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Author Topic: Give me a reason NOT to try PRP Injection Therapy  (Read 2063 times)

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Offline Allscarredup

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Give me a reason NOT to try PRP Injection Therapy
« on: April 12, 2011, 06:22:49 PM »
Hey guys,

Got some great responses and info here last time I posted. Figured I throw myself out there again with this. I've read the threads here about PRP/Prolo/HGH injection therapy and I'm extremely interested.

I have had my ACL reconstructed (petalla graft) and an arthroscopic debridement/chondroplasty of my right knee. I have Grade III chondromalacia, with a crack in the kneecap and a fissure in the femoral trochlea. Similar symptoms, though no MRI or scope, in the other knee.

Things that have not worked:

Chondroplasty/debridement (some relief)
Physical Therapy (3 occasions)
Cortisone Shot
Ibuprofen/Naproxen
Quad/Hamstring Strengthening/Stretching

All imaging comes out negatively. The cracks and chondromalacia/fissuring are the only things any doctor can see wrong in my knee that could cause pain. My only issue with PRP is that because it is so out of the mainstream still, much of the website material and forum chat in support of these procedures seems suspicious. Because it's so expensive, I want to be sure I'm not hemmorhaging money at some gimmick. But I'm 24 and a former highly competitive athlete. I'm now having trouble with stairs, chairs, and my job.

Quick thoughts? I'm about to pull the trigger.


Offline mountainknees

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Re: Give me a reason NOT to try PRP Injection Therapy
« Reply #1 on: April 12, 2011, 06:36:27 PM »
STOP, Before you pull the trigger make sure the gun is not loaded.
After eleven knee surgeries and chronic pain I too was desperate enough to look inot the same possabilities.
I found that so many of the glowing reports of it's success on the net seemed to be wrtten by providers of the therapy.  The fact that I have yet to find any mainstream physician that does the procedure, along with the fact that NO insurance company I know of will cover it leads me to think it is best to keep away from it.
It sounds to me that what you need may be a second opinion, maybe from a surgeon in a teaching hospital with extensive experience with knee issues.
You are too young to be putting unproven chemicals in your body, and I know how chronic pain can cause a person to grasp for anything that promises relief.
While I do not know of anyone who has tried this so called therapy I go with the old saying that if it sounds too good to be true it is, add that to the fact that it is a "cash upfront only" procedure never covered by insurance I would do a lot more reserch befor thinking of it.
You best bet is a good doctor at a large University centered teaching hospital who specializes in knees, not just a general orthopedic surgeon.
Good luck, Mountainknees

Offline Allscarredup

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Re: Give me a reason NOT to try PRP Injection Therapy
« Reply #2 on: April 12, 2011, 06:55:35 PM »
Thanks,

I have a very well-respected knee specialist in the Philadelphia area. I am going to get an opinion from him about it, but assuming he is old-guard and doesn't believe in anything done without a knife, my question would remain the same here.

Offline amoler

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Re: Give me a reason NOT to try PRP Injection Therapy
« Reply #3 on: April 15, 2011, 04:08:44 AM »
I'm looking into having PRP done myself. On the topic of "not covered by insurance" --- Neither is IVF and I have a son ( who cost me $5000 worth of IVF). Journal articles published in very highly respected journals. especially those in Europe suppprt PRP ( but not prolo). I'm a biochemist, so when I read journal articles I look for sound statistical evidence. One of the latest studies showed that PRP performs significantly better than Hyalgan in something like 80% of all patients.
'77- Rt knee menicus tear
'90 -2nd menscus tear
'91 -failed arthroscopy/partial menisectomy
patella dislocation 10/ 2010
Dx = grade 4 chondromalacia + synovitis + Meniscus tear + lax strained medial ligaments
Fall down the stairs 7/20/11 - mcl sprain + 2 meniscus tears

Offline knee always hurts

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Re: Give me a reason NOT to try PRP Injection Therapy
« Reply #4 on: April 15, 2011, 06:15:14 AM »
From everything I have read on the matter, prolotherapy sounds like quackery to me. On the other treatments, perhaps look into those studies as amoler suggests. I certainly wouldn't spend large sums of money on a treatment without supporting evidence. If it turns out that there is clinical evidence of efficacy, it might be worth a try.

Offline sarahp

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Re: Give me a reason NOT to try PRP Injection Therapy
« Reply #5 on: May 06, 2011, 02:23:29 AM »
I just wanted to chime in a bit here.  I just had my PRP done this afternoon.  There are no chemicals to my knowledge.  They spin your own blood and take the platlets from it and use that to inject into your body.  It isn't a lab made chemical.  Also, it isn't that expensive.  Sure it isn't cheap, but it's not thousands of dollars either.  Mine was $600.(I live in IL)  As far as any procedure not being worth the risk just cause an insurance company doesn't cover it, well there is a whole lot they won't cover and it isn't always because it isn't a good procedure.  I too had my kids via IVF it doesn't mean it isn't sucessful it's because they don't want to pay for it.  Same thing with my PT, they only cover 20 visits because they don't want to pay for it. And we all know PT is vital to a good recovery.  I'm not saying PRP is a perfect miracle or anything, I would just want people to correct information to make their decisions.

For my case personally I have sever patellar tendonitis following a TTT a year ago and most recently carticel transplant(since I had lost most of my patellar cart.)  We have tried everything outside of another surgery to fix it.  I was told I can do up to 3 injections.  They drew my blood, spinned in and then took the platlets out and used that to inject in the tendon.  It hurt like hell and I have a very high pain tolerance.  But that was only for about 30 seconds.  It is still very sore but it's supposed to be.  My PT place has seen very good results for people with tennis elbow using PRP.(but I'm the first they've seen doing it on the knee but they are a small place)  My doc told me there is around 60-70% success rate for PRP in knees.  So I'm hoping it will work.  He said to give it a month or two and if there is some improvement(but not total), he will do another shot.  Since every person is different, I would suggest finding a really good ortho and see what they have to say.  My doc is one of the best in the area and I've very lucky to have found him.  He's so much better than the old out dated ortho I was seeing before.  I am 32 and have had 5 surgeries on the right knee alone.  I can't walk fast, jog, or run around with my kids. I can't strengthen my quad because the pain is so sever I can't do it. I'm in constant pain so at this point I will try nearly anything to get back to a normal life.  I hope you are able to find something that helps your problems!

Offline amoler

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Re: Give me a reason NOT to try PRP Injection Therapy
« Reply #6 on: May 11, 2011, 09:38:52 PM »
Hey sarahp I'm curious to hear how your post PRP recovery is going. I'm set to have it done at the end of June. They were planning on using a bit of local anaethetic but turns out they can't because I'm allergic. Fingers crossed that I can endure the injection pain.
'77- Rt knee menicus tear
'90 -2nd menscus tear
'91 -failed arthroscopy/partial menisectomy
patella dislocation 10/ 2010
Dx = grade 4 chondromalacia + synovitis + Meniscus tear + lax strained medial ligaments
Fall down the stairs 7/20/11 - mcl sprain + 2 meniscus tears