Holiday pricing through Dec 30: $12,500, or $13,500 with AWT. Hotel included for out-of-town patients. Excludes spine.Book a free consult📞 Call (972) 893-9849
Platelet-rich plasma for joints · Patient education · Innovations Stem Cell Center · Dallas, TX

PRP for Joint Pain: What It Is, Its Limits and Next Steps

The short answer

PRP (platelet-rich plasma) is a concentrate made from your own blood and injected into a painful joint. Many people try it before surgery or other treatments because it is quick and uses their own blood.

The research is mixed. In a 2021 randomized trial of 288 adults with knee osteoarthritis, PRP was no better than a saltwater placebo injection at 12 months.[2] This page explains what joint PRP is, where it falls short, and what to consider if it did not help you.

New Patient Inquiries (Call or Text), Mon–Fri 8:30 AM–5 PM. PRP injections and stem cell therapy are not FDA-approved for treating joint pain or arthritis. Individual results vary.

The basics

What is joint PRP?

Platelets are tiny blood cells known mainly for helping blood clot. They also carry growth factors involved in tissue repair. PRP therapy concentrates those platelets and places them where you hurt.

  1. Blood draw. A small amount of blood is taken from your arm.
  2. Centrifuge. The blood is spun to separate the platelets from red blood cells.
  3. Injection. The platelet-rich layer is injected into the joint, often guided by ultrasound.

PRP contains no stem cells. There is also no single standard recipe: platelet concentration, white blood cell content and preparation steps vary widely between commercial systems, which makes studies hard to compare.[1]

Why it is popular

Why people often try PRP first

PRP is often offered after rest, physical therapy, medication or a steroid shot have not given lasting relief. Common reasons people choose it:

  • It uses your own blood.Nothing comes from a donor.
  • It is an office procedure.The draw, preparation and injection usually take one visit.
  • There is little downtime.Most people return to light activity soon after, though the joint may be sore for a few days.
  • It costs less than surgery or cell-based treatment.It is usually paid out of pocket, because insurance plans rarely cover it.
What the research says

Does PRP work for joint pain?

Some studies report less pain after PRP, and others find little or no difference compared with a placebo. Here is a plain-language summary of key studies, including what is still unknown.

Knee arthritis vs. placebo

A large trial found no clear difference

In the 2021 RESTORE trial, 288 adults with mild to moderate knee osteoarthritis received PRP or saltwater placebo injections. At 12 months, there was no significant difference in knee pain or cartilage volume.[2] The authors noted that most clinical guidelines do not recommend PRP for knee osteoarthritis.

PRP vs. gel injections

Compared with hyaluronic acid, results vary by joint

A 2021 review of 18 randomized trials in knee osteoarthritis found better average scores after PRP than after hyaluronic acid injections.[3] For hip osteoarthritis, a 2022 review found PRP and hyaluronic acid gave similar short-term results.[4]

Tendons and soft tissue

Evidence is still limited

A Cochrane review of 19 small trials in muscle, tendon and ligament injuries found insufficient evidence to support platelet-rich therapies and called for standard preparation methods.[5]

What is unknown

Recipe, dose and who responds

Because PRP systems produce very different products,[1] it is still unclear which preparation, how many injections and which patients are most likely to benefit. No one can promise an outcome from PRP. Individual results vary.

Know before you go

The limits of PRP for joints

  • Relief, if it comes, may fade. Many people need repeat injections, and benefits reported in studies are usually measured over months, not years.
  • It is less suited to advanced joint damage. Most trials studied mild to moderate arthritis. Evidence in severe, “bone-on-bone” joints is limited.
  • Products are not standardized. Two clinics can call very different injections “PRP.”[1]
  • It is not FDA-approved for joint pain. The devices used to prepare PRP are regulated by the FDA, but PRP injections are not FDA-approved for treating arthritis or joint pain.
  • It is usually not covered by insurance. Ask for the total cost, including the number of injections, before you start.
PRP at Innovations Stem Cell Center

Do we offer PRP for joints?

Not at this time. Innovations Stem Cell Center does not currently offer PRP injections for joints, muscles or tendons.

Our only PRP treatment is PRP ear injections for selected patients with hearing loss or tinnitus, under the care of Dr. Bill Johnson. Care starts with an in-office hearing test.

VISIT OUR HEARING & TINNITUS RECOVERY CENTER

PRP for hearing loss and tinnitus is investigational and not FDA-approved for this use. Individual results vary.

Already tried PRP?

When PRP did not help: stem cells as a next step

Many patients who contact us have already tried PRP, steroid shots or gel injections for joint pain. If those gave little or short-lived relief, stem cell therapy is an option some patients consider next.

The two are different. PRP delivers platelets and growth factors and contains no cells. Our treatment uses living mesenchymal stem cells from your own fat: typically 100 million cells or even more (counts may vary), tested for count and viability, and used the same day. They are never frozen.

Research on fat-derived stem cells for joints is still early. A small randomized trial in knee osteoarthritis reported less pain and better function at 12 months after adipose-derived stem cell injections, compared with usual care.[6] Larger trials are needed. Stem cell therapy is not FDA-approved for these uses, and Dr. Johnson will tell you if it is not a reasonable fit.

