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Update on my PRP injection to help with patella tendonosis..

Posted on 11/20/19 at 11:59 am
Posted by LSUAlum2001
Stavro Mueller Beta
Member since Aug 2003
47120 posts
Posted on 11/20/19 at 11:59 am
Platelet Rich Plasma (PRP) is derived from your own blood. They withdraw about 6ccs of blood and put it into a centrifuge to separate the PRP from the red blood cells.

6ccs of blood separated to about 3ccs of PRP. There are some of your own stem cells in there as well.

It wasn’t as pricey as I expected. If this helps reduce the tendinosis over the 8-12 weeks, I may get a 2nd to help heal it altogether.

Pure stem cells from amniotic fluid or umbilical cord is a an even better option but the cost for that is in the $1,000s.

They inject this right into the joint to aid in healing. Unlike cortisone, which just masks the pain for a bit, the PRP aids in healing the area where it is injected.

It usually takes 8-12 weeks before you fully realize how much it has helped, but one week in, it has alleviated some pain already.

I hit a CF workout on Monday and didn’t have any issues during or after the workout. I did slow down a bit on the jumping squats portion to protect it, but I went Rx through the workout.

This post was edited on 11/20/19 at 12:47 pm
Posted by dupergreenie
Member since May 2014
5330 posts
Posted on 11/20/19 at 12:21 pm to
Im so pissed off at my ex wife .... good chance i could have gotten it done for free (as a test subject) to possibly avoid another surgery. She said she didn't think itd work..... and i need surgeries.
Posted by Shepherd88
Member since Dec 2013
4579 posts
Posted on 11/20/19 at 1:18 pm to
Interesting, so what was the bill for this? Was it all out of pocket or did insurnace help at all?
Posted by LSUAlum2001
Stavro Mueller Beta
Member since Aug 2003
47120 posts
Posted on 11/20/19 at 2:44 pm to
$150

If there is any more in a later bill, I’ll update with that cost.

ETA: I did have an MRI previously that showed the low grade tendonosis.
This post was edited on 11/20/19 at 2:57 pm
Posted by Volt
Ascension Island, S Atlantic Ocean
Member since Nov 2009
2959 posts
Posted on 11/21/19 at 10:26 pm to
Good to hear the positive results.

I’m able to give PRP injections and stem cell in the clinic I work in now.
Have only done one PRP knee and some IV stem cells so far.
Good results so far.

There’s no telling how many pro athletes have received stem cell and/or PRP injections.
Posted by jennyjones
New Orleans Saints Fan
Member since Apr 2006
9304 posts
Posted on 11/22/19 at 10:05 am to
quote:

$150

If there is any more in a later bill, I’ll update with that cost.

ETA: I did have an MRI previously that showed the low grade tendonosis.


Insurance had to have covered this.

What kind of doctor did you go to for this? My local doctor that does prp does not take insurance and is much more expensive than that
Posted by jennyjones
New Orleans Saints Fan
Member since Apr 2006
9304 posts
Posted on 11/22/19 at 10:07 am to
quote:

Pure stem cells from amniotic fluid or umbilical cord is a an even better option but the cost for that is in the $1,000s.


Where are you seeing this offered?

Everything I’ve seen in LA & TX is with stem cells taken from your bone marrow in the hip area. It seems like the pure stem cells you mentioned above would be better
Posted by GatorPA84
PNW
Member since Sep 2016
4808 posts
Posted on 11/22/19 at 11:55 am to
Yes we typically charge 650 per treatment with no insurance coverage typically
Posted by LSUAlum2001
Stavro Mueller Beta
Member since Aug 2003
47120 posts
Posted on 11/22/19 at 2:21 pm to
I’ll ask my two friends who received stem cell injections recently.

I have an orthopedic Dr in Baton Rouge that I’ve been seeing since tearing my ACL in 2005.

ETA: Clark Integrated Medicine in Lafayette does umbilical stem cell. Ethridge in BR does it.
This post was edited on 11/22/19 at 7:18 pm
Posted by MikeD
Baton Rouge
Member since Jan 2004
7208 posts
Posted on 11/22/19 at 5:05 pm to
Interested in this for sure. My patella tendinitis has been aching for about 2 years now. Volleyball and basketball take their tolls on the knees.
Posted by LSUAlum2001
Stavro Mueller Beta
Member since Aug 2003
47120 posts
Posted on 12/21/19 at 4:12 pm to
Five weeks since the injection.

Squatted 345 today and had more in the tank with no knee pain. 6-7 weeks ago, 295 felt like someone was stabbing me in the left patella with a knife.

Another 5 weeks for the full effects, but the results have been very good so far.
Posted by thetempleowl
dallas, tx
Member since Jul 2008
14811 posts
Posted on 12/26/19 at 10:15 am to
Controlled studies have demonstrated little to no benefit from these injections.

