Non-Surgical Shoulder Osteoarthritis Care In El Paso, TX

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

10412 Vista Del Sol Drive
El Paso, TX 79925

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Doctors

Dr. Manouchehr Refaeian is a dedicated physician driven by a lifelong sense of purpose that began at a young age. Caring for his grandmother, he knew he wanted to impact lives as a medical doctor. With a warm and compassionate bedside manner, he creates a comforting environment for patients. Serving El Paso since 1998, he is integral to the community, volunteering his services at the Baptist clinic and mentoring medical students.

Dr. Refaeian’s expertise is in Physical Medicine and Rehabilitation, as well as interventional Pain Management. He is proficient in various treatments including epidural and joint injections, Prolotherapy and platelet rich plasma therapy (PRP). He is committed to applying advanced technologies to reduce unnecessary surgeries for his patients.

He completed his undergraduate studies at UTEP and finished his medical school at Texas Tech Medical School in Lubbock, Texas. Dr. Refaeian completed his residency training program at UTHSC in San Antonio. He also served as an Academic Chief Resident for the Department of Rehabilitation Medicine and also served as President of the El Paso Pain Society.

Beyond medicine, Dr. Refaeian enjoys hiking and competitive tennis. His deepest values lie in his family, cherishing the time spent with his two sons. Dr. Refaeian’s well-rounded, caring nature reflects his dedication to patients and community well-being.

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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

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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