Therapies for this condition
Four options for the shoulder.
We choose between cellular therapy (marrow or adipose), PRP, and EPAT based on what's actually injured, a partial cuff tear, an arthritic joint, or a chronic tendinopathy each have a different best-fit biologic strategy.
01 · Cellular therapy
Bone marrow aspirate concentrate (BMAC)
MSC-containing · same-day · image-guided
A small volume of marrow is drawn from your iliac crest under local anesthesia, concentrated in our on-site lab, then delivered with ultrasound or fluoroscopic guidance to the target tissue.
- Best fit when
- Partial-thickness rotator cuff tears
- Glenohumeral arthritis with cuff involvement
- Failed prior PRP for cuff or joint
Read the full Bone marrow aspirate concentrate page →
02 · Platelet-rich plasma
Platelet-rich plasma (PRP)
Blood-derived · in-office · 60–90 min
Concentrated platelets and growth factors from your own blood, prepared in our lab and delivered into the target tissue under ultrasound guidance. The most-studied autologous biologic across orthopedic indications.
- Best fit when
- Rotator cuff tendinopathy (no full-thickness tear)
- Mild-to-moderate glenohumeral arthritis
- First-line biologic step before considering BMAC
Read the full Platelet-rich plasma page →
03 · Non-invasive pulse therapy
EPAT (Pulse Activation)
No needles · series of 3–6 sessions
Extracorporeal Pulse Activation Technology, non-invasive acoustic pulses delivered to tendons and entheses to stimulate microcirculation and repair signaling. Used alone or layered with PRP.
- Best fit when
- Chronic calcific tendinopathy
- Adjunct before/after PRP for stubborn cuff pain
- Patients preferring a non-injection option to start
Read the full EPAT page →
04 · Cellular therapy · adipose
Microfragmented adipose (mFAT)
Adipose-derived · same-day · image-guided
Your own fat, microfragmented in our on-site lab the same day and delivered into the joint under ultrasound guidance. Considered for the arthritic glenohumeral joint, where a fuller biologic and a cushioning scaffold help.
- Best fit when
- Glenohumeral (joint) osteoarthritis
- Wanting to delay or avoid shoulder replacement
- Wanting an autologous cell source beyond marrow
Read the full Microfragmented adipose page →