Apr 14, 2025
Joint pain can be a daily struggle, affecting everything from simple walks to sleep and overall quality of life. For many, traditional treatments like physical therapy, medications, or even surgery provide only limited relief—or come with side effects and long recovery times. That’s where regenerative medicine steps in, offering innovative options like Platelet-Rich Plasma (PRP) and Cell Therapy. These treatments harness the body’s own healing powers to target the root of joint pain, not just mask the symptoms.
If you’re curious about how PRP and Cell Therapy work, and whether they might be right for you or someone you love, read on. We’ll break down the science in simple terms and explore how these therapies are changing the way we treat joint issues.
What Causes Joint Pain?
Joint pain can stem from many sources: injury, overuse, inflammation, arthritis (especially osteoarthritis), or even simple aging. The cartilage that cushions joints can wear down, tendons and ligaments can become inflamed or torn, and the surrounding tissues may degenerate over time.
Traditionally, options like corticosteroid injections or anti-inflammatory drugs have been used to reduce pain. However, these don’t actually repair damage—they just offer temporary relief. That’s where regenerative therapies like PRP and cell therapy stand apart: they aim to stimulate healing, not just dull the pain.
What Is PRP Therapy?
Platelet-Rich Plasma (PRP) therapy is a treatment that uses a concentration of your own platelets to accelerate healing in damaged joints and tissues.
How It Works:
- Blood Draw: A small amount of your blood is drawn—similar to a standard lab test.
- Separation: The blood is spun in a centrifuge to separate the platelets from other components like red and white blood cells.
- Injection: The resulting platelet-rich plasma is injected directly into the affected joint.
Platelets are best known for clotting blood, but they also contain growth factors—powerful proteins that promote tissue repair, reduce inflammation, and stimulate cell regeneration. By injecting a high concentration of these growth factors directly into the joint, PRP therapy encourages the body to repair itself.
What It’s Used For:
- Osteoarthritis (knee, hip, shoulder)
- Tendonitis
- Ligament injuries
- Cartilage damage
- Sports injuries
What Is Cell Therapy?
Cell therapy—often referred to as stem cell therapy—uses the body’s own cells to rebuild and repair damaged tissues. These aren’t embryonic stem cells but rather adult stem cells, typically derived from bone marrow or adipose (fat) tissue.
How It Works:
- Harvesting Cells: Cells are collected from your own body, usually from the bone marrow in your pelvis or fat tissue in the abdomen or thighs.
- Processing: The cells are processed and sometimes combined with PRP to enhance their effectiveness.
- Injection: The mixture is injected into the painful joint under ultrasound or fluoroscopic guidance.
These cells have the ability to differentiate—meaning they can transform into other types of cells, such as cartilage, bone, or tendon cells. They also release molecules that reduce inflammation and promote healing at the cellular level.
What It’s Used For:
- Moderate to severe osteoarthritis
- Cartilage degeneration
- Chronic joint inflammation
- Joint injuries that haven’t healed with traditional treatments
PRP vs. Cell Therapy: What’s the Difference?
| Feature |
PRP Therapy |
Cell Therapy |
| Source |
Platelets from your blood |
Stem cells from bone marrow or fat |
| Mechanism |
Stimulates healing with growth factors |
Repairs tissue by regenerating new cells |
| Best For |
Mild to moderate joint damage |
Moderate to severe degeneration |
| Invasiveness |
Minimally invasive |
Slightly more invasive (requires tissue harvesting) |
| Cost |
Lower |
Higher |
Think of PRP as a “booster” that speeds up healing, while cell therapy is a “builder” that can regenerate more extensive damage.
What to Expect from Treatment
Procedure:
Both PRP and cell therapy are usually done in an outpatient setting. The procedures typically take 1-2 hours. Since your own cells are used, the risk of allergic reactions is minimal.
Recovery:
- PRP: Mild soreness for a day or two; most people resume normal activity within 24-48 hours.
- Cell Therapy: Slightly longer recovery time due to the harvesting process; some patients may need a few days of rest.
