Platelet-rich plasma (PRP) is a treatment approach that utilizes a concentrated form of platelets derived from the patient’s own blood. Platelets contain growth factors and other bioactive substances that play a crucial role in tissue healing and regeneration. In the context of joint pain, particularly osteoarthritis, PRP is used to help alleviate symptoms and promote tissue repair. During the procedure, a small amount of blood is drawn from the patient, and the platelets are separated and concentrated by spinning the blood in a centrifuge. The resulting PRP is then injected into the affected joint, where the concentrated platelets release growth factors and stimulate natural healing processes. PRP injections can help reduce pain and inflammation, promote cartilage repair, and improve joint function. The growth factors and other bioactive substances present in PRP help to enhance tissue regeneration, slowing down the progression of osteoarthritis and providing relief for individuals experiencing joint pain.

Hyaluronic acid (HA) is a substance naturally present in the human body, with high concentrations found in the synovial fluid surrounding joints. It plays a crucial role in maintaining joint health by providing lubrication, cushioning, and shock absorption. In the context of osteoarthritis, where the natural HA levels may be diminished, HA injections are used to help alleviate joint pain and improve function. When injected directly into the affected joint, HA acts as a viscosupplement, enhancing the joint’s lubricating properties and reducing friction between the bones. This helps to alleviate pain and stiffness associated with osteoarthritis. Additionally, HA injections may have anti-inflammatory effects, reducing swelling and inflammation in the joint. By restoring the joint’s natural cushioning and reducing inflammation, HA injections provide relief, improve joint mobility, and enhance overall quality of life for individuals suffering from osteoarthritis-related joint pain.

Determining whether you are a suitable candidate for hyaluronic acid (HA) or platelet-rich plasma (PRP) injections typically involves a 15-30 minute consultation with one of our joint regeneration specialists. They will assess your specific condition and medical history to make an informed recommendation. Generally, individuals with osteoarthritis or joint pain that haven’t responded well to conservative treatments such as medication, physical therapy, or lifestyle modifications may be considered for HA or PRP injections. Factors such as the severity of joint damage, the presence of inflammation, and overall health will also be taken into account. It is essential to have a thorough evaluation by a specialist who can determine the most suitable treatment options for your unique circumstances. They will discuss the potential benefits, risks, and alternatives to help you make an informed decision about whether HA or PRP injections are appropriate for your joint pain management.

HA and PRP injections are generally considered safe. However, like all medical procedures, there are associated risks. Potential complications may include infection at the injection site, allergic reaction to the hyaluronic acid, and a temporary increase in pain and inflammation in the joint, as well as some bleeding may occur. And very rarely, PRP could lead to blood clot formation.

The time it takes to see results after receiving hyaluronic acid (HA) or platelet-rich plasma (PRP) injections can vary widely from person to person, depending on factors such as the severity of the condition being treated and the individual’s overall health. In the case of HA injections, some patients might feel relief within a few days, but it often takes several weeks for the full effect to be felt. PRP injections may take longer to show results, as they are intended to promote natural healing and tissue regeneration. Many patients start to see improvement within a few weeks, but it can take up to several months to experience the full benefit.

Steroid shots, also known as corticosteroid injections, are often used for managing joint pain, particularly in conditions like osteoarthritis. While they can provide significant short-term relief, their long-term use can lead to negative effects. Frequent or prolonged corticosteroid injections can cause thinning of the nearby bone (osteoporosis), weakening or rupture of tendons, and thinning of nearby soft tissues. In rare cases, damage to the cartilage within the joint can occur. Furthermore, the injections can lead to lighter skin and the formation of small blood vessels around the injection site. Systemic side effects, although less common, can include weight gain, elevated blood sugar levels, and suppression of the body’s own production of corticosteroids. 

In contrast, HA and PRP injections are generally considered safer for long-term use. HA injections work by supplementing your body’s natural hyaluronic acid, helping to lubricate the joint, and can offer relief for several months. PRP injections, which contain a concentration of the patient’s own platelets, aim to stimulate natural healing and regeneration of the damaged tissues. The effects can last for a long time, but it may take several weeks or months to see significant improvement.

The experience of pain can vary significantly among individuals. During the injections, some may experience a brief sharp sensation, followed by a feeling of pressure or dull ache, which can be minimized with local anesthesia. Post-injection, it’s common to have temporary soreness, swelling, or aching at the injection site, lasting anywhere from a few hours to a few days. This discomfort is typically manageable and decreases over time. Both PRP and HA injections aim to alleviate longer-term knee discomfort, but the injection process itself may involve some short-term pain.

While HA & PRP injections into the knee joint are minimally invasive procedures with typically quick recovery times, you should follow the advice of the specialist performing the injection who can provide guidance based on your specific circumstances. Some patients might experience temporary pain, swelling, or stiffness in the treated joint, or have a light-headed or dizzy spell as a response to the injection, which may impair driving ability if you drive home immediately after the injection.

Osteoarthritis is a common degenerative joint disease that primarily affects the cartilage, the protective tissue that covers the ends of bones where they meet to form joints. It is characterized by the gradual breakdown and loss of cartilage, leading to joint pain and stiffness. When it comes to the knee, osteoarthritis can cause significant discomfort. As the cartilage in the knee joint wears away, the bones may start rubbing against each other during movement. This friction and bone-on-bone contact can result in inflammation, pain, and swelling. Additionally, osteoarthritis can lead to the formation of bone spurs, small bony outgrowths, which can further contribute to knee pain by causing irritation and limiting joint mobility. Overall, osteoarthritis disrupts the smooth functioning of the knee joint, resulting in persistent pain and decreased range of motion.

Age is not correlated with a decrease in platelet count as long as you have not been diagnosed as thrombocytopenia.

Every patient is different but the average benefit for patients according to the latest research indicates 12-24 months.

Every patient’s response is different but the average for patients according to the latest research indicates 6-8 months.

If a knee brace is required we recommend wearing your knee brace during the treatment plan which can vary for each patient but on average is 5-6 weeks.

No, our PRP is autologous which means no risk from donor pathogens or immuno-rejection because the PRP is actually the patient’s own blood products. We collect blood from a simple blood draw that is no different than having your blood drawn at another regular doctor’s office visit. The HA is closely related to your body’s own natural synovial fluid and does not prevent you from having a surgical intervention later in life. However, if the therapy is effective with the PRP and HA it could delay or even prevent the need for surgery.

Since the PRP is autologous blood (patient’s own) there are no harmful side effects from the PRP.

You should come to your visit well hydrated and ensure you are not taking any medications that may thin your blood like Ibuprofen, aleve, advil, naprosyn (NSAIDS) or other blood thinning medications. Do not discontinue any medications without the specific guidance from your primary care manager.

If you’re not feeling well we do not recommend having treatment unless you’re in good health as any infection is considered a contraindication to PRP. If you’re not feeling well and need to reschedule simply contact our office and we will reschedule your appointment without any extra charge.