Post-Surgical Joint Pain
Persistent pain after joint surgery, for example after meniscectomy or arthroscopy, is often associated with ongoing inflammation in the joint. PRP (Platelet-Rich Plasma), usually combined with Hyaluronic Acid (HA), is injected into the joint and aims to reduce inflammation, which may lead to less pain. A course is typically 1-2 sessions spaced 4 weeks apart.
Treatment can be combined with targeted rehabilitation to address underlying biomechanical factors. It is considered for patients whose pain persists despite technically successful surgery and standard rehabilitation. Results vary between individuals and suitability is assessed at consultation. Dr John sees patients in Bowral, serving the Southern Highlands, and at Norwest Private Hospital in Bella Vista.
PRP Treatment Process
Surgical Site Evaluation
MRI/ultrasound assessment may not be required
PRP Preparation
Customised based on findings, most likely PRP+HA
Precision Injection
Intraarticular injection
Recovery and Pain Relief
Avoid exercise for 6-8 weeks during treatment. Begin physio/rehab therapy at 8 weeks with progressive loading
Treatment Eligibility
Ideal Candidates:
✔ Persistent post-op pain >3 months
✔ Failed conventional rehab
✔ No mechanical symptoms
Exclusions:
✘ Loose surgical hardware
✘ Infection concerns
Pricing
Frequently Asked Questions
What is Post-Surgical Joint Pain, and how does PRP aim to treat it?
Post-surgical joint pain refers to persistent or new onset pain in a joint following a surgical procedure, where the pain is not resolving as expected or is indicative of ongoing issues like persistent inflammation, scar tissue formation, or subtle cartilage/soft tissue irritation that may have been missed or developed later. Platelet-Rich Plasma (PRP) involves injecting a concentrated solution of your own blood platelets, rich in growth factors and anti-inflammatory proteins, directly into the affected joint or surrounding soft tissues. PRP aims to reduce inflammation in the affected area, which may lead to less pain.
Am I a suitable candidate for PRP treatment for post-surgical joint pain in Australia?
PRP treatment for post-surgical joint pain is typically considered for individuals who continue to experience significant pain or functional limitations in a joint despite having undergone surgery and completed the standard rehabilitation protocol. This might be due to issues like persistent inflammation, soft tissue irritation, or localised pain that wasn’t fully addressed by the surgery itself. Your doctor, in liaison with the surgeon who performed your original procedure where appropriate, will conduct a thorough assessment, which may include reviewing your surgical history, physical examination, and potentially further imaging (like MRI or CT) to understand the underlying cause of your ongoing pain. PRP is often explored as a non-surgical option to enhance recovery and manage persistent symptoms before considering further invasive interventions.
What does a PRP injection for post-surgical joint pain involve, and what's the typical recovery process like?
The procedure usually begins with a small amount of blood being drawn from your arm. This blood is then processed in a centrifuge to separate and concentrate the platelets, creating the PRP solution. The concentrated PRP is then precisely injected into the painful joint or surrounding tissues that are identified as the source of your ongoing pain, often guided by ultrasound or fluoroscopy to ensure accurate placement. You might experience some mild discomfort or a feeling of pressure during the injection. After the procedure, it’s common to have some localised soreness, swelling, or bruising in the injected area for a few days. Your doctor will provide specific post-injection instructions, which generally involve a period of reduced activity or protection of the joint, followed by a gradual and tailored rehabilitation program, typically guided by a physiotherapist, to support functional improvement. The timeline for improvement can vary, as it builds upon your post-surgical recovery.
How many PRP injections are usually needed for post-surgical joint pain, and is it covered by Medicare or private health insurance in Australia?
The number of PRP injections needed for post-surgical joint pain can vary depending on the individual’s response, the specific joint involved, and the underlying cause of the persistent pain. While some patients may find relief with a single injection, a course of 1 to 3 injections, often spaced a few weeks apart, may be recommended to achieve optimal and more sustained results. Your treating doctor will advise on the most appropriate number of injections for your specific situation. In Australia, PRP treatments for post-surgical joint pain are generally not covered by Medicare. This means the cost of the PRP procedure itself is typically an out-of-pocket expense for the patient. Similarly, most private health insurance funds in Australia currently do not provide rebates for PRP therapy for this specific indication. It is always advisable to discuss the full costs involved and confirm any potential out-of-pocket expenses directly with your clinic and your private health fund prior to commencing treatment.
Book an appointment
PRP aims to reduce inflammation, leading to pain reduction. Book a consultation in Bowral or Norwest to find out whether it is suitable for you.
Or, phone the clinic.
