Supraespinatus Tendonitis Treatment: Specialist in Supraspinatus Tendinopathy
Does this happen to you?
Has your shoulder started to ache at night while you sleep?
Do you notice a sharper pain when performing overhead arm movements?
Do you have pain in the front of your shoulder?
If you have these symptoms come to Regenerat clinic. We are specialists in the treatment of tendonitis of the shoulder without surgery.
We will help you to recover your rhythm of life and do sports normally.
Take the first step towards a full and pain-free life with Regenerative Medicine.
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Specialist in shoulder tendinitis: Supraspinatus tendinopathy treatment
I am Miguel Alfonso Porcar, director of the Regenerat Traumatology Clinic and a recognized specialist in treating shoulder tendinitis, rotator cuff tendinitis, and supraspinatus tendon tendinitis or rupture.
I specialize in bioregenerative therapies including platelet-rich plasma, growth factors, and autologous serum Qrem.
Our goal is to determine the cause of your shoulder tendinitis.
We will perform the appropriate diagnostic tests to determine the extent of your shoulder pain injury.
We will apply the appropriate conservative, regenerative or orthopedic surgery trauma treatment to relieve your pain so that you can recover your well-being as soon as possible.
We want to help our patients using the safest, most successful, least invasive and most economical treatments possible!
English-Speaking Orthopedic Doctor for International Patients
Dr. Carlos Mairal, an orthopedic surgeon and trauma specialist in regenerative medicine, provides expert medical care in English for international patients.
He specializes in ultrasound-guided infiltrations using platelet-rich plasma (PRP) for the treatment of shoulder conditions such as tendinitis, rotator cuff tears, osteoarthritis, and frozen shoulder, promoting faster healing and long-lasting relief.
Shoulder tendinosis specialist
If you’re seeking advanced, non-surgical treatment for shoulder pain and prefer to communicate in English, Dr. Mairal offers personalized care in a professional and welcoming environment.
Book your appointment today and receive expert care from an English-speaking orthopedic doctor.
Shoulder tendonitis: What is supraespinatus tendinopathy?
The rotator cuff consists of a group of tendons and muscles that surround and stabilize the shoulder joint.
These tendons allow a wide range of motion of the shoulder joint in multiple planes. Irritation or injury to these tendons can cause rotator cuff pain.
Tenderness in the front of the shoulder or at the midpoint of the arm is usually caused by rotator cuff pain.
What is supraespinatus tendinopathy?
Supraspinatus tendinopathy is a common shoulder condition characterized by damage or degeneration of the supraspinatus tendon, a key component of the rotator cuff.
This tendon facilitates arm elevation and stabilization. Overuse, repetitive overhead activities, or aging can lead to tendinopathy, resulting in shoulder pain and reduced function.
When lifting your arms, you may experience pain and stiffness in your shoulder. Symptoms of night pain and difficulty sleeping are also problems associated with supraespinatus tendinopathy and rotator cuff pain.
We must think that the place where the set of tendons of the rotator cuff coincide is limited. This fact has a consequence, the irritation, and, therefore, the increase in size of one of them, is going to harm the rest.
This can be a vicious circle if a proper diagnosis and treatment is not carried out, causing limitations in the patient’s daily life.
Causes of supraespinatus tendonitis
Rotator cuff pain may be due to:
- Age-related wear and tear (overuse, overexertion, etc.).
- Repeated movements of the arm above the head, (typical of manual workers).
- Sports activities that require the throwing of objects or that require great effort of the arms above shoulder height.
- Trauma such as accidents, direct blows to the shoulder or falls on the shoulder.
Symptoms of rotator cuff tendonitis
Symptoms that indicate you may have a rotator cuff tendon injury in the shoulder are:
- Shoulder weakness.
- Pain radiating down the side of the arm from the front of the shoulder.
- Sudden pain when performing throwing exercises or strength exercises against gravity by lifting objects above shoulder height.
- Restriction of range of motion.
