Recurrent after rotator cuff tear and prolotherapy injection treatment for ligament reinforcement

I'm worried that after prolotherapy for rotator cuff tear, ligament strengthening and proliferation treatment, there might be a recurrence requiring surgery.

Initially, I experienced stiffness in my right shoulder, and while vertical movements were okay, I couldn't move sideways or in certain positions, and I developed deep aching pain in the shoulder.

As a result, I couldn't even tilt my shoulders back or lift heavy things.

     Rotator cuff tear MRI

I visited the orthopedic department.

Partial rotator cuff tear after X-ray and MRI scans

It is called rotator cuff syndrome.

He said it would be a shame to have surgery.

First of all, among various non-surgical treatment options, we decided on ligament reinforcement injections, called prolotherapy, which is a ligament proliferation therapy. Since surgery is not performed, along with reassurance, it was decided to proceed with prolotherapy injections once a week for four weeks, and then to see the patient three weeks after the prolotherapy injections in the shoulder.

What is prolotherapy, or ligament strengthening injection?

Prolotherapy, also called prolotherapy injections, is a non-surgical treatment method that involves injecting a high concentration of glucose into the damaged area to induce an artificial inflammatory response, thereby alleviating pain and promoting functional recovery.

When ligaments and tendons are damaged, they do not fully recover and cause pain. Injecting high-concentration glucose into the damaged ligament or tendon area can reduce pain and initiate the body's natural healing process, gradually regenerating ligaments, tendons, and muscles. This procedure is quick, simple, and has few side effects, making it useful for treating musculoskeletal disorders.

Thus, three weeks after the fourth prolotherapy injection, the nurse installed a shoulder joint exercise app that is good for rehabilitation exercises, and the director reviewed the chart and attached the necessary exercises for me to perform.

After receiving the ligament reinforcement injection, Prolotherapy, and consistently exercising, I only occasionally felt a dull ache in the middle, but until about a year and six months ago, I was able to lift heavy things and there was no difference from before I started experiencing pain.

After the ligament reinforcement prolotherapy injection, the shoulder gradually became softer and was able to move like before.

 

Effect of Ligament Reinforcement Porollo Proliferation Injection Treatment

♠︎ Pain reduction

♠︎ Functional recovery

Minimize side effects

♠︎ Additional treatment - it is said to be more effective when combined with rehabilitation therapy, so I think they installed a joint movement app for you.

      Rehabilitation app provided by the orthopedic department

Since I am also getting older, I have been cautious.

Recently, a side dish container fell from the freezer and hit my toe, causing a fracture. I couldn't walk for about five weeks and stayed at home, not moving much, which led to weight gain. After removing the cast and being careful, I started exercising by doing two 1-minute sets of planks daily. Suddenly, my shoulder started hurting, and I couldn't lift or stretch my shoulder like before. The pain has returned.

When I visited the hospital again, I was told that rotator cuff syndrome had recurred. I received one more injection of ligament reinforcement prolotherapy, but if it doesn't work, surgery will be necessary.

They also explained that the ligament reinforcement prolotherapy injection is not a continuous pain injection like other injections.

Please 🙏 I hope that without surgery, a single injection will reduce the pain, and I will recover as I did before with treatment.