Corticosteroid injections (Steroids)
These injections act quickly by suppressing inflammation and offering rapid pain relief. However, benefits are typically short-lived—lasting only a few weeks to a few months—and repeated use may carry risks like cartilage damage or other side effects.
Hyaluronic acid (HA) injections
HA is a natural joint lubricant. While approved for treating knee OA, its effectiveness varies: some patients report relief lasting months, others see little benefit. Evidence supporting HA is mixed, with some studies showing little to no improvement over placebo.
Platelet‑rich plasma (PRP) injections
PRP is derived from your own blood and rich in growth factors that may promote tissue healing and reduce inflammation. Preparation varies, but the goal is to concentrate platelets to support natural repair processes.
Systematic reviews consistently find PRP leads to greater pain relief and functional improvement than HA, both short- and long-term.
A 2024 review highlighted that PRP reduced pain more significantly than both HA and steroids, with the most pronounced results occurring around 6 months post-treatment.
According to Mayo Clinic data, steroids may provide faster initial relief (within 4–6 weeks), but by 3–6 months, PRP tends to outperform steroids and can deliver benefits lasting 6–12 months or more.
A mid‑2025 clinical overview noted that by one year post-injection, patients treated with PRP consistently reported less pain and better function compared to those treated with steroids; while steroids act quickly, they don’t offer lasting improvement like PRP does.
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