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Secrets of Professional Athletes – Treat Rotator Cuff Injuries from Sports

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"Within two or three days I noticed a significant difference on my movement, my pain threshold and the amount of movement that I could do." – Mike K.

Why are so many athletes looking for non-surgical alternatives to rotator cuff tears? Becuase of results like these.

The rotator cuff injuries are most commonly seen in tennis, softball, baseball, volleyball, rowing and people who lift weights.

Baseball Pitching From Mound 2

In one study listed below - Doctors recruited patients from a sports medicine clinic who were not responding as positively to physical therapy and corticosteroid injections as hoped for. The patients received only one Platelet Rich Plasma injections at the site of the rotator cuff tear and surrounding tendon. Just one single injection of PRP resulted in safe and significant improvement of pain and function, as well as MRI outcomes in these “difficult to treat” patients. Ref:1

Research shows 57% failure rate in Large Rotator Cuff Repairs. Even after surgery, doctors are exploring a non-surgical repair in situations where the surgery was not as successful as hoped for, especially for professional athletes. In a recent article, researchers noted that surgical repair can be challenging. Even after surgical intervention, residual defects or “retears” often develop in the tendon. But Platelet-rich plasma therapy is able to enhance the rotator cuff tendon healing. Ref: 2

What is a Rotator Cuff?

Your rotator cuff is located in your shoulder area. It is made of muscles and tendons. It helps your shoulder to move and stay stable. Problems with the rotator cuff are common. They include tendinitis, bursitis, and injuries such as tears.

The rotator cuff is a group of muscles and tendons that attach to the bones of the shoulder joint, allowing the shoulder to move and keeping it stable. Rotator cuff tendinitis refers to irritation of these tendons and inflammation of the bursa (a normally smooth layer) lining these tendons. A rotator cuff tear occurs when one of the tendons is torn from overuse or injury.

Rotator cuff tendons can become inflamed from frequent use or aging. Sometimes they are injured from a fall on an outstretched hand. Sports or jobs with repeated overhead motion can also damage the rotator cuff. Aging causes tendons to wear down, which can lead to a tear.

Playing sports requiring the arm to be moved over the head repeatedly as in tennis, baseball (particularly pitching), swimming, and lifting weights over the head.

Some tears are not painful, but others can be very painful. Treatment for a torn rotator cuff depends on age, health, how severe the injury is, and how long you've had the torn rotator cuff.

There are two types of rotator cuff tears:

  • A partial tear is when a tear does not completely sever the attachments to the bone.
  • A complete or full thickness tear refers to a through and through tear. It may be as small as a pinpoint or all of the muscle tendon. Complete tears have detachment of the tendon from the attachment site and would not heal very well.

Rotator Cuff Tears

The pain with a sudden tear after a fall or injury is usually intense. Weakness of the shoulder and arm is often present, along with a snapping sensation of movement.

Symptoms of a chronic rotator cuff tear include a gradual worsening of pain, weakness, and stiffness or loss of motion. The exact point when a rotator cuff tear begins in someone with chronic shoulder tendinitis may or may not be noticed.

Most people with rotator cuff tendon tears have pain at night. Pain that is worse at night may wake you up. During the day, the pain is more tolerable and hurts with certain movements.

Over time, the symptoms become much worse and are not relieved by medicines, rest, or exercise.

Traditional Treatment for torn rotator cuff includes:

  • Rest
  • Heat or cold to the sore area
  • Medicines that reduce pain and swelling
  • Electrical stimulation of muscles and nerves
  • Ultrasound
  • Cortisone injection
  • Surgery

Source - NIH: National Institute on Arthritis and Musculoskeletal and Skin Disease

Most times athletes are told that they need surgery to fix their sports injuries. But surgery is not the answer for most of the sports injuries, and may actually never help you regain your performance to the level you were prior to the injury.

 Male Rowing Crew


New treatment techniques include a simple ultrasound-guided injection that delivers your own adult stem cells to the precise location of the pain, making this treatment more effective. The cells promote healing of the injured and damaged tissues and help fix the problem instead of simply covering with medicines or possibly doing more harm with surgery.

