCL treatment, worked for me shorter term but insurance don't cover so cost around $700 per injection and needed mutiples. Not a one time fix for me so your results may vary.
Thanks for the information. Interestingly, this was suggested for my 15 yo. daughter by Kaiser who WILL cover it. So far not reading any downside to it. Hers is for tendonitis
 
My mom (70s) had it done 3 or 4 times. Not cheap but she said it really helped.

My dad (late 70s) said he had it done once and it didnt help.

As I understand it, you are supposed to have it injected a few times and wait for it to take effect.

Ill hit them up about it again over Christmas.
Thank you, would appreciated it. He suggested for my daughter it might take a few treatments but is wanting to try it because she can't get resolution with typical therapies. And insurance will cover it
 
Every web source I could find that had a positive opinion of PRP therapy was also selling it. Coincidence, right?

From wikipedia --

PRP has been investigated and used for chronic tendinitis,[1] osteoarthritis,[2] in oral surgery,[3] and in plastic surgery.[4]

A 2015 meta-analysis on PRP for osteoarthritis (OA) of the knee and found that nine were worth considering and concluded that with respect to short term outcomes, PRP was no better than placebo.[5]

A 2009 review found few randomized controlled trials that adequately evaluated the safety and efficacy of PRP treatments and concluded that PRP was "a promising, but not proven, treatment option for joint, tendon, ligament, and muscle injuries".[6]

A 2010 Cochrane analysis on PRP use in sinus lifts during dental implant placement found no evidence that PRP offered any benefit.[3]

A 2013 review stated more evidence was needed to determine PRP's effectiveness for hair regrowth.[7]

A 2014 Cochrane review of PRP use in musculoskeletal injuries found very weak evidence for a decrease in pain in the short term, and no difference in function in the short, medium or long term. There was weak evidence that suggested that harm occurred at comparable, low rates in treated and untreated people.[8]Similarly, another 2017 review for treating pain on skin graft donor sites found the evidence for benefit was poor.[9]

It has not been shown to be useful for bone healing.[10] A 2016 review of PRP use to augment bone graft found only one study reporting a difference in bone augmentation, while four studies found no difference.[11]

Since 2004, proponents of PRP therapy have argued that negative clinical results are associated with poor-quality PRP produced by inadequate single spin devices. The fact that most gathering devices capture a percentage of a given thrombocyte count could bias results, because of inter-individual variability in the platelet concentration of human plasma and more would not necessarily be better.[12]

PRP is also being injected into the vagina, in a procedure called "O-shot" or "orgasm shot" with claims that this will improve orgasms.[13] There is no evidence, however, to support these claims.[13]
thanks that is interesting. our insurance will cover it so I guess for us the only downside is not being able to play. The upside is potential resolution of a long term issue if lucky
 
Thanks for the information. Interestingly, this was suggested for my 15 yo. daughter by Kaiser who WILL cover it. So far not reading any downside to it. Hers is for tendonitis
There is no downside. I had 3 tratements after my last surgery and it helped a lot.
 
That’s good to know. How far apart (weeks etc) were the injections? How did it limit your activity?
 
Every web source I could find that had a positive opinion of PRP therapy was also selling it. Coincidence, right?

From wikipedia --....

Great point. You may want to try placebos before moving on to more expensive treatments. They really work!
 
Great point. You may want to try placebos before moving on to more expensive treatments. They really work!

You missed the obvious parallel with youth soccer. All a club has to do is claim that they are giving their players excellent training, and they play better.
 
So the recommendation is the RICE method and it’s not working. Can I recommend checking out cryotherapy. It’s fairly new in US and been in Germany for over 10 years with proven results. Kobe Bryant flew regularly to Germany because FDA hadn’t approved it here in US during his playing days.

You go into three chambers. First chamber is - cold, second chamber is Holy sh*t cold and 3rd chamber is -166 degrees Fahrenheit. Not a misprint.

Any inflammation in body will be eliminated. The only 3 chamber place in US is in Yorba Linda at Cal Rehab (Theryx). It’s $30.00 the first time you do it. Only 3 minutes but any more than that and frostbite would set in.

I’ve done it and you feel awesome afterwards. Check it out.

https://www.therxperformance.com/
 
long story short been dealing with knee issue very long time...MRI shows everything to be healthy....but intense soreness over the patellar tendon...tendonitis that doesn't seem to be resolving with regular PT, icing etc. Doc is recommending PRP...anyone used it that can share their story?
I’d try a really good Active Release Therapist before any type of injection - especially if MRI shows healthy tissue. Doctors also like to do cortisone - like using a sledge hammer on a tac. It will do the job, but not without surrounding damage. I’ve had pronator teres syndrome and wrist overuse issues that were all diagnosed as three different things each - weren’t the problem. Active release Dr(chirp, that they were all quacks) who works on Mighty Ducks figured out I loved to squeeze barbells to the point I had nerve entrapment. Point is find folks who deal with these things everyday and not just about booking you for shots or worse...surgery.
 
if your in the Orange County area, the only place to help you out IMO is Doctor Kessler, he has a facility off the 55 and dyer and handles a lot of the top athletes out here , he's done wonders for me and my son. I have his number on speed dial,

https://www.yelp.com/biz/kessler-family-wellness-tustin

Not a traditional chiropractor, he's involved in all sports medicine, so there's Chirotheraphy, Tecar , and a lot of other amazing devices there.

He is the go to for the UFC , he handles a lot the local hockey guys and most importantly he's honest and takes very good care of everyone that comes thru that door.

