A Shoulder Stem Cell Procedure 6 Year Follow-up

by Chris Centeno, MD /

Receive a Regenexx® Patient Info Packet by email and learn why it's a superior regenerative solution.

shoulder stem cell procedure

One of the benefits of being the first physician in the U.S. to use stem cell injections to help orthopedic patients is that every once in a while, an old patient will come back. While we track everyone in a registry, it’s not the same as a patient sitting in front of you telling you how the procedure changed his or her life. Adriana is a dentist from California who just returned to get her knees treated after a successful shoulder stem cell procedure for her rotator cuff tear in 2010. Let’s review what happened with that shoulder.

Shoulder Rotator Cuff 101

The shoulder rotator cuff is a collection of muscles that help stabilize the shallow socket of shoulder joint. They can be torn through trauma or sometimes just through degenerative wear and tear. While physical therapy is often recommended for partial tears, patients with a complete tear of one or more of the muscles usually end up in surgery. That procedure focuses on sewing back together the torn parts. However, the results from surgery aren’t fantastic:

In addition, strangely enough, the shoulder rotator cuff surgery results the patient reports don’t have anything to do with whether the shoulder heals on a subsequent MRI, which begs the question, why are we sewing the torn bits together? In addition, the pain the patient feels is much more related to the local levels of nasty inflammatory chemicals than it is to the size of the rotator cuff tear.

Adriana’s Story

Back in late 2010, I evaluated Adriana at our Colorado clinic. She was miserable. She had injured her left shoulder and knew things were bad because the pain was waking her up at night. In addition, at a recent wedding, she wasn’t even able to zip up her own dress. She was a dentist who used that hand all day to hold mirrors and other things, which meant keeping the shoulder in a raised position. Her MRI showed a complete rotator cuff tear, but, thankfully, it wasn’t retracted (meaning it wasn’t pulled back like a snapped rubber band). Most patients with complete tears don’t know which type they have—retracted or not—and this is often not discussed in the radiologist’s report. In November 2010, I injected Adriana’s own stem cells precisely into the rotator cuff tear using imaging guidance in a same-day procedure.

So how did she do? She reports today that after some initial soreness, the shoulder was 100%. She returned to full range of motion without pain and could work all day without discomfort. Zipping dresses? No problem! In fact, this shoulder stem cell procedure lasted for almost six years with just a little bit of return of soreness this past few weeks. Her ultrasound yesterday showed just a small partial-thickness degenerative tear in the infraspinatus. What happened to the full-thickness tear? Not seen on ultrasound yesterday.

The upshot? Since we’ve been injecting stem cells so long, we have the longest experience in how patients fare. So it’s not unusual for us to see patients back 4, 5, 6, or even 10 years later who are still doing quite well. In this case, a very grateful dentist who dodged the surgery bullet with a shoulder stem cell procedure!

Leave a Reply

Your email address will not be published. Required fields are marked *

12 thoughts on “A Shoulder Stem Cell Procedure 6 Year Follow-up

  1. David Davenport

    “In addition, the pain the patient feels is much more related to the local levels of nasty inflammatory chemicals than it is to the size of the rotator cuff tear.”

    I have a question: does fish oil and other non-NSAID anti-inflammatoriy supplements suppress only the undesirable inflammatory chemicals, or can fish oil interfere with desirable healing inflammation?

    In other words, should patients preparing for stem cell or PRP treatment stop taking fish oil temporarily?

  2. Michael luna

    I faxed my M R I results yesterday afternoon and a document from my pcp Doctor can anyone there check to see if you received it and let me know what’s next my cell phone # 347-331-1291 Michael Luna thank you

    1. Regenexx Team Post author

      Michael,
      We will check and let you know.

  3. Jeannine Frazier

    This is promising as I just did stem cell treatment on my shoulder on July 12th. Although I had more issues than Adriana, I am hopeful that my shoulder will stop hurting and I can once again take part in life! If anyone out there has had shoulder stem cell therapy, I’d love to hear how you are doing.

    1. Regenexx Team Post author

      Jeannine,

      Wonderful to hear your shoulder has been treated!

  4. Waldo

    Hi, Dr. Centeno, I had shoulder surgery last July of 2015 to re-attach my torn labrum which was (presumably) causing shoulder instability. The surgery did not work and I am still suffering from pain and severe instability. I recently had PRP done by Dr. Brian Shiple here near Philadelphia. Unfortunately, he also used lidocaine and injected it directly into my labrum before the PRP. I can see now why he is a former Regenexx doctor. I also found it very bizarre that his “Center for Sports Medicine” was offering PRP Vampire Facelifts. The PRP didn’t work, probably because of the lidocaine; however, during the ultrasound he did tell me that I have a small Hill-Sachs lesion on the head of my humerus and that the back of it is losing cartilage.

