Orthobiologics for Shoulder Pain: A Modern Approach to Healing
My name is Mark Barba, M.D., and I am an orthopedic surgeon in Rockford, Illinois. I practice at Orthoillinois . I have now added an exciting new facet to my practice: advanced nonoperative treatments using orthobiologics.
One of the most promising areas where orthobiologics are making a difference is in the treatment of shoulder conditions. Shoulder pain can stem from a wide range of issues—from rotator cuff injuries and tendonitis to labral tears and osteoarthritis. While traditional treatments like physical therapy, medications, and surgery have their place, many patients are now looking for options that are less invasive and promote natural healing.
What Are Orthobiologics?
Orthobiologics are substances that come from the body—or are derived from natural sources—that help tissues heal more effectively. The most common orthobiologic treatments include:
- Platelet-Rich Plasma (PRP): A concentration of your own blood platelets, rich in growth factors, injected into injured tissues.
- Bone Marrow Aspirate Concentrate (BMAC): A preparation taken from your own bone marrow, containing stem cells and other healing components.
- Adipose (Fat) Grafts: Processed fat tissue that provides cushioning and healing signals to damaged areas.
These biologic treatments harness the body’s innate healing capabilities and are delivered through precise image-guided injections—often using ultrasound—to ensure accurate placement.
How Do They Help with Shoulder Conditions?
Orthobiologic therapies can support healing in the following shoulder issues:
- Partial rotator cuff tears
- Chronic tendonitis or tendinopathy
- Shoulder impingement
- Labral tears
- Early osteoarthritis of the shoulder joint
In many cases, these treatments can reduce inflammation, improve function, and lessen pain—helping patients avoid or delay surgery.
What to Expect
Orthobiologic injections are typically performed in the office. After the procedure, most patients experience some soreness for a few days. Improvements often begin within a few weeks and continue over the course of several months. These are not “quick fixes,” but for the right patient, they can be a powerful tool to restore shoulder function and relieve pain.
Is It Right for You?
Not everyone is a candidate for orthobiologics. These therapies are best suited for patients with mild to moderate damage who are seeking alternatives to surgery or have not had success with more conservative treatments. A detailed evaluation, including imaging and a physical exam, can help determine whether this approach makes sense in your case.