Ultimately he(Kessler) can help you with PRP if need be too, but like someone else mention, Id get his opinion and see if treatment of some sort can help you out before you go all "Joe Rogan" on the knee.
 
if your in the Orange County area, the only place to help you out IMO is Doctor Kessler, he has a facility off the 55 and dyer and handles a lot of the top athletes out here , he's done wonders for me and my son. I have his number on speed dial,

https://www.yelp.com/biz/kessler-family-wellness-tustin

Not a traditional chiropractor, he's involved in all sports medicine, so there's Chirotheraphy, Tecar , and a lot of other amazing devices there.

He is the go to for the UFC , he handles a lot the local hockey guys and most importantly he's honest and takes very good care of everyone that comes thru that door.

Ultimately he(Kessler) can help you with PRP if need be too, but like someone else mention, Id get his opinion and see if treatment of some sort can help you out before you go all "Joe Rogan" on the knee.

Chiropractor?
 
Info for my previous post:

If insurance pays I’d see what Dr Ron will take in insurance plans:

Dr Ron Higuera DC
1748 West Katella
Suite 107
Orange, CA 92867
Approximately 6 miles
714-639-2499
714-639-3822 Fax

If paying out of pocket, I’d txt the person who has worked on me for about 13 years and works with same clients:

Jose Gonzalez - (714) 679-2684

These guys are straight shooters. No BS. No upselling. If you don’t get better they won’t try to squeeze more money from you and will advice you on alternatives- good about telling you what not to do. Sometimes we just need NO in our lives
 
Chiropractor?
when I get injured I call my chiro and soft tissue guy first. They deal with pro athletes daily. They will advice me to go see a MD if needed - usually just to go get an X-ray and/or MRI so they can look at it. They’ve diagnosed stuff multiple doctors have looked at. My arm was pretty bad, couldn’t lift a pan and they scheduled to cut my wrist to “relieve” tension. Lucky I researched and found this guy who doesn’t advertise- someone on a bodybuilding site pointed me to find an ART specialist. Dr Ron listened for about 5mins and figured out I was just a big dumb brute squeezing barbells too hard. Saw it daily with the pro bodybuilders he treated. I couldn’t afford Dr Ron at time due to me being a brokish student. He gave me the number to the person who works on him - Jose Gonzalez. They treated my pronator issues in 8 visits. They relieved more pain and returned more ROM in one week than PTs/MDs did in 7 years.

Call people the forum are recommended. Even just for mor info. Can never get enough opinions from people who deal with these things daily
 
Info for my previous post:

If insurance pays I’d see what Dr Ron will take in insurance plans:

Dr Ron Higuera DC
1748 West Katella
Suite 107
Orange, CA 92867
Approximately 6 miles
714-639-2499
714-639-3822 Fax

If paying out of pocket, I’d txt the person who has worked on me for about 13 years and works with same clients:

Jose Gonzalez - (714) 679-2684

These guys are straight shooters. No BS. No upselling. If you don’t get better they won’t try to squeeze more money from you and will advice you on alternatives- good about telling you what not to do. Sometimes we just need NO in our lives
when I get injured I call my chiro and soft tissue guy first. They deal with pro athletes daily. They will advice me to go see a MD if needed - usually just to go get an X-ray and/or MRI so they can look at it. They’ve diagnosed stuff multiple doctors have looked at. My arm was pretty bad, couldn’t lift a pan and they scheduled to cut my wrist to “relieve” tension. Lucky I researched and found this guy who doesn’t advertise- someone on a bodybuilding site pointed me to find an ART specialist. Dr Ron listened for about 5mins and figured out I was just a big dumb brute squeezing barbells too hard. Saw it daily with the pro bodybuilders he treated. I couldn’t afford Dr Ron at time due to me being a brokish student. He gave me the number to the person who works on him - Jose Gonzalez. They treated my pronator issues in 8 visits. They relieved more pain and returned more ROM in one week than PTs/MDs did in 7 years.

Call people the forum are recommended. Even just for mor info. Can never get enough opinions from people who deal with these things daily

You're reinforcing my opinion on chiropractors.
 
Chiropractor?
Thats the thing, you have to understand that theres two types of chiropractor .
  • Theres the crack and go guy that sets up in small strip centers, you pay a month fee of 55 dollars and you can get adjusted 5 times a month, they don't diagnose anything , they just do their job, trust me I went to these first and they didn't solve anything and even did everything wrong
  • Then theres Kessler or should I say Kessler Family Wellness or OC Fight Doc.
Kessler and his staff are top notch, your first visit will probably be about 1.5 hrs, where they will basically interview you and see exactly what you do and want to do physically with your body. They listen first , then they test your body and movement, they ultimately find all things that add up to your body and your injury, I had a torn labrum and my body was compensating for my limp, basically I was hurting or lets say "off" in not just one area, but in multiple areas, my left was compensating more for my right and they did a amazing job of explaining and treating me there.

Don't look at them as just a chiropractor , he's into sports medicine and rehabilitation, and his Tecar machine is amazing for bone bruises, sprains and a lot of other soccer injuries. Lets just say my son had a bone bruise on the medial side of his ankle, for months we just iced and never thought of treating it, once kessler found out that Mace had a issue he insisted I bring him in, and after two treatments with the Tecar machine, the bone swelling in his ankle was almost all but gone. They rehabbed him for a few weeks, and were golden now.

They do and work with multiple different agency that do PRP, Steriod shots(coredesone) they even have a all natural shot similar to the steroid shot but its all natural, can't remember what its called but that worked like a charm for me.

For our situation, they worked....and I will always recommend him so that people don't make the same mistakes I made.....

If its a sport injury, at any age, you can R.I.C.E like the old school days and wait weeks to heal.....
or you can treat it immediately and get back into action safe and sound the right way.
 
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