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Should PRP Therapy be a replacement for surgery or a supplementation?

Posted on 9/28/17 at 4:30 pm
Posted by Hot Carl
Prayers up for 3
Member since Dec 2005
58960 posts
Posted on 9/28/17 at 4:30 pm
I'm gonna have to break down and something to my shoulder. I've seen articles talking about the benefits of PRP instead is surgery and others that tout it as a great supplement to it. Obviously, I'd rather avoid surgery. But what I really don't want to happen, is to drop the cash on PRP and then still wind up having to have surgery.

Thoughts? Experiences?
Posted by Volt
Ascension Island, S Atlantic Ocean
Member since Nov 2009
2958 posts
Posted on 9/28/17 at 11:28 pm to
The better alternative would be stem cells, but that's even more expensive ($1000s) and may not completely solve the problem either

I have a patient who received stem cell in her shoulder after re-injuring it. She had had surgery on it less than a year earlier and was told she would need another scope at the very least. She says her shoulder feels better than 90% better. She's 70 y/o FWIW

Posted by Hot Carl
Prayers up for 3
Member since Dec 2005
58960 posts
Posted on 9/29/17 at 1:39 am to
quote:

I have a patient who received stem cell in her shoulder after re-injuring it. She had had surgery on it less than a year earlier and was told she would need another scope at the very least. She says her shoulder feels better than 90% better. She's 70 y/o FWIW



If she had to do it over again, would she still have had the surgery 1st and then the stem cells to help,with recovery, or would she have bypassed the surgery altogether and tried the stem cells instead. My preferences:

1) No surgery--PRP and physical,therapy

2) surgery, then PRP(or stem cells) to aid recovery

3) surgery alone

4) PRP, THEN surgery, then PRP again

I don't have the time--or the scratch--to frick up the order of this decision. None of the research has persuaded me, and I am skeptical of the biases of the doctors.

The ortho that I would choose to do my surgery--Dr. Field in Baton Rouge--doesn't do PRP therapy as of this time. The guy who does(Dr. Bond in Lafayette), doesn't do shoulder surgeries. I'm not cynical enough to think either would deliberately hose me, but obviously, they are both gonna genuinely believe in what their specialty is.

I suppose if money was no object, I'd lean surgery by the best, then stem cells therapy, then the best rehab available. Unfortunately, money matters, and I can't afford to make a bad decision. With my luck, I should probably decide something, then do the opposite. But I'd probably only wind up fricking my mom, not being able to ever escape my fate.
Posted by El Magnifico
La casa de tu mamá
Member since Jan 2014
7017 posts
Posted on 9/29/17 at 9:04 am to
What was the diagnosis of the injury? PRP then surgery then PRP again will cost you a shitload of money. If the injury is not severe I'd go just PRP. If the injury is severe, I'd go surgery, therapy, and then wait and see on the PRP.

BTW Dr. Field repaired both of my shoulders and Dr. Bond did PRP on both as well years after the surgeries.
Posted by jennyjones
New Orleans Saints Fan
Member since Apr 2006
9300 posts
Posted on 9/30/17 at 6:33 am to
quote:

Dr. Field repaired both of my shoulders and Dr. Bond did PRP on both as well years after the surgeries.


I had shoulder surgery 12/16 and just now really getting back comfortable. The stem cell route definitely intrigued me but it came down to money/ insurance. I see myself trying this at some point
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