Shoulder Pain

John S. Michels, MD -  - Interventional Pain Management

John S. Michels, MD

Interventional Pain Management located in Dallas, TX

Shoulder pain should never be ignored. If you keep using a damaged shoulder joint, the problem worsens, and you could end up with chronic shoulder instability. If you have ongoing shoulder pain, John S. Michels, MD, of Interventional Spine & Pain in Dallas specializes in regenerative therapies that help your shoulder heal, as well as interventional therapies to relieve your pain. Schedule an appointment today by calling the office or using the online booking feature.

Shoulder Pain Q & A

What causes shoulder pain?

Everyday movement takes a toll on your shoulder. The wear and tear only worsens if you engage in work or athletic activities that require repetitive or overhead arm movements. A few of the most common causes of shoulder pain include:

  • Osteoarthritis
  • Rotator cuff injury
  • Shoulder dislocation
  • Trigger points (muscle knots)
  • Repetitive stress injuries
  • Inflammatory problems like tendinitis and bursitis

Arthritis develops in the joint where your collarbone meets the shoulder blade, and in the joint formed where your upper arm joins the shoulder blade.

How does interventional medicine relieve shoulder pain?

As a specialist in interventional pain management, Dr. Michels has extensive experience performing numerous techniques that effectively relieve your pain, including:

Suprascapular nerve block with ablation

Dr. Michels injects an anesthetic at the nerve. If your pain is relieved by the medication, then it shows the nerve is responsible for the signals causing your pain.

For the next step, he can treat the nerve with radiofrequency ablation, which uses heat to wound the nerve. The wound blocks the nerve signals so they can’t send a pain message to your brain. Following ablation, you’ll have pain relief for about six to 12 months.

Intra-articular steroid injections

Dr. Michels may inject steroid medication into your shoulder joint, which relieves your pain by reducing inflammation.

Hyaluronic acid injections

Hyaluronic acid is normally found in your shoulder, where it lubricates the joint and absorbs shock. In patients with osteoarthritis, this injection helps restore movement.

How does regenerative medicine relieve shoulder pain?

Regenerative therapies such as platelet-rich plasma (PRP) and stem cell injections actively promote healing in the shoulder joint.

PRP injections

Made from a sample of your own blood, PRP injections contain a concentrated amount of platelets. Platelets are natural healers that migrate to damaged tissues and release growth factors. The growth factors, in turn, stimulate tissue regeneration. When PRP is injected at the damaged tissues in your shoulder, the platelets trigger healing.

Stem cell injections

Adult stem cells are constantly at work in your body, where they have the amazing ability to self-replicate and create new cells. The new cells then develop into numerous tissues, including cartilage, tendons, ligaments, muscles, and blood vessels. Injecting a concentrated amount of stem cells into your shoulder speeds up the healing process.

To get relief from your shoulder pain, call Interventional Spine & Pain or book an appointment online today.