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Doctor insights on: Can Platelet Rich Plasma Injection Eventually Replace Knee Replacement Surgery

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Dr. Frederick Buechel, jr. md
451 doctors shared insights

Knee Replacement (Definition)

It is when a surgeon removes and exchanges some are all of the componets of your knee. The bottom end of the thigh bone(femur), the upper end of the shin bone(tibia) and the undersurface ...Read more


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Why would platelet rich plasma therapy be good for my damaged tendon?

Why would platelet rich plasma therapy be good for my damaged tendon?

Many reasons: Prp is a promising therapy for treatment of tendon, muscle, and bone damage. In this therapy, platelets isolated from a person's own blood are injected around the damaged tissue. Platelets contain numerous chemicals that break down damaged tissue and stimulate new blood vessel growth, bone production, and tissue growth. ...Read more

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Does platelet rich plasma injections work for rotator cuff tears?

Not a recognized: Treatment. While some providers use platelet rich plasma from the patient, there is no credible evidence that it helps in healing. ...Read more

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Is prp (platelet rich plasma therapy) effective for severe tendon tears (gluteus minimus and medius)?

Is prp (platelet rich plasma therapy) effective for severe tendon tears (gluteus minimus and medius)?

Platelet Rich Plasma: PRP or platelet rich plasma injection is very effective for a number of indications. These include facial rejuvenation, hair regrowth, sexual rejuvenation, healing musculoskeletal injuries and arthritis, and more. PRP is excellent for tendon tears! ...Read more

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Does platelet rich plasma injections to ligaments cause scar tissue or new connective tissue?

Does platelet rich plasma injections to ligaments cause scar tissue or new connective tissue?

Both: Injecting platelet rich plasma is supposed to amplify the response of the repair cells by supplying growth factors to the area of injection. It's a good theory, but evidence of other than short term changes is lacking. ...Read more

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How does platelet rich plasma therapy for shoulder injuries work?

How does  platelet rich plasma therapy for shoulder injuries work?

Unknown: There is a debate in the literature as to whether prp is helpful. It is mainly used in rotator cuff repairs. Prp has many stimulating growth factors that is thought to expedite rotator cuff healing. ...Read more

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What is platelet rich plasma therapy for shoulder injuries like?

What is platelet rich plasma therapy for shoulder injuries like?

Growth factors: Prp (or platelet rich plasma), is a portion of concentrated platelets taken from your own drawn blood, used in injured areas. There has been limited proof that it works as advertised, but we can inject it into areas that we want to augment the healing process. It seems also to have some pain relieving properties. ...Read more

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Is platelet rich plasma and prolotherapy the same thing?

Is platelet rich plasma and prolotherapy the same thing?

No: You are comparing two "alternative" treatments in which stuff is injected into the insertions of ligaments / tendons. In prolotherapy, the operator injects sugar, glycerine, or some other simple substance. Injecting platelet-rich plasma is a whole new level of things. Caveat emptor. ...Read more

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Can you explain hair restoration through stem cell injection therapy?

Can you explain  hair restoration through stem cell injection therapy?

PRP and acell: Prp and acell, an extra cellular matrix created from pig bladder are being utilized to augment hair transplantation as well as to stimulate growth in patients who are not good candidates for surgical restoration. ...Read more

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Is knee replacement permanent? Will my implant last the rest of my life, or does knee replacement sometimes need to be repeated? . .

Is knee replacement permanent? Will my implant last the rest of my life, or does knee replacement sometimes need to be repeated?  .

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No: Knee replacement is irreversible .The implant life depend upon many circustances, usually between 10 to 15 years under optimal conditions after that may need a revision.A revision could be a simple exchange of certain components or the complete redo of the knee. ...Read more

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Can a menisectomy, extruded meniscus stage 3 osteoarthritis lead to an earlier total knee replacement?

Can a menisectomy, extruded meniscus stage 3 osteoarthritis lead to an earlier total knee replacement?

Yes: If you have stage 3 oa, you have lost much of the cartilage on that side of the knee. If the rest of the knee is normal, there are options such as osteotomy or partial knee replacement that can work well if medical treatments or injections do not keep you comfortable. ...Read more

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Any new procedures for medial knee pain, without a total arthroplasty or the supartz (hyaluronic acid) injections? I have taken all injections.

