UPDATED August 20, 2020– It is estimated that nearly 60% of all rotator cuff surgeries fail to improve the patient’s condition. Often times the patients were better of having no surgery at all. The Regeneration orthopaedic centre offers a solution for those considering an effective alternative to shoulder surgery using MSC stem cell therapy. We now offer a powerful solution for men and women suffering needlessly from degenerative shoulder pain, knee injuries or sports injuries. The most common type of shoulder issues includes torn or managed rotator cuffs, shoulder labrum injuries and the need for shoulder joint replacement due to severe degenerative effects of osteoarthritis and myositis an autoimmune disease involving chronic inflammation in the shoulders.
Surgery vs Stem Cell Shoulder Repair
Video courtesy of OACM
Shoulder and Rotator Cuff Repair
Our shoulder is one of the most complex and versatile socket + ball joint systems in the human body. The socket and joint connections are quite shallow however and require the assistance of four tendons that are collectively known as the Rotator Cuff keep the ball firmly inside the socket during physical rotations and any lifting of weights. The shoulders’ are constantly being put through extensive wear and tear that can sometimes lead to injuries and chronic pain.
Common Shoulder injuries include:
- AC Shoulder Joint Separation
- Rotator cuff tears and Injuries
- Labral degeneration and labral tears
- Frequent shoulder dislocations
- Tendonitis of the Rotator Cuff
- Thoracic outlet syndrome
- Shoulder joint Arthritis
Unfortunately, these injuries are also some of the most difficult areas to repair surgically. It is estimated that nearly 60% of all Arthroscopic shoulder surgeries fail to heal properly, resulting in a weak range of motion and lack of strength leading to a high risk of injury by “retears” in the tendon. What’s important to note here is that the main reason the shoulders did not heal naturally was due to our bodies inability to use paracrine cell communication to recruit our bodies circulating stem cells to the shoulder to begin the natural cell restoration cycle.
Mesenchymal+ Cell therapy is appropriate for treating:
- Labral tears, SLAP Tears, Glenoid Labrum Tears, Shoulder Joint Tears
- Partial tears of the rotator cuff, Rotator cuff tendinitis ( Partial-thickness tears)
- Mild to moderate shoulder joint osteoarthritis
- Joint Pain due to Lupus
- Shoulder muscle strains and sprains
Tissue Regenerative Therapies might not be appropriate for:
- Complete separation of rotator cuffs, Complete tears leading to peripheral neuropathy
- Severe Degenerative Osteoarthritis in Shoulder Joint
Treating Shoulder Injuries with Stem Cells
Our bodies consist of billions of specialized stem cells that help to form our muscles, brain, ligaments, skin, bone, tendons and joints. Every day in our life, our cells go through a natural regenerative and death process. When old and injured cells die, our body replaces them with fresh new cells. This is the primary process and function of regenerative medicine. As we age this process becomes weaker and weaker. Sometimes, our injured cells are not able to heal themselves as effectively as before causing the degenerative process to continue. This results in our tissues and tendons to become less functional, weak and often times painful. To learn more about stem cells click here.
There are several types of cells in our bodies but the most effective types of cells that will allow for musculoskeletal healing in our tendons, bone, ligaments, and cartilage are Hematopoietic Mesenchymal Stem cells. Mesenchymal Stem cells are produced in our bone marrow but can be harvested from peripheral blood, adipose tissue or even dental pulp (In children).
Alternative to Shoulder Surgery
The regen center orthopedic stem cell treatments for hip injuries and shoulder damage utilize high concentrations of enriched Hematopoietic Mesenchymal Stem cells & PRP allowing for a unique protocol that uses multiple non-painful injections of adult stem cells that allow for safe and natural healing of your shoulder injury without any downsides associated with surgical interventions.[
Rotator Cuff Surgery Vs Stem Cells
- 6-8 weeks of wearing a shoulder brace
- Restricted movements for up to 4 months
- High Failure Rate ( Up to 60% of all Surgeries fail)
- Risk of infections and blood clots after surgery
- Long & Painful Rehab
- 5 months – 14 months for complete recovery
Stem Cell Shoulder Repair @ Regen Center ( NON-SURGICAL )
- Enriched Mesenchymal injections 
- Minimal activity restrictions
- Very little downtime
- Years of Successful outcomes using Hematopoietic Stem Cells
- No Need for Physical braces
TREATMENT PRECAUTIONS & RISKSPlease Note That Not All Patients will qualify for the treatment of degenerative Musculoskeletal conditions and shoulder injuries. Patients with injuries over 2-years-old, severely torn rotator cuffs &/or severe labrum damage may not be good candidates for treatment.