    Generally speaking most Hills-Sachs lesions have a corresponding bony Bankart fracture to the glenoid bone. I’m not sure if I have this because I haven’t gotten new MRI or CT scans after surgery but I suspect it’s very likely. With that in mind, I am considering having a distal tibia allograft Latarjet procedure to add more bone & cartilage to my glenoid and also a micro-fracture plus Biocartilage (which is micronized allograft cartilage mixed with PRP and fibrin) procedure to re-grow the cartilage on my humerus & fix the Hill-Sachs lesion. In addition to all of that, I then want to fly down to the Cayman Islands and have the Regenexx Cultured stem cells injected within 1 week of having my surgery.

    To be sure, I am sick and tired of being in pain and having essentially no function in my right shoulder. At the present moment after months of research, I think this is the best course of action for me to take, what do you think about my plan? Have you had any success treating Hill-Sachs and/or glenoid bone loss injuries with just Regenexx injections alone? (which would mean I could avoid having more surgery)

    Thanks,
    Waldo

    1. Regenexx Team Post author

      Waldo,
      The first and most important issue would be shoulder stability-i.e. how much is there? This is the cause of the bony lesion if it’s there-i.e. loose ligaments cause the shoulder to dislocate which knocks off the bone. So focusing on several PRP shots to tighten ligaments is likely the first step. This would need to be done under Ultrasound guidance. I wouldn’t be a big fan of your plan since it’s maximally invasive and we don’t even know the current status of the bone. Is it better to get stem cells to augment the procedure if you need to go this approach? (i.e. less invasive approaches won’t work)-Yes. But as discussed, it’s kind of like starting with a sledgehammer when a small finish hammer may work well. You can get the job done, but there’s a greater likelihood of collateral damage…

  5. Barbara Bade

    I am a new shoulder patient having x-rays 11/14/16 that revealed no cartilage in my left shoulder joint. I refer to this shoulder as my “Post Office shoulder” from a rural country route of 121 miles daily in the past. The surgeon injected steroids that offered no relief and am returning to him 12/05/16 for a follow-up. There is pain 24/7, range of motion is affected as well as sleep and all activities. He says I’m a candidate for a shoulder replacement of which appears to be a mean surgery with a long and painful recovery. Can you help?

    1. Regenexx Team Post author

      Barbara,

      We’d be glad to take a look, as your assessment of shoulder replacement is accurate. The shoulder is an incredibly complicated joint as it has to take the shoulder through the largest range of motion of any joint in the body. Please see: http://www.regenexx.com/blog/shoulder-replacement-recovery-rotator-cuff-damage/

  6. Jimmy

    I most likely have a tear on my labrum. The reason I say most likely is because the 2 occasions that I have seen an orthopedist for it I only had xrays and it was the 2nd time that I was told I had that based on the tests they did on me. I had full range of motion but some weakness and some pains. I did do PT for 4 months and that did help a lot but it was not enough make my shoulder feel normal. I’m thinking of coming in to a clinic to get a prp/stem cell procedure during the summer. I’m aware that this procedure is not covered by insurance. Are the visits leading up to the procedure covered by insurance at all or are they all out of pocket?

    1. Regenexx Team

      Hi Jimmy,
      If you are in network for the Provider you see the extensive exam is usually covered. When you’re ready, the way to begin is to click on the “Get Started” tab here: https://regenexx.com/conditions-treated/shoulder/, or give us a call at 855 622 7838. Please see: https://regenexx.com/blog/watch-advanced-image-guided-injection-shoulder-step-procedure-suite-dr-schultz/

Chris Centeno, MD

Regenexx Founder

Chris Centeno, MD is a specialist in regenerative medicine and the new field of Interventional Orthopedics. Centeno pioneered orthopedic stem cell procedures in 2005 and is responsible for a large amount of the published research on stem cell use for orthopedic applications.
View Profile

Get Blog Updates by Email

Get fresh updates and insights from Regenexx delivered straight to your inbox.

Regenerative procedures are commonly used to treat musculoskelatal trauma, overuse injuries, and degenerative issues, including failed surgeries.
Select Your Problem Area
Shoulder

Shoulder

Many Shoulder and Rotator Cuff injuries are good candidates for regenerative treatments. Before considering shoulder arthroscopy or shoulder replacement, consider an evaluation of your condition with a regenerative treatment specialist.

