re: Advice on PRP et al for SI joints

As a physical therapist, I don’t trust PRP. And I very much dislike SI Joint diagnoses being the root cause for treatment.

The research behind PrP is not good imo and results are widely mixed with very few positive outcomes in my experience.

In terms of SI joint pain in men especially, those joints only move on average 2mm and that decreases with age. So is a 1mm movement causing excessive pain and all sorts of symptoms. Not to mention, in the same region we have multiple muscular insertions, nerves, ligaments, other joints, and a variety of other structures that can refer pain to the same region mimicking the same “SI joint” pain.


So in my opinion, prp(especially for the SIJ) is a complete and utter crapshoot.

Low back pain by and large is multi-factorial. Which is the exact reason why so many people suffer from it and why treatment outcomes are relatively poor across the board.

If you have back pain, you must evaluate and address the following: hip flexibility, thoracic spine flexibility, spinal stability, hip/leg strengthening, activity medication, sleep deficits, poor hydration and nutritional concerns.