Therapy Guidelines for Shoulder Injuries
Total Number of cell Infusions of Mesenchymal “MSC+” Cells depending on the scope and severity of the injury.
Type of Cells Used and Injection Locations: Cells used in treatment are enhanced Mesenchymal Stem cells (MSC+) with tissue specific growth factors to promote production of fibrocartilage fibers. For patients with older injuries or patients with severe/several underlying health conditions enhanced tissue derived cells maybe needed. All localized cell injections are performed under local or topical anesthesia and delivered (homing) to the areas on injury though radio-guided intramuscular injections and/or Intravenous Drips.
Physical Rehabilitation After Treatment: The regen Center recommends starting physical/shoulder rehab after all treatments. Depending on the patients schedule, physical rehab can be done in Bangkok or upon return to your home. We offer complete physical rehab packages that are optional depending on your travel/time constraints. Our rehabilitation program is available upon request for 2-3 hours per day and up to 6 days per week. Thai Medical visas and/or hotel packages for the patient and family can also be provided upon request.
Total Treatment Length: Estimated treatment time in Bangkok required for enhanced stem cell therapy to treat shoulder injuries effectively is 12-17 days in total.
Cost of Treating Shoulders with Stem Cells
Due to the varying degrees of tendon/Labrum injuries our orthopedic team will need to conduct a virtual consultation with the patient. This medical review can be submitted online using the patient’s medical records and/or radiological results such as MRI Scan or CT Scans. Once our review is complete we can know for certain if the patient is a candidate for treatment and provide a detailed plan that will include the specifics of the treatment including exact total number nights required in Thailand along with total and fixed medical expenses costs (excluding accommodations or flights).
Looking to Relieve Shoulder Pain w/o Surgery?
Current surgical techniques for treating shoulder injuries or repairing rotator cuffs do not achieve very good tendon-to-bone healing. The use of MSC+ stem cells helps improve healing as a promising alternative. If you or a loved one is suffering from degenerative shoulder condition, chronic rotator cuff, and labrum pain or if you have any difficulty raising your arms laterally you may be a candidate for our procedure.
Published Clinical Citations
 ^ Beitzel, Knut, Olga Solovyova, Mark P Cote, John Apostolakos, Ryan P Russell, Mary Beth McCarthy, and Augustus D Mazzocca. 2013. The future role of mesenchymal stem cells in the management of shoulder disorders. Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association, no. 10 (August 21). doi:10.1016/j.arthro.2013.06.014. https://www.ncbi.nlm.nih.gov/pubmed/23972267
 ^ Shen, Weiliang, Jialin Chen, Zi Yin, Xiao Chen, Huanhuan Liu, Boon Chin Heng, Weishan Chen, and Hong-Wei Ouyang. 2012. Allogenous tendon stem/progenitor cells in silk scaffold for functional shoulder repair. Cell transplantation, no. 5 (March 8). doi:10.3727/096368911X627453. https://www.ncbi.nlm.nih.gov/pubmed/22405331
 ^ Utsunomiya, Hajime, Soshi Uchida, Ichiro Sekiya, Akinori Sakai, Kuniaki Moridera, and Toshitaka Nakamura. 2013. Isolation and characterization of human mesenchymal stem cells derived from shoulder tissues involved in rotator cuff tears. The American journal of sports medicine, no. 3 (January 31). doi:10.1177/0363546512473269. https://www.ncbi.nlm.nih.gov/pubmed/23371475