PRP (Platelet-Rich Plasma) Research
6 peer-reviewed studies supporting this intervention. Evidence rating: B
Study Comparison
| Study | Year | Type | Journal | Key Finding |
|---|---|---|---|---|
| Du D et al. | 2025 | Journal of orthopaedic surgery and research | Combining PRP with hyaluronic acid (HA) for knee osteoarthritis provides greater improvements in pain and function scores compared to PRP alone, with a comparable safety profile. | |
| Xu Y et al. | 2024 | The American journal of sports medicine | PRP injections provide superior long-term pain relief and functional improvement for lateral epicondylitis compared to corticosteroid and other injections, with benefits persisting beyond 6 months. | |
| Rahman E et al. | 2024 | Systematic review | Journal of clinical medicine | A comprehensive review across medical and surgical specialties finds PRP shows promise in orthopedics, dermatology, and wound healing, but highlights significant variability in preparation protocols as a barrier to standardized clinical use. |
| Filardo G et al. | 2022 | Study | Cartilage | PRP injections provide superior pain relief and functional improvement compared to hyaluronic acid and placebo for knee osteoarthritis |
| Gentile P et al. | 2021 | Study | International Journal of Molecular Sciences | PRP significantly increases hair density and thickness in androgenetic alopecia, with best results using activated PRP and 3+ treatment sessions |
| Fitzpatrick J et al. | 2017 | Study | American Journal of Sports Medicine | PRP reduces pain in chronic tendinopathy by 37% compared to controls, with lateral epicondylitis showing the strongest response |
Study Details
Journal of orthopaedic surgery and research
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This meta-analysis and systematic review compared the clinical efficacy and safety of platelet-rich plasma combined with hyaluronic acid (PRP + HA) versus PRP monotherapy for knee osteoarthritis (KOA). The analysis pooled data from randomized controlled trials evaluating WOMAC scores, VAS pain scores, Lequesne index, and IKDC scores.
The results showed that the combination of PRP + HA yielded statistically significant improvements in pain relief and functional outcomes compared to PRP alone. Subgroup analyses consistently favored the combination therapy, suggesting synergistic benefits from the regenerative properties of PRP and the viscoelastic lubrication provided by hyaluronic acid.
Importantly, the combination therapy demonstrated a safety profile comparable to PRP monotherapy, with no significant increase in adverse events. These findings suggest that adding hyaluronic acid to PRP injections may enhance treatment outcomes for knee osteoarthritis patients.
The American journal of sports medicine
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This systematic review and meta-analysis examined randomized controlled trials comparing platelet-rich plasma (PRP) injections with other treatments for lateral epicondylitis (tennis elbow).
The results demonstrated that PRP injections outperformed corticosteroid injections and other comparators for long-term functional improvement and pain reduction. While corticosteroids often showed better short-term results, PRP consistently delivered superior outcomes at follow-ups beyond 6 months, suggesting durable tissue healing rather than temporary symptom suppression.
The findings support PRP as a preferred injectable treatment for chronic lateral epicondylitis, particularly for patients seeking sustained improvement rather than short-term relief.
Journal of clinical medicine
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This systematic review evaluated platelet-rich plasma (PRP) applications across a wide range of medical and surgical specialties, assessing the quality of evidence, preparation methods, and clinical outcomes.
The authors found that PRP demonstrates meaningful clinical benefits in several areas, particularly orthopedic conditions (osteoarthritis, tendinopathies), dermatological applications (hair restoration, skin rejuvenation), and chronic wound management. However, the review identified significant heterogeneity in PRP preparation protocols across studies.
The authors emphasize that the lack of standardized PRP preparation and classification systems remains the primary obstacle to establishing definitive clinical guidelines, and call for regulatory enforcement of preparation standards to improve reproducibility and evidence quality across specialties.
Cartilage
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Comprehensive meta-analysis of 30 randomized controlled trials evaluating PRP injections for knee osteoarthritis and cartilage lesions. The analysis included over 2,500 patients and compared PRP to hyaluronic acid, saline placebo, and corticosteroids.
International Journal of Molecular Sciences
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Meta-analysis of 22 studies evaluating PRP for androgenetic alopecia (male and female pattern hair loss). Assessed effects on hair density, hair diameter, and patient satisfaction across multiple treatment protocols.
American Journal of Sports Medicine
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Meta-analysis examining PRP efficacy for various tendinopathies including lateral epicondylitis (tennis elbow), patellar tendinopathy, Achilles tendinopathy, and rotator cuff disease. Focused on chronic cases that had failed conservative management.
Evidence Assessment
This intervention has moderate evidence from some randomized trials and consistent observational data, though more research would strengthen conclusions.