PRP for Achilles & Patellar Tendinopathy

The honest answer: the evidence is mixed. For chronic Achilles tendinopathy that has failed several months of physiotherapy and eccentric loading, PRP is a reasonable option to consider — but the published literature is not uniformly positive. A recent meta-analysis of randomized clinical trials did not find PRP superior to placebo on standardized pain or function scores at 3, 6 or 12 months, while earlier studies and reviews of tendinopathies that have failed conservative care have shown clinically meaningful improvement in select patients. We'll discuss your specific imaging and history at consultation and won't oversell — PRP is offered when the clinical picture supports it.

Yes. Patellar tendinopathy is a chronic tendon problem with the same underlying issue as Achilles tendinopathy — a stalled healing response. Several clinical studies show good outcomes from PRP for chronic jumper's knee in athletes, particularly when combined with continued eccentric loading physiotherapy.

Yes — and this is important. The combination of PRP plus structured eccentric loading physiotherapy produces the best outcomes for chronic tendinopathies. We typically recommend a brief reduction in loading for the first 1–2 weeks post-injection to let the healing response take hold, then a return to your physio's program. We're happy to coordinate directly with your physiotherapist.

Yes — for most chronic tendinopathies. Cortisone can give quick pain relief but it weakens tendons and increases the risk of rupture, especially in the Achilles. Repeated cortisone in the Achilles tendon is generally avoided for this reason. PRP, by contrast, helps the tendon heal and doesn't weaken it. Relief takes longer to build but lasts longer and addresses the underlying problem.

Tendon healing is slow. Most patients notice progressive improvement starting 4 to 6 weeks after the injection, with continued benefit building over 3 to 6 months as the tendon remodels. The first 1–2 weeks may include increased soreness, which is normal and is part of the healing response.

Higher-concentration PRP for severe Achilles tendinopathy may produce significant discomfort for the first 48 hours and requires about 2 weeks of reduced weight-bearing — sometimes with a walking boot, which is available for purchase at the clinic. You should arrange a ride home rather than driving yourself. Lower-concentration PRP has an easier recovery: most patients return to desk work the same day with mild soreness for 2–5 days. Avoid running, jumping and aggressive loading for at least 2–4 weeks regardless of concentration.

Most patients respond to a single injection. Some patients with severe or long-standing tendinopathy benefit from a second injection at the 6-week mark. Your physician will assess your progress and recommend whether a follow-up is needed.

Often yes — partial-thickness tears in chronically degenerated tendons can respond well to PRP, particularly when combined with appropriate immobilization and physiotherapy. Full-thickness Achilles ruptures are generally a surgical issue — PRP alone is not the right treatment for an acute, complete rupture.

PRP is a private-pay procedure not covered by OHIP. Cost varies based on the concentration selected. Many extended-health benefit plans cover a portion under regenerative medicine, sports medicine or specialist injection benefits. We provide detailed receipts for insurance.