  • Rotator Cuff Tears and Tendinitis
  • Shoulder Instability
  • SLAP Tear / Labral Tears
  • Shoulder Arthritis
  • Other Degenerative Conditions & Overuse Injuries
Learn More
Cervical Spine

Spine

Many spine injuries and degenerative conditions are good candidates for regenerative treatments and there are a number of studies showing promising results in treating a wide range of spine problems. Spine surgery should be a last resort for anyone, due to the cascade of negative effects it can have on the areas surrounding the surgery. And epidural steroid injections are problematic due to their long-term negative impact on bone density.

  • Herniated, Bulging, Protruding Discs
  • Degenerative Disc Disease
  • SI Joint Syndrome
  • Sciatica
  • Pinched Nerves and General Back Pain
  • And more
Learn More
Knee

Knees

Knees are the target of many common sports injuries. Sadly, they are also the target of a number of surgeries that research has frequently shown to be ineffective or minimally effective. Knee arthritis can also be a common cause for aging athletes to abandon the sports and activities they love. Regenerative procedures can be used to treat a wide range of knee injuries and conditions. They can even be used to reduce pain and delay knee replacement for more severe arthritis.

  • Knee Meniscus Tears
  • Knee ACL Tears
  • Knee Instability
  • Knee Osteoarthritis
  • Other Knee Ligaments / Tendons & Overuse Injuries
  • And more
Learn More
Lower Spine

Spine

Many spine injuries and degenerative conditions are good candidates for regenerative treatments and there are a number of studies showing promising results in treating a wide range of spine problems. Spine surgery should be a last resort for anyone, due to the cascade of negative effects it can have on the areas surrounding the surgery. And epidural steroid injections are problematic due to their long-term negative impact on bone density.

  • Herniated, Bulging, Protruding Discs
  • Degenerative Disc Disease
  • SI Joint Syndrome
  • Sciatica
  • Pinched Nerves and General Back Pain
  • And more
Learn More
Hand & Wrist

Hand & Wrist

Hand and wrist injuries and arthritis, carpal tunnel syndrome, and conditions relating to overuse of the thumb, are good candidates for regenerative treatments. Before considering surgery, consider an evaluation of your condition with a regenerative treatment specialist.
  • Hand and Wrist Arthritis
  • Carpal Tunnel Syndrome
  • Trigger Finger
  • Thumb Arthritis (Basal Joint, CMC, Gamer’s Thumb, Texting Thumb)
  • Other conditions that cause pain
Learn More
Elbow

Elbow

Most injuries of the elbow’s tendons and ligaments, as well as arthritis, can be treated non-surgically with regenerative procedures.

  • Golfer’s elbow & Tennis elbow
  • Arthritis
  • Ulnar collateral ligament wear (common in baseball pitchers)
  • And more
Learn More
Hip

Hip

Hip injuries and degenerative conditions become more common with age. Do to the nature of the joint, it’s not quite as easy to injure as a knee, but it can take a beating and pain often develops over time. Whether a hip condition is acute or degenerative, regenerative procedures can help reduce pain and may help heal injured tissue, without the complications of invasive surgical hip procedures.

  • Labral Tear
  • Hip Arthritis
  • Hip Bursitis
  • Hip Sprain, Tendonitis or Inflammation
  • Hip Instability
Learn More
Foot & Ankle

Foot & Ankle

Foot and ankle injuries are common in athletes. These injuries can often benefit from non-surgical regenerative treatments. Before considering surgery, consider an evaluation of your condition with a regenerative treatment specialist.
  • Ankle Arthritis
  • Plantar fasciitis
  • Ligament sprains or tears
  • Other conditions that cause pain
Learn More

Is Regenexx Right For You?

Request a free Regenexx Info Packet

REGENEXX WEBINARS

Learn about the #1 Stem Cell & Platelet Procedures for treating arthritis, common joint injuries & spine pain.

Join a Webinar

RECEIVE BLOG ARTICLES BY EMAIL

Get fresh updates and insights from Regenexx delivered straight to your inbox.

Subscribe to the Blog

FOLLOW US

Copyright © Regenexx 2019. All rights reserved. | Privacy Policy

*DISCLAIMER: Like all medical procedures, Regenexx® Procedures have a success and failure rate. Patient reviews and testimonials on this site should not be interpreted as a statement on the effectiveness of our treatments for anyone else.

Providers listed on the Regenexx website are for informational purposes only and are not a recommendation from Regenexx for a specific provider or a guarantee of the outcome of any treatment you receive.