Shoulder Labrum Tear Treatment – Broomfield, CO

403 Summit Blvd, Suite 201 Broomfield, CO 80021

The labrum is a cup-shape rim of cartilage that lines and reinforces the ball-and-socket joint of the shoulder. It’s the lip of the socket of the ball and socket joint. It helps to connect the socket part of the scapula with the head of the humerus. It makes the socket deeper, creating space for the bones to move, and coats the surface of the socket area with soft cartilage, enabling the shoulder to move more freely and painlessly.

A shoulder labrum tear can be caused by a direct injury to the shoulder or as the result of prolonged wear and tear.1 While labral tears can occur in big traumas, like a car crash or a serious fall, shoulder instability is a cause often missed. 2 Instability can slowly increase after an old injury or a seemingly less traumatic event.

Imagine that the ball of the humerus is a bowling ball and that the labrum a barrier between the lane and gutter.  When the shoulder is stable, the ball stays on the lane. When the shoulder is unstable, the ball continuously goes towards the gutter and hits the barrier (labrum).

Shoulder joint anatomy highlighting the labrum
Labrum – shoulder joint anatomy

The common surgical intervention for labral tears often involves an invasive procedure to reattach the biceps tendon at another location. Labral repair tends to be followed by a long, painful recovery with extensive physical therapy — often with no improvement in mobility and function. Also, labrum surgery frequently fails to address the subtle instability of the shoulder joint that caused the tear, so the shoulder remains unstable and subsequent injuries may occur. 

There has only been one high-level study that compared surgical labral repair compared against a fake surgery. It did not show any difference in outcome between the labral repair surgery and the fake procedure 3. In another study looking at posterior shoulder instability, surgery edged out physical therapy, but the patients knew what procedure they were getting 4. We don’t have much solid evidence that a shoulder labral repair procedure works.

403 Summit Blvd
Suite 201
Broomfield, CO 80021

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Doctors

Christopher J. Centeno, M.D. is a specialist in regenerative medicine and has helped found the emerging specialty of Interventional Orthobiologics. He has had many world-wide and U.S. procedural firsts in Orthobiologics and is CMO of Regenexx and a founding member of the Interventional Orthopedics Foundation (IOF). He is one of the few physicians in the world with extensive experience in the culture expansion of and clinical use of adult stem cells to treat orthopedic injuries. He is responsible for the world’s largest and oldest stem cell treatment registry focused in the field of orthopedic injuries. His clinic incorporates a variety of Orthobiologic injections that are delivered via precision, image guidance to help patients from all over the world avoid more invasive orthopedic surgery. Dr. Centeno also runs lab and clinical research groups that have the benefit of a state of the art cell biology research facility.

Dr. Centeno has chaired multiple international research based conferences. He also maintains an active research based practice, producing multiple publications per year that are listed in the US National Library of Medicine. Dr. Centeno has also served as editor-in-chief of a medical research journal dedicated to traumatic injury and serves as a peer reviewer for multiple research publications. He has lectured all over the world on regenerative therapies including twice at the Vatican in Rome.

Dr. Centeno trained at the Baylor College of Medicine, Texas Medical Center and the Institute for Rehabilitation Research. He hails from both Florida and New York and currently resides in Boulder, Colorado with his wife and three children.

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Areas treated: Cervical Spine (including CCI), Elbow, Foot & Ankle, Hand & Wrist, Hip, Knee, Lumbar Spine, Other Conditions, Shoulder, Thoracic Spine

As a physician, compassion, communication, and grace are central themes in Dr. Schultz’s medical practice. His emphasis is on the evaluation and treatment of thoracic and cervical disc, facet, nerve, and ligament injuries, including the non-surgical treatment of craniocervical instability (CCI).

Dr. Schultz is an interventional pain management specialist, double board certified in anesthesiology and pain management. He is also a member and prior instructor for the Spine Interventional Society (SIS).

In 2005, Dr. Schultz co-founded Regenexx with his colleague Chris Centeno, MD. Together, they pioneered the specialty of Interventional Orthopedics and were the first in the world to apply stem cells from bone marrow concentrate to treat orthopedic injuries.

He has published numerous works in the field of anesthesiology and regenerative science and brings 20 years of experience to Centeno-Schultz Clinic and its patients.

Being active is a central part of his life, and he enjoys skiing, biking, hiking, and sailing with his wife, children, and grandchildren.

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Areas treated: Cervical Spine (including CCI), Elbow, Foot & Ankle, Hand & Wrist, Hip, Knee, Lumbar Spine, Other Conditions, Shoulder, Thoracic Spine

Dr. Pitts is originally from Chicago, IL, but is a medical graduate of Vanderbilt School of Medicine in Nashville, TN. After Vanderbilt he completed residency in Physical Medicine and Rehabilitation (PM&R) at Emory University in Atlanta, GA, and is board certified. He came to Colorado as a fellow at the Centeno Schultz Clinic to learn more about regenerative medicine and interventional orthopedics.

He completed his fellowship in 2014. He is the current Centeno-Schultz Clinic fellowship director and regularly teaches at regenerative medicine conferences. He has been involved in research and development of the regenerative procedures and post procedural rehabilitation. He has pioneered several procedures such as the cervical percutaneous anterior longitudinal ligament PALL procedure, cervical intradiscal procedure, and hip ligamentum teres procedure. He is a chief editor of the textbook “Atlas of Interventional Orthopedics” that describes the technique and rational for regenerative procedure under ultrasound and Xray guidance.

Additionally he has interests in nutrition, supplements, and complementary and alternative medicine. He has written and published a nutrition guide, “Nutrition 2.0: 21st Century Guide to Nutrition and Health.” Dr. Pitts believes in taking a holistic approach to patient care.

