Prolotherapy For Shoulder Pain

The shoulder is a complex ball and socket joint. There are many factors required to maintain a healthy shoulder.

Absence or alteration of any of these factors can lead to instability and injury that can last a lifetime.

Most shoulder problems fall into four major categories:

  • Tendon inflammation (bursitis or tendinitis) or tendon tear
  • Instability
  • Arthritis
  • Fracture (broken bone)
  • Bursitis

Bursae are small, fluid-filled sacs that are located in joints throughout the body, including the shoulder. They act as cushions between bones and the overlying soft tissues, and help reduce friction between the gliding muscles and the bone.

Sometimes, excessive use of the shoulder can lead to inflammation and swelling of the bursa between the rotator cuff and part of the shoulder blade known as the acromion.

The result is a condition known as subacromial bursitis. Bursitis often occurs in association with rotator cuff tendinitis. The many tissues in the shoulder can become inflamed and painful. Many daily activities, such as combing your hair or getting dressed, may become difficult.



Tendons are rope-like structures that connect muscle to bone. Most tendinitis is a result of a wearing down of the tendon that occurs slowly over time. Generally, tendinitis is one of two types:

  • Acute- Excessive ball throwing or other overhead activities during work or sport can lead to acute tendinitis.
  • Chronic. Degenerative diseases like arthritis or repetitive wear and tear due to age, can lead to chronic tendinitis.

The most commonly affected tendons in the shoulder are the four rotator cuff tendons and the biceps tendon.

The rotator cuff is made up of four small muscles and their tendons that cover the head of your upper arm bone and keep it in the shoulder socket. Your rotator cuff helps provide shoulder motion and stability.


Tendon Tears

Splitting and tearing of tendons may result from acute injury or degenerative changes in the tendons due to advancing age, long-term overuse and wear and tear, or a sudden injury. These tears may be partial or may completely split the tendon into two pieces. In most cases of complete tears, the tendon is pulled away from its attachment to the bone. Rotator cuff and biceps tendon injuries are among the most common of these injuries.


Shoulder impingement occurs when the top of the shoulder blade (acromion) puts pressure on the underlying soft tissues when the arm is lifted away from the body. As the arm is lifted, the acromion rubs, or “impinges” on, the rotator cuff tendons and bursa. This can lead to bursitis and tendinitis, causing pain and limiting movement. Over time, severe impingement can even lead to a rotator cuff tear.


Shoulder instability occurs when the head of the upper arm bone is forced out of the shoulder socket. This can happen as a result of a sudden injury or from overuse.

Shoulder dislocations can be partial, with the ball of the upper arm coming just partially out of the socket. This is called a subluxation. A complete dislocation means the ball comes all the way out of the socket.

Once the ligaments, tendons, and muscles around the shoulder become loose or torn, dislocations can occur repeatedly. Recurring dislocations, which may be partial or complete, cause pain and unsteadiness when you raise your arm or move it away from your body.

Repeated episodes of subluxations or dislocations lead to an increased risk of developing arthritis in the joint.



Shoulder pain can also result from arthritis. There are many types of arthritis. The most common type of arthritis in the shoulder is osteoarthritis, also known as “wear and tear” arthritis. Symptoms, such as swelling, pain, and stiffness, typically begin during middle age. Osteoarthritis develops slowly and the pain it causes, worsens over time.

Osteoarthritis, may be related to sports or work injuries and chronic wear and tear. Other types of arthritis can be related to rotator cuff tears, infection, or an inflammation of the joint lining.

Often people will avoid shoulder movements in an attempt to lessen arthritis pain. This sometimes leads to a tightening or stiffening of the soft tissue parts of the joint, resulting in a painful restriction of motion.


Prolotherapy Treatment for Shoulder Pain

For people, who suffer from shoulder pain as a result of injured ligaments and tendons, Prolotherapy treatment is a viable solution to resolving pain, without the need for surgery.

The goal of Prolotherapy injection procedures is to help stimulate the new growth of tissues by increasing the body’s immune response function in the affected area of the shoulder.

There are several forms of Prolotherapy treatment procedures that can be used to manage your shoulder.

Before a treatment program can be prescribed, an examination needs is conducted to help determine the underlying causes of your shoulder pain and discomfort.

We develop comprehensive customized treatment programs for each individual patient to get you the best possible results. 

Our patients, who have received Prolotherapy treatments for shoulder pain have noticed a reduction in pain and discomfort, decreased stiffness, and an overall improvement to their quality of life.

Whether you have an injury you need treated,  or you are recovering from shoulder surgery, Prolotherapy is an effective and proven method that can help. 

Continue exploring our site to learn more about Prolotherapy regenerative injection treatments and the potential benefits we can provide you, or feel free to contact us directly for more information today.

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