By Dr. Jeffrey Peng, MD · Published March 5, 2026 · 7 min read Watch the Full Video Platelet-rich plasma (PRP) injections have become one of the most effective non-surgical treatments for reducing pain and improving function in patients with knee osteoarthritis . But an important question remains: can PRP actually slow down the progression of arthritis itself? A landmark randomized controlled trial by Chu et al. (2022) set out to answer that question — and the results were

By Dr. Jeffrey Peng, MD · Published March 5, 2026 · 8 min read Watch the Full Video Platelet rich plasma (PRP) and stem cell injections are among the most promising nonsurgical treatments available for joint pain and musculoskeletal conditions. However, because most insurance plans do not cover these procedures, cost is one of the most common questions patients ask before pursuing treatment. Understanding the typical price range, the factors that influence pricing, and — mos

By Dr. Jeffrey Peng, MD · Published March 5, 2026 · 5 min read Watch the Full Video Myofascial pain syndrome is one of the most common and frustrating musculoskeletal conditions encountered in clinical practice. Characterized by painful trigger points within taut bands of skeletal muscle, it can significantly diminish quality of life and prove remarkably difficult to manage. Clinicians have long relied on a multimodal approach — combining heat therapy, cardiovascular and res

By Dr. Jeffrey Peng, MD · Published March 5, 2026 · 6 min read Watch the Full Video Plantar fasciitis is one of the most common causes of heel pain, affecting both athletes and non-athletes alike. While most cases respond well to conservative treatments such as stretching, arch support, and physical therapy , some patients continue to experience persistent pain despite months of standard care. For these individuals, newer treatment options like platelet-rich plasma (PRP) inj

By Dr. Jeffrey Peng, MD · Published March 5, 2026 · 5 min read Watch the Full Video Carpal tunnel syndrome is one of the most common causes of hand pain and numbness, affecting millions of people each year. Injections are frequently used to provide symptom relief, but which type of injection delivers the best results? A systematic review and network meta-analysis compared three injection options — platelet-rich plasma (PRP) , dextrose prolotherapy, and corticosteroids — to

By Dr. Jeffrey Peng, MD · Published March 5, 2025 · 7 min read Watch the Full Video Meniscus tears are one of the most common knee injuries, and for patients with degenerative tears, the standard recommendation from many orthopedic surgeons remains arthroscopic partial meniscectomy. However, a growing body of evidence suggests that surgery should be seen as a last resort for degenerative meniscus tears, not a first-line treatment. In fact, a comprehensive non-surgical treatm

By Dr. Jeffrey Peng, MD · Published March 5, 2026 · 10 min read Watch the Full Video One of the most common questions patients ask at their first consultation is whether their health insurance will cover platelet-rich plasma (PRP) injections . It is an understandable concern — PRP is one of the most effective nonsurgical treatments available for conditions like knee osteoarthritis and chronic tendon injuries, yet the vast majority of insurance companies in the United States

By Dr. Jeffrey Peng, MD · Published March 5, 2026 · 8 min read Watch the Full Video Thumb arthritis is one of the most common — and underappreciated — causes of hand pain and disability. The carpometacarpal (CMC) joint at the base of the thumb bears tremendous load throughout the day: opening jars, turning keys, gripping a pen, pinching small objects. When osteoarthritis develops at this joint, even routine tasks become painful and limiting. Traditional treatments such as sp

By Dr. Jeffrey Peng, MD · Published March 5, 2025 · 7 min read Watch the Full Video If you have been diagnosed with knee osteoarthritis and are exploring injection options, two of the most common treatments you will encounter are platelet-rich plasma (PRP) and hyaluronic acid (HA) injections. Both are well-established, evidence-based treatments that can reduce pain and improve function, but they work through different mechanisms and come with different cost and insurance co

By Dr. Jeffrey Peng, MD · Published March 5, 2025 · 6 min read Watch the Full Video If you are dealing with persistent shoulder pain — whether from a rotator cuff tear, tendinopathy, or impingement — your doctor may have recommended a cortisone injection. Cortisone is a well-established treatment that can provide quick symptom relief. But recent clinical evidence suggests that platelet-rich plasma (PRP) may offer superior long-term results for many shoulder conditions. In t