Any new procedures for medial knee pain, without a total arthroplasty or the supartz (hyaluronic acid) injections? I have taken all injections.

MAKOplasty: I have performed over 560 makoplasty procedures and it is very very safe . It is superior to all other techniques for precise installation of partial knee replacements. When performed by an experienced makoplasty surgeon, it allows us to balance the tension of your ligaments within a millimeter and make the implants track centrally so they last decades. Mine all go home the same day, little pain. ...Read more

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Which knee capsular tightness that cannot be cured knee fluid injection and need surgical intervention?

Which knee capsular tightness that cannot be cured knee fluid injection and need surgical intervention?

I am not sure: I really do not know about any fluid injection that could release contracture in the knee. Sorry please let me know were the idea published. Thank you. ...Read more

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Are platelet rich plasma injections a successful treatment for plantar fasciitis?

Yes: A recent multicenter study showed that platelet rich plasma injections, particularly if guided by ultrasound for better precision, is beneficial for different tendinopathies. http://www.aaos.org/news/acadnews/2012/aaos15_2_8.asp. ...Read more

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How can total artificial disc prosthesis help?

How can total artificial disc prosthesis help?

Keeps motion: The benefits of successful disk replacement include preservation of motion of the spine, no stress on the adjacement disk spaces, and avoidance of fusion. They are not for every patient and there are some pretty strict guidelines as to when they are useful. See a surgeon who does them often with great experience in this surgery. ...Read more

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Can platelet rich plasma get rid of an old deep surgical scar ?

Can platelet rich plasma get rid of an old deep surgical scar ?

PRP can help: PRP contains growth factors that can help in the remodeling of the scar, however if it is a deep scar you may need more than just PRP. Subscision, scar modification (i.e. cutting it out and making a nicer looking scar), fat transfer, laser treatments, fillers are all options for improving scars. An in person consultation will allow for discussion of all treatments that could help in your case. ...Read more

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Knee replacement or prolotherapy -- when do you choose one over the other?

Knee replacement or prolotherapy -- when do you choose one over the other?

Consult orthopaedics: Prolotherapy is considered in the category of "complementary and alternative medicine"- with little scientific evidence to support its use. If your knee arthritis is severe and your pain has failed to respond to appropriate and thorough non-operative care, then knee replacement surgery can be considered. Talk to your orthopaedic surgeon about all your options for treatment. ...Read more

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Which is a better option: knee replacement or prolotherapy?

Which is a better option: knee replacement or prolotherapy?

Simple stuff first: There are very few downsides to trying prolotherapy. You can try prolotherapy and if it does not work then consider other options for arthritis such as knee replacement. Knee replacement is the last option and should be considered after several other arthritis treatment options have been exhausted. There is no going back to prolotherapy after tkr. ...Read more

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Is it worthwhile to delay knee replacement surgery to have a synvisc (hylan g-f 20) injection?

Is it worthwhile to delay knee replacement surgery to have a synvisc (hylan g-f 20) injection?

Depends: Synvisc (hylan g-f 20) is effective for early to moderate osteoarthritis. 80% report decreased knee pain. 2% risk of synovitis reaction, that resembles infection. Advanced osteoarthritis has never even been adequately studied with product, but results are expected to be less predictable. Knee replacement results are good to excellent for 95% of patients lasting 20-30 years. Replace if advanced. ...Read more

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8 month since arthroscopic knee surgery, still hurts to walk. Do injections take pain away or should I get total knee replacement? Lots of pain :(

8 month since arthroscopic knee surgery, still hurts to walk. Do injections take pain away or should I get total knee replacement? Lots of pain :(

Post- op knee pain: Knee replacement depends on age and extent of damage. Still having pain could mean damage was too great to improve much, or you wern't given a chance3 to rehab it. Age is an important factor here. ...Read more

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Will I still be able to box after getting knee replacement surgery?

Will I still be able to box after getting knee replacement surgery?

Activity after TKA: That depends on the level of boxing you are participating in. At the recreational level, you should be fine. ...Read more

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How long does a total knee replacement surgery take?

