PRP Injection vs Stem Cell Therapy for Knee Arthritis

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PRP Injection vs Stem Cell Therapy for Knee Arthritis

Рет қаралды 159,583

Күн бұрын

This video will review PRP vs Stem cell therapy for knees. We go over the newest types of injections and treatments for knee arthritis including platelet rich plasma injections and stem cell treatments.
Bone Marrow Aspirate Concentrate Is Equivalent to Platelet-Rich Plasma for the Treatment of Knee Osteoarthritis at 2 Years: A Prospective Randomized Trial
journals.sagep...
Autologous Microfragmented Adipose Tissue for the Treatment of Knee Osteoarthritis: Real-World Data at Two Years Follow-Up
pubmed.ncbi.nl...
Intra-articular Injections of Mesenchymal Stem Cells Without Adjuvant Therapies for Knee Osteoarthritis: A Systematic Review and Meta-analysis
journals.sagep...
How Does Platelet-Rich Plasma Compare Clinically to Other Therapies in the Treatment of Knee Osteoarthritis? A Systematic Review and Meta-analysis
pubmed.ncbi.nl...
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Jeffrey Peng MD is a nonoperative orthopedist and sports medicine specialist. He created a KZfaq channel and blog to translate cutting edge medical knowledge and clinical research to benefit all those looking to live an active and healthy lifestyle. He focuses on maximizing non-surgical treatments for sports injuries and orthopedic conditions. He specializes in using orthobiologics and ultrasound guided minimally invasive techniques to treat osteoarthritis, tendinopathies, and musculoskeletal disorders.
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Пікірлер: 455

@claud1834 11 ай бұрын

I had PRP injections 13 months ago. Happy to say I’m pain free. I had arthritis in my hips and each hip received an injection. I also had a sprained ankle with torn ligaments/plantar fasciitis. Injections in my feet 9 months ago and I’m back hiking and running. This doctor explains PRP exactly like my problems. Important to know that the injections improve over time. I was disappointed after the first 2 weeks and then my doc reminded me that the relief from the injections would take 1 month. That’s exactly what happened. I’m sold on PRP! No drugs and it’s your own cells working!

@davewotson7181 10 ай бұрын

Hi how much it cost you and where did you get it done from

@davidlo168888 9 ай бұрын

You say lie. You don't know the culprit of osteoarthritis. If capillaries are clogged, PRP can do what???

@ownyourdreamhomenow2800 5 ай бұрын

But how long do the results last? Is it permanent or just a few months?

@Armurp01 3 ай бұрын

@@ownyourdreamhomenow2800 You treat it as if it's a Disease welcome to the Annual PRP Shots Club to control that Disease.

@baronessvarney9379 2 жыл бұрын

I am 68 years old and 4 years ago I had 2 torn miniscus and a bone spur in my left knee and med to advanced arthritis in both knees! The orthopeadic surgeon wanted to operate on my left knee snd give me steroid type whatever for my arthritis. I had stem cells from a delivered placenta (so no moral issue) and my own blood plasma spun and put into a shot for each knee. It worked fast and after 4 years, my knees STILL feel like new!

@JeffreyPengMD 2 жыл бұрын

Wow what a wonderful outcome! Thanks for sharing your experiences.

@baronessvarney9379 2 жыл бұрын

@@JeffreyPengMD You're welcome! It always surprises me that insurance won't cover it! My ins co won't have to pay a fortune for my knees in the future, you'd think they would see the economics of it if it works!

@snakeshiet 2 жыл бұрын

when you say it worked fast, how soon did you feel relief ?

@baronessvarney9379 2 жыл бұрын

@@snakeshiet Honestly, the next morning I was a lot better! But, I would say to get to really good and feeling cured, probably 4-6 weeks. But, I could tell right away it was good, they say the stem cells go after inflammation and the inflammation was miles better pretty fast. It cured the two torn miniscus too! The nurse told me that they have had people cured of a torn miniscus by using just their own spun blood plasma! I'm in NJ, not sure how the stem cell situation is in all the other states.

@KevalShah8 2 жыл бұрын

So you got a combined PRP and stem cell shot? If you don't mind me asking, how much did it cost?

@jzmouse8842 Жыл бұрын

My son had small knee surgery. Waited 2 weeks then I paid 850 for the PRP. His healing time wascut in half. He was back to 100% in sports by month 4.

@femdog13 Жыл бұрын

Hey! I'm a Family Medicine doctor as well. A cousin of mine is looking at PRP vs stem cell injections and wants to know my advice. This video was awesome and right in line with my thinking and research on the matter. Also really appreciate how relatable and accessible you lay out the basic science and the research. Well done!

@JeffreyPengMD Жыл бұрын

Awesome, thanks! Keep up the great work!!

@venatheus6101 6 ай бұрын

Ya i agree my left knee is my prob & stopping me from playing tennis & other life style activities his vidéo is clear ill start with prp 1st

@billychrist21able Жыл бұрын

PRP cost me over $1,000 and it didn't give me any relief. Stem Cell injections cost me $2,000 and gave me instant relief that lasted over 2 years. So I paid for another $2,000 to receive shots in my shoulders and back. Instant relief! It's worth it to pay more money and get relief rather than paying cheaper without results!