By Dr. Jeffrey Peng, MD · Published March 4, 2026 · 30 min read Watch the Full Video Platelet-rich plasma (PRP) injections have generated significant attention for their ability to treat joint pain, tendon injuries, and accelerate recovery using your body’s own healing mechanisms. But with growing interest comes a flood of questions: Does PRP actually work? How does it compare to cortisone or stem cells? Is the cost justified when insurance does not cover it? In this compreh

By Dr. Jeffrey Peng, MD · Published March 4, 2026 · 8 min read Watch the Full Video Cortisone injections have been a staple of musculoskeletal medicine for decades. They are fast, relatively inexpensive, and can deliver meaningful short-term pain relief for conditions ranging from arthritis to tendinitis and bursitis. But what does the clinical evidence actually say about the long-term consequences of cortisone shots on your tendons and joints? In my practice as a sports me

By Dr. Jeffrey Peng, MD · Published March 4, 2026 · 8 min read Watch the Full Video For decades, surgery was considered the only reliable option for repairing torn tendons. Partial tears of the rotator cuff, in particular, present a clinical challenge because they rarely heal on their own and tend to worsen over time. However, emerging research suggests that platelet-rich plasma (PRP) injections may offer a compelling nonsurgical alternative — one that not only reduces pain

By Dr. Jeffrey Peng, MD · Published March 4, 2026 · 8 min read Watch the Full Video Stem cell therapy has become one of the most talked-about treatments in the world of joint pain and arthritis. The promise is alluring: a single injection that could repair damaged cartilage, eliminate chronic pain, and restore mobility without surgery. But does the science actually support the hype? As a sports medicine physician who specializes in orthobiologic treatments , I want to walk

By Dr. Jeffrey Peng, MD · Published March 4, 2025 · 8 min read Watch the Full Video Platelet-rich plasma (PRP) injections have become one of the most promising regenerative medicine treatments for osteoarthritis, tendon injuries, and other musculoskeletal conditions. Clinical trials continue to demonstrate that PRP can outperform many conventional treatments — but not all PRP is created equal. There are three critical mistakes that can undermine the effectiveness of your PR

By Dr. Jeffrey Peng, MD · Published March 4, 2026 · 10 min read Watch the Full Video Living with knee osteoarthritis often means navigating a confusing landscape of treatment options, especially when it comes to injections. If cortisone shots have given you little to no lasting improvement, you are far from alone. The good news is that there are several alternatives worth considering, and the clinical evidence behind them continues to grow. In this guide, we will compare the

By Dr. Jeffrey Peng, MD · Published March 4, 2025 · 20 min read Watch the Full Video What Is Knee Osteoarthritis and Why Is It So Complex? Knee osteoarthritis is the most common form of arthritis and is defined by the progressive loss of cartilage within the joint. Despite its prevalence, most patients have a limited understanding of the condition and the full range of treatment options available. In my practice, I frequently encounter patients who have received incomplete o

By Dr. Jeffrey Peng, MD · Published March 4, 2026 · 12 min read Watch the Full Video Meniscus tears are among the most common knee injuries, affecting athletes and older adults alike. They can cause significant pain and disability in some people, yet in others they produce no symptoms at all. This disconnect is one of the main reasons there is so much confusion surrounding meniscus tear treatment — patients often receive conflicting advice from different providers. In this a

By Dr. Jeffrey Peng, MD · Published March 4, 2026 · 7 min read Watch the Full Video Platelet-rich plasma ( PRP ) injections have become one of the most effective nonsurgical treatments for knee osteoarthritis. However, what many patients and even physicians do not realize is that not all PRP injections are created equal. The number of platelets delivered during treatment — known as platelet dosing — plays a critical role in determining whether PRP will actually work. In this

By Dr. Jeffrey Peng, MD · Published March 4, 2026 · 8 min read Watch the Full Video Frozen shoulder — clinically known as adhesive capsulitis — is one of the most frustrating conditions I treat in my sports medicine practice. Patients often arrive having received conflicting advice: some were told to wait it out, others to get surgery, and many were never informed about the full range of evidence-based options available today. In this comprehensive guide, I break down every