Doctors admit joint ailments, especially those involving knees, are becoming more common as people are picking up sports at much younger age. Also as the population ages and people remain active for more years, an increasing number of people are seeking medical advice for their knee pains. Growing incidence of obesity creates even more wear and tear of the joints, especially the knee joint.

The Old Standard

It used to be that the only options for pain relief available to you were medication, physical therapy, or alternative treatments like acupuncture and surgery. Unfortunately, each has its own risks.

Pain medication can have dangerous side effects, especially when you need to take it for more than a few weeks, which is the case if you have chronic pain. Besides addiction, these medicines can cause stomach ulcers and bleeding, liver and kidney damage, and can even increase your risk of heart attack.

Physical therapy may be helpful both as treatment and for preventing further damage.  However, this is usually effective only for minor injuries.

Surgery can cause more pain, instead of fixing it

Most people think that surgery will finally cure the problem but unfortunately in many cases surgery can have its own risks and problems. Also, people may look for surgery as a quick fix but usually this is not the case.

No one chooses surgery as anything but a last resort for a reason—it may have unanticipated results, recovery is painful, and there’s always a risk of complications like infection and blood clots that may even result in death.

Fortunately, times are changing. Thousands of athletes have received these simple office procedures and have gone back to their game.

The Advances of Modern Science

The new trend in orthopedic treatment is to repair your injured tissue, rather than cutting and removing it. Following this concept, doctors and researchers have discovered that Adult Stem Cells have the ability to heal your back and joints, saving you from the risks of surgery or side effects of pain medication.

As patients begin to outlast their prosthetic joints and secondary “salvage” jobs are becoming more common, this idea of using your own stem cells to regenerate and heal your tissue is gaining traction.

How It Works

Your fat and bone marrow contain special cells called Mesenchymal Stromal Cells (MSCs or stem cells) that can help you if you’re in need of bone, cartilage, ligament and tendon repair. These special cells can change into other types of cells, such as cartilage, and release bioactive healing molecules when they sense the right signals in their environment.

Growing evidence also suggests that the use of stem cells from both fat and bone marrow is needed in fixing most joint ailments.

Female Tennis Serving 2


As more people and their doctors learn about the benefits of using stem cells over surgery, these procedures will eclipse surgery as the standard of care.

This treatment technique includes ultrasound-guided injections that deliver your own adult stem cells from fat AND bone marrow to the precise location of the pain and injury, making this treatment more effective. This promotes healing of the injured and damaged tissues without the risks associated with surgery.

Even when nonsurgical injections don’t fully fix a problem, they often delay the need for surgery, which is helpful because most surgical procedures don’t last forever. Artificial knee replacement can wear out and a repeat surgery to replace the joint is more dangerous and riskier than the first operation.

People coping with such ailments as sports injuries, tendon strains, sprained ligaments, muscle injuries, and arthritis will be glad to know that surgery is not the only option of treatment available to them. Faster healing and improved functionality are both possible with our innovative, cutting- edge ADULT stem cell and PRP procedures.

What You Can Expect

SmartChoice® Procedures may help alleviate your joint pain, arthritis or sports injuries with a simple in-office, ultrasound-guided injection procedure. We encourage patients to walk the same day and you often experience no downtime after this procedure.

Experience Counts

Dr. Garg is one of the most experienced physicians in the field of Regenerative Medicine. He has performed hundreds of PRP and adult stem cell injections over the past 10 years. He works with professional and amateur athletes from different sports to treat their sports injuries with stem cell and PRP injections and to increase their performance with his health and wellness program. His clients include a former number-one PGA-Tour golfer, several NFL players, many tennis and baseball athletes and athletes from other various sports.

And if you are considering a knee, hip or other joint surgery for your sports injury, arthritis or for back and joint pain - then you need to learn about how the adult stem cells and PRP procedures stack up against those risky Orthopedic surgeries.

Call us today at 1-888-434-6841 and find out if these procedures are an option for you.

Hardesh Garg        Dr. Garg is an expert in these procedures and is one of the few physicians in this country helping patients with this exciting Regenerative medicine using your own stem cells and PRP. Non-surgical, office-based SmartChoice® Joint Procedures provide ALTERNATIVES to invasive and costly joint replacements and other orthopedic surgeries.



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