@JeffreyPengMD Жыл бұрын

Wow, that's pretty cheap for stem cells! The cost difference between PRP and stem cells are often 4-10x the cost. Which is why in many situations, PRP is more economical and a better starting point. If you find providers that can do stem cells for cheap, then yes, it might make sense!

@suhaib23 Жыл бұрын

Where did you do Stem Cell Injections for $2k?

@gaylandbarney2231 Жыл бұрын

@@suhaib23 i'm guessing Mexico .... also fat/bone marrow stem cells ARE NOT the way to go , from my understanding thus far , but cells from placental donors are better , FROM WHAT I'VE UNDERSTOOD it pays to look further , i am a bit suspicious of some of the info here , though i know i'm ignorant , and will finally have to choose who to believe

@greggalexander5913 8 ай бұрын

I’ll suspect they injected chicken soup!😂

@Vladamir8023 2 ай бұрын

Where did you get stem cell shots for 2k? I’m not seeing anything for less than 8k

@drhassanmubark7789 Жыл бұрын

The honest truth, a combination of mesenchymal stem cells (particularly expanded high number) and PRP is far superior to PRP and long-lasting, what stops people from going for the therapy is the cost and are not covered by the insurance companies, cells are the building blocks and plasma has numerous positive proteins and growth factors

@petertulich7842 4 ай бұрын

How about shoulder joint arthritis? Any experience or ideas of what works best?

@L1felocked Жыл бұрын

All I can say is thank you. This is the best education on this topic I've seen

@JeffreyPengMD Жыл бұрын

Glad it was helpful!

@lindalee3729 Жыл бұрын

I had the PRP for a meniscus tear and wow it has done amazing ! Hoping I can eventually get one for each shoulder 😊

@drhassanmubark7789 2 жыл бұрын

Excellent video Jeffrey, the stem cells combined with PRP for large joints give more prolonged and sustainable results. Small joints PRP does not work, so as you said it depends on the clinical case. Adult mesenchymal stem cells are safe but less potent than the pluripotent ones but the latter ones can carry a small risk of cancer-teratoma. I am confident all regenerative medicine products have a positive effect but PRP is the cheaper practical option. I have been doing expanded stem cells for 5 years and PRP for 10 years with good effect. I use one-off PRP but trying higher dose to reduce the costs of multiple unaffordable sessions

@JeffreyPengMD 2 жыл бұрын

Thanks for taking the time to comment! Too bad we can't use culture expanded cells here in the US.

@batman-sr2px 2 жыл бұрын

there is a lot about joints but what about muscle pathology? For those that had a previous history of large muscle tear that scarred and eventually healed but with poor result, is stem cell any effective and what type of stem cell treatment would help for muscle remodeling/regeneration? Also for these treatments, how many do you recommend if cost is usually an issue?

@shaynadavidovhansonrealtor 2 жыл бұрын

@@JeffreyPengMD Where can they? Thank you for the informative video!!!

@GTSCoupe Жыл бұрын

So why would anything other than pluri potent stem cells be in consideration or use?

@batman-sr2px Жыл бұрын

@@JeffreyPengMD I remember you responded to my comment. I can't find it anymore. Do you mind responding again.

@susipangabean9343 2 жыл бұрын

I am 62yrs old and had NStride APS injection (1 step higher than PRP) on one knee and it worked quite well on pain relief but the problem I was bow-legged on 1 leg and the bone-on-bone on medial compartment of my knee caused my leg to be unstable & give-way when walking so 10 months after the APS injection, I had a proximal fibular osteotomy to straighten my leg and arthroscopic meniscectomy to trim my torn meniscus. It has been 3 months now and I am happy with the result

@JeffreyPengMD 2 жыл бұрын

Thanks for sharing your experiences. Glad to hear you are happy with your outcomes, that's whats most important!

@PhilipJBernardi Жыл бұрын

😛

@bhawanid9542 Жыл бұрын

Thank you for your review and information. This is the best channel for information on osteoarthritis. I am on PRP injections and they do an excellent job in managing arthritis.

@JeffreyPengMD Жыл бұрын

You are so welcome! I'm humbled by your comments.

@user-tq5et8is1p Жыл бұрын

GREAT JOB !! 👍👍 in explaining everything ❤ I’ve learned more with THIS doctor than ALL 3 of the other ones I saw

@milleklinda 2 жыл бұрын

Great comparison. I've undergone PRP and amnionic stem cell injections and there was no comparison. Amnionic was far superior at my age; our stem cells get tired following chronic dis-ease and aging I would love to know where you're located as I'm researching for a friend who is not a candidate for knee replacement due to health conditions and would love to see him be able to have relief and regeneration. Thank you for doing such a wonderful job explaining each of the modalities. Blessings.

@JeffreyPengMD 2 жыл бұрын

Thanks for your comment! Glad to hear you found a treatment option that has worked for you. If you are in the United States, you can check the American Medical Society for Sports Medicine website to find a directory of board certified sports medicine physicians who may be able to help.

@sirssays 2 жыл бұрын

I would definitely look Into lifewave and the x39 patch! I've been using it for my knees for the past month and it's been amazing it's not that expensive and it activates the system in our body that produces our own stem cells

@judyfasola3737 2 жыл бұрын

Where did you have the procedures...PRP and stem cell injections .. thanks

@andresavelar8352 Жыл бұрын

Where did u go for treatment

@pmf1408 Жыл бұрын

Be careful with amniotic injections. No live cells. No independent research. Lots of fraud in that area.

