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Anyone try PRP for cartilage repair? - Page 2

post #31 of 44
Looks like the original poster dropped the thread long ago. I'm also dealing with chondromalacia patella and have had cortisone shots. PRP and dextrose prolotherapy are available to me. How was your experience? I would dearly love to hear someone's firsthand experience.
post #32 of 44

I just finished my 3rd treatment of PRP for SI Joint Dysfunction/Sacroilitis. (low back)

I've had both SI Joints injected, along with the surrounding ligaments.

I've gone from barely leaving my house for 12 months (trying ALL kinds of therapies, steroids, etc.), to at least 30% better already.

DO IT! DO IT! DO IT! Do your research, find someone with a lot of experience and who knows Prolotherapy like the back of their hand... and GET YOUR LIFE BACK!

I am still unclear on the cartilage repair. You MAY need stem cells, but SO WHAT?!

How much is your chronic pain/life worth? Really?

post #33 of 44

Hi,

 

I recently tried PRP for chondromalacia patella (both knees). This developed over a couple of years following two separate knee scopes for injuries sustained skiing and climbing. The problem was exacerbated by poor rehabilitation (some in terms of my own compliance, some in terms of the treating clinician). The result was significant pain at the end of a day skiing (particularly if there were bumps involved)

 

 

I also coupled my treatment with some pretty intense rehabilitation exercises so it is hard to say what would have happened had I just gone with the rehab. 

 

However, I am pleased to say (~ 2 months later) I have significantly better knees and even skied for a number of days this winter (Australian) without pain!!!! (They are also continuing to improve)

 

I did note some "ache" in my left knee for a few weeks following, which has since resolved. I query whether this was my body repairing existing damaged tissue around the meniscus.

 

Along this journey I have also uncovered some significant inconsistencies in knee rehab programs and ended up developing my own. It is "evidence based" and I am reasonably well qualified to do so (medical scientist, research, along with a keen interest) so I would be happy to share is anyone is interested?

 

Cheers

 

Hugh

post #34 of 44
Thread Starter 

Thanks for sharing your experience Hugh.

 

In my particular case the PRP was not helpful. Some may be due to the fact that I waited over 5 years after the cartilage tear before trying.

Exercises designed to create blood flow to the damaged area as well as condition some of the surrounding muscle tissue does help temporarily (lasts a couple of days) making the pain manageable.

Weight management is also a plus due to that magic 5:1 ratio.

I did have to utilize Aleve last year for the first time while skiing and switch over at times from my stiffer skis to softer ones to reduce pain.

 

My more recent research seems to indicate that PRP is more successful with ligament and possibly tendon repair than cartilage.

 

I'm holding off currently on having the hip replacement due to their useful life and my joy of skiing bumps/trees.

post #35 of 44

I'm glad this thread has been reactivated.

I had SVC stem cell therapy done on both knees 8/16/13. This includes PRP injections. I posted about this in another thread here and also on the Splat thread on TGR. I'm 67 and have arthritis and torn meniscus in both knees.

The cost is not covered by insurance because it is considered experimental. One reason for the experimental designation is it is strictly a mechanical procedure using your own adult stem cells and PRP, therefore nothing can be patented. So, there is no money in it for device makers or drug manufacturers unlike embryonic stem cell procedures which can be patented products.

The cost for both knees including MRI's was over $7000. Yes, a lot of money, but I wasn't ready for TKR. I had had the hyaluronic acid injections and they worked but lasted only six months. Insurance paid for part of it but with co-pays my out of pocket was still almost $2000 so I looked for an alternative. Stem cell therapy.

In less than six months I was almost pain free, easily going up and down stairs and not waking at night from pain. I was very happy. Then in January of 2014 I had a slow twisting fall and shredded my left meniscus. Just because you think your better doesn't mean you can't have additional injury. In late February I had a combined PRP/hyaluronic injection and it got me through my level 1 exam (yes I passed). In July I had SVC/PRP again in the left knee. The pain is now greatly reduced and swelling is gone. I am also doing a strengthening program to help knee stability. So, my experience with PRP and stem cell therapy has been very positive. That doesn't mean it will work for everyone. Consider it as an alternative, do as much research as you can and decide what is right for you. The down side is it doesn't work and the money is sunk. However, with TKR, once done it can't be reversed and the success rate is nowhere near 100%.

If I have another injury to my left knee TKR is now my only alternative but that's not going to happen until after I take my Level 2 exam this coming March.

post #36 of 44
Thread Starter 

I've heard the same about the hyaluronic injections lasting for 4-6 months RCC.

