Treatment of Shoulder Pain
Prolotherapy for shoulder pain treatment
Many conditions can cause chronic shoulder pain, such as rotator cuff tears, frozen shoulder, osteoarthritis, impingement, and joint instability. Shoulder injuries, such as falls onto an outstretched hand, dislocations, or direct blows to the shoulder can cause damage both to the joint itself and the surrounding structures (i.e. ligaments and tendons). When these injuries don’t heal properly, patients can develop chronic shoulder pain that doesn’t seem to go away despite traditional methods of treatment. This is where Prolotherapy is beneficial. Prolotherapy is an injection technique used to stimulate the repair of injured tissue and cure chronic pain. Most chronic shoulder pain is due to osteoarthritis, which is a result of underlying joint instability. If not treated properly, joint instability can accelerate the arthritic process and cause continual deterioration of cartilage and bone spur development as we age.
For more specific articles related to your Shoulder Pain please see:
- Rotator Cuff Tear Alternatives To Surgery
- Bone Spurs in the shoulder
- Slap Lesion Tears
- Pain after shoulder surgery
- Glenoid Labral Tears
We see patients with long histories of failed shoulder treatments
In our office, it is common for us to be the last in a long list of pain doctors’ offices after numerous types of traditional degenerative treatments have failed. The response of modern medicine has little to do with regenerating degenerated structures. Typically, patients are recommended to have surgery or rest the injured area and take anti-inflammatory medications. Fortunately, our Comprehensive Prolotherapy approach has a high success rate of stopping the degenerative spiral for patients with chronic shoulder pain.
Surgery: Arthroscopic surgery can be performed as a shoulder pain treatment for some conditions such as glenoid labral tears, rotator cuff tears, and many others. Surgery often involves “debridement of the joint,” which can include removing vital structures (such as cartilage) from the shoulder. Removing tissue from a joint can create more instability, leading to other injuries and further advancing the arthritis process. Often, patients are left with chronic shoulder pain after surgery because it didn’t address the underlying issue: joint instability.
Physical therapy: Physical therapy is often used in conjunction with surgery or pain management to help patients increase both their shoulder strength and range of motion while decreasing their pain. It may aim to strengthen the muscles of the rotator cuff, specifically the supraspinatus muscle. Physical therapy works well as an adjunct to our Prolotherapy treatments for many shoulder conditions, such as frozen shoulder (adhesive capsulitis) and labral tears.
Pain Management: Traditional medicine often advises NSAIDs (anti-inflammatory medications), rest, and/or a cortisone shot into the joint to help alleviate pain. While they may reduce pain temporarily, research shows them to be harmful in the long term. Ligaments need motion, not rest, to heal properly. NSAIDs and cortisone both inhibit healing and have adverse effects on long term joint health.
Regenerative Injections – Prolotherapy – for long term shoulder pain relief
Dextrose Prolotherapy: Comprehensive Prolotherapy is a shoulder pain treatment that involves multiple injections of dextrose-based solution to the various ligament and tendon attachments around the shoulder, as well as inside the joint. This includes the biceps tendon, rotator cuff tendons, and joint capsule. Unlike cortisone injections, Comprehensive Prolotherapy to all of the adjacent structures stimulates a natural inflammatory response in the weakened tissues. When it comes to Prolotherapy for shoulder pain, the most important aspect is comprehensively treating the area, meaning that our approach involves numerous injections in and around the shoulder joint. Over the decades of doing Prolotherapy in this office, we have found this technique gives the best long term results.
Other Prolotherapy solutions: In addition to the normal dextrose Prolotherapy solution, we sometimes recommend cellular solutions as a more aggressive approach to stimulate healing. This may involve the extraction of a person’s own cells from the blood, bone marrow, or adipose tissue which are then injected into the joint to heal musculoskeletal injuries. In addition to injecting dextrose solutions to the surrounding ligaments and tendons, cellular Prolotherapy works well for more severe cases of chronic shoulder pain and injuries.
Do you have a question about Prolotherapy and Shoulder Pain?