48, Jalan Lang Kuning, 52100 Kepong Baru, Kuala Lumpur

Daily, 9:00am to 8:00pm

011-2615 1500

Exosome therapy for the knee in KL

Exosomes are the signalling particles cells release to instruct other cells. Using them as a treatment is newer than PRP or stem cell injection, and the evidence behind it is younger. This page sets out what the treatment is and what is and is not yet established, because that is the honest basis for deciding.

  • Injectionnot surgery, no downtime
  • Newestof the three injection options
  • No guaranteethe evidence does not support one
  • Assessmentdecides whether it is reasonable

What an exosome actually is

Cells communicate by releasing tiny membrane-bound packages carrying proteins and genetic messages. Those packages are exosomes. Much of what a stem cell does for surrounding tissue appears to be done through them rather than by the stem cell itself becoming new tissue.

That is the reasoning behind using exosomes directly: deliver the signal rather than the cell that would have sent it.

How it differs from PRP and stem cell injection

Three treatments, and the difference between them is what is being injected.

PRP
Prepared from your own blood during the visit, concentrating your platelets and the growth factors they carry. The most established of the three, and the one with the longest record in knee osteoarthritis.
Stem cell therapy
Introduces cells intended to support repair of the joint.
Exosome therapy
Introduces the signalling particles themselves, without the cells. The newest of the three, and offered here as one option among several rather than as a replacement for them.

What is known, and what is not

Laboratory and early clinical work is genuinely promising, and that is the accurate word for it. What does not yet exist is the long-term, large-scale trial evidence that would let anyone state expected outcomes with confidence.

So this page makes no promise about results. Anyone offering you a guaranteed outcome from exosome therapy is telling you something the evidence does not currently support. What we can do is explain the reasoning, set out the alternatives, and let you decide with the facts as they actually stand.

Deciding whether it suits you

The assessment is the same one that precedes any knee injection: history, examination, and imaging where it is warranted.

Reasonable to consider

  • Knee osteoarthritis where the joint has been assessed
  • Pain that has outlasted physiotherapy and pain relief
  • You have understood that the evidence is younger than for PRP
  • You want the reasoning and the alternatives rather than a promise

Rules it out, or needs assessing first

  • Active joint infection
  • Certain cancers
  • Some blood or immune conditions
  • Bleeding disorders, or anticoagulant medication: bring your medication list

Where to start instead

For many knees the sensible first step is PRP, on the straightforward grounds that it is better evidenced. That conversation is part of the consultation rather than something you have to raise.

How many sessions any of this needs depends on the joint and how it responds, and is set out at the assessment rather than fixed in advance.

The alternatives, in order of evidence

Who you are dealing with

Your doctor
Every doctor here is named on this site with their training, and one of them is a Family Medicine Specialist on the National Specialist Register. You are seen by a doctor rather than assessed at a counter.
Your records
Held in the clinic's own encrypted system rather than on paper in a drawer, so the doctor seeing you has the rest of your history in front of them.
Your follow-up
Questions afterwards and repeat prescriptions go to the doctor who saw you, directly on WhatsApp rather than through a front desk.
Your time
Walk in any day until 8pm. The clinic has served Kepong Baru since 1981 and most of what is on this page is done in one visit.

Come in, or ask first

Walk in any time we are open (daily, 9:00am to 8:00pm), or send a message and ask whatever you need to ask before you do.

From our patients

What people say about coming here

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Common questions

Is exosome therapy better than PRP?
Not established. PRP has the longer record in knee osteoarthritis and more evidence behind it. Exosome therapy is newer, and its evidence base is still developing.
How many sessions are needed?
It depends on the joint and how it responds. That is set out at the assessment rather than fixed in advance.
Is there downtime?
An injection into the knee generally needs no downtime, though strenuous activity is usually deferred for a short period afterwards.
Who should not have it?
Active joint infection, certain cancers, and some blood or immune conditions rule it out, and bleeding disorders or anticoagulant medication need assessing first. Bring your medication list to the consultation.
What does it cost?
Ask the clinic for the current price before booking. It varies with what is being treated and how many sessions are planned.

Ask what it costs before you book, Kepong, until 8pm

48, Jalan Lang Kuning, 52100 Kepong Baru, Kuala Lumpur.

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