Prolotherapy for Shoulder Pain

The shoulder is one of the most mobile joints in the body and also one of the most unstable. Shoulder instability due to ligament laxity is the primary cause of the majority of shoulder pain conditions, yet goes undiagnosed in many cases. This leads to patients receiving cycles of degenerative treatments like cortisone injections and ibuprofen to mask pain, or rounds of physical therapy to address the muscles but none of these address can correct ligament laxity and degeneration. Degenerative conditions need regenerative solutions! Since 1993, Caring Medical has been a leader in comprehensive Prolotherapy (including Platelet Rich Plasma and Stem cell therapy) to effectively eliminate both acute and chronic shoulder pain without surgery. Our team helps all types of shoulder conditions including osteoarthritis, rotator cuff tear, ac sprain, glenoid labrum tear, frozen shoulder, tendinopathy, and more.

shoulder instability

Symptoms caused by Shoulder Instability

  • Crepitation with movement
  • Loss of shoulder motion
  • Loss of shoulder strength
  • Muscle spasms
  • Shoulder pain
  • Shoulder popping


These symptoms can be signs of the following shoulder pain conditions caused by shoulder instability and respond well to comprehensive Prolotherapy treatment.




Chronic Conditions caused by Shoulder Instability

Shoulder
Instability
Shoulder
osteoarthritis
Rotator
cuff tears
Shoulder
labral tear
Supraspinatus
tendinosis
Labrum
degeneration
Shoulder
bone spurs
Snapping
scapula
syndrome
Shoulder
bursitis
Impingement
syndrome





Prolotherapy Treatment for Shoulder Pain

To fix shoulder joint instability, the ligamentous and shoulder capsular structures must be strengthened. The main capsular structure involved in the stability of the shoulder is the glenoid labrum, which holds the humerus bone to the glenoid cavity of the scapula. Other common reasons for shoulder joint instability involve weakness in the supraspinatus tendon, acromioclavicular ligament laxity, a weakened glenohumeral ligament, and weakness of the structures that attach to the coracoid process. A shoulder is usually unstable because these structures are torn or stretched. Once these structures are stretched or loosened, no amount of exercise will strengthen the shoulder joint enough to permanently hold it in place.





Biceps Pulley

The pulley complex is composed of the superior glenohumeral ligament, the coracohumeral ligament, and the distal attachment of the subscapularis tendon. Any type of shoulder instability, including injury to this capsuloligamentous complex that makes up the biceps pulley system can result in any type of biceps tendon lesion including tears, degeneration, or calcification.

shoulder ligaments prolotherapy




Shoulder Instability Paradigm

Ligament injury is what causes the mechanical instability and proprioceptive deficits that leads to joint mechanical and functional instability (in the shoulder and other joints). Prolotherapy should be started first before rehabilitation because muscles can’t be adequately strengthened and rehabilitated when the joint they move is unstable.

shoulder instability prolotherapy




Prolotherapy injections are a more advanced, yet non-surgical, approach that directly stimulate repair of the structures. The injections are done around the entire shoulder, depending on where the weakness and instability is located directly to the ligament and tendon attachments. This stimulates the body to re-initiate the natural healing cascade to areas that otherwise are not healing on their own. Patients are able to continue working and conducting activities of daily living during the treatment series. Usually, within a few treatments, the tissue has strengthened enough to eliminate pain and provide a stable base for the muscles to resume a high level of activity again, making it ideal for athletes and those who do physical and overhead work.





Prolotherapy of the Shoulder

Frequent sites of injection are demonstrated, including the coracoid process, subscapularis tendon, and the greater tuberosity.

prolotherapy rotator cuff




Prolotherapy to the Top of the Shoulder

Common sites of tenderness are marked along the scapular spine, clavicle, and deltoid insertion, the approaches to the acromioclavicular joint are demonstrated.

prolotherapy top shoulder




Our Research on the use of Prolotherapy for Shoulder Pain

In our retrospective observational study, patients with chronic shoulder pain reported significant improvements in many clinically relevant parameters and overall quality of life after receiving Hackett-Hemwall dextrose Prolotherapy. The complete study and results can be read here: Hauser R, Hauser M. A Retrospective Study on Hackett-Hemwall Dextrose Prolotherapy for Chronic Shoulder Pain at an Outpatient Charity Clinic in Rural Illinois. Journal of Prolotherapy. 2009;4:205-216.

