Knee pain showdown: PRP, gel, or exercise – which works best?
NCT ID NCT05877027
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This completed study compared three common treatments for knee osteoarthritis (gonarthrosis) in 82 adults aged 40–65. Participants received either platelet-rich plasma (PRP) injections, topical diclofenac gel, or a structured exercise program for 6 weeks. The goal was to see which approach best reduces pain, improves function, and boosts quality of life. Results may help guide treatment choices for this common condition.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- platelet-rich plasma (PRP), topical diclofenac, and exercise
- What this could lead to
- If this study shows one approach works better, it could help doctors choose the most effective treatment for knee osteoarthritis symptoms.
- What could go wrong
- This is a small, completed study with no phase designation, so results may not apply to everyone. PRP and exercise effects vary, and topical diclofenac may cause skin irritation.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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82 people
The number who actually took part.
- Started
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Mar 2024
- Finished
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May 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
40 to 65 years
- Sex
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Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Diagnosed with gonarthrosis according to the criteria of the American Society of Rheumatology (ACR) * Stage 2 or 3 according to Kellgren Lawrence radiological staging criteria, * Those between the ages of 40 and 65, * Body mass index below 30 kg/m2, * Pain intensity defined by the patient in the last 3 months is at least 3 out of 10 according to NPRS, * Patients who do not have any barriers to being included in the exercise program Exclusion Criteria: * Being in stage 4 according to Kellgren Lawrence radiological staging criteria, * Hemoglobin level \<11.5 g/dL * Platelet level \<100,000/μL * Thrombocytopenia, coagulopathy, crystal arthropathy, hemophilia or hematological malignancy, * Presence of active infection or tumor, * Chronic antiaggregant use or taking immunosuppressive therapy, * Pregnancy or lactation, * Viscosupplementation or steroid injection in the related knee in the last 3 months, or using systemic steroids, * To have received a physiotherapy program for the relevant knee in the last 3 months, * Having a valgus or varus deformity greater than 15°, * Presence of neurological diseases and/or deformity leading to lower extremity muscle weakness * Having serious systemic and cardiovascular diseases that interfere with exercise
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Istanbul University-Cerrahpasa
Istanbul, Istanbul, 34500, Turkey (Türkiye)
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