@kathryncooper4001 Жыл бұрын

I'm 73 years old, used to be an athlete, so wear and tear is an issue, and my knees are a train wreck. I've called twice to make sure, and my Medicare Advantage insurance company says PRP injections are covered. I might be too far-gone to fool with it, but I'm excited about the prospect of delaying knee replacement for a few years ... maybe forever. I tried Synvisc and Monovisc, and both worked for 6 to 9 months, but I'm hoping for greater, more long-lasting relief. X-rays tomorrow, then I'll see the specialist in a couple of weeks to see if I'm a candidate Thanks for all your very informative videos on the subject!.

@JeffreyPengMD Жыл бұрын

You're welcome, good luck

@ineedhoez Жыл бұрын

Read the plan documents. They will tell you anything over the phone

@bharathsrinivasan1728 2 жыл бұрын

Excellent insights about PRP Vs Stem Cell injections. Thanks for this.

@JeffreyPengMD 2 жыл бұрын

You are very welcome! Thanks for your comment

@Keepswimming....123 2 жыл бұрын

Thank you for the comparison. It helps me look at the treatments in a much better light!!!!

@JeffreyPengMD 2 жыл бұрын

You're welcome! Definitely need more studies in these area, but so far it seems like PRP is an excellent (cheaper) option!

@messageboardusamessageboar1477 Жыл бұрын

Thank you! Your summary was incredibly excellent and up-to-date! You are also a GREAT speaker❗️

@JeffreyPengMD Жыл бұрын

Thanks for your comment and kind words!

@olitonottero7620 2 жыл бұрын

Thank you for sharing this DR. Jeffrey Peng !!

@JeffreyPengMD 2 жыл бұрын

You're very welcome, thanks for your comment!

@persiathiest1963 2 жыл бұрын

Thank you so much for your good work! I was researching PRP and stem cell therapy for my mother's knee arthritis and had a lot of questions and confusion until hearing your summary. Please keep it updated as more research results come out.

@JeffreyPengMD 2 жыл бұрын

Thanks for your comment! My goal is to provide my patients (and everyone else!) with the latest clinical trial data.

@bonnieweiss-mcdonald5436 Жыл бұрын

What about going to Mexico for MSC stem cell therapy?

@jr303official Жыл бұрын

I couldn't afford prp injection into my arm with a torn tendon, but my Dr said we can try a blood injection and wow my arm healed in 3mo and the pain was gone. I had been trying to heal that arm for over a year with no success and that blood injection healed it.

@JeffreyPengMD Жыл бұрын

Wow, amazing!

@beefwellington3180 Жыл бұрын

I’m in Texas and paid $650 for PRP about 2 weeks ago for my cracked cartilage in knee. I’ll be watching the results. Thus far I feel like the aching from PRP is somewhat still lingering. Sometimes I can’t tell from the original pain vs aches and my body adjusting to the PRP. My orthopedic told me the aches should go away after a week so I was a bit confused. I originally got the injury from a sprained knee from a kick(I do kickboxing). So whenever my weight shifts around from one side to the other when boxing, I’ll take note of what exactly happens during my shadow boxing with that cracked cartilage and if the pain lessens over time from the PRP. I’m 28, almost 29

@tomikk86 Жыл бұрын

let us know please

@beefwellington3180 Жыл бұрын

@@tomikk86 will do. I’ll probably be back here in like 1-3 months to say

@JeffreyPengMD Жыл бұрын

Good luck!!

@samuelcorleto7106 Жыл бұрын

Keep us posted !

@chill0087 Жыл бұрын

How soon after are you training again. And what kind of training?

@cheliospanama9786 3 ай бұрын

Great Video! Thank you 🔥👏💪🫶

@brucederouen6598 5 ай бұрын

Hi! Thanks for your video. Very helpful! I've had 2 root tears on my meniscus...one in my right knee, which ended up coming out after repair (my fault, NOT my Ortho's), so I had a subsequent surgery. After all that, i was having the after trauma arthritis flare up, so i went through PRP injections, physical therapy and bracing and stem wave and Im happy to say that knee is doing quite well. A few months later, my left knee decided it wanted in on the action and I had root tear there. :( I've had 2 PRP injections and am doing stem wave now with minimal results so far. Which is causing me to consider Stem Cell. I know this video is about a year old and in terms of technology and research,it could be considered a little out of date...maybe? (NOT meant as a criticism....please know that!) From listening to this, it seems your opinion is that Stem Cells aren't really better than PRP...is that what I'm gathering?! Thanks again for your videos!

@carlosjgarcia2000 Жыл бұрын

The most important aspects of Dr.Pong’s presentation is the study comparing PRP vs BMAC for knee osteoarthritis, however the results can be disputed and are disputed by some of the most respected Regen Med experts. However, it is a great starting point and should always be offered as 1st line biologics for most patients. Dr. pong however, is relatively new to the world of biologics showing his lack of understanding of cell biology proper nomenclature. BMAC is not stem cell therapy, is a bone marrow concentrate that consists of numerous types of different cell populations in which mesenchymal and endothelial progenitor stem cells constitute less than 1% of the oral cell population. In other word, it is a treatment which is 99% stem cell free. The proper term is BMAC ( bone marrow aspirate concertante) or just Cell Therapy. The ubiquitous use of the “Stem Cell Therapy” is very deceiving specially when dealing with real stem cell research.

