“…The improvement in pain was significantly better in Group A when compared to Group B after 4 weeks, 12 weeks and 24 weeks as per ANOVA test (p<0.05). This is comparable to the studies of Lana JFSD et al [49] , Munde SL et al [38] , Sampson S et al [32] , Kon E et al [20] and Raeissadat SA et al [37] In the advanced stages of OA, PRP might not have a direct effect on the chondrocyte anabolic process, but an antiinflammatory effect through the regulation of joint homeostasis and the cytokine level [20,50] . Calis HT et al [51] study showed that PRP administered three times at weekly intervals to patients with grade 3 and 4 knee OA reported improvements in their quality of life, and reduced levels of pain, and had increased cartilage thickness as measured by ultrasonography at the 6-month follow up.…”