A combination of hyaluronic acid and PRP may be more effective than individual treatments for knee pain.

“I know of a very well done study that looked at honic acid and PRP together and that seemed to be more effective not astronomically more effective but more effective than the treatments that we have it's more effective the combination of those two but is it disease modifying and that's the big maybe because that's your question it and there are studies that show it may be pushing off knee replacements for those patients”

“so right now PRP looks more effective at reducing symptoms than cortisone in the knee for arthritis is there any reason to believe it can delay the uh requirement for total knee replacement so maybe uh the we know that it if we look over the course of a year because this is what those trials looked at cortisone works very well in a short time frame it's pretty impressive the first couple weeks you get one and it helps there are some people who the pain comes right back so it doesn't have staying power when you compared steroids to PRP The PRP if you look out of over a year they're doing better hyaluronic acid which is another thing we inject also is doing better than cortisone if you look out if you combine”