...........My first treatment for PRP injections came in September 2008. I found the most prominent doctor with the longest and best track record around, and made sure he was an MD.
I had a subluxed fibular head injury from a fall. Prolotherapy is effectively stabilizing the area at the distal and proximal ends. My physician is using a combination of dextrose and ozone. He also injected Ozone into my knee joint. It is painfree after articular cart damage and a meniscuc tear from same fall. I am VERY pleased with the results so far -- 7 months since first series-- I expect complete healing. (My progress is hampered by a secondary issue) Even if I have to go for "tune -ups," so to speak, that's still better than the alternative.This has been a real blessing and sure beats the surgical options, which didn't sound pleasant no matter how the options were worded. Not to mention the PT required afterwards.I am SOOO thankful for prolotherapy.
In my opinion, recovery has not been as fast as I had hoped, meaning the knee seemed to just slightly improve after each visit to the doc, but collectively, from month 1 to month 6, the knee has improved by overall 80%. Patience and commitment. I sense that my ligaments responded very quickly at the beginning and very well to PRP, but there was a lot more damage in my knee than just the ligaments. there is the meniscus, and articular cartilage to heal, and I sense that they are repairing itself. otherwise why is the range of motion improving, crunching diminishing and pain disappearing. Could it be from just he ligament improving...don't really know. Anyways, hopefully the x-rays will show the improvement to the cartilage, I'll be sure to share the results to the general community here when available.
irentat - thanks for the post. you brought up some interesting points which led me to ask questions of my doctor.After some investigation and advice from nurses and doctors, I've decided to switch from PRP over tot HGH treatment and Gluscosamine shots combined with prolotherapy to address the additional crunching in my knee and to hopefully regenerate some or all of the articular cartilage in my knee. The PRP treatment rid me of the pain i was feeling in my knee, likely resolving the ligament laxity pervasive in the knee. But it seemed to not really do much for the cartilage. Lots HGH documentation supporting cartilage regrowth on the Web, and doctors recommending it, this suggest I should do HGH injections next. So to recap, PRP resolved the pain in my knee, strengthening the ligament laxity over a period of 6 injections over a 6 month window, and now I'm switching over to HGH to resolve the Crunching and hopefully regenerate the cartilage.BTW Irentat, i made some inquiries and I was informed by the medical community that the body does not get "used to" PRP as your platelets are not a drug and tolerance will not develop. gb
In one visit, for my right knee joint, I had 1 shot of PRP, about 4cc worth. as well as 20-30 shots of prolotheray all around the joint (a fish extract of sodium mohrrite ? not sure of the spelling).The swelling was likely caused by the prolotherapy. I can't comment if the PRP caused some of the swelling too as all the shots were administered during the same visit to the doc.Normally i think the nurses withdraw about 20cc's worth of blood to be centrifuged if you only do 1 PRP injection, and about 50-60 cc's if you need 2 PRP injections.My pain is gone, and most importantly, my stability is WAY better than before. But the Crunching is still there. So the question for me is.....should i go with PRP or HGH on my next visit ? After 6 visits and 6 shots of PRP, as I mentioned my ligaments are way improved, but I still have crunching that is very bothersome, and others have told me that HGH is more documented for healing cartilage. Thus my decision to convert over to HGH on my next visit.Another big question I have is, does the healing continue over the next 3-6 months ? No one really seems to know. Although it was suggested to me that the ligaments and tendons admnistered with PRP will continue to heal over an ensuing 3 months.