Shoulder Surgery Evaluation and Alternatives

Shoulder SurgeryThe shoulder is one of the most flexible joints in the human anatomy. The shoulder is responsible for our ability to rotate and raise our arms in many different positions. However, this flexibility also makes our shoulder susceptible to injury and instability.

Most shoulder surgeries done today are performed by employing arthroscopic methods. The surgery is performed by inserting a “scope” into the shoulder through a small incision, allowing the doctor to repair the injury by utilizing a special camera that puts the image on a computer monitor. This allows the doctor to make repairs to the injured area without having to create a large laceration.

While surgical repair may be necessary for a number of conditions, most doctors will agree that, depending on the nature of the issue, nonsurgical methods of treatment are recommended before any surgery takes place.

What are the Alternatives to Shoulder Surgery?

At Metropolitan Pain Consultants we offer two nonsurgical shoulder procedures for individuals in pain. Platlet-Rich Plasma (PRP) Therapy and Bone Marrow Concentrate (BMC) Therapy are ultrasound guided injections that are meant to help alleviate pain and repair an injury using the patient’s own blood.

PRP begins with the doctor extracting a sample of the patients blood, placing the blood sample into a centrifuge in order to separate the various layers of blood (platelets, growth factors, etc.), and then finally, with the assistance of an ultrasound machine, injected back into the injured area. This injection is done at the office as an outpatient clinical procedure.

Similar to Platelet-Rich Plasma Therapy, BMC therapy is a cutting-edge regenerative therapy that accelerates the healing process in moderate to severe osteoarthritis and tendon injuries. BMC injections begin when the doctor extracts blood and “pluripotent” stem cells from the patient’s hip bone. The doctor places the sample in a centrifuge to generate a powerful concentrate that is finally injected back into the injured area with the assistance of an ultrasound machine.

PRP and BMC have shown great promise in repairing tendons, ligaments, and cartilage in the human body. Both of these injections mimic the body’s response to an injury by stimulating platelet activation. This activation of platelets helps in soft tissue healing and arthritis pain management.

Furthermore, physical therapy may help supplement the use of PRP and BMC injections. A recent study in the Bone and Joint Journal asserts that physical therapy alone may be able to replicate the same benefits as arthroscopic shoulder surgery. When coupled with PRP and BMC therapy, physical therapy can enhance recovery time and the success of regenerative injections.

Can Regenerative Medicine Help Me?

Yes. PRP and BMC injections can help alleviate symptoms associated with the following conditions:

If you believe you are in need of shoulder surgery, please contact us for an evaluation and to learn more about the non-surgical alternatives that may suit you. If you have an injury or condition involving a tendon, ligament, joint or osteoarthritis, PRP or BMC may be a nonsurgical option for you. Please call us at 201-729-0001 to see if regenerative therapy is right for you. Weekday and weekend appointments are offered. Our conveniently located clinics can be found in West OrangeAberdeenLyndhurst, and Fort Lee.