shoulder pain

conditions we treat with Prolotherapy

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.

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

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 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.

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 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.


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You deserve the best possible results from your treatment. Let’s make this happen! Talk to our team about your case to find out if you are a good candidate.