For knee arthritis, the research points to a dose in the billions: PRP arms with positive results averaged about 5.5 billion platelets per injection, and one meta-analysis puts the threshold above 10 billion. Arms without benefit averaged about 2.3 billion. A ‘times baseline’ figure describes concentration; the dose reviews count platelets.
Yes for most chronic tendons, and the honest answer depends on which one. A 2024 meta-analysis of 45 randomized trials found shockwave reduced pain in plantar fasciitis, lateral elbow, rotator
The best provider for your knee is the one that answers six questions in writing, not the closest clinic. Where do the cells come from: your own marrow or fat,
Management of Advanced Tricompartmental Knee Osteoarthritis With Degenerative Meniscal Pathology Using Extracorporeal Magnetotransduction Therapy, Extracorporeal Shockwave Therapy, Microfragmented Adipose Tissue, and Platelet-Rich Plasma Aneesh Garg 1, Spencer Decker 2 ,
The Regen Doc™ is Aneesh Garg, DO, CAQ, a double board-certified sports medicine physician in Boulder, Colorado, and the name is a trademark that identifies him. He founded and directs the American Shockwave Training Institute, where he trains other clinicians and physicians on focused shockwave, and he hosts The Regen Doc Podcast.
Because healing happens in a body that is also carrying stress. Regenerative treatment, like high-dose PRP, stem cells or focused shockwave, works on the injured tissue. But pain that lasts for months also changes how the nervous system processes pain, and controlled studies show that psychological stress slows tissue healing.
They are three different tools that reach different tissue. Focused shockwave is true shockwave: the energy converges at a focal zone below the skin, so it can reach a deep tendon insertion or bone. Radial pressure wave is strongest at the skin and spreads out as it goes deeper, which suits broad, superficial muscle and fascia, and it is not shockwave.
No. In Colorado, EMSELLA is not covered by insurance. It is an FDA-cleared elective medical procedure, and elective is the operative word: carriers reimburse pelvic floor treatment when it is billed as physical therapy by a therapist, not when it is delivered by a chair that produces roughly 11,200 supramaximal pelvic floor contractions in a 28-minute session.
There is almost no downtime after a PRP injection, but that is not the same as being better. Most people walk out, drive themselves home, and return to desk work the same day or the next. What takes time is healing, not recovery: expect a sore flare for the first few days, easing through weeks one and two, with meaningful tissue change over roughly six to twelve weeks.
For mild to moderate knee arthritis, cortisone works faster and PRP tends to last longer. Cortisone is an anti-inflammatory, so relief usually arrives within days. PRP starts a repair response, so it takes weeks to build. In a 2021 meta-analysis of randomized trials, PRP beat cortisone on pain, stiffness and function at three, six and nine months, with the largest gap at six and nine.
Talk with our team about whether you're a candidate. Care is directed by Aneesh Garg, DO, CAQ, here in Boulder.
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