What is shoulder pain and how it occurs?
Stabbing pain is felt sometimes at the shoulder girdle. The shoulder joint is the ball and socket variety of joint that allows the wide variety of movements. Severe pain arises around the shoulder joint if any of the structures surrounding the joint cavity are ruptured or disturbed. These structures include the tendons, various ligaments and rotator cuff muscles.
Causes of shoulder pain
The causes of this instability and the resultant pain at the shoulder joint are following:
Sometimes the membrane surrounding the joint cavity gets inflamed or there is wear and tear of the ligaments at the joints. These conditions give rise to the shoulder joint arthritis and because of this arthritis, severe pain occurs around the shoulder joint.
In a healthy shoulder joint, there is a fluid filled sac called bursa present. This sac allows the free movements without causing the friction between the moving bones. Sometimes as a result of any injury, the bursa get inflamed, a condition called bursitis. This inflamed bursa hinders the movements and may give rise to the sharp radiating pain.
After the trauma or any roadside accident , there is dislocation of the shoulder joint. It may give rise to the pain.
There is a condition called frozen shoulder. It occurs when all the surrounding ligaments and muscles of the shoulder joint get stiff enough so that almost no movement is possible around the joint. In this case, when a movement is performed, it causes the sharp pain felt at the apex of shoulder joint.
In the boxers or athletes, there is overuse of biceps and other prominent muscles of the shoulder joint. This may lead to pain after sometime.
Many people do not ensure the proper posture maintenance and hence prone to shoulder pain once it is dislodged from its normal position.
Prolotherapy in the treatment of shoulder pain
Prolotherapy is an injection based technique that involves injecting the solutions containing various vitamins, minerals, collagen, local anesthetics and many other natural components into the joints. In the shoulder joint pain, all these injected substances work for the relief of pain by reducing the degree of arthritis, inflammation and tenderness. In this way the Prolotherapy works for the betterment of pain sensations at the shoulder joint. The Prolotherapy injection is usually given at posterior and lateral aspect of acromion process of scapula of shoulder joint.
Prolotherapy works by two ways In our clinic Venturis Chiropactic and acupuncture in the Oklahoma city. Dr. Alvin Philipose is highly experienced in performing thousands of prolotherapies over patients from all over the world from the last 20 years. He ensures the best treatment with a successful outcome. These two ways are via the use of collagen and ozone in the Prolotherapy.
Prolotherapy with collagen
Usually the shoulder pain arises because of rupture of ligaments holding the joint cavity and sometimes due to the rupture of tendons. These changes elicit which is felt when any movement is performed at the shoulder joint. These tendons and ligaments are repaired by using the Prolotherapy injections with mildly irritant components that induce the inflammatory response in the cells.
This inflammatory response aggravates via the inflammatory factors and strongly stimulates the host immune response. And this immune response is responsible for laying down the collagen fibers. This collagen is added to the tendons and ligaments for their strengthening and repair. In this way the pain from the shoulder joint is avoided. The collagen inducing Prolotherapy has several other benefits which are mentioned below:
Proliferation of blood vessels
The dextrose solution contains some of the vibrant growth factors that stimulate the endothelial cells of the arthritic area hence causing enormous growth of blood vessels. These expanding blood vessels restore the normal blood flow and repair the arthritic wear and tear of the joint
Immune response stimulation
The immune system is stimulated after the injection of Prolotherapy. This activated immune system of the host help fighting with some other arthritis and swelling related joint problems.
The Prolotherapy procedure employing the dextrose solution gives the excellent results for the relief from pain permanently. When this solution is injected, it stimulates the cartilage and the torn ligaments growth, these growing structures add to the strength of joint cavity. Hence, the pain which was due to the inflamed and degenerated structures at the shoulder joint, get corrected permanently.
Prolotherapy using ozone for the treatment of shoulder pain
The prolotherapy procedure using ozone is commonly called Prolozone. This procedure is now very common in use for the treatment of shoulder joint pains. The prolozone treatment involves the injections of ozone gas, collagen, minerals and vitamins, local anesthetics into the injured or arthritis joint.
This treatment is widely opted as it causes the permanent cure of the severe pain and marked proliferation and regeneration in the damaged joint area.
How does prolozone works?
The combination of prolotherapy with ozone works by many ways. Each of them is discussed below:
Relief from pain and inflammation
It was experimented that joint pain in the shoulder joint was due to many factors. Some scientists suggested that the pain was due to the irritation of many intra articular structures like ligaments, bone cavity, menisci around the knee joint and various tendons. And most important of all these factors is the inflammation around the arthritic joint which induces sharp pain.
Pain from all these causative agents is significantly relieved by prolozone injections. The injection of ozone causes the suppression of all the inflammatory molecules like the inter leukins and substance P. When these pain eliciting inflammatory factors are suppressed the pain also gets suppressed.
Improving the oxygen transportation in the painful shoulder joint
Ozone is an unstable triatomic molecule made from combination of three oxygen atoms. The remarkable un stability of ozone counts for its powerful actions on the knee arthritis. Ozone is capable of donating its extra third atom of oxygen and reducing itself to oxygen molecule. The oxygen atom is donated to lipids and various amino acids converting them into strong peroxides. These peroxides are short chained and can easily cross the cellular membranes where they display their oxidizing effect by converting NADH to NAD.
While doing this oxidation , the prolozone therapy actually enhances the oxygen utilization by the painful joint tissues and in this way the ratio of NAD/NADH is also increased. This enhanced ratio counts for the magical effects of prolozone therapy because when the oxygen utilization is increased all the cellular functions including cell proliferation, cell differentiation and cell growth increase, thereby repairing the degenerated or painful shoulder joint . All the normal cellular membrane potentials and the tissues natural healing property returns to normal after the injection of prolozone at multiple sites around the shoulder joint cavity.
Why Prolotherapy is better than surgery and drugs
Prolotherapy is less expensive and faster than surgery and drugs usage.
Prolotherapy injections cause the immediate decrease in pain sensations. Initially the injection pains for some minutes but later on about 80% to 90% of the pain subsides. In contrary other medications and surgical methods have delayed and temporary effects.
Several anti inflammatory medications cause over expression of the pro inflammatory cytokines and corpuscle whereas this aspect is avoided in prolotherapy.
A remarkable increase in the thickness of cartilage and ligaments thickness is seen after the prolotherapy with ozone. This fact leads to the strengthening of knee joint cavity and prevents
It has a greater success rate with about 80% to 90% patients satisfied with the excellent pain subsiding results.
If you or a loved one would like to see if Dr. Philipose can help you with Prolotherapy, Call Venturis Chiropractic and Acupuncture in Oklahoma City at 405-848-7246 Today!