Non-Surgical Shoulder Osteoarthritis Care In Coeur d’Alene, ID

This location is for evaluation appointments only.

Coeur d'Alene, ID

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


Coeur d’Alene, ID

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Doctors

As a board-certified physician in both physical medicine and rehabilitation with a subspecialty in pain medicine, Dr. Lewis treats patients throughout eastern Washington and northern Idaho. He treats spine conditions, full-body joint pains and complaints, muscular issues, and complex regional pain.

Dr. Lewis is the medical director of the Center for Integrative Pain Medicine, the Center for Regenerative Medicine, and the Structured Intensive Multidisciplinary Pain Program at St. Luke’s Rehabilitation Institute in Spokane, Washington.

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Dr. Nemri’s extensive experience has brought many patients the expertise of a compassionate and caring physician.

He practiced anesthesia and pain management for several years in the largest pain management group in northwest Indiana and the greater Chicago area before moving to Washington State to be closer to his family.

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Dr. Gilmer hails from McCall, Idaho, where a love for the outdoors ignited a passion for health and well-being. This passion fueled his academic journey at Idaho State University, where he earned both a bachelor’s and master’s degree in microbiology. Dr. Gilmer then earned his medical doctorate at the University of Washington School of Medicine.

Following medical school, Dr. Gilmer completed his residency in Physical Medicine & Rehabilitation at Providence, serving as Chief Resident during his tenure. His dedication to patient care extends beyond the clinic, with a special focus on pain management, graduate medical education, and regenerative medicine.

In his free time, he finds joy in activities like skiing, mountain biking, and fishing.

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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

*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.

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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