Can PRP Help Early Hip Arthritis Patients Avoid Surgery?

by Chris Centeno, MD /

Receive a Regenexx® Patient Info Packet by email and learn why it's a superior regenerative solution.

prp hip arthritis

There’s a new concept that gets introduced with regenerative medicine. That’s the idea that we can reduce degeneration in early arthritis or intervene early in tendon and ligament injuries. We’ve done that for our patients for many years, but we’re now beginning to see the research catch up. This morning I’ll review a new study on early hip arthritis and PRP.

Being Proactive

As we age, we all want to remain as active as possible and avoiding big surgeries is one way to do that. However, most of the treatment used to manage arthritis is destructive toward the joint. For example, we now know through a large randomized controlled trial that injecting steroids into the knee joint can cause more loss of cartilage over time. However, with the advent of therapies that can ramp up the healing like PRP and/or stem cells, there’s an opportunity to use these treatments to intervene earlier.

If you want to understand more about this Proactive concept, my book on the subject is a quick read (click on the book cover):

Hip Arthritis

If there was ever a type of arthritis where being proactive is critical, it would be hip arthritis. Hip arthritis is just a different animal than knee arthritis. Hips can go very quickly and advance from mild to severe arthritis within months to 1-2 years, whereas knees often smolder for years before making that type of jump in severity. In addition, once hips hit that severe arthritis level, the bone gets very involved and often begins to collapse. This means that even advanced stem cell treatments can struggle to reduce pain and increase function. Hence, hips are the perfect target for being proactive by using orthobiologics early.

New Research on Hip Arthritis and PRP

What is PRP? That stands for platelet-rich plasma. To learn more, see my video below:

The new study on patients with early hip arthritis was just presented at the Arthroscopy Association of North Ameria annual meeting (see page 21) . The researchers (Kraeutler) compared hyaluronic acid (a common injectable gel treatment for arthritis) against PRP in a randomized controlled trial. They found that the 32 patients who got PRP shots in their hips only went on to get a hip replacement at a rate of 11% compared to 50% for the 30 patients in the hyaluronic acid group (over 6 months). The PRP patients also had better functional scores and range of motion.

The upshot? We’ve been using PRP injections in early hip arthritis patients for years, hoping that this would buy them more time and reduce cartilage breakdown. This most recent research would support that this is possible. So as I say to all of my patients, it’s better to treat a small problem early than a big problem once it’s too late!


Reference: Kraeutler MJ, et al. A double-blind, randomized controlled trial comparing platelet-rich plasma vs. hyaluronic acid for early osteoarthritis of the hip joint. Presented at: Arthroscopy Association of North America Annual Meeting; May 2-4, 2019; Orlando.

Category: Uncategorized

Leave a Reply

Your email address will not be published. Required fields are marked *

4 thoughts on “Can PRP Help Early Hip Arthritis Patients Avoid Surgery?

  1. Rick MOSS

    This sounds all good !! But how can we afford to get Stem Cell ? When our insurance company doesn’t except this … I have been trying for a few years now to get stem cell on my hip !! Every time I go and ask I get rejected… so disappointing looks like it i will eventually have to get the replacement done which I do not want

    1. Regenexx Team

      Hi Rick,
      Please give us a call at 855 622 7838 for information on various ways to handle that.

  2. Matt

    Do you treat other arthritis induced joint pain areas with PRP? I have been diagnosed with mild osteoarthritis in my neck, shoulders, hands and feet. The pain is around a 7-9 when flare ups happen so I hate to have to endure what’s coming when the OA jumps into the moderate category.

    1. Regenexx Team

      Hi Matt,
      Yes, we actually treat joints with platelet procedures like PRP more commonly than with stem cells, which we only use when needed. It would especially important to address the neck issue, as cervical issues are often causative in both shoulder and hand issues. Please see: https://regenexx.com/blog/active-grandmothers-neck-pain-resolved-without-surgery/ and https://regenexx.com/blog/a-colorado-regenexx-patient-review-pain-free/ and https://regenexx.com/conditions-treated/spine/ Do you have any imaging of your neck?

Chris Centeno, MD

Regenexx Founder

Chris Centeno, MD is a specialist in regenerative medicine and the new field of Interventional Orthopedics. Centeno pioneered orthopedic stem cell procedures in 2005 and is responsible for a large amount of the published research on stem cell use for orthopedic applications.
View Profile

Get Blog Updates by Email

Get fresh updates and insights from Regenexx delivered straight to your inbox.

Regenerative procedures are commonly used to treat musculoskelatal trauma, overuse injuries, and degenerative issues, including failed surgeries.
Select Your Problem Area
Shoulder

Shoulder

Many Shoulder and Rotator Cuff injuries are good candidates for regenerative treatments. Before considering shoulder arthroscopy or shoulder replacement, consider an evaluation of your condition with a regenerative treatment specialist.

