HIV is not treated as a universal exclusion from musculoskeletal PRP in the 2025 GRIIP consensus. The recommendation depends on viral control and immune status. An individual assessment with current clinical information remains necessary, and no treatment should be changed to fit an elective procedure.
Sources checked 1 November 2026. Prepared by The Wellness Team.
Discuss an individual assessment in London
What does the consensus cover?
The GRIIP project considers musculoskeletal PRP injections in people with infectious, oncological or haematological conditions. It is a formal expert consensus, not a trial proving that every procedure is safe in everyone with those diagnoses.
Its scope matters. A recommendation for a joint or tendon injection does not automatically validate a facial, scalp treatment or a combination with microneedling. Ask which evidence applies to the procedure you are actually considering.
Which HIV-related information matters?
The recommendation says PRP may be performed when the viral load is undetectable and the CD4 count is above 350 cells per cubic millimetre. The clinician needs to interpret current results and your wider history; these numbers are not a self-clearance checklist.
If results are outdated, unavailable or changing, discuss that openly. The appropriate next step may be liaison with the team managing your HIV rather than an elective injection. No one should infer viral control from how well a person looks.
Should I pause antiretroviral treatment?
Do not stop or change antiretroviral medicines to prepare for PRP unless your treating clinician advises it for a separate clinical reason. The elective procedure should fit around an established care plan, not disrupt it.
Bring your current medicine list and explain any recent changes, infections or other health concerns. The procedural clinician can decide what information is needed from your specialist and whether the planned treatment should wait.
Ask our concierge which records would help your consultation. An enquiry does not confirm availability or commit you to treatment.
Why does infection screening not mean testing everyone?
The same consensus does not recommend additional infection tests for asymptomatic people without known infectious disease. That general recommendation is different from reviewing relevant current information for a known condition.
A tailored history is more useful than a blanket package of blood tests. Ask what each proposed test would change. The assessment should be respectful, confidential and based on the actual procedure and clinical circumstances, not assumptions about a diagnosis.
Does suitability mean PRP is the best option?
No. Suitability and expected benefit must be assessed separately. The evidence for PRP varies by diagnosis, preparation and procedure. Alternatives such as rehabilitation or other established treatments may be more appropriate for the specific problem.
Ask what improvement is realistic, when it would be assessed and what uncertainty remains. A clinic should not use a reassuring contraindication statement to sell a course without first establishing an indication.
What should I arrange before travelling to London?
Agree which records are needed, whether specialist input is required and how follow-up will work after you leave. Confirm the full price and what happens if the clinician recommends deferring treatment.
If you develop fever, an acute infection or a significant change in health, contact the team before attending. Seek urgent medical care for acute severe symptoms rather than treating an elective PRP consultation as a substitute for urgent assessment.
What should a private assessment include?
A useful consultation explains the diagnosis, whether PRP is appropriate, alternatives, the exact procedure and who will perform it. It should also set out what needs to happen before treatment and who will review the outcome. Deferring treatment can be the right result of an assessment.
Published premium London hair-PRP menus provide context, not a like-for-like quote for a joint procedure: Harley Street Skin Clinic lists £600 with a doctor, £750 with a senior doctor and £900 with a lead doctor per session. These are that clinic's prices, not The London PRP Clinic fees or proof of a better result. Ask for a complete individual quote after suitability is established, including review and any additional assessment.
Discuss the appropriate assessment and a complete quote
Sources and evidence limits
- 2025 GRIIP formal consensus on musculoskeletal PRP and comorbidities
- Harley Street Skin Clinic published hair-PRP menu
General information, not a diagnosis, personal treatment recommendation or confirmation of suitability. Research findings apply to the populations and procedures studied. Published market prices are non-equivalent examples, not evidence of clinical benefit.