As people surf the web regarding proposed surgeries, they start looking hard for alternatives to surgery. Shoulder surgery typically involves shaving or removing tissue that may be needed by the person. People who get shoulder surgery, can be more predisposed to early arthritic changes.
Most people do not realize that rotator cuff tears can be effectively treated with Prolotherapy. After twelve years I only have a handful of rotator cuff tears that have needed surgery. The hundreds of other cases have healed great with Prolotherapy.
Shoulder instability can be treated by surgery, but the results are iffy. Generally people don't want to spend $20,000 for something that is iffy. Prolotherapy I have found to be a great treatment for shoulder instability.