@JeffreyPengMD Жыл бұрын

Thanks for your comment. This entire field is very tricky. We need more people like yourself who understands that orthobiologic and cellular therapy is not even "regenerative medicine" and that "stem cells" are in fact the incorrect nomenclature. Even Arnold Caplan prefers the term mesenchymal signaling cells. But alas, the general population has not caught on to that -- even members within the 'regenerative medicine' community has not caught on to that. I am in fact aware of everything you just conveyed, but it's hard to condense all that information into a short video and dive into the nuances. Academics and clinicians want to tease out the nuances. Patients and viewers on youtube just want to know if these treatments work (regardless of what you call it). The key point of the video is to inform people of the science. That not all "stem cells" are "stem cells". And that there may be a less invasive option (ie. PRP) that can potentially offer similar results. You know very well there are bad actors out there who are selling snake oil and advertising everything as stem cells. That's what I'm trying to combat. Ultimately, it seems like all of these orthobiologics are still better than what our current health care system will cover and we just need more data to help get these treatments covered for our patients.

@Q5992vvr Жыл бұрын

@carlosbarfcia where's your youtube video

@amenahossain3464 Жыл бұрын

They should cover PRP and Stem cells.

@JeffreyPengMD Жыл бұрын

100% agree!

@keithrichard391 Жыл бұрын

I have had 30-35 PRP treatments& 3 stem cells procedures over ten years...and I can honestly say Stem cells are way better(10 times superior) in my results!!!!!

@JeffreyPengMD Жыл бұрын

Glad you found something that works for you!

@GEORGEFIRE777 Жыл бұрын

Good presentation, the treatments i have done ,they did help some but within a few weeks things returned as before. The treatments do not cure arthritis, they do not restore cushion so bone on bone is still an issue. I am now scheduling knee surgery .

@lati_da 10 ай бұрын

Thank you for all the resources and bracing recommendations!!!

@mhepdavidvanREI1 5 ай бұрын

Thanks doc. I got a quote on stem cell and it was quite expensive. So I’m gonna go with prp.

@123Goldhunter11 2 жыл бұрын

Umbilical tissue/cells seems to be the superior treatment. But you have to go to Mexico to get it.

@JeffreyPengMD 2 жыл бұрын

Thanks for your comment. In my experience, I advise all my patients to be VERY careful with umbilical products and providers who sell you on their benefits.

@galuhrismawan3401 2 жыл бұрын

sorry, what do you mean about sell yourself for their benefits ? it seems ucmsc dont give a good treatment ? or its just a good for promotion than for treatment

@markmendelson6688 2 жыл бұрын

Umbilical cord msc stem cells are more potent than your own bone marrow derived cells..however they are not available in most countries because the big pharma controls regulation

@arshdeepgill7842 2 жыл бұрын

Thank you for this video doc! I have a question, you stated that Mesenchymal stem cells cannot regenerate into cartilage cells since they are not pluripotent but according to the Mayo Clinic they can differentiate into cartilage cells because they are still multipotent. Is this true?

@JeffreyPengMD 2 жыл бұрын

Thanks for your comment, the answer is fairly technical. MSCs can be induced into pluripotent stem cells in vitro (ie. in a lab). However, this has NOT been possible in vivo (ie. in the body). Because of this, many researchers have sought to reclassify the mesenchymal stem cell name to remove the "stem cell" component. One proposed name is "medicinal signaling cell" to keep the MSC nomenclature. The medicinal signaling cell name also is more accurate in terms of what the MSC is actually doing in the body.

@BadWolf1958 Жыл бұрын

I had my first stem cell injection today. They also had a machine that expanded and contracted my knee. I will be going in twice a week to use this machine. No pain from the injection. I will post updates as my therapy progresses.

@coltenkerlek7944 Жыл бұрын

How has it been so far

@BadWolf1958 Жыл бұрын

@@coltenkerlek7944 I got my 3rd and final injection yesterday. My knee is better 2 months down the road. Dr. told me in 6 months to a year for the healing to stop, with a 6 year life of the injections. I can stand for 3 hours without much discomfort. Walking is getting better. Still have my good and bad days.

@coltenkerlek7944 Жыл бұрын

@@BadWolf1958 I hope it keeps getting better

@BadWolf1958 Жыл бұрын

@@coltenkerlek7944 Thank you

@slair5948 Жыл бұрын

hi how r u ? where dod u get it done how much? im. from the uk woth degenerative disc disease

@pierrevillemaire-brooks4247 Жыл бұрын

This is very good news ! Is PRP treatment also valid for other joints in the body ?

@5Things Жыл бұрын

Awesome video Jeffrey, may I ask if you have any information on using umbilical cord stem cell as in Panama which were brought up by well-known people like Joe Rogan & Tony Robbins.

@JeffreyPengMD Жыл бұрын

I have a video on cord cells here: kzfaq.info/get/bejne/gcp8gqmGrZ-bqnU.html

@geopietro Жыл бұрын

This video was a truly excellent presentation, both informative and practical. Thank you Jeffrey!