Results:
- Most patients report a gradual reduction in pain over weeks to months.
- Improvements can last anywhere from 6 months to 2 years or more.
- Outcomes vary depending on the severity of the condition, overall health, and adherence to post-treatment guidelines like physical therapy and lifestyle changes.
The Science Behind It
PRP and cell therapy are backed by a growing body of research. For example:
- A 2020 study published in American Journal of Sports Medicine found that PRP injections significantly improved symptoms in patients with knee osteoarthritis over a 12-month period.
- A 2021 meta-analysis concluded that stem cell therapy showed consistent results in improving joint function and reducing pain in osteoarthritis patients, especially when used early in disease progression.
While not a miracle cure, these therapies are helping people delay or even avoid surgery, including joint replacement.
Is It Safe?
Yes—for most patients, PRP and cell therapy are considered safe and well-tolerated. Because the materials come from your own body, the risk of infection or rejection is extremely low. However, like any medical procedure, results aren’t guaranteed, and not everyone is a good candidate.
It’s crucial to consult with a medical provider who specializes in regenerative medicine to determine if these treatments are appropriate for your condition.
Is It Covered by Insurance?
Unfortunately, most insurance companies don’t yet cover PRP or cell therapy, viewing them as experimental. That’s slowly changing as more evidence emerges. Costs can range from a few hundred dollars (for PRP) to several thousand (for cell therapy), so be sure to ask for a cost estimate before committing.
Who’s a Good Candidate?
You might be a good candidate for PRP or cell therapy if you:
- Have chronic joint pain that hasn’t improved with rest, therapy, or medication
- Want to avoid or delay surgery
- Are in good general health
- Are not a smoker (smoking reduces healing)
- Are not severely immunocompromised or on blood thinners
The Future of Joint Pain Treatment
PRP and cell therapy offer a promising new frontier in the treatment of joint pain. These regenerative therapies don’t just cover up symptoms—they tap into the body’s natural ability to heal, rebuild, and regenerate. While they’re not a replacement for all conventional treatments, they can be a powerful tool in the journey to pain relief, better mobility, and improved quality of life.
If joint pain is holding you back, it may be time to consider a regenerative approach. Consult a knowledgeable provider to explore whether PRP or cell therapy is the right path for you.
Disclaimer: This article is for informational purposes only and should not be taken as medical advice. Always consult with a qualified healthcare provider for diagnosis and treatment recommendations.
Oct 13, 2022
As one the largest joints in the body, the knees often suffer the most from the wear-and-tear that comes with a lifetime of use (or abuse). Whether damaged by an injury such as a ligament or tendon tear, or simply worn down by years of standing, running, jumping, lifting, etc., the result is often the same: chronic pain, inflammation, and reduced movement.
Depending on the extent of the injury or damage to the knee, patients can often gain some temporary relief from steroid injections that decrease swelling or from other interventional treatments such as hyaluronic acid injections that increase lubrication in the joint. But when these options have been expended, many look to surgery as their last, best hope to repair the damage and bring sought-after pain relief.
But now, non-surgical cellular treatments are providing long-term relief to patients with knee pain by putting the body’s own natural healing abilities to work to undo the damage brought on by injury or degeneration.
How Do Cellular Treatments Work?
Known as regenerative medicine, cellular treatments harness powerful healing properties within the body’s building blocks—its own cells—to help repair and, in some cases, replace injured tissues. These treatments promote healing of injuries to the cartilage in the knee joint, as well as soft tissues such as tendons and ligaments in the knee.
To adhere to Federal Food and Drug Administration (FDA) guidelines, only autologous (from the patient’s own body) cellular products can be used to treat orthopedic conditions. Donor products, including cord or amniotic cells, are not approved to treat knee osteoarthritis or soft tissue injuries in the knee.
Cellular products are taken from the patient’s own blood, bone marrow, or fat (adipose) tissues to maximize the benefits of their unique healing properties:
- Platelet Rich Plasma: Platelets in blood release growth factors and proteins that promote tissue repair, while the plasma carries the hormones, electrolytes and nutrients required to nourish cells during the healing process. Platelet rich plasma treatments can be customized to create specific formulations for each type of tissue being treated (muscle, tendon, ligament, cartilage).
