Rotator Cuff Tears & Shoulder Joint Pain

Regenerative Shoulder & Rotator Cuff Treatment in Folsom

Support tendon healing and calm shoulder inflammation — without surgery, a sling, or months of restricted movement.

  • No sling, no immobilisation
  • Same-day, in-office procedure
  • Sleep on your side again

Most evaluations are scheduled within 48 hours.

The tendon that takes the load

Most shoulder pain traces back to the supraspinatus tendon under the acromion.

INTACT TENDON Smooth glide, full reach TORN / FRAYED Pinching, weakness, night pain
Healthy tendonGlides cleanly under the acromion
Frayed tendonImpingement, partial tearing, inflammation
Symptoms we see every day

Shoulder pain that won’t settle

Rotator cuff problems have a distinct pattern — night pain and overhead limitation are the two most telling signs.

Can’t reach overhead

Getting a plate from a high shelf or washing your hair is a problem.

Pain sleeping on that side

You wake up when you roll onto the shoulder — often the first symptom people notice.

Clicking when lifting

A catch or grind through a specific arc of movement as you raise the arm.

Weakness in the arm

The arm gives out carrying groceries or holding something away from your body.

The gap in conventional care

Surgery works — but it’s a big commitment

Rotator cuff repair has a real role. The question is whether you’ve reached that point yet.

The standard path

The surgical path

  • Rotator cuff repair typically means four to six weeks in an immobilising sling.
  • Full rehabilitation commonly runs four to six months or longer.
  • Cortisone provides short-term relief but repeated injections can weaken tendon tissue.
  • Re-tear rates after repair are meaningful, particularly for larger tears.
Our approach

Regenerative approach

  • Injection placed directly into the affected tendon under ultrasound guidance.
  • No sling — you keep using the arm within sensible limits from day one.
  • Biologics intended to support tendon repair rather than suppress it.
  • Surgery remains a fully available option if the tendon doesn’t respond.
Treatment options

Two therapies for shoulder tendon injuries

Partial tears, bursitis, and impingement respond differently. Your imaging determines which tool leads the protocol.

PRP Treatments

Platelet-rich plasma injected into the tendon under ultrasound guidance, delivering growth factors to tissue with limited natural blood supply. The first-line option for partial tears.

Explore PRP treatments

Stem Cell Therapy

Cell-based injections used for more advanced tendon degeneration or larger partial-thickness tears where PRP alone may not be sufficient.

Explore stem cell therapy
Am I a candidate?

Who these injections are built for

We confirm candidacy with an ultrasound or MRI review and a movement assessment.

Full-thickness tears are different. A complete rotator cuff rupture, especially with significant retraction, generally needs surgical repair. We’ll say so plainly if that’s what your imaging shows.

  • Partial-thickness rotator cuff tears
  • Shoulder bursitis and impingement syndrome
  • Labral tears without instability
  • Chronic tendinosis that hasn’t responded to therapy
  • Cortisone that helps for a few weeks then fades
What to expect

Three steps from evaluation to recovery

1

Mobility and diagnostic scan

We assess your range of motion, test each cuff muscle individually, and review imaging to grade the tear.

2

Tendon-targeted injection

Treatment placed into the specific tendon under ultrasound guidance so it reaches the damaged fibres.

3

Gradual strength restoration

A structured programme that reloads the cuff progressively, starting with control before adding load.

Common questions

Your questions, answered

It depends entirely on the tear. Partial-thickness tears and tendinosis are where PRP is most often used, and many patients get meaningful improvement in pain and function. A full-thickness tear with retracted tendon is a different problem and usually needs surgical repair. Your imaging decides this, not the marketing.

No. That’s one of the main practical differences from surgery. We’ll ask you to avoid heavy lifting and overhead loading for a period, but you keep using the arm for daily activity throughout.

Tendon responds slowly. Most patients describe gradual change over six to twelve weeks, sometimes longer. If you need a decision faster than that, this may not be the right route for you.

Cortisone suppresses inflammation but doesn’t address the underlying tendon damage, so once the anti-inflammatory effect fades the symptoms return. Repeated injections into a tendon also carry a recognised risk of weakening the tissue further.

Often yes. Persistent pain after decompression or repair is a common reason patients come to us. Bring your operative report and any post-surgical imaging.

Ready when you are

Reach overhead again

Book a consultation with our Folsom naturopathic team to find out if regenerative shoulder treatment is right for you.

Bring your MRI or ultrasound if you have it — we’ll review it with you.

Medical disclaimer: The information on this page is for general education and is not medical advice, diagnosis, or treatment. The regenerative therapies described here are not FDA-approved to cure, treat, or prevent any disease. Individual results vary and no specific outcome is guaranteed. Candidacy is determined only after an in-person evaluation with a licensed provider.