  • Rotator Cuff Tears and Tendinitis
  • Shoulder Instability
  • SLAP Tear / Labral Tears
  • Shoulder Arthritis
  • Other Degenerative Conditions & Overuse Injuries
Learn More
Cervical Spine

Spine

Many spine injuries and degenerative conditions are good candidates for regenerative treatments and there are a number of studies showing promising results in treating a wide range of spine problems. Spine surgery should be a last resort for anyone, due to the cascade of negative effects it can have on the areas surrounding the surgery. And epidural steroid injections are problematic due to their long-term negative impact on bone density.

  • Herniated, Bulging, Protruding Discs
  • Degenerative Disc Disease
  • SI Joint Syndrome
  • Sciatica
  • Pinched Nerves and General Back Pain
  • And more
Learn More
Knee

Knees

Knees are the target of many common sports injuries. Sadly, they are also the target of a number of surgeries that research has frequently shown to be ineffective or minimally effective. Knee arthritis can also be a common cause for aging athletes to abandon the sports and activities they love. Regenerative procedures can be used to treat a wide range of knee injuries and conditions. They can even be used to reduce pain and delay knee replacement for more severe arthritis.

  • Knee Meniscus Tears
  • Knee ACL Tears
  • Knee Instability
  • Knee Osteoarthritis
  • Other Knee Ligaments / Tendons & Overuse Injuries
  • And more
Learn More
Lower Spine

Spine

Many spine injuries and degenerative conditions are good candidates for regenerative treatments and there are a number of studies showing promising results in treating a wide range of spine problems. Spine surgery should be a last resort for anyone, due to the cascade of negative effects it can have on the areas surrounding the surgery. And epidural steroid injections are problematic due to their long-term negative impact on bone density.

  • Herniated, Bulging, Protruding Discs
  • Degenerative Disc Disease
  • SI Joint Syndrome
  • Sciatica
  • Pinched Nerves and General Back Pain
  • And more
Learn More
Hand & Wrist

Hand & Wrist

Hand and wrist injuries and arthritis, carpal tunnel syndrome, and conditions relating to overuse of the thumb, are good candidates for regenerative treatments. Before considering surgery, consider an evaluation of your condition with a regenerative treatment specialist.
  • Hand and Wrist Arthritis
  • Carpal Tunnel Syndrome
  • Trigger Finger
  • Thumb Arthritis (Basal Joint, CMC, Gamer’s Thumb, Texting Thumb)
  • Other conditions that cause pain
Learn More
Elbow

Elbow

Most injuries of the elbow’s tendons and ligaments, as well as arthritis, can be treated non-surgically with regenerative procedures.

  • Golfer’s elbow & Tennis elbow
  • Arthritis
  • Ulnar collateral ligament wear (common in baseball pitchers)
  • And more
Learn More
Hip

Hip

Hip injuries and degenerative conditions become more common with age. Do to the nature of the joint, it’s not quite as easy to injure as a knee, but it can take a beating and pain often develops over time. Whether a hip condition is acute or degenerative, regenerative procedures can help reduce pain and may help heal injured tissue, without the complications of invasive surgical hip procedures.

  • Labral Tear
  • Hip Arthritis
  • Hip Bursitis
  • Hip Sprain, Tendonitis or Inflammation
  • Hip Instability
Learn More
Foot & Ankle

Foot & Ankle

Foot and ankle injuries are common in athletes. These injuries can often benefit from non-surgical regenerative treatments. Before considering surgery, consider an evaluation of your condition with a regenerative treatment specialist.
  • Ankle Arthritis
  • Plantar fasciitis
  • Ligament sprains or tears
  • Other conditions that cause pain
Learn More

Is Regenexx Right For You?

Request a free Regenexx Info Packet

REGENEXX WEBINARS

Learn about the #1 Stem Cell & Platelet Procedures for treating arthritis, common joint injuries & spine pain.

Join a Webinar

RECEIVE BLOG ARTICLES BY EMAIL

Get fresh updates and insights from Regenexx delivered straight to your inbox.

Subscribe to the Blog

FOLLOW US

Copyright © Regenexx 2019. All rights reserved. | Privacy Policy

*DISCLAIMER: Like all medical procedures, Regenexx® Procedures have a success and failure rate. Patient reviews and testimonials on this site should not be interpreted as a statement on the effectiveness of our treatments for anyone else.

Providers listed on the Regenexx website are for informational purposes only and are not a recommendation from Regenexx for a specific provider or a guarantee of the outcome of any treatment you receive.