Shoulder Pain & Rotator-Cuff Injuries in Dallas–Fort Worth
(Frisco • Allen • North Dallas)
Serving patients from Frisco, Allen, North Dallas, Mesquite & Arlington—just minutes from Plano, Richardson and McKinney.
Overview
Night-time shoulder pain, a painful “catch” when reaching overhead, or weakness when throwing often signal rotator-cuff trouble or chronic bursitis. Two million Americans seek help for shoulder pain every year. Evidence now shows platelet-rich plasma (PRP) and stem-cell matrix injections can heal partial-thickness tears, calm bursitis for far longer than cortisone, and, when combined with proper rehab, cut post-surgical re-tear risk nearly in half. Many NTX Regen-Center patients return to golf, tennis, and weight training without ever entering an operating room.
Common Symptoms
- Deep ache at the outer shoulder or deltoid insertion
- Night pain when lying on the affected side
- Sharp “pinch” when lifting the arm above shoulder height
- Clicking, catching, or weakness with overhead reach, throwing or serving
Why Shoulders Hurt
Most nagging or nighttime shoulder pain tracks back to one of these common problems:
Rotator-cuff wear and small tears
frayed tendon fibers can pinch every time you lift your arm.
Sub-acromial bursitis / impingement
an inflamed bursa or bone spur squeezes the cuff.
Labrum or biceps-anchor injury
overhead or throwing motions peel the cartilage rim loose.
Frozen shoulder (adhesive capsulitis)
the joint capsule stiffens, locking motion and sparking deep ache.
Arthritis of the AC or glenohumeral joint
cartilage loss lets bone grind on bone.
Post-traumatic strains
slips, falls, or heavy lifts can sprain the “separated shoulder” (AC joint) or bruise the bone.
Pinpointing which of these is driving your pain is the first step toward lasting relief.
How We Diagnose
1
Hands-on orthopedic exam:
we test strength, range, and specific “provocation” maneuvers to flag the injured structure.
2
High-resolution imaging:
on-site ultrasound or MRI shows tear depth, bursitis, and any hidden bone spurs.
3
Image-guided diagnostic block:
a tiny dose of local anesthetic is placed on the suspect tendon or bursa under live X-ray. If your pain drops, we’ve found the true generator and can target treatment with millimetre accuracy.
Biologic PRP / Stem-Cell Injections vs
Arthroscopic Surgery
Biologic Care
PRP or your own
stem-cell matrix
Primary goal
Calm inflammation and help the tendon heal itself
How it’s done
45-minute outpatient injection under live X-ray
Pain-relief curve
Gradual: noticeable at 4–6 weeks, often lasts 12 months +
Downtime
Light activity for 2–3 days; no sling
Risks
Very low—uses your own cells; infection < 0.1 %
Best fit for
Partial tears, bursitis, pain that limits sport but not daily life
Arthroscopic Surgery
(cuff repair or debridement)
Primary goal
Remove damaged tissue and stitch or anchor the tear
How it’s done
1–2 hour operating-room procedure under general anesthesia
Pain-relief curve
Immediate decompression but surgical soreness lasts 4–6 weeks
Downtime
Sling 4–6 weeks, formal PT 3–4 months
Risks
Re-tear 15–30 %, stiffness, anesthesia risks
Best fit for
Large full-thickness tears, major weakness, failed biologic care
Our Biologic Treatment Pathway
Step 1
PRP Precision (Week 0)
Leukocyte-poor PRP is delivered under live C-arm X-ray into the painful cuff tendon and bursa, bathing the tissue in growth factors that switch off inflammation and trigger collagen repair.
Step 2
MSC Augmentation
(Week 4)
Your own bone-marrow mesenchymal stem cells are combined with fibrin to create a biologic scaffold that accelerates tendon healing and boosts tensile strength. Multi-center studies show a ≈45 % reduction in re-tear rates when MSCs supplement surgical repair—and comparable gains when used non-surgically in partial tears.
Step 3
PRP Booster (Week 12)
A lower-volume PRP infusion maintains a pro-healing environment and supports ongoing tendon remodelling.
Six-Month Regeneration Program
Biologic trilogy above (PRP → MSC → PRP)
Class IV laser therapy twice weekly for six weeks to increase local blood flow and speed tendon remodelling
Shoulder-specific physiotherapy—scapular stabilisers, external-rotation strength, posterior-capsule mobility
Omega-3, vitamin D, and collagen peptide suppo
Return-to-sport testing at six months with dynamometry and overhead-reach metrics
Self-Care & Rehab Essentials
- Pendulum swings and wall slides to keep the pain-free range early on
- Isometric external-rotation drills with a towel roll to reactivate the rotator cuff without impingement
- Posture reset: chin-tucks plus thoracic-extension foam rolling reduce “tech-neck” narrowing of the subacromial space
- Ice after strengthening, gentle heat before stretching for optimal collagen turnover
Meet Our Care Team
Scott Farley, DO
Board-Certified Orthopedic Spine Surgeon
- Specializes in cervical, thoracic, and lumbar spine surgery
- Fellowship-trained in spinal reconstruction surgery
- Board Certified by the American Osteopathic Board of Orthopedic Surgeons
- Published researcher in Spine and national conference presenter (NASS, SRS)
Arash Bidgoli, DO
Board-Certified Pain Management & Rehabilitation Specialist
- Fellowship-trained in interventional spine & pain management
- Board Certified in Physical Medicine and Rehabilitation
- Expertise in musculoskeletal pain, neuromuscular disorders, and electrodiagnostics
- Member of AAPMR, AAP, and American Osteopathic Association
George Farley, MD
Board-Certified Radiologist & Neuroradiologist
- Board Certified in Radiology with CAQs in Interventional Radiology and Neuroradiology
- Fellowship-trained in both interventional radiology and neuroradiology
- Former Chief Resident at University of Nebraska Medical Center
- Member of ACR, RSNA, SIR, and International Spine Intervention Society
What Our Patients Are Saying
John R.
“PRP therapy at NTX Regen Center worked wonders for my rotator cuff tear. I’m back to playing tennis without pain after just a few sessions!”
Sarah M.
“I had constant shoulder pain from bursitis. After PRP and stem-cell therapy, I feel so much better—no more night pain, and I’m lifting again!”
David T.
“Shoulder surgery was looking inevitable, but thanks to PRP therapy, I avoided it and got back to hiking and golf. Highly recommend it!”
Our Dallas–Fort Worth Locations
Frequently Asked Questions
Rotator-cuff tears, tendonitis, bursitis, labral frays and early shoulder arthritis are common targets for biologic injections that ease pain and restore strength.
PRP delivers growth factors that calm inflammation, stimulate collagen and support tendon or bursal healing—ideal for partial tears and overuse syndromes.
Autologous stem-cell concentrate is reserved for chronic cuff degeneration or cuff-arthropathy where deeper cartilage or tendon regeneration is needed.
Yes—real-time ultrasound (and fluoroscopy when required) positions the needle precisely into the rotator-cuff tendon, labrum or glenohumeral joint.
Light resistance starts around week 3–4, with full overhead loads usually cleared by week 6–8 after pain-free range and strength tests.
Some shoulders improve after a single session, while advanced damage may benefit from a booster shot six-to-eight weeks later.
