The paradigm shift
The power of clinical reality.
In 2023, I began working extensively in a clinic offering regenerative therapies — specifically Platelet-Rich Plasma (PRP) and targeted interventions for sports injuries and degenerative musculoskeletal conditions, mainly arthritis and tendon damage in older adults.
The results of PRP therapy were undeniable. I watched hundreds of patients experience profound improvements, particularly in conditions like osteoarthritis of the knee. They returned annually for “top-ups” after going for a year mostly pain-free and functioning at a much higher level than before treatment. They returned, and in turn referred their friends and families.
Despite the successes I saw, I continually heard these same patients recount how their regular doctors would scoff at their improvements. As the medical evidence is deemed “equivocal” by some leading bodies, they withhold recommendations for PRP, so practising family doctors follow the advice, believing it is the final word. Because of this, we are currently trapped in a space where the dogma of data-driven medicine is considered the only “evidence,” while our innate human ability to analyse real-world clinical outcomes — and request regenerative treatments as a right — is actively denied, or ignored. Medical evidence is not just dry statistical data…it is the intersection of the patient’s needs and wants, the physician’s understanding and experience…and the data of studies. Data — or lack of data — is important, but only part of the whole story.