Among the main factors that aggravate rotator cuff pain are performing overhead arm movements, arm movements to touch the back, lifting objects, lying on the shoulder.
Onset symptoms may be mild and patients often do not seek treatment at an early stage.
As the problem worsens, symptoms may increase to loss of strength and difficulty sleeping at night among others.
Prevention of supraespinatus injuries
Rotator cuff pain can be prevented by taking the following precautions:
- Perform regular shoulder stretching and strengthening exercises.
- Rest from time to time while performing repetitive activities with overhead arm movements.
- When carrying a heavy load (e.g. a shopping bag), change sides frequently.
Why won’t my shoulder tendonitis go away?
Persistent shoulder tendonitis can result from several factors:
- Continued overuse: Engaging in repetitive overhead activities without adequate rest can perpetuate inflammation.
- Incomplete rehabilitation: Insufficient or improper rehabilitation may fail to restore full tendon strength and flexibility, leading to ongoing symptoms.
- Structural abnormalities: Bone spurs or anatomical variations can impinge on tendons, hindering healing.
- Underlying conditions: Medical issues like diabetes or thyroid disorders can impair tendon healing.
Diagnosis of tendinitis of the shoulder
Dr. Miguel Porcar will evaluate your condition based on your symptoms and physical examination.
- In the physical examination we will perform a series of selected movements to evaluate if your shoulder injury is compatible with the rotator cuff, or if it is related to neighboring structures of the body.
- We may perform an X-ray or ultrasound of the shoulder to make sure that there are no problems affecting the shoulder structures.
- Ultrasound is a very valid test for diagnosis, but even more so for treatment. In the clinic its use is available to perform guided infiltration in the exact point of greatest pain and/or injury.
- Finally, Magnetic Resonance Imaging will be a diagnostic test to be used, performing a broader study of the tissues surrounding the joint and ruling out neighboring lesions.
Treatment options for Supraspinatus Tendonitis and Rotator Cuff Tendinitis
Dr. Miguel Alfonso Porcar will take into account your general health, age and activity level in your treatment plan. The ultimate goal is to decrease pain and return to normal activity.
Both non-surgical and surgical options are an option, giving special relevance to targeted treatment of the lesion by ultrasound-guided infiltrations.
How do we treat chronic supraspinatus tendonitis?
Initial treatment is conservative in most cases based on rest, non-steroidal drugs, physiotherapy and/or infiltrations. Many patients experience gradual improvement and return to normal activity, although this option may take several weeks to months.
For chronic supraspinatus tendinopathy, prolotherapy with dextrose, steroid and PRP injections are the common treatment options
- Steroid injections: Provide quick pain relief by reducing inflammation but may weaken tendons over time with repeated use. Effects typically last weeks to months.
- PRP (Platelet-Rich Plasma) Injections: Use the patient’s own platelets to promote tendon healing. Results take longer but may offer more sustained improvement (more than 1 year) without tendon damage.
Steroid injection for supraspinatus tendonitis
With ultrasound-guided infiltration, we can administer an injection of local anesthetic and a corticosteroid preparation into the affected tendon bursa.
Corticosteroids are a safe medication in most patients. This drug provides temporary pain relief and allows for increased joint function.
At the Regenerat clinic, we have state-of-the-art ultrasound equipment, by means of which a detailed and individual exploration of each patient is performed prior to the infiltration.
Once the lesion has been studied, we apply the injection in the exact or closest point, in order to provide the patient with the greatest benefit.
Using ultrasound-guided ultrasound, an injection of corticosteroids can be administered directly into the sheath of the affected tendon(s). This helps to relieve pain and perform strength exercises without any pain.
Platelet Rich Plasma in the Shoulder
This is an effective pre-surgical procedure that uses a concentrated dose of platelets prepared from your own blood.
Prior to the PRP injection in the supraespinatus tendon, the patient undergoes a blood extraction. After a period of processing, a substance is obtained that has proven to have reparative and regenerative capacity known as Platelet Rich Plasma.
