Stem Cell Injection is better than hyaluronic acid and delay knee replacement surgery. A new study.

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- The choices of treatment for people with knee pain due to osteoarthritis are limited.

Most people begin by trying non-steroidal anti-inflammatory drugs. If those don’t work, then a Chiropractor or physical therapist is next. These providers have generally similar approaches to the knee. If they fail, then an Orthopedic surgeon gets involved.

Osteoarthritis is diagnosed by X-ray. To see the soft tissues an MRI of the knee is usually obtained.

Hyaluronic acid injection is an effective but temporary treatment for knee pain due to osteoarthritis. Synvisc is the most common. Hyaluronic acid injections last 6-12 months in most patients.

If Hyaluronic Acid injection fails to control knee pain due to osteoarthritis then most orthopedic surgeons will recommend partial or total knee replacement. These days Robotic assistance greatly improves the knee replacement procedure. Nonetheless, people under 55 still have a three times higher risk of requiring revision. While the risk is low, many people are looking for another treatment.

Platelet rich plasma is a new treatment for knee pain. Meta-analysis shows PLATELET RICH PLASMA injection is effective in the treatment of knee pain due to osteoarthritis. These trials suffer from both the placebo effect, as well as the waxing and waning nature of the pain itself.

PLATELET RICH PLASMA injection does help the pain of osteoarthritis. It's not covered by insurance. And costs around $1000.

A recent study of patients with knee pain due to osteoarthritis using MRI showed cartilage healing 8 months after PLATELET RICH PLASMA injection to the knee. Patients who PLATELET RICH PLASMA injection reported less knee pain then controls who had only exercise.

Is hyaluronic acid injection still worth Hyaluronic Acid having? Meta-analysis of HYALURONIC ACID vs. PLATELET RICH PLASMA showed improved outcome with the PLATELET RICH PLASMA group after knee injection. HYALURONIC ACID is covered by your insurance. Cost of PLATELET RICH PLASMA injection may be prohibitive. No blood draw is necessary with HYALURONIC ACID. No bone marrow aspiration is required.

Phoenix Spine and Joint recommend PLATELET RICH PLASMA injection in the knee for pain due to osteoarthritis in patients who are not ready for total or partial joint replacement and have failed conservative measures.

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