Non-Surgical Shoulder Osteoarthritis Care In Nashville, TN

Pain and Spine Consultants - Nashville, TN

210 23rd Avenue Nashville, TN 37203

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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

Pain and Spine Consultants – Nashville, TN

210 23rd Avenue
Nashville, TN 37203

(615)961-0608

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Clinic Hours

Sunday	Closed
Monday	8AM–5PM
Tuesday	8AM–5PM
Wednesday	8AM–5PM
Thursday	8AM–5PM
Friday	8AM–1:30PM
Saturday	Closed

Doctors

John Nwofia, MD

Pain and Spine Consultants

I became a doctor because I wanted to be a part of the noble profession of healing people. I have always believed in the ‘mantra’ of “Do No Harm”. My goal is to treat the patient, not the disease. I have always believed that, while we cannot successfully treat every disease, it is possible to successfully treat every patient. This is, if the goal is to leave the patient physically, or psychologically better, and better informed, after every visit. Whether or not the particular disease was treated at the particular visit. I have learned from my patients as much as I have educated them. I believe a well informed patient does better with treatment. That is why I take the extra time in educating and carrying them along.

I am an interventional physiatrist and rehabilitation specialist. I specialize in the evaluation and treatment of non-surgical spinal and musculoskeletal disorders. I am (ABMS) board certified with the American Academy of Physical Medicine and Rehabilitation (AAPM&R) in Physical Medicine & Rehabilitation and the subspecialty of Pain Medicine.

Since my wife and I settled our young and growing family in Nashville 26 years ago, we have never regretted it. We have raised our kids here and they know, no other home. We reside in Brentwood, Tennessee. I enjoy travelling and Shotokan Karate.

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Wesley Peace, MD

Pain and Spine Consultants

Dr. Peace, a dedicated and accomplished physician, specializes in Physical Medicine and Rehabilitation with a particular focus on Interventional Pain Management. His unwavering commitment to improving patients’ functionality and overall quality of life sets him apart in the field.

He further advanced his expertise through a fellowship in Interventional Pain Management. This specialized training equipped him with the skills and knowledge to employ innovative and minimally invasive techniques for managing pain. As an interventionist, he goes beyond traditional approaches, utilizing cutting-edge methods to address pain at its source.

With a patient-centric approach, Dr. Peace builds strong, empathetic connections with those under his care. He understands the profound impact that pain can have on one’s life and strives to tailor treatment plans that align with each patient’s unique needs. His commitment extends beyond mere symptom management; he aims to empower individuals to regain control over their lives and enjoy a better quality of life.

A proud graduate of Meharry Medical College, Dr. Peace embarked on his medical journey with a passion for making a tangible impact on the lives of those facing physical challenges. During his residency training at UT Health San Antonio, he distinguished himself, earning the role of Chief Resident. This experience honed his leadership skills and provided a solid foundation for his future endeavors.

Outside the medical realm, Dr. Peace cherishes family time, enjoying moments with his two young boys and beloved dog, adding a touch of warmth and balance to his fulfilling life. Notably, he holds a black belt in Tae Kwon Do, showcasing his discipline and dedication beyond the realm of medicine.

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Website

painandspine.com

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?

Does Surgery Prevent Shoulder Arthritis?

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 Procedures for Shoulder Arthritis

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.

Patient FAQs

What Is Shoulder Osteoarthritis (OA)?

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.

Why Does Shoulder Arthritis Hurt?

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.

Does Rotator Cuff Surgery Lead to Shoulder Arthritis?

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.

What Causes Bone Spurs?

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

u003ch2u003eGet started to see if you are a Regenexx candidaternu003c/h2u003ernu003cpu003eTo talk one-on-one with one of our team members about how Regenexx may be able to help your orthopedic pain or injury, please complete the form below and we will be in touch with you within the next business day.u003c/pu003e

Regenexx is committed to your privacy. We do not sell or share your information to third party vendors. By submitting the form you agree that you’ve read and consent to our Privacy Policy.

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.

References

1. Murray RC, DeBowes RM, Gaughan EM, Zhu CF, Athanasiou KA. The effects of intra-articular methylprednisolone and exercise on the mechanical properties of articular cartilage in the horse. Osteoarthritis Cartilage. 1998 Mar;6(2):106-14. doi: 10.1053/joca.1997.0100. PMID: 9692065.

2. Nakazawa F, Matsuno H, Yudoh K, Watanabe Y, Katayama R, Kimura T. Corticosteroid treatment induces chondrocyte apoptosis in an experimental arthritis model and in chondrocyte cultures. Clin Exp Rheumatol. 2002 Nov-Dec;20(6):773-81. PMID: 12508768.

3. Plath JE, Aboalata M, Seppel G, Juretzko J, Waldt S, Vogt S, Imhoff AB. Prevalence of and Risk Factors for Dislocation Arthropathy: Radiological Long-term Outcome of Arthroscopic Bankart Repair in 100 Shoulders at an Average 13-Year Follow-up. Am J Sports Med. 2015 May;43(5):1084-90. doi: 10.1177/0363546515570621. Epub 2015 Mar 2. PMID: 25731974.