Ep. 102 Understanding PRP and Orthobiologics for Musculoskeletal Medicine with Dr. Jason Epstein

Are you truly understanding PRP and orthobiologics, or just following the latest trends in musculoskeletal medicine? In this episode of BackTable Bone and Sports, host Dr. Larry Balle and guest Dr. Jason Epstein explore the realities of platelet-rich plasma (PRP) and orthobiologics in non-operative musculoskeletal medicine. They highlight why successful outcomes start with honest patient counseling, clear definitions of the procedure, and addressing common misconceptions such as PRP being “stem cells.” --- Get the BackTable app https://www.backtable.com/app --- Timestamps 00:00 - Introduction 09:02 - Exploring the Patient Definition of PRP 14:31 - Addressing Inconsistenties in the Literature for PRP 20:01 - Avoiding Stem Cell Terminology 26:24 - Encouraging Shared Decision Making 41:46 - Patient Selection, Dosing, and Post-Treatment Expectations 54:34 - Talking Cost of Treatment 58:07 - Choosing the Right Tool and Blood Draw Technique 01:01:31 - Personal Experience with PRP 01:05:35 - Discussing FDA Regulations and Marketing Myths 01:13:18 - Closing Remarks --- More about this episode The discussion covers the lack of standardization in PRP studies, reasons for variable patient responses, and how to guide patients through shared decision-making and realistic expectations. Drs. Balle and Epstein emphasize building trust, avoiding marketing hype, and discussing FDA regulations, legality, and off-label use. Practical advice includes tracking outcomes and cell counts, clarifying costs, and choosing the right kits and techniques to integrate PRP responsibly into practice. --- Resources Dr. Jason Epstein   / jason-epstein-27804a1a   --- BackTable Bone & Sports is the go-to podcast for orthopedic surgeons, sports medicine docs, pain specialists, and MSK radiologists. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app #MSK102 #sportsmedicine #prpinjection #orthobiologics #orthopedics #orthopedicsurgery