In his spare time he enjoys all outdoor activities, sports, running, hiking, lifting weights, Crossfit, biking, snowboarding, tennis, and traveling with his family.

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Areas treated: Cervical Spine (including CCI), Elbow, Foot & Ankle, Hand & Wrist, Hip, Knee, Lumbar Spine, Shoulder, Thoracic Spine

A South Florida native, Dr. Markle is skilled in advanced interventional injection techniques into the spine and peripheral joints, enabling him to treat patients with orthobiologics.

During his fellowship at the Centeno-Schultz Clinic, Dr. Markle gained significant experience in interventional orthopedics and regenerative medicine.

In addition to working at the Centeno-Schultz Clinic, Dr. Markle is an active member of the Interventional Orthopedic Foundation and serves as a course instructor, training physicians from around the world in advanced interventional orthopedic injection techniques.

He’s an outdoor sports enthusiast. In his free time, he enjoys hiking, snowboarding, rock climbing, mountain biking, Olympic weightlifting and Crossfit, and spending time with his wife and two dogs.

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Areas treated: Cervical Spine (including CCI), Elbow, Foot & Ankle, Hand & Wrist, Hip, Knee, Lumbar Spine, Shoulder, Thoracic Spine

Dr. Money is an Indiana native who now proudly calls Colorado home. He believes there’s a better way to care for patients than the status quo and that the human body has incredible healing capabilities. Throughout his career, he has sought to learn more about harnessing those potentials without the use of steroid injections and surgery.

He attended medical school at Kansas City University and then returned to Indiana to complete a physical medicine and rehabilitation residency program at Indiana University, where he was trained on non-surgical methods to improve health and function as well as rehabilitative care following trauma, stroke, spinal cord injury, brain injury, and more.

Dr. Money considers golf his favorite activity and he has been playing for 25+ years. He is the only physician in Colorado who is actively certified by the Titleist Performance Institute. That means he understands how certain characteristics of your golf swing are either caused by or can lead to injuries anywhere from the neck to the foot.

Dr. Money has been involved in athletics his entire life. During graduate and medical school he was a competitive triathlete and, more recently, had the opportunity to be a part of the medical staff for Ironman triathlon races. Now, he fully embraces the Colorado lifestyle with endless cycling routes, snowboarding in the winter, and summiting “14ers” (14,000 foot peaks for those not from Colorado) in the summer.

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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

I became a doctor because I had multiple sports injuries as a young man and I had loved ones living with chronic pain. I fell in love with biomechanics during the rehab process and decided to pursue a career in medicine and specifically physical medicine and rehabilitation (PM&R). My approach to patient care is that every single patient is a VIP. I pride myself on being consistent and thorough with all of my evaluations and treatments. I moved from Philadelphia, PA to Broomfield, CO in June 2024 to train at the prestigious Interventional Orthopedics Fellowship at the Centeno Schultz clinic. After completion of fellowship, I decided to stay and work with the amazing team at CSC.

Dr. Pelle is a highly accomplished physician specializing in Physical Medicine and Rehabilitation with a deep passion for interventional orthopedics. He earned his Doctor of Osteopathic Medicine from the Philadelphia College of Osteopathic Medicine in 2020 and subsequently completed his residency at the Hospital of the University of Pennsylvania. He has a strong research background, notably winning an award at the 2023 Interventional Orthobiologics Foundation (IOF) Max Meeting for his research abstract.

Dr. Pelle is passionate about medical education and has served as an instructor for resident and medical student ultrasound courses at the University of Pennsylvania, as well as various educational programs. His research and clinical interests include the use of regenerative medicine techniques such as platelet-rich plasma (PRP) and mesenchymal stem cells in orthopedic and musculoskeletal health. Outside of medicine, Dr. Pelle is an avid reader who reads multiple books a month, enjoys hiking, traveling, skiing, pheasant and duck hunting, weightlifting, men’s health, nutrition, optimizing athletic performance, and spending time with his wife and children.

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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

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

Regenexx procedures are non-surgical treatments that use your body’s own healing agents to treat shoulder labral tears. Our patients benefit from reduced pain and improved function, helping them avoid shoulder surgery.

Am I a candidate?

Regenexx’s percutaneous labralplasty is a nonsurgical procedure that uses precise imaging guidance and your own healing cells to promote natural healing. Regenexx procedures can be a better alternative for people looking to avoid surgery, lengthy recovery, and overuse of prescription pain medication. They use either platelet-rich plasma or bone marrow concentrate (which contains stem cells). 

The nature and severity of your labral tear (classification type) generally determines if the treatment is right for you. An evaluation by a Regenexx physician is the first step.

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I tell people about it all the time, and they find it so hard to grasp…100% and no scars, no downtime….I am so happy with my results and just wanted to say THANKS once again.”

Pilates lover with an active lifestyle Full patient story

Number 8 [at 3 minutes and 35 seconds] is Matt scoring the winning goal for Penn State lead over Cornell. He had 2 great goals! THANK YOU…he feels great:)”

Mother of a college athlete Full patient story

Note: Like all medical procedures, Regenexx procedures have a success and failure rate. Not all patients will experience the same results.

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Webinar: Alternatives to Shoulder Labrum Surgery

Learn the latest about regenerative medicine, and how Regenexx procedures can treat your shoulder labrum injury.

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Yes, not everyone experiences pain when their labrum is torn. In 2016, a study performed MRIs on patients without shoulder pain who were 45-60 years old, a staggering 55-72% of these people had labral tears. 5 

Yes. When the tear is in the upper part of the labrum, the area where the biceps tendon attaches to the lap of the socket is also commonly torn. When this happens, it’s called a SLAP tear (Superior Labral Tear from Anterior to Posterior).

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