@JeffreyPengMD Жыл бұрын

Glad you found it helpful! Thanks for commenting

@mzreid6386 Жыл бұрын

Feedback?¿

@awaisshab 7 ай бұрын

very informative. thanks

@richardelkins5265 2 жыл бұрын

Ty Dr you just answered a major question as I had stem cell treatment in my shoulder and it worked wonders I am having PRP in my left knee on sept 7 22 and was concerned about how effective it would be. Thank you so much for the info it will save me a couple of thousand dollars

@JeffreyPengMD 2 жыл бұрын

You're very welcome! Thanks for your comment

@ivet7870 2 жыл бұрын

Hi, can you please share which exactly stem cell treatment have you done?

@persiathiest1963 2 жыл бұрын

How is the PRP working out for you? Any visible improvments?

@richardelkins5265 2 жыл бұрын

@@persiathiest1963 I get it n the 7th f sept

@richardelkins5265 2 жыл бұрын

@@ivet7870 mine was taken from the hip worked great on my shoulder

@agrow21 4 ай бұрын

Hi Dr. Peng - I looked at your website and are you not offering stem cell therapy anymore. If not, why? Would love the opportunity to speak with you about personal stem cells.

@codjh9 Жыл бұрын

I was quoted $1500-2000 for PRP, but recently got a hyaluronic acid injection to give that a try, because it was covered by insurance.

@JeffreyPengMD Жыл бұрын

HA can work well! Good luck

@stuartist 4 ай бұрын

That's interesting. PRP on the face doesn't seem that effective so I sort of wrote it off, but then I recently heard that PRP injections to the ovaries helps some women with fertility challenges. Perhaps PRP actually introduces some of your own VSELs from your peripheral blood into a specific area? The act of spinning the blood is basically telling your cells that a trauma just occurred and they need to get to work. So your cells then look for the closest issue to repair, or in the case of VSELs, possibly even regenerate?

@ravivermaverma5573 Жыл бұрын

Thank you for kind information We want more vedios about spinalchord disc problem new research regenerate treatment vedios Next 10years , the real pandamic is spinal chord disc problem issues in youngers.this is true

@JeffreyPengMD Жыл бұрын

You may find this helpful: kzfaq.info/get/bejne/lb-KdL1ou9qWcac.html

@arlenepuntil5634 Жыл бұрын

I got my PRP injection here in SYDNEY AUSTRALIA..it fells better...after 3 weeks I didn't feel any pain in my knees...how many months before you take another shot for PRP..

@rodrigosepulveda4559 7 ай бұрын

Hello, love your videos, thank you for sharing your kowledge, question: what about PRP and MSC stem cell shots one month appart? does PRP help the effectiveness of stem cells?

@granitveseli9409 Жыл бұрын

thank you for explaining the regenerative therapy so well. I have a partial high grade PCL tear and my knee feels unstable. I am hopeful to try stem cell therapy to correct this problem so i can get back to full function and play sports as i was before. The orthopedic surgeon that i recently saw told me stem cell therapy speeds the healing but will not correct the torn ligament and that i will need surgery if i want best result. Any comments about umbilical cord stem cell therapy being more potent, what is a good center that provides this service. I want to try this less invasive method only if high chance to work. I see it works for arthritis, but not sure about torn ligament. thanks

@pinkiepinkster8395 9 ай бұрын

I had prp injections in my knees 8 months ago for $6,000.00 at. Dr. John Bergman' s clinic in Tijuana and have felt no improvement or pain reduction whatsoever.

@jennifermikuluk2357 2 жыл бұрын

I’m hoping to participate in Dr James Voos study. MRI to evaluate before and after stem cell, from BM. 2 year study. I’m 6 months post op RTKA, would like to save my other knee from the same fate. If I don’t end up a study participant I’ll pay out of pocket for PRP. Any thoughts about how to find a reliable physician to trust giving PRP? Seems like so many out to make a buck, makes me nervous.

@JeffreyPengMD 2 жыл бұрын

Your best bet is to find a sports medicine physician who does the injection under ultrasound guidance. Easiest way to find someone who does this is to search for a "primary care sports medicine" physician. We are also called non-operative orthopedists. I have not come across many orthopedic surgeons who do these injections under ultrasound guidance. If you are ever told it doesn't matter, that would be a big red flag. Surgeons are trained to operate, which they do unbelievably well! But they may not have the training to do injections under ultrasound guidance. If you are lucky enough to be around an academic institution, pretty much every academic institution will have someone who does PRP injections regularly and under imaging guidance.

@batman-sr2px 2 жыл бұрын

@@JeffreyPengMD Some pain management is also doing them. I don't know if they do under ultrasound so thanks for letting us know and i'll try to ask. In your experience, do insurance cover prp/stem cell treatment if sports med doctor submits the claim and conservative/physical therapy has failed? i have just researched that muscle fibers have limited stem cell. So when they get exhausted due to chronic injuries or trauma, the body cannot produce more?

@g.marinestation3236 Жыл бұрын

If you live close to Mexico they use a Drug called Bedinvetmab the Brandname is i think Librela. This is a Drug for Horses and Dogs but i got years of all of this what he talks up there and had pain pain pain, after the first Injection i was the first time in years painfree. This are some monoclonal antibody Cells from China and they work. I mean they w o r k! I know you have to go a long way to decide to take Horsedrugs in Mexico, but i feel sooo good. I had 2 Inj. in 4 weeks and now its more then 12 months that i didnt need any NSAIDs at all. I wont recomend Librela here because i am not a Docter but it helped me a lot and i want to share this. In the US its not labeled for human use!!! One shot in Juarez is 80 bucks. I paid 150 for both shots.