- Cellular Therapy: Cells derived from the patient’s own bone marrow or adipose (fat) tissue called “pericytes” produce molecules that spur the production of new blood vessels, awaken other stem cells and encourage newly forming cells to produce collagen and other proteins essential for creating new healthy tissues. These specific cells can develop into the specific kind of cell needed, whether that be tendon, ligament, cartilage, or bone.
After these products are removed from the patient, they are concentrated and reinjected directly to the injured area to address the degeneration or injury.
Do Cellular Treatments for the Knees Work?
Regenerative medicine practitioners have scores of anecdotal evidence from satisfied patients that support the powerful pain-relieving and healing properties of cellular treatments for the knees.
But because the field of regenerative medicine is relatively new, until recently, there has been a limited amount of clinical data to bolster this anecdotal evidence. We believe the quantitative, controlled data that clinical trials will produce will not only further the use of cellular treatments for orthopedic conditions but will also confirm what hundreds of our satisfied patients have been telling us for years: cellular treatments have helped their bodies heal naturally while allowing them to resume the activities that help them regain their quality of life.
The experts at SDOMG help patients with knee injuries and knee osteoarthritis find the relief they need using expert technology and treatments. To learn more about cellular therapy for knee injuries, contact SDOMG using the form below.
Sep 6, 2022
A free webinar on healing orthopedic injuries with BioWave therapy was held on September 13, 2022 featuring Drs. Diaz, Ambach, and Rogers. See the video here.
Dr. Christopher Rogers is one of the world’s leading experts in orthopedic regenerative medicine and a renowned speaker at national medical conferences. He has developed new approaches for the treatment of tendon injuries, osteoarthritis and disc degeneration which provide a safe and viable alternative to surgery.
Dr. Mary Ambach specializes in non-surgical orthopedics, regenerative therapies and interventional pain management. As a key thought leader in the field of Regenerative Medicine, Dr. Ambach conducts research, trains physicians and lectures at international medical conferences.
Apr 16, 2021
Facet joints are small joints that connect the bones of the spine called vertebrae. They come in pairs on each side of the vertebral bones. They allow for motion of the spine like bending and twisting. The orientation of the facet joint dictates the direction of the motion it allows.
There are various causes of pain coming from the facet joint. Similar to the joints in your arms and legs, the facet joints are prone to wear and tear. They can develop degenerative changes or joint osteoarthritis. This is a common condition in older people. The capsule surrounding the facet joint, which is made of ligaments and connective tissue, can be overstretched creating a sprain injury. Autoimmune or Inflammatory conditions like rheumatoid arthritis can also affect the facet joints by causing inflammation and deterioration.
Pain in the facet joints are typically felt in the local region of the affected joint segmetns. The pain can be felt close to the midline in the neck, upper back, mid-back or low back. Sometimes the pain is referred to the head, shoulder blade, shoulder, thigh or buttock. Stiffness, grinding in the joints (crepitus) and muscle spasm are other symptoms associated with facet joint disorders.
The standard treatment for facet joint pain include a course of physical therapy, non-steroidal anti-inflammatory medications, pain relieving medications, and home exercise program. When conservative measures fail, injection therapy to the facet joints or to the nerves leading to the facet joints can be helpful.
What is a Facet Joint Injection?
Facet joint injection is a minimally invasive procedure that is performed in an outpatient medical clinic. Local anesthesia is typically used in the procedure. There is no need for sedation in most cases. The procedure is performed under fluoroscopic (live digital x-ray) guidance. The typical substances that are injected to the facet joint are steroid medication to decrease inflammation and local anesthesia to provide immediate pain relief. The effects of these medications can provide temporary pain relief that typically last for 3-4 months.
Another injection that can provide pain relief does not involve injection to the joint, rather it involves the injection of numbing agents to the pain transmitting nerves (medial branch) called a nerve block. If this procedure results to a positive reponse, another procedure called Radiofrequency Ablation (RFA) can be performed. This involves inducing a heat lesion to the medial branches to prevent transmission of pain signals to the brain.
