4/14/2010: Had pretty consistent pain in my right knee for a couple of years now, turned out to be a tear in my patellar tendon below my knee cap. Treatment options are surgery or PRP, the latter of which has a pretty good track record thus far but is still in its developmental phases. I'll let you know how it goes in case any of you bros have knee pain that just won't go away and is related to tendon trauma, supposed to be 70-80% chance of getting back to competition potential, which is where I left it. UPATE 5/13/2010: Had my one month check-up today. Have to admit the first month was pretty rought gimping around and trying not to do anything that would traumatically disrupt the healing process. A deep squat or fall would basically unstick the biological glue injected into my patellar tendon. Swelling went down after about 10 days for me. The knee felt okay but I never really put much weight on it the first month - took stairs one at a time, favored it while walking, etc. The time I was most concerned was the week of my appointment. It had been feeling good and and improving pain wise throughout the month, but I did something the Sunday prior that had me worried. My concerns were assauged on my visit. They did an ultrasound and the scar tissue area showed up on the monitor as more of a greyish color than before (it was black), which means that the area is becoming more dense and collagen regeneration is taking place. He said the pain is normal and we did a couple of pain tests, one was contracting my quad to full extension, loaded and lightly loaded, that hurt. The second was doing a half squat, that hurt more. Basically what happened is the plasma worked its magic for the first week and most likely left the area when the swelling when down after 10 days. The stimulus it provided and increased growth factors post-procedure are what are cultivating the collagen remodelling in the months afterwards. My job for the next two months is to put the tendon through increased stress via bike riding for the first month and bike and leg press for the second. It's going to be mad boring but hopefully it will cause successful tendon remodelling and I'll be able to return to sport. An interesting point was the chiropractor who helped go from 0% to 80% came along to meet Dr. Mishra. Afterwards he told me that he has three patients right now who are opening taking HGH. One of these guys was doing one-legged box jumps three weeks after ACL surgery UPDATE 2 7/13/2010: Went in for my second check up last Wednesday, three months after treatment. I was a little hesistant going in because I had some serious hiccups in my recovery, mostly related to pain and soreness in the area as I picked up my strengthening exercises. Since my last check up one month post-op, I was just cycling, trying to increase the resistance as much as possible, then added leg press after a month, which was what really helped me see advances. There was a 2.5 week period however where my knee was really sore after a string of rehab sessions, to the point where I had to take some time off, but I got over that and dumped the cycling all together, instead focusing on prone leg presses and traditional leg press sled movements, never to more than 90 degrees. Upon my last check up using ultrasound, the size of the tear reduced from 0.3cm x 0.3cm to 0.2cm x 0.2cm, so a 55% reduction in the size of the injury. Pain-wise, its still much worse that before the procedure though. Thst most troubling range of motion is a full extention of my leg at the top part of the movement. This is most probably because I avoided this ROM after the procedure so the regenerating collagen is still stiff and immature, I'm doing VMO contraction exercises and straightening my leg fully twice a day now to see how I react to that, while continuing to build strength via the weight room. I have another check-up in a month to see if this is really working or if we have to consider other options, aka surgery. My perception is that I'm recovering more slowly than I should, at least compared to other testimonials, but because this is uncharted territory, it's difficult to say whether or not that is a bad thing. I'll post up how things are in a month after my next check up.