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Non-Surgical Shoulder Osteoarthritis Care In Omaha, NE

1805 North 145th Street Omaha, NE 68154

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Patient FAQs

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

1805 North 145th Street
Omaha, NE 68154

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Doctors

An Omaha native, Dr. Evans moved his practice back to his hometown at Momenta Pain Care, allowing him to dedicate all of his professional time to providing comprehensive pain care to his patients and giving him the opportunity to work with his former colleague and fellow pain management doctor, Dr. Peter Piperis.

Using his expertise on interventional treatment of spine and musculoskeletal pain, he is the medical director of the Bergan Mercy Surgery Center.

His past service work includes medical mission trips to both Central America and the Dominican Republic. He and his wife Margaret have six children and are members of Christ the King Church.

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Dr. Peter Piperis is board certified in pain medicine and anesthesiology and has been practicing medicine since 1990.

With the skills he developed in residency, Dr. Piperis established pain medicine clinics at Jennie Edmundson Memorial Hospital in Council Bluffs, Iowa, and CHI Health-Bergan Mercy Hospital in Omaha, Nebraska. He then founded Piperis Interventional Pain Care, now Momenta Pain Care, in 2006, fulfilling his desire to dedicate himself to providing comprehensive pain care for his patients.

In addition to his clinical practice, Dr. Piperis currently serves as chief of anesthesia at Advanced Surgery Center in Omaha, Nebraska.

He and his wife Christina, who is also a member of the Momenta staff, have four 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

*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?

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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The text option is to provide you with quicker communication. Regenexx is committed to your privacy.

Please note our procedures are only covered by self-funded health plans at this time.

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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.

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