@Dggb2345 2 жыл бұрын

Thank you. Loved use of meta analysis

@JeffreyPengMD 2 жыл бұрын

Thanks for your comment!

@reallyruby247 2 жыл бұрын

Very interesting and informative thank you

@JeffreyPengMD 2 жыл бұрын

Glad you found it useful, thanks for your comment!

@ramihanania69 Жыл бұрын

So Thankful for your videos Dr. ! May i ask, What do u think is the best injection for me, I had a sports injury in my heel, 3 years ago, healed completely, then 1 year ago, got reawakened cause of over exercise, Right now there is a constant sense of pressure in my heel area (similar to plantar fasciitis, but paradoxically, no pain first thing in the morning) I do exercise regularly and it helps .. Thanks again for the beautiful Work!

@ramihanania69 Жыл бұрын

Took Nsaids for a long while 6 months ago, and dis some physiotherapy, It just seems like it's still not going back to normal after 1 year almost!

@JeffreyPengMD Жыл бұрын

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!

@mtease9247 Жыл бұрын

Both ! And the stem cells should be Mesenchymal stem cells from adipose, & bone marrow ! I guess the blood component is PRP … growth factors!

@JeffreyPengMD Жыл бұрын

Thanks for commenting

@lindahelmbrecht1248 Жыл бұрын

I had two PRP injections in 2015/2016…….2023, still no pain like before……no swelling

@JeffreyPengMD Жыл бұрын

Awesome!

@user-gc7ow1dj2w 5 ай бұрын

Love it but I have wanted for shoulders.

@wethepeople3381 Жыл бұрын

HI Thank you for your effort to create such an informative video. May i ask, does this STEM CELL AND PRP method effective with Osteoarthritis in both hips also. I live in the UK. Many thanks in advance.

@nadrienmarkowski5595 Жыл бұрын

Great results after one stem cell tx. in the hip.

@linacarol7344 2 ай бұрын

I had PrP treatment three injections (one every 2 months) I did not feel any change. I had to take steroids to calm my pain.

@marktilsley8191 9 ай бұрын

Can you give a review of Arthrosamid please, this is old treatment

@ttscrafts6765 2 жыл бұрын

Does it matter what type of arthritis the patient has for PRP treatment? There are so many types, with many being autoimmune conditions. I hope it does not make the autoimmune reactions more.

@JeffreyPengMD 2 жыл бұрын

Yes -- almost all of these studies are looking at osteoarthritis. PRP has not been well studied for conditions such as rheumatoid arthritis. Thanks for your question.

@joellabrie-ki9bk 8 ай бұрын

Which is better for arachnoiditis . How do you know if they’re putting dead cells in you not going to work

@leslieadler9081 2 жыл бұрын

Very helpful. Could you comment if avoiding any food in your opinion slows inflammation for osteoarthritis. I gave up sugar and most carbs (no honey molasses etc) and cut out most of carbs (except berries) and felt no real difference. I’m on day 130 of this eating plan.

@JeffreyPengMD 2 жыл бұрын

Yes definitely. Anti-inflammatory diets help! Great example would be the Mediterranean diet. Diet is super important. Another example is turmeric supplementation. Turmeric has been shown in randomized controlled trials to help symptoms related to osteoarthritis. Turmeric has natural anti-inflammatory properties which we believe help control the inflammation related to arthritis.

@rodrigosepulveda4559 3 ай бұрын

You should compare umbilical cord mesenchymal stem cells that gets administered in shots of 50 million cells each. That should be compared to PRP and see if the results will be the same. I don't think so.

@marilynjackson5752 Жыл бұрын

Wow, this was just was i needed to hear. I am looking for prp injections for my hips. Do you have that information?

@JeffreyPengMD Жыл бұрын

kzfaq.info/get/bejne/sLelhrmJtq2dXYk.html

@user-pl4eu5jc5w 9 ай бұрын

All provide temporary relief just like knee gel injections.

@kenofken9458 Жыл бұрын

I'm considering PRP for severe and chronic Lateral epicondylitis. I've seen some positive studies but also some which seemed to show that it may have been the action of the needle itself that provoked any healing.

@JeffreyPengMD Жыл бұрын

Needle tenotomy alone can definitely help. I do it for patients who are unable to get PRP and don't want steroids.

@kenofken9458 Жыл бұрын

@@JeffreyPengMD I might have to look into either. Had a couple steroid shots in one elbow and they definitely helped for months at a time, but it seems to be a losing strategy long term where tissue breakdown is concerned.

@CHEECHMUN Жыл бұрын

Thank you, thank you and thank you!

@JeffreyPengMD Жыл бұрын

You are so welcome!

@mtease9247 Жыл бұрын

My problem now is I need my more arthritic right knee done. I didn’t do both 9 yrs ago, but definitely should have. Finances played a big part in that. But I still want to give stem cell atty before total knee arthroplasty! Thing is I’m 61 yrs old now & my stem cells are 9 yrs older than last stem cell procedure. I’m very interested in using allogenic MSC’s from umbilical cord. It is being done in this country and out of the US. Thing is I want a definite answer about safety, efficacy, and how viable and the amount ! Not to mention I don’t think there’s a gold standard protocol that is used. It’s hard navigating this info ! I’ve heard it’s very successful and problems would only come from placenta stem cells…, rejection, cancers, ect …. Can and will you advise ???

