Free patient guide
Still hurting? Could PRP be your next step?
You’ve rested it. You’ve done the physical therapy. Maybe you’ve tried medication, or a cortisone shot that helped for a while, or someone has already said the word surgery. And it still hurts.
I wrote this guide so that when you finally sit down with someone about regenerative options, you walk in organized instead of starting from scratch.
- 7 pages, written for patients, not for physicians
- Worksheets you fill in before your appointment
- No cost, no obligation, nothing to schedule
Get the guide
Sent to your inbox in about a minute.
What’s inside
Everything you’d want in front of you before that conversation
Most people arrive at an evaluation trying to reconstruct five years of treatment from memory, then leave remembering the question they meant to ask. This is built to fix that.
01
A symptom checklist you fill in ahead of time, so the description of your pain doesn’t change depending on the day you’re asked.
02
A treatment history worksheet covering what you’ve tried, when, and what it actually did.
03
What PRP is in plain language, and what happens during a treatment start to finish.
04
A side-by-side comparison of rehabilitation, medication, cortisone, PRP, and surgery.
05
The five factors that determine whether PRP is a reasonable fit for a given problem.
06
A before-you-say-yes checklist, and the questions people hesitate to ask, written out so you don’t have to find the words.
Worth saying plainly
What this guide is not
It will not tell you whether you’re a candidate for PRP. Nothing can do that from a page, and I’d be careful with anyone who says otherwise.
PRP does not guarantee tissue repair or cartilage regrowth. For the uses that have been studied most closely, knee osteoarthritis and certain tendon problems, the research is reasonably encouraging. Outside those, the evidence is less consistent, and I’d rather you hear that from me now than find out later.
What the guide does is put your history, your goals, and your questions in one place, so the conversation starts somewhere useful instead of starting over.
Who it’s for
This is written for you if
- The pain has outlasted what everyone told you it would
- You have knee osteoarthritis and you’re not ready for a replacement
- You have a tendon problem, tennis elbow included, that keeps coming back
- Rest, physical therapy, medication, or injections got you partway and stalled
- Someone has told you to start thinking about surgery
- You keep reading about regenerative options and can’t tell what’s real
Who wrote it
Neil Spiegel, DO, MBA
Board-certified Physical Medicine & Rehabilitation
Board-certified Anti-aging, Regenerative, & Functional Medicine
I’ve been in practice since 1991, and most of the people who find their way to me have already been somewhere else first. They’ve been worked up, imaged, injected, and sent home with a plan that didn’t hold.
The way I practice is to look at the whole person rather than the one joint that hurts, which takes longer and is the reason a first visit here runs 90 minutes and includes diagnostic ultrasound. Alongside PRP we also work with treatments derived from your own adipose tissue and selected donated umbilical-derived tissue options.
Osteopathic Center for Healing, Rockville, Maryland.
From our patients
What people say after they’ve been in
★★★★★
I came in to see Dr. Spiegel for a knee PRP procedure. Throughout the whole process Dr. Spiegel was very informative and provided exact details, to ease my mind and the results are incredible. I recommend PRP or other alternative options with Dr. Spiegel, you will not regret it.
Jimmy F.
★★★★★
Great doctor, very knowledgeable and thorough. PRP procedure went smoothly without any issues. Easy recommendation.
Mervyn Besra
★★★★★
I could barely walk into my appointment. After my treatment I was able to walk out and felt so much better!
Rachel Cohn
★★★★★
My appointment was a follow-up on injections I had received. We had a very positive dialogue and review of what to expect in the pace of the healing process. Very positive!
Jane Libby
★★★★★
I was pleasantly surprised with the amount of time, thoroughness, and interest in my medical history that Dr. Spiegel gave to me. First time I have felt that a doctor seems concerned about improving my overall well being.
Anita Rashid
★★★★★
Very professional and knowledgeable. He never rushes you and answers all my questions.
Penny Neuman
Individual experiences vary. Nothing here is a promise of a particular result.
Get the guide, then decide what you want to do with it
It’s free, it takes a minute, and there’s nothing to schedule. If after reading it you’d rather ask your questions out loud, we set aside a complimentary 15 minutes for exactly that.
Or call the office at 301-231-5050.
Osteopathic Center for Healing | Rockville, Maryland | 301-231-5050
This guide and this page are educational. They are not medical advice, not a diagnosis, and not a determination of whether any treatment is right for you. The complimentary 15-minute call is with an experienced member of our team and is not a medical evaluation.