TKA duration: It varies on the deformity, the instruments used, and the experience of the surgeon. Average range of 40-60 minutes. ...Read more

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Is pain still normal nine weeks after total knee replacement surgery?

Is pain still normal nine weeks after total knee replacement surgery?

Yes: It varies quite a bit. Some parltients do really well even within a couple weeks of surgery, while others dolly improve over several months. If your surgeon is happy with how your knee and X-rays look, I would not be too concerned. Hopefully you will soon turn the corner and start feeling better. ...Read more

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How long till my knee feels better after having total knee replacement surgery?

Up to one year: The knee keeps healing after surgery for an extended period of time. Most patients return to normal activity in 6-12 weeks. For the knee to feel completely improved may take up to one year. ...Read more

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What to do if i want to know what is total knee replacement surgery and how much it is beneficial?

What to do if i want to know what is total knee replacement surgery and how much it is beneficial?

Can be very helpful: At 37, a knee replacement may not be the best answer for you unless there are very unusual circumstances typically a total knee refers to resurfacing the end of the femur bone at the top of the knee, resurfacing the tiba bone at the lower leg, and resurfacing the undersurface of the kneecap. ...Read more

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I had partial knee replacement surgery on friday, could this cause me to not be interested in sex?

I had partial knee replacement surgery on friday, could this cause me to not be interested in sex?

Yes: If you just had surgery a few days ago, i would not be surprised if you were not feeling interested in sex. It should get better as you heal. If it doesn't talk to your doctor. ...Read more

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I just had knee replacement surgery. I am feeling shall pain at the attachment. I've gain a little weight, is that the reason?

I just had knee replacement surgery. I am feeling shall pain at the attachment. I've gain a little weight, is that the reason?

It is: very common to have pain at the "attachments" since they are after all "foreign bodies" and the interface can hurt much like any joint feels on occasion..(Especially in damp weather right??? If your walling is normal..relax...and enjoy your new knee! Hope this helps! Dr Z ...Read more

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What tests are used prior to knee replacement surgery? What kinds of diagnostic and pre-operative tests are done prior to knee replacement? .

What tests are used prior to knee replacement surgery? What kinds of diagnostic and pre-operative tests are done prior to knee replacement?

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The : The first elements in diagnosis are a history and physical examination. Severe arthritis typically presents with pain, swelling, stiffness, and loss of function of the affected joint. An xray is taken to evaluate the level of arthritis. No other testing is needed. A knee replacement is done for pain relief, and should be done only after a full discussion of the risks and benefits of surgery. In general, it's worth trying medication, exercise, and activity modification first. Also, a short course of physical therapy is often very helpful in restoring function. ...Read more

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How can you sleep on side after total knee replacement surgery?

How can you sleep on side after total knee replacement surgery?

Pillow: There is no physical reason preventing you from sleeping on your side. You might try a pillow between your legs if you find it uncomfortable while your knee recovers. ...Read more

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Will a person be able to walk normally after knee replacement surgery?

Will a person be able to walk normally after knee replacement surgery?

Yes much better: Total knee replacement is made to reduce pain and improve function. Patients walk much better after recovering from a total knee than they did before total knee surgery. Most walk close to normal or normal once they have fully recovered. ...Read more

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What is the difference between an osteochondral surgery and partial knee replacement?

What is the difference between an osteochondral surgery and partial knee replacement?

Preservation vs repl: Bone preservation vs bone replacement. Based on your age each has an advantage over the other. After 40 years of age replacement is a more predictable procedure. ...Read more

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Is hoarseness common after knee replacement surgery?

Is hoarseness common after knee replacement surgery?

No!: Knee replacement surgery can be done with various types of anesthesia: spinal, epidural, nerve blocks, and general anesthesia. Only GA involves a breathing tube which might irritate the airway. So knee replacement carries a low risk for hoarseness. However, it is rare even with GA. The breathing tube is a smooth flexible plastic. Experienced anesthesiologists use them all the time w/o problems. ...Read more

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Plasma (Definition)

It is the fluid portion of both the blood and lymph system in which the ...Read more