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PRP Injection Frequently Asked Questions

Answers to common questions about platelet-rich plasma (PRP) therapy for joint pain. Learn how PRP works, its effectiveness, costs, insurance coverage, and what to expect.

19 questions answered Medically Reviewed by Medical Review Team, MD

PRP Injection Frequently Asked Questions

Platelet-rich plasma (PRP) therapy is a regenerative treatment that uses concentrated platelets from your own blood to potentially help heal damaged joint tissue. While it has gained popularity for joint pain treatment, it remains controversial due to mixed research results and lack of insurance coverage.

This FAQ addresses the most common questions about PRP therapy, including how it works, what it costs, and what results you can realistically expect. Understanding both the potential benefits and limitations will help you make an informed decision about whether PRP is right for your joint pain.

Key Considerations Before Trying PRP

Before pursuing PRP therapy, consider that Medicare and most insurance plans do not cover it. Costs typically range from $500 to $2,000 per injection. Research shows inconsistent results, so outcomes cannot be guaranteed. Discuss all your treatment options, including covered alternatives like hyaluronic acid injections and physical therapy, with your doctor.

PRP (platelet-rich plasma) therapy uses your own blood, concentrated to contain 3-5 times more platelets than normal. These platelets release growth factors that may help repair damaged tissue and reduce inflammation in arthritic joints.

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Research shows mixed results. Some studies report modest improvements in pain and function for mild to moderate knee arthritis, while others find no significant benefit over placebo. PRP may work better for certain patients, but more research is needed.

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Medicare does not cover PRP therapy, and most private insurance plans consider it experimental. You should expect to pay out-of-pocket, typically $500 to $2,000 per injection depending on your location and provider.

PRP injections typically cost $500 to $2,000 per treatment without insurance coverage. Prices vary based on geographic location, provider expertise, and the specific preparation method used. Some clinics offer package pricing for multiple injections.

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Most protocols recommend 1-3 injections spaced 2-4 weeks apart. Some patients see benefit from a single injection, while others may need a series. Your doctor will recommend a treatment plan based on your condition and response to initial treatment.

Most patients report mild to moderate discomfort during the procedure. The blood draw is similar to standard lab work. The injection itself may cause temporary pressure or aching. Local anesthesia is often used to minimize discomfort during the joint injection.

Unlike cortisone which works within days, PRP takes time to stimulate healing. Most patients notice gradual improvement over 2-6 weeks, with maximum benefits often appearing at 2-3 months. Results vary significantly between individuals.

When effective, PRP benefits may last 6-12 months or longer. Some patients report sustained improvement for up to 2 years. However, results are highly variable, and some patients experience little to no lasting benefit.

Since PRP uses your own blood, allergic reactions are rare. Common side effects include temporary pain, swelling, and stiffness at the injection site for a few days. Infection risk is low but possible with any injection procedure.

PRP may work best for patients with mild to moderate arthritis who want to try non-surgical options. It may be less effective for severe bone-on-bone arthritis. Good candidates are generally healthy, not on blood thinners, and have realistic expectations.

Yes, PRP can be part of a comprehensive treatment plan. It is often combined with physical therapy to maximize results. However, you should avoid NSAIDs for a week before and after treatment as they may interfere with the healing response.

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Hyaluronic acid (gel shots) lubricates the joint and is covered by Medicare. PRP aims to promote healing but is not covered by insurance. Research comparing the two shows inconsistent results, with neither clearly superior for all patients.

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Blood is drawn from your arm (about 30-60 mL). It is processed in a centrifuge to concentrate platelets, which takes 10-15 minutes. The concentrated plasma is then injected into your joint, sometimes with ultrasound guidance for accuracy.

Yes, PRP preparations vary in platelet concentration, white blood cell content, and activation methods. There is no standardized protocol, which contributes to inconsistent research results. Ask your provider about their specific preparation method.

Most doctors recommend rest for 24-48 hours after injection, followed by gradual return to activities. High-impact exercise should be avoided for 1-2 weeks. Physical therapy is typically started within a few days to support the healing process.

Medicare considers PRP experimental and investigational due to insufficient evidence proving its effectiveness. The research has been inconsistent, with variable protocols and mixed outcomes. Until stronger evidence emerges, Medicare is unlikely to approve coverage.

Some patients report that PRP helped delay surgery, but there is no strong evidence that it prevents the eventual need for joint replacement in people with progressive arthritis. It may be a reasonable option to try before considering surgery.

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No, PRP results are not guaranteed. Studies show that 50-70% of patients experience some improvement, but results vary widely. Some patients see significant benefit while others notice no change. No provider can promise specific outcomes.

Look for board-certified orthopedic surgeons or sports medicine physicians with experience in regenerative treatments. Ask about their specific PRP protocol, success rates, and whether they use imaging guidance for accurate injection placement.

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