Exploring PRP Therapy and Glucose Injection for Joint Pain Relief - Orthopedics

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PRP therapy, integrated multi-point injection of high-concentration glucose solution?


Doctor, PRP therapy is applicable for treating degenerative arthritis, tennis elbow, etc.
May I ask: 1.
Is PRP therapy currently applicable for treating cervical degeneration or shoulder and neck pain? 2.
For treating tennis elbow, how many injections are needed, what is the treatment cost, and is it covered by health insurance? 3.
What is the treatment effect of integrated multi-point injection of high-concentration dextrose solution for shoulder and neck pain? What is the treatment cost, and is it covered by health insurance? Thank you.

Mr. Chen, 30~39 year old female. Ask Date: 2014/07/09

Dr. Wang Shouji reply Orthopedics


Hello: Regarding your first question, there is currently no such treatment available.
For your second and third questions, it is recommended that you consult a pain specialist.
Thank you!

Reply Date: 2014/07/09

More Info


PRP (Platelet-Rich Plasma) therapy has gained popularity in recent years as a treatment option for various musculoskeletal conditions, including degenerative joint diseases and tendon injuries. This therapy involves extracting a small amount of the patient's blood, processing it to concentrate the platelets, and then injecting it back into the affected area to promote healing and reduce pain. Let's address your questions regarding the application of PRP therapy and high-concentration glucose injections for joint pain relief.

1. PRP Therapy for Cervical Degeneration and Neck Pain: Currently, PRP therapy is not widely recognized as a standard treatment for cervical degeneration or neck pain. While some studies suggest potential benefits, the evidence is not robust enough to recommend it as a primary treatment option. Most practitioners focus on more established treatments such as physical therapy, medications, and in some cases, surgical interventions. If you are experiencing persistent neck pain, it is advisable to consult a specialist who can evaluate your condition and recommend appropriate treatment options.

2. PRP Treatment for Tennis Elbow: When it comes to treating tennis elbow (lateral epicondylitis) with PRP, the number of injections can vary based on the severity of the condition and the individual’s response to treatment. Typically, patients may receive one to three injections spaced several weeks apart. The cost of PRP therapy can vary significantly depending on the clinic and location, ranging from $500 to $2,000 per injection. As for insurance coverage, many insurance plans do not cover PRP therapy, considering it an experimental treatment. It is essential to check with your insurance provider for specific coverage details.

3. High-Concentration Glucose Injection for Shoulder and Neck Pain: High-concentration glucose injections, often referred to as prolotherapy, involve injecting a dextrose solution into the affected area to stimulate healing and reduce pain. The effectiveness of this treatment can vary; some studies suggest that it may provide relief for chronic pain conditions, including shoulder and neck pain, by promoting tissue repair and reducing inflammation. The treatment typically requires multiple sessions, and the cost can also vary widely, generally ranging from $300 to $1,000 per session. Similar to PRP therapy, insurance coverage for prolotherapy is often limited, so it is advisable to confirm with your insurance provider.

In summary, while PRP therapy and high-concentration glucose injections show promise for treating various musculoskeletal conditions, their application for specific issues like cervical degeneration and shoulder pain may not be fully validated. It is crucial to consult with a healthcare professional who specializes in pain management or sports medicine to discuss your symptoms, explore all available treatment options, and determine the most appropriate course of action based on your individual needs. Additionally, engaging in physical therapy and strengthening exercises can complement these treatments and enhance recovery.

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