Hopefully, the benefits outweigh the risks, or at least the patient understands and accepts the risks and makes the choice to accept them. The idea is simple, it’s the doctor’s job to help protect the patient.Īll medical care carries risk and managing that risk is essential. It also appeared in a book that was published in the mid-1800s about medical education (1). While the idea was not in the actual oath, it was in other writings by Hippocrates. “If you can do no good, at least do no harm.” This statement is often attributed to the Hippocratic Oath and the Latin phrase “ Primum non nocere” or “first do no harm”. So let’s review the data showing that PRP is superior to steroid shots and why this sets up an interesting test of your doctor’s ethics. Now that PRP is here and known to be effective, this sets up an interesting duality as there is now a better alternative that isn’t yet covered by insurance. We know the stuff is toxic, but physicians can’t help themselves from injecting it because it’s covered by insurance companies. IMHO corticosteroid use in knee arthritis has become a giant medical morality test.
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