Conditions
Shoulder pain
Tendon, bursa, instability and joint degeneration.
You don't need imaging to message us; if you need any, we'll tell you which. Or tell us about your pain first
The shoulder is the most mobile joint in the body. It is also one of the easiest to unbalance with work, sport and sleeping on the same side. Not every shoulder pain is “the rotator cuff”, and not every cuff finding needs surgery.
What we assess
- Pain when raising the arm or combing the hair
- Night pain
- Rotator-cuff or long-head-of-biceps tendinopathy
- Subacromial bursitis
- Instability or a feeling that it “comes out”
- Glenohumeral or acromioclavicular osteoarthritis
- Stiffness (including capsulitis-type pictures, which are distinguished on examination)
- Aftermath of a sports or work injury
Approach
Clinical diagnosis first. Upper-limb ultrasound is used both to see tendon and bursa and to guide an injection when there is an indication.
In selected patients we may consider:
- Prolotherapy when the problem is enthesis, ligament or instability
- Viscosupplementation in glenohumeral osteoarthritis, if the case allows it
- Work with rehabilitation (without this, intervention falls short)
What this does not promise
A tendon retracted for years is not repaired in one session. There is no single published “frozen shoulder” package. Results vary. Surgery remains necessary in some tears and in recurring instability.
Frequently asked questions
Does every rotator cuff injury need surgery?
No. Not all shoulder pain comes from the rotator cuff, and not every rotator cuff injury needs surgery. A clinical diagnosis comes first; ultrasound helps to see the tendon and the bursa. Surgery is still needed for some tears and when the shoulder keeps dislocating. Results vary.
Why do you use ultrasound?
Ultrasound makes it possible to see the structure being treated and to guide the needle with greater precision. It helps the procedure be performed more safely and accurately.
What imaging do I need for the evaluation?
Ideally, X-rays of the painful area (knee, hip, shoulder, spine or other) taken within the last year. If you already have an MRI or ultrasound, those help too: share them on WhatsApp before your visit. If you do not have recent imaging, we tell you which studies to get before booking.
Do I have to come in to find out whether this treatment is right for me?
Not necessarily. We know that getting around can be hard when you are in pain or have limited mobility. With your symptoms and your imaging, we can guide you on WhatsApp about whether a visit makes sense. That guidance is not a consultation or a diagnosis: the treatment decision is made at the consultation, after the physical exam.
How much does the consultation cost? And the treatment?
The evaluation visit costs MXN $500 (Mexican pesos). Treatment (prolotherapy, viscosupplementation, injections or another procedure) has no fixed price: it depends on the area, the procedure and the number of sessions you need, which are decided at your evaluation. Before starting, we tell you the cost of your plan.
Book a visit
Care in Guadalajara and Mexico City, by appointment.
Guadalajara: Bari Medical Center, San Juan de Los Lagos 21, Vallarta Poniente, 44110 Guadalajara, Jalisco, Mexico. Monday through Saturday.
Mexico City: Medical San Francisco, Rosa María Siqueiros 229, San Francisco Culhuacán, Coyoacán, 04420 Mexico City, Mexico. One week a month; ask us for the dates on WhatsApp.
You don't need imaging to message us; if you need any, we'll tell you which.
Want to tell us about your case first? Answer a few questions about your pain