What timing of steroid injection is said to increase risk of complications after joint replacement?

Dr. Joshua John-Ram SchacterDr. Joshua Schacter, DO FAAOS, is America’s Holistic Orthopedic Surgeon, with nearly two decades of surgical expertise.

Debunking Misconceptions About PRP

1 Dec 2023 · 1 min

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0:40

YouTube video (Dr. Joshua John‑Ram Schacter) addressing misconceptions about PRP (platelet‑rich plasma). The speaker argues PRP augments local tissue healing and does not damage joints, contrasts PRP with steroid injections (which he says are damaging), and notes evidence that steroid injections within three months of joint replacement greatly increase complication risk. He also mentions using biologic therapies injected into fresh joint replacements in some cases.

Questions this video answers

A steroid injection within three months of a joint replacement is said to vastly increase the risk of complications.

Chapters

PRP is just something that's hedging our bets, right? It's an augment to the local tissue healing. So that's super important for us. To tell a patient that PRP is going to damage their joint, I think is fairly ignorant. That is not the case with prp. We know that steroid injections, which are the most common injections done in the joint worldwide, are specifically damaging. And there is very good evidence to suggest that if, if you do a steroid injection within three months of a joint replacement, you vastly increase your risk of complications. In our practice, we actually use biologics. In certain cases. We'll have patients who will opt to do biologics therapies after their surgery. So we'll take a fresh joint replacement and we'll inject.