Spend your money however you wish. It's your money. However outside of a few indications this is a water of time.
Posted by LSUAlum2001
Stavro Mueller Beta
Member since Aug 2003
47120 posts
Posted on 12/26/19 at 11:50 am to
quote:

Controlled studies have demonstrated little to no benefit from these injections.


Yeah. I can see why LSU and other major Collegiate and NFL programs use these injections to help their athletes heal.

I'll stick with those and my own personal experiences so far. Most PTs would rather you come see them 2-3x per week at $30-$50 per session for 6-8 weeks vs trying to proactively heal the issue via PRP or Stem Cell injections.
Posted by thetempleowl
dallas, tx
Member since Jul 2008
14811 posts
Posted on 12/26/19 at 1:04 pm to
quote:

Yeah. I can see why LSU and other major Collegiate and NFL programs use these injections to help their athletes heal.


Well gee, can't argue with that logic.

Oh, hold on, yes I can.

What part of well done controlled studies have demonstrated little value?

Are you saying the well controlled studies are wrong? Cause that would be a stretch.

Are you saying these people know things more than the best doctors out there know?

The simple fact is money talks. And many doctors are willing to sell out to hop in the gravy train. Dry needling, acupuncture and Eastern medicine in general is all garbage as well.

These really have been studied extensively and we'll done studies, outside of a few outliers, show placebo benefit only.

NFL players so this as well.

Not sure what your point is.

Science vs not science.

You keep asking on not science. I wish you well.
Posted by LSUAlum2001
Stavro Mueller Beta
Member since Aug 2003
47120 posts
Posted on 12/26/19 at 1:42 pm to
I’ve worked with this orthopedic for 12 years for an ACL repair, ankle fracture and other minor tendon issues over the years. He is a part of BROC and one of the main Orthos that LSU uses for their athletes. I doubt he’s money grabbing me at $150.

Can you link the controlled studies that show that it doesn’t work? The only thing you’ve done is dropped in and said it without proof and prattle on about holistic treatments that no one is discussing here.

I’ve had this knee tendinosis going on 3 years, so in my controlled study of 1, the results look promising. Now, he did say PRP injections aren’t a fix for 100% of those who have tried it, so I went in knowing it might not work.

Can you tell me what profession of the medical field you are currently in?
This post was edited on 12/26/19 at 2:40 pm
Posted by thetempleowl
dallas, tx
Member since Jul 2008
14811 posts
Posted on 12/26/19 at 3:04 pm to
LINK /

LINK /

LINK /

LINK /

LINK /

Even University medical centers are getting caught up in the lucrative but understand scan...
Posted by LSUAlum2001
Stavro Mueller Beta
Member since Aug 2003
47120 posts
Posted on 12/27/19 at 2:00 pm to
None of those outright say PRP doesn’t work, in fact one says..

quote:

At present, results from these RCTs seem to favor PRP use over other intra-articular treatments to improve pain scales in the short and medium term (6-12?months), but the overall level of evidence is low. As a result, clinical effectiveness of PRP for knee osteoarthritis treatment is still under debate. This is, prominently, the result of a lack of standardization of PRP products, scarceness of high quality RCTs not showing high risks of bias, and poor patient stratification for inclusion in the RCTs.


What you listed in most are for profit stem cell clinicians trying to make money on people’s hopes at ridiculous prices. My $150 cost has been well worth it so far.
Posted by thetempleowl
dallas, tx
Member since Jul 2008
14811 posts
Posted on 12/27/19 at 3:39 pm to
quote:

overall level of evidence is low. As a result, clinical effectiveness of PRP for knee osteoarthritis treatment is still under debate


The results are slight if even there. Often these things dry up when well controlled studies are performed.

quote:


What you listed in most are for profit stem cell clinicians trying to make money on people’s hopes at ridiculous prices. My $150 cost has been well worth it so far


That is what 99.9 percent of these things are.

150 is low for these things. But interestingly the more high tech or the more expensive the therapy is the higher the placebo effect.

Anyways, at the end of the day, it's your money and you can do as you wish.

All this being said if it was only 150, and nothing else was working for me, and a doctor I trusted told me to try it, I probably would give it a shot.
Posted by Hulkklogan
Baton Rouge, LA
Member since Oct 2010
43296 posts
Posted on 12/27/19 at 7:42 pm to
Placebo or no, it's working for him. $150 for an injection that seems to have all but eliminated his pain is worth it whether it's all in his head or not, imo.
Posted by lsu777
Lake Charles
Member since Jan 2004
30961 posts
Posted on 12/27/19 at 10:41 pm to
Lsualum any reason why you chose the pro injection over the peptides that have been proven to work? Was it price or just knowing the quality? Scared to do self injection?

Just wondering. Love seeing post like this though. Keep me up to date please.
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