Stemcelldoc's Weblog

January 10, 2011

Shoulder Pain and Ultrasound Guided Injections

Platelet rich plasma, prolotherapy and autologous stem cells are non-surgical treatments for shoulder pain.  Clinical success is dependent upon selecting the appropriate treatment option and placing the solution into the targeted site.

Ultrasound has become the standard of care at the Centeno-Schultz Clinic.  Ultrasound does not involve exposure to x-rays and provides a rich image of the bone, muscles, tendons and ligaments. It also allows for a dynamic evaluation whereby the patient is able to go through the activities that cause them pain.  This is not the case with MRI’s given that they require a patient to remain completely still.  MRI’s provide a static image of the shoulder which may not be helpful in some cases of impingement.

This last weekend Ron Hanson M.D. was an instructor at a highly respected shoulder ultrasound course.

We are very pleased to have Ron’s gifted clinical and ultrasound skills here in Denver/Boulder area at the Centeno-Schultz Clinic.

January 27, 2009

Pain radiating down my arm after shoulder surgery

Pain radiating down the arm after shoulder surgery can and does occur.  The cause of radiating arm pain can arise from the one of many sources:  inappropriate or prolonged positioning, cervical injury or aggravation  and hematoma.  First and foremost the arm is often positioned such that it is hanging and as such may be exposed to a inappropriate or prolonged traction and tension  placed on the shoulder joint.

shoulder-arthroscopy

This can cause an injury to the shoulder joint and or the brachial plexus, a bundle of nerves that cross the first rib and provide sensation and motor function to the arm and hand.

brachial-plexus

A second cause of pain radiating down the arm is a cervical disc injury or aggravation caused at time of surgery due to positioning.  The patient is put to sleep while resting on their back but are repositioned after they are asleep to optimize the working conditions for the surgery.  The neck, shoulder and arm are all moved.  If particular attention is not directed to the patient during the positioning, a cervical disc may be injured or aggravated.  The result is a pain radiating down the arm (cervical radiculopathy).

cervical-readic

Another cause of pain radiating down the arm is a expanding blood clot otherwise known as a hematoma.  If left untreated the hematoma can compress critical blood vessels and nerves with resultant arm pain.

The morale of the story is that surgery and anesthesia are not without significant risks.  Fortunately patients with shoulder dysfunction now have the opportunity to use stem cell therapy to regenerate damaged ligaments, tendons and worn cartilage in the joint without surgery or anesthesia.   Regenexx is a simple needle-in, needle-out procedure which allows patients to use their own stem cells to regenerate damaged joints, lumbar discs and non healing long bone fractures.

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