Non-Surgical Shoulder Osteoarthritis Care In San Diego, CA

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

11230 Sorrento Valley Rd.
Suite 120
San Diego, CA 92121

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Doctors

Dr. Cohen has had a distinguished career in medicine and has been recognized by his peers as an outstanding clinician, winning several distinguished awards, including the prestigious Master Clinician award, as well as being appointed as Assistant Clinical Professor (voluntary) at UCSD School of Medicine.

For the first 11 years of his medical career, Dr. Cohen was contracted by the Department of Defense to manage and direct the Sports Medicine and Reconditioning program for the Marine Corps recruits in the western United States, as well as to serve as a special consultant for the Navy SEALs. He is proud to be able to provide procedures using Regenexx injectates to patients from his San Diego location.

Dr. Cohen is a dedicated physician and passionate family man who is also an avid golfer, fisherman, and triathlete.

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Dr. Costanzo has had a distinguished career in medicine and has been recognized by her peers as an outstanding physician. She is dedicated to and extremely passionate about whole-person wellness.

She has extensive experience and training in managing chronic pain conditions and is proud to be able to provide procedures using Regenexx injectates to patients in San Diego.

Additionally, she is an assistant professor of anesthesiology at the Uniformed Services University of the Health Sciences (USUHS) and has been awarded the prestigious Associate Master Clinician award.

She is also a certified Level 4 ESSENTRICS instructor and teaches weekly exercise classes.

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

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

Am I a candidate?

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’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.

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.

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.

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.

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

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