Cost: one flat fee of $16,500 for the joints that need treatment (up to 4) plus the IV dose, with acoustic wave therapy (AWT) included. Spine treatment is $19,000. Consultations are free, financing is available, and out-of-town patients receive a complimentary hotel stay.

As featured in
  • FOX 4 logo
  • nbc5 news innovations medical
  • cbs11 news innovations medical
  • wfaa 8 innovations stem cell center
  • CW33 logo Innovations Medical
  • Telemundo logo Innovations Medical
  • the doctors show innovations medical
  • d magazine innovations medical
  • dallas modern luxury magazine innovations medical
  • life sciences review innovations stem cell center
Patient stories

Hear from our patients

Dr. Johnson has been featured on TV for 20+ years. To hear from stem cell patients in their own words, watch our patient stories.

Patient experiences are individual. Individual results vary.

Visit our Dallas clinic

Innovations Stem Cell Center
12660 Coit Road Suite 100
Dallas, TX 75251

New Patient Inquiries (Call or Text): (972) 893-9849
Mon–Fri 8:30 AM–5 PM

National recognition

Top Stem Cell Therapy Treatments Company, 2025 & 2026

Innovations Stem Cell Center was named a “Top Stem Cell Therapy Treatments Company” by Life Sciences Review in 2025 and again in 2026.

An award reflects the publication’s editorial review. It is not a prediction of any individual patient’s outcome.

Life Sciences Review magazine cover featuring Dr. Bill Johnson
Questions patients ask

PRP for joint pain FAQ

What is PRP for joint pain?

PRP, or platelet-rich plasma, is made by drawing a small amount of your blood, spinning it in a centrifuge to concentrate the platelets, and injecting that concentrate into a painful joint. It contains growth factors but no stem cells.

Does PRP work for knee arthritis?

The evidence is mixed. Some studies report less pain than with gel injections, but a 2021 randomized trial of 288 adults found no significant difference between PRP and a saltwater placebo at 12 months. Individual results vary.

How long does PRP last?

When PRP helps, relief may last for months and then fade, and many people have repeat injections. Studies have mostly followed patients for a year or less, so long-term effects are not well known.

Is PRP FDA-approved for joint pain?

No. The devices used to prepare PRP are regulated by the FDA, but PRP injections are not FDA-approved for treating arthritis or joint pain. Stem cell therapy is also not FDA-approved for these uses.

Is PRP covered by insurance?

Usually not. Most people pay out of pocket, so ask for the total cost, including the number of injections, before you start.

What is the difference between PRP and stem cell therapy?

PRP uses platelets from your blood and contains no cells that can become tissue. Stem cell therapy at our clinic uses living mesenchymal stem cells from your own fat, typically 100 million cells or even more (counts may vary), tested and used the same day. Neither is FDA-approved for joint pain, and individual results vary.

PRP did not help my joint pain. What are my options?

Talk with a physician about your imaging and history. Options may include physical therapy, other injections, surgery or stem cell therapy. Our free consultation reviews whether stem cell therapy is a reasonable fit for you. Call or text New Patient Inquiries at (972) 893-9849.

How much does stem cell therapy for joints cost?

At our clinic, joint treatment is a flat $16,500 for the joints that need treatment plus the IV dose, with acoustic wave therapy included. Spine treatment is $19,000, a second treatment if needed is $10,000, and consultations are free.

Innovations Stem Cell Center · Dallas, Texas

Tried PRP? Talk through your next step.

Tell us what you have tried and how your joint feels now. We will explain the options honestly and let you know whether stem cell therapy may be a fit. Not sure yet? See who may qualify.

Sources

  1. Fadadu PP, et al. Review of concentration yields in commercially available platelet-rich plasma (PRP) systems: a call for PRP standardization. Reg Anesth Pain Med. 2019. PubMed 30992411
  2. Bennell KL, et al. Effect of intra-articular platelet-rich plasma vs placebo injection on pain and medial tibial cartilage volume in patients with knee osteoarthritis: the RESTORE randomized clinical trial. JAMA. 2021. PubMed 34812863
  3. Belk JW, et al. Platelet-rich plasma versus hyaluronic acid for knee osteoarthritis: a systematic review and meta-analysis of randomized controlled trials. Am J Sports Med. 2021. PubMed 32302218
  4. Belk JW, et al. Platelet-rich plasma versus hyaluronic acid for hip osteoarthritis yields similarly beneficial short-term clinical outcomes: a systematic review and meta-analysis. Arthroscopy. 2022. PubMed 34785294
  5. Moraes VY, et al. Platelet-rich therapies for musculoskeletal soft tissue injuries. Cochrane Database Syst Rev. 2014. PubMed 24782334
  6. Freitag J, et al. Adipose-derived mesenchymal stem cell therapy in the treatment of knee osteoarthritis: a randomized controlled trial. Regen Med. 2019. PubMed 30762487

PRP injections and stem cell therapy are not FDA-approved for treating joint pain or arthritis. This page is for general information and is not medical advice. Individual results vary. Medically reviewed by Dr. Bill Johnson, October 2026.

📞 CALL