Non-Surgical Shoulder Osteoarthritis Care In Laguna Hills, CA

Derrington Orthopedics - Interventional Sports and Spine - Laguna Hills, CA

25411 Cabot Road, Ste 116 Laguna Hills, CA 92653

Home › Derrington Orthopedics - Interventional Sports and Spine - Laguna Hills, CA › Shoulder › Shoulder Osteoarthritis

Regenexx procedures are non-surgical alternatives that use precise image-guided injections of your body’s own natural healing agents to treat shoulder injuries.

Shoulder arthritis impacts nearly 25% of adults, yet many of the other treatments still used today deliver less than ideal results. Research has shown that surgery is unreliable and that commonly used nonsurgical alternatives can do more harm than good. For example, steroids can break down cartilage¹ and kill cartilage cells in arthritic joints.²

Shoulder joint anatomy graphic with labels. — Shoulder joint anatomy – arthritis pain

Derrington Orthopedics – Interventional Sports and Spine – Laguna Hills, CA

25411 Cabot Road
Ste 116
Laguna Hills, CA 92653

760-721-4000

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Clinic Hours

Sunday	Closed
Monday	Closed
Tuesday	9AM–5PM
Wednesday	Closed
Thursday	Closed
Friday	Closed
Saturday	Closed

Doctors

Stephen Derrington, DO

Derrington Orthopedics – Interventional Sports and Spine

Dr. Derrington has been providing care to patients throughout California and beyond as a physician licensed to provide Regenexx injectates since 2016. As a doctor of osteopathic medicine, he understands the connection between structure and function and devises holistic treatment plans to help the body heal itself without surgical intervention.

He completed residency training at Thomas Jefferson University and fellowship with Marko Bodor, MD. Dr. Derrington continued his regenerative medicine training with the Interventional Orthobiologic Foundation and continues to help educate fellow physicians as an instructor for IOF.

He has published papers and textbook chapters on Interventional Orthobiologic treatments, spine procedures, tendon disorders, and ultrasound-guided injection techniques.

And he stays active via CrossFit and enjoys eating good food, listening to good music, and exploring the world with his family.

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Areas treated: Cervical Spine (Not Upper Cervical or CCI)*, Elbow, Foot & Ankle, Hand & Wrist, Hip, Knee, Lumbar Spine, Shoulder, Thoracic Spine

Melanie Worley, DO

Derrington Orthopedics – Interventional Sports and Spine

Dr. Melanie Worley completed her fellowship at the Centeno-Schultz Clinic, the nation’s leading interventional orthobiologics fellowship, where she trained in advanced image-guided procedures, platelet-rich plasma (PRP), and bone marrow concentrate treatments for orthopedic and spine conditions. She is dual fellowship–trained, also completing a sports medicine fellowship at West Virginia University, and is board certified in both Emergency Medicine and Sports Medicine.

Dr. Worley has presented nationally at The Orthobiologic Institute (TOBI) and the Regenexx Conference, and earned the Top Research Award from the Interventional Orthobiologics Foundation (IOF) for her work on biologic treatments in sports medicine. Her practice emphasizes a personalized and holistic approach, with a focus on helping patients heal without surgery and get back to the activities they love.

As a lifelong athlete, Dr. Worley has run the Boston Marathon three times and has a PR below 3 hours in the marathon. She has won multiple triathlons and competed in the Ironman 70.3 World Championship. She is currently training for a HYROX competition and also enjoys snowboarding, exploring new trails, Nordic skiing, plant-based cooking, playing guitar, and is a coffee connoisseur.

Originally from Ohio, Dr. Worley is excited to make California her new home and to bring her expertise in regenerative and sports medicine to Derrington Orthopedics.

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Areas treated: Cervical Spine (Not Upper Cervical or CCI)*, Elbow, Foot & Ankle, Hand & Wrist, Hip, Knee, Lumbar Spine, Shoulder

Website

derringtonortho.com

Areas Treated

Cervical Spine (Not Upper Cervical or CCI)*, Elbow, Foot & Ankle, Hand & Wrist, Hip, Knee, Lumbar Spine, Shoulder, Thoracic Spine

^*This provider is NOT authorized by Regenexx to treat the C0-C1 or C1-C2 levels of the neck or CCI (craniocervical instability).

