Patients researching their options often arrive at their first appointment with the terms "stem cells," "PRP," and "regenerative medicine" tangled together, as if they were different brand names for the same thing. They aren't. Each represents a different tool, with a different mechanism, a different cost, and a different ideal candidate.
PRP: Concentrating What's Already in Your Blood
Platelet-Rich Plasma starts with a small blood draw. The sample is processed to concentrate platelets, which are then reintroduced to the area of injury or degeneration. PRP is generally the most conservative and accessible of the three options discussed here, and it's often the first regenerative approach a patient tries.
Regenerative Cellular Therapies: A Different Mechanism
Regenerative medicine covers a broader category of biologic treatments that work on a different principle than PRP. Rather than concentrating existing platelets, these therapies aim to support the body's own repair processes more directly at the site of degeneration. This is generally considered for patients whose condition has progressed further, or who haven't responded to more conservative options.
Surgery: Still the Right Answer for Some Cases
We say this without hesitation, because it's true: for severe, end-stage joint collapse or certain acute structural injuries, surgery remains the most appropriate path. Regenerative medicine is not a universal replacement for every surgical case, and any clinic that tells you otherwise is not being straight with you.
"The honest answer to 'which one is best' is: it depends entirely on what your imaging and history actually show."
So How Do You Actually Decide?
This is exactly why we don't sell a specific protocol upfront. Our process starts with your intake, followed by a review of your imaging and medical history by Dr. Leopoldo or Dr. Andrea. The right option — whether that's a regenerative approach, a referral back to a conservative treatment, or an honest recommendation that surgery is the better path — depends on your specific case, not a one-size-fits-all sales pitch.
Related reading: How to know if you're a candidate for regenerative medicine · When to consider regenerative care instead of surgery
Frequently Asked Questions
No. PRP concentrates the platelets already in your blood. Regenerative cellular therapies work on a different biological mechanism. They are often discussed together but are not interchangeable treatments.
Not in every case. For severe, end-stage structural collapse, surgery may still be the more appropriate option. Regenerative medicine is most often considered for patients earlier in the degeneration process.
Through a physician review of your imaging, history, and current symptoms. We don't recommend a specific protocol until after that evaluation.
Find out which option actually fits your case.
Start with our short intake form. Our physicians will review your history and imaging before recommending anything.
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