SHOULDER PAIN LEVELS
7.1
Average pain level BEFORE Prolotherapy
2.3
Average pain level AFTER Prolotherapy

Pain scale is 1-10 where 1 = no pain & 10 = unrelenting pain.


We get patient satisfaction results. In 9/10 cases we meet or beat the patients expectations. Our results are long lasting and provide permanent pain relief. This is why patients travel from all over the world to see our providers.




Our other studies on regenerative treatment outcomes for shoulder pain





Patient Success Stories using Prolotherapy for Shoulder Pain


Shoulder Dislocations & EDS

AL, with a history of Ehlers-Danlos Syndrome, had multiple shoulder dislocations despite 4 reconstruction surgeries, including a labral repair. AL’s shoulder was dislocating daily before coming for Prolotherapy. Because of her severe multidirectional instability, she required 12 Prolotherapy visits over the course of 12 months to stabilize her shoulder.

LEARNING POINTS:

Stabilization surgeries are often ineffective for patients with Ehlers-Danlos Syndrome.





Shoulder Hand Syndrome

RS came to Caring Medical with severe pain and coldness in his right extremity, especially his shoulder, one year after a significant stroke left him weak on that side. On physical examination, a two finger-breath subluxation of his shoulder was noted, primarily due to the muscle atrophy caused by the stroke. After three Prolotherapy treatments and a short course of immobilization, the subluxation and radicular symptoms from Shoulder Hand Syndrome and the coldness and burning pain in the extremity due to Complex Regional Pain Syndrome had all completely resolved.

LEARNING POINTS:

Shoulder Hand Syndrome, like other chronic joint pain syndromes with autonomic nervous system involvement, has ligament laxity as a core etiologic factor, and requires Prolotherapy for resolution.





Rotator Cuff Tear in Elite Swimmer

LM is a 15 year old top-ranked swimmer who struggled to swim efficiently because of severe shoulder weakness and pain, which progressed to the point of her being unable to swim. Rest, physical therapy, massage and a cortisone injection did not bring relief. Her MRI showed evidence of tendonitis and a rotator cuff tear. Physical examination clearly revealed that she also had shoulder instability. After 9 Prolotherapy treatments over 5 months, LM regained her ability to swim the butterfly stroke, shaving 6 seconds off her time, enabling her to pursue a swimming scholarship with hopes of making the Olympic team.

LEARNING POINTS:

Traditional modalities were unable to treat the source of the injury. Prolotherapy repaired the injured rotator cuff and stabilized the shoulder.





Partial Rotator Cuff Tear

George was an active 64-year-old when he partially tore the rotator cuff in his left shoulder. He was prescribed an oral steroid and sent to physical therapy. Since he continued to have pain and limited range of motion, surgery was recommended by an orthopedic physician. Seeking a surgical alternative, George began treatment with Caring Medical and received 5 rounds of comprehensive Prolotherapy with Platelet Rich Plasma. Prior to treatment with Caring Medical, George was limited in his exercise and unable to do a full pushup. He can now do sets of 30 pushups without pain!

LEARNING POINTS:

When a force is strong enough to tear the rotator cuff, there is usually ligament damage as well. Physical therapy is good for muscle problems, but cannot restore ligaments. This is why Physical Therapy alone can have limited results. Prolotherapy is an excellent application for rotator cuff tears. It stimulates repair of both the ligament and tendon tears directly.





Shoulder Impingement Syndrome

For 14 months, KS suffered with unrelenting shoulder pain with overhead movements, impeding her weight-lifting endeavors. The pain was unrelieved by physical therapy, chiropractic manipulation, or cortisone injection. Five Prolotherapy treatments resolved the symptoms, enabling KS to resume weight lifting activities.

LEARNING POINTS:

Although often helpful, Physical Therapy does not repair the injured ligaments that cause the instability of the shoulder that leads to degeneration of the tendons in impingement syndrome. Prolotherapy repairs the injured ligaments, as well as the degenerated tendons, bringing stability and regeneration to the joint.






More Information About Prolotherapy for Shoulder Pain


Articles about Prolotherapy for Shoulder Pain




Videos about Prolotherapy for Shoulder Pain

More Shoulder Prolotherapy Videos




We Get the Best Results

In 9/10 cases we meet or beat the patients expectations. Our results are long lasting and provide permanent pain relief. This is why for 25 years, patients have been traveling from all over the world to see our providers. Give us a call, or fill out the form below to get started.

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