We use our shoulders for almost everything. Right from brushing our teeth to doing a push-up. Therefore, shoulder pain is a commonly occurring condition which can interfere with daily activities and keep you from participating in social pursuits.
Almost all kinds of shoulder injuries can be addressed without the need for surgery. Shoulder blade pain, collarbone pain, shoulder impingement and others.
Wear and tear to the shoulders as a result of repetitive activities is usually treated with medication and physical therapy. Surgical intervention is required only for severe cases, like a fall or injury. Trauma (from falls and blows) to the shoulders need to be addressed immediately to avoid complications of severe damage.
If left untreated, it could lead to shoulder strain causing bicep tendonitis, shoulder arthritis, labrum tears and so on.
Signs & Symptoms
Tenderness and pain are usually felt deep at the back of the shoulder and during the middle-range of motion rather than at the extremes of flexibility. Moderate to severe shoulder degeneration may cause a dull aching or intermittent flare-ups of pain at night making it difficult to sleep.
Stiffness Or Loss Of Motion
A decreased range of motion is observed even during passive shoulder motion made with assistance (such as a doctor or physical therapist trying to rotate the arm). This symptom can make bathing, getting dressed, and other daily activities challenging. Inactivity can make stiffness even worse.
When the shoulder "catches" an otherwise fluid movement is unintentionally interrupted. Catching is often associated with crepitus.
Feeling or hearing a crunching or popping sound when rotating the shoulder. This is a sign that cartilage has worn away and is not protecting the bones from friction.
The StemX Diagnosis
EvaluationWe check how you're doing. After we understand your injury, which includes past surgeries, medications and other related information, we will conduct a thorough physical check of the injury site and other vitals and explain the possible outcomes for pain alleviation.
ImagingWe take a closer look. With degenerative shoulder joints , an MRI image or an X-ray may be required to assess what course of treatment would be best suited for your condition.
TreatmentBased on your age, severity of injury and other pertinent factors, we will administer the best regenerative treatment option and follow it up with a care plan in order to achieve the highest likelihood of success of the treatment.
Our team of doctors will determine suitability of treatments through a full evaluation and ultrasound to understand the level of damage and deterioration of the injured area.
While we'd like to help everyone, 30% of potential patients will be turned away. This could be due to the following reasons:
- Deterioration of the injury and early signs of severe joint diseases are visible.
- Surgery is the only option. Our doctors will be candid with you if we feel this is your only path forward.
- Other medical conditions that do not make the injections feasible.
- A history of previous surgery with hardware implanted in the joints as there is a possible risk of infection with injecting into the area with hardware.
The field of regenerative medicine has revolutionized the treatment of sports-related and age-related bone and joint injuries. Several regenerative medicine treatments have shown clinical efficacy for shoulder injury like, Wharton's Jelly, growth factor injections, and plasma rich platelet (PRP) injections. These procedures act together to greatly increase growth factor production at the damaged joint in order to enhance the number and function of cartilage producing chondrocytes.
Growth Factor Injections
Growth factor (GF) injections and amniotic fluid allograft injections can be injected directly into the injured site (e.g, joints) using an ultrasound guided technique to ensure proper placement. These proteins then stimulate repair and regeneration at the site, offering the patient pain relief and quicker healing rates.
Platelet Rich Plasma (PRP)
Platelet Rich Plasma (PRP) therapy also stimulates healing without pharmaceuticals. PRP begins with drawing some of the patient's blood and processing it through the use of a high-speed centrifuge. The concentrated platelets secrete at least seven different growth factors that promote healing and pain relief when injected into the affected area.
A growing number of professional and amateur athletes are also turning to regenerative medicine treatments before considering surgery. Some of the advantages of these treatments are:
- Little to no downtime due to the procedure
- Results can be boosted with physical therapy
- Avoidance of the side effects of pharmaceutical and cortisone drug therapies
- All-natural biological treatments help to avoid surgery
|Treatment||Efficacy range||Effects in*|
|Prolotherapy||Low: Prolotherapy injections strengthen weakened joints by stimulating the body's healing response||Approximately 3 weeks|
|Hyaluronic Acid||Low: HA injections provide pain relief as it lubricates the joints||Approximately 3 weeks|
|Platelet rich plasma||Moderate: The extracted platelets secrete at least seven different growth factors that promote healing and pain relief||Approximately 4-6 weeks or earlier|
|Growth Factors||High: These injections kickstart tissue repair offsetting joint degeneration||Approximately 6-9 months or earlier|
|Wharton's Jelly||High: These injections stimulate resident cells to regenerate and heal the damaged tissue, by lowering pain, and reducing inflammation||Approximately 6-9 months or earlier|
Low: Prolotherapy injections strengthen weakened joints by stimulating the body's healing responseEffects in* Approximately 3 weeks
Hyaluronic AcidEfficacy range
Low: HA injections provide pain relief as it lubricates the jointsEffects in* Approximately 3 weeks
Platelet rich plasmaEfficacy range
Moderate: The extracted platelets secrete at least seven different growth factors that promote healing and pain reliefEffects in*
Approximately 4-6 weeks or earlier
Growth FactorsEfficacy range
High: These injections kickstart tissue repair offsetting joint degenerationEffects in*
Approximately 6-9 months or earlier
Wharton's JellyEfficacy range
High: These injections stimulate resident cells to regenerate and heal the damaged tissue, by lowering pain, and reducing inflammationEffects in*
Approximately 6-9 months or earlier
We want to help you heal from the inside out.
Our care team at StemX undertakes an integrated assessment of your condition and overall health to help you recover as soon as possible so that you can live without being dependent on basic physical support or medication. ur trained team of clinicians and experienced doctors come with years of administering degenerative shoulder joint disease treatments and:
- A strong commitment to ensure holistic wellbeing
- Expertise in ultrasound and MRI imaging to place injections at the precise area of injury
- Insight into lifestyle and health contributors to joint injuries
- 100% transparent interactions to help you understand the benefits and recovery paths of regenerative medicine
- Personalised treatments and follow-ups to encourage healing and restore normalcy in life
Frequently Asked Questions
Typical treatments for shoulder impingement include rest, ice, anti-inflammatory medications, and physical therapy.
It usually takes about 3-6 months to heal with the conventional course of treatments.
Rotator cuff tears, shoulder impingement and dislocation from the arm socket.
Regenerative Medicine treatments usually require 6 weeks to 4 months for full efficacy, this is dependent on the extent of damage and age of the patient. These effects can last for many years, however this depends to some extent on the activity level of the patient. For example, athletes may require an additional treatment due to continued high activity levels on the affected joint.
Most regenerative treatments may be covered by Medicare. The insurance section on our website will have the details you are looking for.