Non-Surgical Shoulder Osteoarthritis Care In Milwaukie, OR

6542 SE Lake Rd, Suite 101 Milwaukie, OR 97222

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

6542 SE Lake Rd
Suite 101
Milwaukie, OR 97222

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Doctors

Dr. Trey Rigert, a distinguished Physiatrist, and Pain Management Physician holds dual board certifications in Physical Medicine and Rehabilitation as well as Addiction Medicine. He embarked on his professional journey before the widespread acceptance of interventional pain management and chronic opioid therapies. He graduated from medical school in 1989 and completed his Physical Medicine and Rehabilitation residency at the University of Irvine in 1993. Dr. Rigert has extensive experience in medical directorship, including leading two inpatient physical rehabilitation programs and a comprehensive chronic pain program. As the founder of Columbia Pain Management, he exemplifies expertise in interventional pain care. He served as the Quality Medical Director at Providence Hood River Medical Center and previously held the position of President of the medical staff. Outside of his professional pursuits, he is devoted to his family, enjoys Hood River’s outdoor activities, engages in community service, and coaches a robotics team. Dr. Rigert’s passion for his work is palpable, driven by a continuous desire to improve patient care.

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Dr. David Russo, an accomplished Physiatrist and Pain Medicine Specialist, brings a wealth of expertise in managing and treating pain. He is triple board-certified in Physical Medicine and Rehabilitation, Pain Medicine, and Addiction Medicine. Following an undergraduate degree from the University of California, Berkeley, Dr. Russo pursued his medical and graduate degrees at the University of North Texas Health Science Center. His postgraduate training includes a residency at the Mayo Clinic and a fellowship at the Oregon Health Sciences University. Dr. Russo is respected for his contributions to pain treatment and regenerative therapies research and development and his advisory roles in medico-legal and clinical risk management. His dedication to improving pain management underscores his commitment to patient care and professional development.

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Dr. Vishal Khemlani, MD, exemplifies commitment and expertise in Anesthesiology and Pain Medicine. Raised in Beaverton, Oregon, he pursued his medical degree from Oregon Health and Science University, followed by a residency and fellowship in Anesthesiology and Pain Management at the University of California. Dr. Khemlani’s patient-centered approach focuses on comprehensive pain management, integrating conservative and minimally invasive treatments to enhance patients’ overall quality of life. His dedication to educating patients and tailoring treatment plans to individual needs demonstrates his holistic approach to healthcare. Dr. Khemlani enjoys family time and exploring Oregon’s natural beauty, reflecting his balanced approach to life and medicine.

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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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