Short spoken advice for active patients who want to avoid surgery: start with metabolic and anti-inflammatory strategies (diet, supplements, health coaching, mobility) and progress to orthobiologic interventions—typically platelet-rich plasma (PRP)—to reduce joint inflammation and improve function.
They don't want surgery, they want to avoid that. But they also are very active, right? So they want to play golf, they want to pick their grandkids up, they want to play soccer, they want to ref those football games, and they want to have something done. So what we do is we clean up the metabolism, we give them, we do the anti inflammatory diet, we start with supplementation, we have health coaching, we do mobility work, but we also will do an intervention. So we'll start with an orthobiologics program and that typically will start with prp. Platelet rich plasma can make a huge difference in how much inflammation we have in the joint.