It is a safe technique, since the substance is derived from the patient himself, so it is very difficult for there to be adverse effects after the infiltration. The clinic ensures that the processing of the sample is optimal and then the infiltration is performed with the help of ultrasound.
As PRP injections are performed at the Regenerat clinic, no hospital stay or surgical recovery period is necessary.
It presents neither the risks nor the costs of surgery.
The results are promising. It implies a more effective benefit in the long term and with the security of being a substance derived individually from each patient.
It has been shown to delay and even avoid surgery.
Rotator cuff tendonitis surgery
Shoulder surgery is indicated when the patient does not experience improvement after the use of non-surgical treatments.
Surgical intervention can be performed by open or arthroscopic surgery.
The surgical procedure consists of the exploration and treatment of the lesions in relation to the rotator cuff tendons, as well as studying or ruling out other associated lesions.
In this way we recover the function of the rotator cuff and allow unrestricted movement of the joint.
Through two or three tiny incisions in the shoulder, a camera is introduced inside the shoulder to explore the injured joint. Through the remaining incisions, the procedure is performed, thus avoiding a large scar and further patient recovery.
After surgery we will place your arm in a sling for a short period of time for a faster recovery. And as soon as possible we will remove the sling to start exercising and strengthening the muscles.
We will then recommend a rehabilitation program based on your needs and the results of the surgery. This will include exercises to restore shoulder range of motion and arm strength.
Why Regenerat Clinic to treat your shoulder, rotator cuff or supraspinatus tendinitis?
Specialists in the treatment of rotator cuff tendonitis in Valencia
In the field of shoulder tendinitis treatment, Regenerat clinic is your reference center.
State-of-the-art technology
In our clinic we use high resolution ultrasound to obtain a correct diagnosis, as well as to locate the lesion and perform our cutting-edge techniques in the injured area.
In this way we are less invasive and manage to relieve and in many cases eliminate your rotator cuff tendinitis in Valencia, offering better health and quality of life.
Patient Testimonials
Our patients value our experience and multidisciplinary treatment for shoulder tendinitis, eliminating pain and returning to sports after treatment.
Causes of shoulder pain that shoulder surgeons can treat
Causes related to shoulder pain include pathologies related to the humerus, clavicle and scapula bones, articular cartilage, ligaments, tendons and/or muscles of the region.
- Shoulder tendonitis: Resulting from inflammation of one of the tendons that form the rotator cuff.
- Rotator cuff tear treatment: when inflammation is left untreated tendonitis can eventually lead to a torn cuff.
- Arthritis of shoulder: occurs when the cartilage in the joint wears down and causes pain, stiffness and swelling.
- Bursitis in shoulder: is inflammation of the fluid-filled sacs or bursae that cushion the shoulder. It is usually consequence of tendinitis.
- Frozen shoulder: When the joint capsule thickens contracts and tightens more than it should. It is also called adhesive capsulitis.
- Shoulder sprain: it is an excessive stretching of the ligaments, very common and usually occurs when falling or performing an overexertion.
- Shoulder strain: is the stretching or tearing of a muscle and/or tendon (tissues that connect the muscle to the bone). It is frequent in people who practice sports sporadically.
- Dislocated shoulder: Shoulder dislocation is a serious injury involving a momentary loss of contact between the bones of the shoulder joint.
- Calcifications in the shoulder: appearance of small calcium deposits, usually in the supraspinatus tendon.
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Regenerat is a paediatric and adult trauma clinic, specialising in regenerative medicine treatments that delay and, in many cases, avoid orthopaedic surgery.
Our patients get an unbiased diagnosis and we offer you various surgical and non-surgical treatment options.
The most common pathologies treated at our medical center are osteoarthritis, back pain, tendon injuries, and sports injuries.
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Regenerat Clinic in Catarroja
Carrer Emili Ferrer Gómez, 4, 46470
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