@JeffreyPengMD Жыл бұрын

I can't comment on the procedures done outside of the US. But in general, I advise my patients to be VERY careful as more often than not, these are not regulated clinics.

@georgestreicher252 Жыл бұрын

Had two PRP injections for my worn meniscus but they did not seem to help at all. Why did you not cover stem cells derived from umbilical cords? These treatments are not allowed in the US but those people who have traveled overseas for the treatment have had great success.

@JeffreyPengMD Жыл бұрын

You mean this? kzfaq.info/get/bejne/gcp8gqmGrZ-bqnU.html

@mtease9247 Жыл бұрын

Your correct bc after 9 yrs my stem cell procedure worked & still going strong ! But X-rays do not show increased joint space. Not true bout not working if bone in bone … but then Drs use that term very loosely imo.

@JeffreyPengMD Жыл бұрын

Thanks for commenting

@chaityfatema8883 9 ай бұрын

Did you have bone on bone stage of osteoarthritis? Did stem cell work for you and you can walk normally without pain now?

@ivet7870 2 жыл бұрын

Hi doc, can PRP help treat chondromalacia patella grade 1? I’m 25 years old. I heard that they can combine it with MSC, will this help me better? Can they inject hyaluronic acid too like the 3 of it together or one after the other with some time gap between each one of the therapies? What is the best option for me? My knee hurts under the patella and cracks+crepitus when I straighten it or raise out of sitting position. I can’t go up or down stairs. Can this be fixed with these therapies? Also I do physical therapy but I need to do everything to save my knees until it’s not too late bc I really need to return to active lifestyle.

@JeffreyPengMD 2 жыл бұрын

Yes PRP can help treat grade 1 chondromalacia patella. There is no evidence of combining PRP and MSC. I do recommend interval HA injections as well for maintenance therapy. You will need to discuss with your health care provider how to individualize treatment for yourself. Best of luck!

@stickshiftt9127 Жыл бұрын

Great video! Very informative!

@JeffreyPengMD Жыл бұрын

Thx!

@028fn48dne Жыл бұрын

Isn't all stem cell treatment for orthopedic conditions illegal in the United States?

@graemeandrew8643 11 ай бұрын

Hi DR peng.. two questions. are these prp and stem cell injection treatments available in Australia? And is it an option for people with rheumatoid arthritis?... I recently had a MRI scan on my knee. Finding small knee joint effusion, near full thickness cartilage loss at lateral aspect of medial femoral condole with defect of 8mm..prominent osseous oedema of medial femoral condole is evident likely reactive....everything else is normal....so I don't know exactly what I'm dealing with..the GP said I have lost cartilage.....I'm seeing a specialist in two days time..but I don't understand what I even have .I mean I don't think it is arthritis .... based on the information I have given I'd appreciate your feedback thank you

@Chef_cookk Жыл бұрын

I have shoulder cartilage damage 3a. I wanns do prp here im germany, because i want go back to boxing.. I also do FASTING 20:4 ( produce more HGH) and do sport like swimming or bicycle .. Also i eat mostly vegan to reduce arachidonic acid t help cartilage grow.. Do you think i can rebuild my cartilage a bit? Im only 25 years and want back to boxing

@timothybright7064 Жыл бұрын

I had 3 Injections of PRP after I had My Gainswave Treatments for Ed on The 4th of March. I'm told to wait 4-8 weeks to See The Results! I have too Pump Two to Three times a Day & Two is enough, and I'm tired of doing that! I Heard Stem Cells supposed to be a Game Changer! I have Issues with Spinal Stenosis, Bad Knee, Shoulder, I want to look Younger without Botox or Surgery! Also I prefer my Testosterone Levels Reached Naturally with HRT/ Testosterone Replacement. I'm curious if Stem Cells benefits Haire Growth. Thanks.

@JeffreyPengMD Жыл бұрын

Hair growth is definitely not my area of expertise!

@Cent4man 2 жыл бұрын

I had a Synvic injection in one one and it was useless. I felt better for about 2 weeks and now it’s as bad as it was before the injection. Both knees need fixed. I’d like to make knee replacement a last choice. I’m hearing stem cell therapy works great and a friend of mine is happy with his treatment years later. What should I ask my orthopedist to try now?

@JeffreyPengMD 2 жыл бұрын

Thanks for your comment. Best to discuss all your options with a trusted health care provider. Good luck!

@jackshrimp 11 ай бұрын

Can u pls advice if Stemcell & Platelet treatment helps in lower back issues

@PRESA25 7 ай бұрын

What if both used together?

@claudeviger8801 Жыл бұрын

What's the results for spine discarthrosis and herniated disc on pain relief and repair? I know the subject is for knee problem but i have these and still waiting for stem cells injections in spine for 3 years now as anything else failed from 13 years of meds and peridurals...Thank you.

@JeffreyPengMD Жыл бұрын

You may find this informative: kzfaq.info/get/bejne/lb-KdL1ou9qWcac.html

@DextrFV 9 ай бұрын

I recently just got a minor labrum tear from pitching and I opted not to do surgery because it is my senior year. Would PRP be better than the bone marrow injection in my case or the other way around?