Woman in telemedicine consult with physician to see if she's a candidate for Regenexx for knee osteoarthritis.

Treating Shoulder Arthritis Without Surgery

Regenexx patients benefit from reduced pain and improved function, helping them avoid shoulder surgery.

Am I a candidate?

Does Surgery Prevent Shoulder Arthritis?

A 2015 study looked at 100 shoulders 13 years after they were treated surgically. The research found that the operated shoulders had just as much arthritis as that reported by other studies in patients who didn’t get surgery.³

Moreover, shoulder replacement is a major surgery involving amputation of the shoulder joint and insertion of a prosthesis. Such an invasive surgery involves a long recovery time and the risk for serious complications. In addition, 40% of shoulder replacements in patients younger than 55 fail within 10 years.³

Regenexx Procedures for Shoulder Arthritis

Regenexx’s procedures for degenerative arthritis of the shoulder joint can be a better alternative for people looking to avoid surgery, lengthy recovery, and overuse of prescription pain medication. Best of all, Regenexx procedures spare normal body biomechanics helping you to remain active for your lifetime.

Patient FAQs

What Is Shoulder Osteoarthritis (OA)?

The cartilage in your shoulder is there to help reduce the friction in the joint and to cushion the bone. When cartilage starts to wear down or is injured by metabolic syndrome (i.e., overweight, high blood pressure, and high triglycerides), that’s called arthritis. It leads to chronic shoulder pain, stiffness, limited shoulder function, and decreased mobility.

Why Does Shoulder Arthritis Hurt?

What might surprise you is that it’s not the lost cartilage that causes the pain but rather the chemicals your body releases in response to inflammation.

Does Rotator Cuff Surgery Lead to Shoulder Arthritis?

Research suggests that those who have shoulder osteoarthritis before rotator cuff surgery for massive tears are at greater risk for retears and a much higher risk for progression of arthritis after surgery.(3) Additionally, a percentage of patients who don’t have shoulder arthritis prior to rotator cuff repair will develop it after the surgery.

What Causes Bone Spurs?

When a bone begins to get spurs (osteophytes) — extra extensions of the joint that are your body’s reaction to instability — it is trying to stabilize the joint. So removing spurs is rarely a good idea

u003ch2u003eGet started to see if you are a Regenexx candidaternu003c/h2u003ernu003cpu003eTo talk one-on-one with one of our team members about how Regenexx may be able to help your orthopedic pain or injury, please complete the form below and we will be in touch with you within the next business day.u003c/pu003e

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How will we communicate with you and provide information about Regenexx? Text is available for quicker response. Message and data rates may apply. Frequency varies. Reply HELP for help, STOP to unsubscribe. We may also reach out via email, phone, or other electronic means.

What about health insurance or medical benefits? What may be covered or reimbursed depends on the details of your plan. Insurance typically covers evaluations and diagnostic testing (if recommended) but most do not cover Regenexx Procedures. Some Employer specific Regenexx Benefits plans do also cover Regenexx Procedures. Your plan’s representative can help verify your benefits, out-of-pocket costs, and coverage.

References

1. Murray RC, DeBowes RM, Gaughan EM, Zhu CF, Athanasiou KA. The effects of intra-articular methylprednisolone and exercise on the mechanical properties of articular cartilage in the horse. Osteoarthritis Cartilage. 1998 Mar;6(2):106-14. doi: 10.1053/joca.1997.0100. PMID: 9692065.

2. Nakazawa F, Matsuno H, Yudoh K, Watanabe Y, Katayama R, Kimura T. Corticosteroid treatment induces chondrocyte apoptosis in an experimental arthritis model and in chondrocyte cultures. Clin Exp Rheumatol. 2002 Nov-Dec;20(6):773-81. PMID: 12508768.

3. Plath JE, Aboalata M, Seppel G, Juretzko J, Waldt S, Vogt S, Imhoff AB. Prevalence of and Risk Factors for Dislocation Arthropathy: Radiological Long-term Outcome of Arthroscopic Bankart Repair in 100 Shoulders at an Average 13-Year Follow-up. Am J Sports Med. 2015 May;43(5):1084-90. doi: 10.1177/0363546515570621. Epub 2015 Mar 2. PMID: 25731974.