Dr. Joshua John-Ram Schacter discusses the ongoing debate about PRP (platelet-rich plasma) effectiveness, arguing that outcomes depend on preparation and notably on higher platelet concentrations. He cites Don Buford’s research supporting higher platelet levels increasing efficacy, notes a critical review found no difference between PRP and steroids, and questions steroid use given steroids can damage tissue while PRP does not.
There is a debate, there's always questions as to whether PRP is effective. I think what we're finding is that PRP is dependent on its preparation, and we're finding that the higher platelet concentrations really matter. Don Buford down in Dallas, Texas, is an amazing researcher, and he's done a lot of work in this area, and he's found very conclusively that higher levels of platelet increase our efficacy. That also applies to bone marrow. Aspect this particular critical review did not find difference between PRP and steroid. But I would argue that if there's no difference between PRP and steroid, and PRP doesn't damage tissue and steroid does, then why are we ever even thinking steroid?
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