u/Explaines

Has anyone here done PRP for Hoffa fat pad impingement/irritation?

My MRI only shows mild Hoffa fat pad irritation and minor findings overall, but I’ve had symptoms for years and PT hasn’t really helped much.

Main symptoms are pain/discomfort with full extension, sitting still for long periods, and flare-ups after activity.

Just wondering if anyone with similar MRI findings or symptoms tried PRP and whether it helped or not.

Has anyone here done PRP for Hoffa fat pad impingement/irritation?

My MRI only shows mild Hoffa fat pad irritation and minor findings overall, but I’ve had symptoms for years and PT hasn’t really helped much.

Main symptoms are pain/discomfort with full extension, sitting still for long periods, and flare-ups after activity.

Just wondering if anyone with similar MRI findings or symptoms tried PRP and whether it helped or not.

I’ve had knee pain for almost 6 years now and honestly I still don’t know what’s wrong.

I’ve seen 4 of the best doctors in my area. The first doctor said it was knee arthritis/cartilage wear, the second said nothing was wrong, the third said patellar tendonitis, and the fourth again said knee arthritis/cartilage wear.

After every appointment I’d do physical therapy and follow everything they told me, but literally nothing helped.

Over the years I’ve tried everything:
PT, strengthening exercises, massage, mobility work, rest, different rehab approaches… nothing really changed.

Recently I saw a well-known specialist who said the bone near my knee was rotated and slightly pushed forward. He adjusted it back with his hands and I’m currently doing PT with them, but still no improvement.

My MRI is mostly normal except for mild Hoffa fat pad edema and a tiny Baker’s cyst. No ligament or meniscus tears.

The weirdest symptom is that I can’t sleep with my knee fully straight. When I fully extend it while lying down, I get this uncomfortable electric-like sensation/flash in the knee that really bothers me, and I have to bend it again to feel comfortable. Sitting for long periods also hurts and I always feel like I need to move my knee.

Walking pain is usually mild, but the discomfort is always there.

At this point I honestly don’t know if this is:
- Hoffa fat pad impingement
- Patellar tracking issue
- Nerve irritation around the knee
- Or something completely different

I’m seeing a neuromuscular neurologist soon, but I wanted to ask if anyone here has experienced something similar.