The use of Orthobiologics is an alternative treatment to facet joint conditions. Although the research on these treatments for spinal conditions is relatively new, it has the potential to improve arthritis and provide long term pain relief.
Risks Associated with the Facet Joint Injection Procedure
Facet joint injections are relatively safe with minimal risks. Risks associated with this procedure may include:
- Discomfort at the Injection Site: These effects are temporary and typically resolve in a few hours.
- Adverse reaction to medications: Some of the medications used in the procedure can cause adverse reaction in susceptible individuals. It is important to review your medications with your physician prior to the procedure. Severe allergic reactions are rare.
- Bleeding: Patients who are taking blood thinners or have a bleeding disorder are at risk for bleeding when undergoing an injection procedure. Blood thinners are typically stopped for 3-5 days prior to the procedure, with the permission of your primary doctor, to avoid this risk.
- Infection: Infection is rare when the procedure is performed under strict sterile protocols and proper procedure technique.
Sources:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1905869/
http://www.ajnr.org/content/33/8/1419
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206372/
Dec 11, 2020
Natural therapies have been a valuable option for patients seeking alternative options to traditional medical treatments. These natural remedies can help relieve pain and stiffness associated with joint arthritis. It can also play an important role in one’s overall wellness.
Natural Ways to Reduce Joint Pain
Massage
Massage therapy has shown many health benefits for thousands of years. It can help improve flexibility, improve circulation, manage chronic pain, and improve rehabilitation. It can also promote overall well-being by reducing anxiety, promoting relaxation and improving sleep.
Acupuncture
Acupuncture is a form of traditional Chinese medicine which involves very thin small needles that are inserted through the skin at specific acupuncture points on the body. It is believed to stimulate the central nervous system, improve blood flow and activate the body’s natural painkillers. A meta-analysis study showed that acupuncture can not only improve chronic knee pain associated with osteoarthritis, it can also improve short and long term physical function.
Yoga
Yoga is an ancient Indian practice that uses deep breathing, meditation and body postures. Several studies have shown significant reduction in pain and function with improved strength, balance and gait, when used as an adjunct in the management of arthritis.1 The psychological benefits of Yoga therapy have been shown in the published literature to help reduce blood pressure, heart rate, anxiety and many other benefits.
Exercise
Exercise keeps your joints flexible and improves the strength of supporting muscles. Low impact exercises such as walking, cycling, and aquatic therapy are great options for patients with joint arthritis. Working with a physical therapist or a personal trainer offers many benefits in addition to getting proper exercise. They can perform manual therapies, counsel on proper positioning and body movement and recommend assistive devices such as braces. Aquatic therapy, also known as pool therapy or water therapy, is an alternative option for those who can not perform land-based therapies with less risk of exacerbating their joint pain. The gravity reduced environment of water can allow for gentle movements to improve strength, flexibility, and endurance that is better tolerated by some.
It is important to maintain a regular home exercise routine to continue the benefits of exercise and maintain overall health.
Weight loss
Being overweight is a major risk factor for the development of osteoarthritis. Losing weight removes extra pounds of pressure on swollen, painful joints. Maintain a healthy weight by combining a balanced diet with regular physical activity.
Heat and Cold
Heat can relieve muscle and joint stiffness while cold can reduce inflammation, swelling and pain. These are easily available modalities that can help manage joint pain and reduce the need for pain medications .
Natural alternative arthritis treatments are generally safe and can be a good adjunct to standard medical treatments. Some do have scientific evidence to support their efficacy, however others need more research to evaluate their benefits. Patients can discuss these treatments with their doctor to determine if these are appropriate for their specific needs.
1 Ebnezar J, Nagarathna R, Yogitha B, Nagendra HR. Effect of integrated yoga therapy on pain, morning stiffness and anxiety in osteoarthritis of the knee joint: A randomized control study. Int J Yoga. 2012;5(1):28-36. doi:10.4103/0973-6131.91708