 

My health plan does not cover the cost for them, though my doctor gave me a prescription to purchase the (5, I think) syringes, cost $700 and he would inject for free. Timing right before the ski season makes the most sense.

 

I appreciate the SVC stem cell/PRP option. Something to consider.

post #37 of 44
What us SVC?
post #38 of 44
Sorry, meant what is svc?
post #39 of 44
Quote:

Originally Posted by AusAdventurer View Post 

 

I am reasonably well qualified to do so (medical scientist, research, along with a keen interest) so I would be happy to share is anyone is interested?

 

Cheers

 

Hugh

 

 

I'm sure many of us would be interested, if you wouldn't mind posting.

Quote:
Originally Posted by JSLincks View Post

 

 

I'm holding off currently on having the hip replacement due to their useful life and my joy of skiing bumps/trees.

 

I'm 20 months post op THR.  I skied 40 days pretty hard last season and didn't have much pain.I'm hoping this year my hip is pain free.

I'm much more concerned with my knee.

 

Quote:
Originally Posted by RCC55125 View Post  until after I take my Level 2 exam this coming March.

 

Good luck and thank you for posting.  

post #40 of 44

SVC is the method of extracting stem cells.

One method extracts stem cells from bone marrow. A large needle is used to extract bone marrow from the hip. This is the Regenxx method.

 

SVC extracts stem cells from stromal vascular of adipose tissue. In other words they liposuction your belly fat and distill the stem cells. So it's a two-fer, you get something fixed with stem cells and your waist line gets a little smaller.  The liposuction part is one reason you don't hear a lot about SVC stem cell therapy, you need a doctor trained in liposuction. This means primarily cosmetic plastic surgeons not orthopedic docs. The biggest risk with the SVC procedure is bleeding and infection from the liposuction.

I don't remember how much fat tissue was withdrawn, maybe 40 cc, but after the stem cells were distilled and mixed with pallet rich plasma (PRP) they injected about 6 cc per knee. The PRP is a separate blood draw. That total procedure took about three hours.

post #41 of 44
Thread Starter 
Quote:
Originally Posted by SHREDHEAD View Post
 

 

 

I'm sure many of us would be interested, if you wouldn't mind posting.

 

I'm 20 months post op THR.  I skied 40 days pretty hard last season and didn't have much pain.I'm hoping this year my hip is pain free.

I'm much more concerned with my knee.

 

 

Good luck and thank you for posting.  


This sounds somewhat contrary to what I have been told and seen but my interest is piqued.

You ski hard after a total hip replacement?

Doctors tell me green trails only, but yes, that only makes me laugh.

Moguls at speed and jumping seems like an accurate no-no.

I did ski a bit with a 70 year old from this forum 2 years ago that had 2 hips and both knees replaced. He was an excellent high speed skier on groomed trails (Sunday River) but I never saw him in moguls.

Tell me more please.

post #42 of 44

I'm about to try the PRP shots and yep mainly so i can ski. Last year at Jackson I could control the swelling with advil, this year over xmas at Revelstoke my left knee never un-swelled! I'm going to take your supplements list too, just not sure which i can take while taking naproxen. I'll post back results. Good luck everyone!

post #43 of 44
Quote:
Originally Posted by AusAdventurer View Post
 

Hi,

 

I recently tried PRP for chondromalacia patella (both knees). This developed over a couple of years following two separate knee scopes for injuries sustained skiing and climbing. The problem was exacerbated by poor rehabilitation (some in terms of my own compliance, some in terms of the treating clinician). The result was significant pain at the end of a day skiing (particularly if there were bumps involved)

 

 

I also coupled my treatment with some pretty intense rehabilitation exercises so it is hard to say what would have happened had I just gone with the rehab. 

 

However, I am pleased to say (~ 2 months later) I have significantly better knees and even skied for a number of days this winter (Australian) without pain!!!! (They are also continuing to improve)

 

I did note some "ache" in my left knee for a few weeks following, which has since resolved. I query whether this was my body repairing existing damaged tissue around the meniscus.

 

Along this journey I have also uncovered some significant inconsistencies in knee rehab programs and ended up developing my own. It is "evidence based" and I am reasonably well qualified to do so (medical scientist, research, along with a keen interest) so I would be happy to share is anyone is interested?

 

Cheers

 

Hugh

 

Hugh,

 

Would love to have get a copy of your knee rehab program. I have maltracking in both knees, the left one worse. Chondromalacia in the left as well as a chondral defect. TY

post #44 of 44

Me too! Can you post here svp?

Thanks!

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