I use PRP a lot in my practice. I see great results from it.
SportVisc is getting popular in my area, a lot of sport med docs use it.
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u/SaltRharris
Podiatrist hate each other, in real life and online.
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u/Dramatic-Sock3737
Glad you are amused. My brother does stem cells and PRP as a pain mgmt doc. Without him I would have needed rotator cuff sx. I have no problem with pods or other docs performing care that isn’t covered by insurance if they find it’s helping their patients.
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u/Dramatic-Sock3737
You do you. Please don’t tell me or others how we should practice.
9
u/1stMPJFuser
Its the Cashification of medicine. Everything has to be treated with something special that costs $500+. They other day a patient came to me with an arthritic valgus ankle - they paid $3K for stems cells to a chiropractor. Did nothing. Another patient came in with bread and butter Achilles tendonitis. The problem was they were told it was torn, it wasn't, and that they'd need to start with $800 of shockwave. I wonder sometimes how doctors get patients to agree to these things, but now I know the answer. You offer nothing else. Its expensive treatment or cya. I think its tough to be a patient.
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u/ShiyuanDPM
I’ll stick to my Tolcylen and low-dye strapping thank you very much. 😁
6
u/azalin77
I think the problem here is your passive aggressiveness ending your original post with snakes oil salesmen.
I also highly doubt you "know" much about PRP or regenerative medicine because if you did, you would know it works.
I'm one of the actual pioneers in this field as far as podiatry goes in NYC and can assure you it mostly works but you have to understand the pharmacologic and pathophysiological science of why you're using it and what you're using it for. I've used it extensively for nearly 25 years now both in the O.R. and in the office including BMAC/PRP/PPP/amnion/A2M as mono therapy and also in conjunction with HA injections and can assure you I have a 90+% success rate with it. Like anything else, though, it's not for everybody or every issue and I think that's the issue - when it's being marketed to patients to make a buck without understanding the biology behind it.
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u/DrTFP
It's all BS
The key to success is taking stupid people's money legally
4
u/Living-Protection250
I get the frustration. There’s definitely a lot of noise around it right now. I think the tricky part is separating what’s promising vs what’s being marketed ahead of the evidence. Some patients are willing to pay for that “last option,” but the expectations and informed consent piece really matter.
The business model shift is interesting too, but I agree it doesn’t automatically validate the treatment itself.
2
u/Low-Conference-3762
Anybody use PRF?
1
u/OldPod73
Another thing I find utterly amusing is that if I mention a statistic or number on this Sub, I get DESTROYED with "Where did you get those numbers!!???"
Yet, no one is challenging anyone on here to present the numbers from a source other than themselves. It's hilariously ridiculous to me. Talk about confirmation bias...
1
u/Critical-Ear-2478
I have seen a lot of great results with other modalities that are not typically covered by insurance. Shockwave therapy, laser therapy, etc. PRP and amniotic injections are other great modalities, but I do not use those in my office. I think there is a place for anything.
1
u/healthyfeetpodiatry
I offer it but not as a first-line therapy. When you've done everything conservatively for certain issues, it's a great option before doing surgery which a lot of ppl don't want
1
u/DrValentineDPM
This is such a great topic! I practice in Louisiana and I often use PRP for 2 key treatment protocols
For plantar fasciitis I use a TOPAZ wand and then inject PRP after. It works very well. I no longer do EPFs. I use PRP as a treatment adjunct not as a sole line of treatment. This procedure is always done in the OR. So I bill insurance and not the patient directly.
I do a similar procedure for Achilles tendonitis. I use the TOPAZ wand first then inject PRP after. - This has been a game changer. We all know how hard Achilles tendonitis is to treat!
I hope this gives you some insight. You can definitely charge patient’s for PRP. Regardless of the science there is enough anecdotal information to support its usefulness. How you market is up to you 😉 Best, Dr. Valentine DPM- Foot and Ankle Specialist
1
u/Stewoverit
Not sure what the point of this post is other than to troll. The minimal amount of counter evidence you provided in a comment can easily be rebutted by a quick Google search for articles that state the exact opposite. If you don't believe in it, don't do it. I don't provide these services simply because it wouldn't be worth it with my patient load. I'm curious as to why you consider yourself an expert in this area more than the countless practitioners who advocate and utilize these methods?
1
u/SaintBobby_Barbarian
Late to the party but PRP whether for injections or for wounds is a great tool with plenty of data backing it up. And organogenesis is getting a BLA approval done for osteoarthritis, with promising results. Then you also have stuff like shockwave therapy as another therapy option that has both reimbursable and cash pay options.
Can you build a practice only on that? Not likely, but it’s another great segment to have