@sharaudramey9336 7 ай бұрын

How'd it go?

@nasimmaniyar2972 7 ай бұрын

Hi Dr i m Ayesha here i had accident before 1 n half year ago i have cartilage injury as well as minuscus tear i took Halloween gel injection before 1 month ago and tacking supliments what should i do please suggest me

@jamespolucha8790 Жыл бұрын

I thought we don’t do stem cell injections in the USA , I heard we make stem cell in San Diego but need to go out of the country to have it injected, is this correct? I met a man that was bed ridden with a bad back went to Mexico for stem cell injections and is back at work same with Gorie Hawl the hockey player had a stroke and went to Mexico for stem cells and is doing great

@JeffreyPengMD Жыл бұрын

Currently you can harvest fat MSCs and bone marrow MSCs in the US for injection treatment. Culture expanding is not allowed.

@davidcastain5093 Жыл бұрын

Talk about those injections in Hip Joints!

@kidneymd1962 Жыл бұрын

Great video. I’m 5 months out of partial menisectomy of my right medial meniscus. 30% removed. I’m feeling knee pain on the medial side and in the back of the knee. I’m worse off after surgery than before. I’m so depressed. I know I haven’t aggressively rehabilitated with PT and my quadriceps strength on ipsilateral side is much weaker than opposite. Should I consider these treatments now or really ramp up PT? If yes, which one PRP or Stem Cells?

@JeffreyPengMD Жыл бұрын

You may find this helpful: kzfaq.info/get/bejne/ntODpq2Y1c2UY58.html kzfaq.info/get/bejne/sJmmmMhyzLiccYU.html

@kidneymd1962 Жыл бұрын

@@JeffreyPengMD Thank you. How I wish I had seen your videos before surgery. So now I have a menisectomy and post op pain. Can PRP and PT still help at this point?

@JeffreyPengMD Жыл бұрын

@@kidneymd1962 In general, yes PRP and PT can help. But your individual situation needs to be discussed with your health care team.

@itsavlife Жыл бұрын

this is so good..thank you!

@JeffreyPengMD Жыл бұрын

Glad you like it!

@myrnavanwagoner2648 Жыл бұрын

Great and informative

@JeffreyPengMD Жыл бұрын

Thanks for your comment!

@SRIRAMGURUMURTHY Жыл бұрын

Hi sir !! Can you please let me know whether hydraulic acid + PRP injections together work for chondronmalacia patella grade IV? I am facing chondronmalacia patella Grade IV now and the ortho doctor suggested for this method.

@christophedupont2595 10 ай бұрын

Hi could you give your opinion about subchondroplasty (knee and hip) ?

@rajanjacob2577 2 жыл бұрын

Amazing statistics

@JeffreyPengMD 2 жыл бұрын

Thanks for your comment!

@samr5559 8 ай бұрын

Have you considered amniotic injections?

@sunnymelindalinarda5625 Жыл бұрын

Thanks dr. Peng for the comparison. Do you know about Prolozone injection therapy ? How about it for knee arthrities, especially for grade 3-4 ? Which is better, PRP or prolozone ?

@JeffreyPengMD Жыл бұрын

Prolozone has not been studied as much as PRP has

@WAFIKAMIN1 Жыл бұрын

Thanks a lot.

@JeffreyPengMD Жыл бұрын

Most welcome!

@joebruhin2098 11 ай бұрын

Hello Dr, do you give stem cell injections at your clinic?

@Carlosruiz-vb4xo 7 ай бұрын

Hello yo I'm just talk about knee arthritis but what about minor tear of the rotator cuff??? Please let me know as I am getting ready to do PRP. Thank you

@jenperdsmonlapin6953 Жыл бұрын

I know this is about knee therapies, but I have arthritis in my wrist for years now and tried many things including PRP that didn't work. Is there any chance to get better results with stem cells? I have given up on many things that used to give me pleasure in life because the arthritis felt like such a handicap I'd just feel frustrated instead of enjoying myself. I feel like my life has been put on hold since this condition has started affecting me, I'm focusing on my work at the moment waiting for some miracle that might not happen to get back to my hobbies one day hopefully...

@JeffreyPengMD Жыл бұрын

This is a complicated question and the answer is just as complicated and needs to be individualized to your specific situation. Best to discuss with your health care provider. Good luck

@-xyz-012 Жыл бұрын

If your willing to look to a natural therapy, try grating ginger & make a poultice, wrap it over the wrist, then wrap plastic wrap over it to keep in place, leave it on overnight. It draws out inflammation. Keep doing it until pain is gone.

@rickbackous1041 10 ай бұрын

Someone help me. Where can I find a PRP injection clinic in Florida?

@jroth3792 Жыл бұрын

How about allograft tissue especially for those older patients for example do not have a high ratio of Bone Marrow cell - MSC production?

@JeffreyPengMD Жыл бұрын

This is not currently legal in the United States. Maybe one day

@Usr_11ijk Жыл бұрын

Hi Doctor, I had allogeneic stemcell for my left knee to treat grade 2 chondromalacia patella within one week accidentally patella pushed hard while doing exercise.. I m getting more pain now... is this mean kow stem cell will not work..pls answer