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February 2nd, 2018
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Shoulder Pain and Rotator cuff impingement

Rotator cuff impingement remains one of the most common causes for shoulder pain and is a significant cause for functional loss and disability. The rotator cuff consists of 4 muscles and tendons which blend to stabilize the shoulder (supraspinatous, infraspinatous, teres minor and subscapularis.) The most common muscle and tendon unit affected is the supraspinatous.

Rotator cuff tears are usually a clinical diagnosis based on the history and signs at physical exam.  Patients usually notice pain and loss of the ability to use their shoulder for their usual activity.  They can also have difficulty sleeping on the affected shoulder.

We use MRI imaging to determine the extent of the tear, the anatomy including the type of acromion process for which certain types can increase the chance for developing impingement (type 1, 2, or 3),  atrophy of the rotator cuff, subacromial/subdeltoid bursitis and labral injuries.

Steroids can be used to reduce inflammation and help treat the pain involved with rotator cuff impingement. Although they can help with the pain, overtime they can also weaken the tendon multiple injections are discouraged for this reason. Recent research has shown  PRP has now been used in treatment of rotator partial thickness rotator cuff tears.  The safety profile of PRP and its healing benefits has become a very good alternative to steroids and possibly delaying progression of the disease and future surgery.

Article below is a nice study on PRP and Rotator cuff injuries

Read It Here

Posted on behalf of Advanced Healing Institute

22972 El Toro Road
Lake Forest, CA, 92630

Phone: (949) 239-3206

Our Patient Reviews

Advanced Healing Institute

5 / 5.0

Based on 28 reviews

Rich G.

Dr. Reza is a genius. My knee has been bothering me for YEARS since I tore my meniscus playing football. Achy, bothersome, with occasionally a limp. I went into to get PRP (Platelet Rich Plasma) and it was everything I thought it would be and then some. The whole procedure took less than an hour, very little to no pain and in less than 24 hours my knee felt brand new. If you are looking for a quality Doctor who offers PRP -- go here! The rates are very on point. He is literally THOUSANDS of dollars less than some other clinics and believe me he does such an amazing job, he could charge 10x's and it would still be worth it. Don't sit there suffering, get up and get help. I am actually thinking of getting my other knee done and its not really necessary. Lol.. 10 STARS...

Marina S.

Had the PRP procedure and I have to say no pain at all, going on 6 weeks, if you decide to have the PRP listen to Dr. Dehdari's instructions thoroughly and do the physical therapy, it works and I am so pleased and it's getting better and better as days go on, Dr. Reza Dehdari is the best and very emphatic in explaining all your questions soothing away your doubts, and he checks up on you to make sure all is well, after the PRP procedure. Very trustworthy PRP procedure and his assistant Sandy is also the sweetest caring person you will ever meet. I'm a satisfied customer and patient.

Angela Gabrielle Guison

I was suffering from plantar fasciitis for 3 months. It has now been 4 weeks since my PRP treatment and I am now pain free!! Great clinic & staff and great natural treatment!

axis avalos

Quite simple experience. Showed up to appointment, I was taken right away to room for PRP injection. Doctor was friendly and willing to try to help me, while many other doctors just told me they did not know what I had and told me they couldn't help my pain and sent me away. Nurse was quite nice as well. Will return for second set of injections for more pain reduction.

Amy Long

Chronic pain in shoulder and upper arm relieved by Dr. Reza's Lavage treatment using needling and ultrasound combined with Cortisone. Very professional, clean, nice office surroundings and friendly staff.

Jay S.

I took my wife to Dr Reza Dehdari to inject a PRP shot. He did a great job a such a painful shot but my wife did not feel a pain at all. He is very caring doctor. He called a few time to make sure everything is ok. We highly recommending him. Thank you Dr. Dehdari.

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