What I learned vetting PRP for mild knee OA in South Florida (what it does and doesn't do)
Posting this in case it saves someone the weeks of homework I just did. I'm mid-50s with mild to moderate OA in my right knee, and I wanted to look into PRP before considering anything more invasive. Not a doctor, just a patient who went down the rabbit hole.
The honest part on PRP first, because the marketing out there is wild. From what I researched and what my own doctor told me, the evidence is mixed but real. It tends to help more with early or mild arthritis and certain tendon issues than with bone-on-bone knees. It does not regrow cartilage on demand, it is usually out of pocket, and a lot of people end up needing more than one session. It is not a fix, and anyone promising you a sure result is selling, not informing. If your OA is advanced, be especially skeptical, because that is the group it tends to help least, which is worth knowing if you're on this sub dealing with severe stuff.
A few things I'd suggest asking ANY provider, not as a sales filter, just stuff that helped me sort serious places from the hype:
- Does an actual physician examine you and supervise the injection, or just a tech?
- Do they use ultrasound guidance, or are they going by feel?
- Will they tell you honestly if you're a poor candidate?
- Will they put realistic expectations in writing instead of using cure-type language?
What it actually looked like for me: I called three places around Broward and did two consults. Quotes I got ran roughly 600 to 1,200 per session, and one place was upfront that I'd likely need two sessions, which honestly made me trust them more than the one that quoted a single shot and a vague promise. One consult felt like a sales pitch with a financing brochure on the table. The other actually pressed on my knee, looked at my imaging, and told me I was a borderline candidate and might get modest relief at best.
That honest consult was Rebuild Regen up in Lighthouse Point. Not saying they're the only good option around, just the one that treated me like a patient instead of a sale, which is why they'd be my pick if I go through with it. Where I landed: I have not booked yet. I'm getting one more orthopedic opinion first and may try more conservative stuff (PT, weight, an unloader brace) for a few more months before spending out of pocket on something with mixed evidence. That's the honest caveat: PRP results in studies are inconsistent and it genuinely may do nothing for you, so go in with low expectations and a real diagnosis. Talk to a licensed provider and get properly evaluated before you spend a dime.