These problems include: chronic unstable shoulder and pain, shoulder impingement, rotator cuff tendonosis. In fact a lot of previously labeled rotator cuff tendonitis are not an "itis" (which means inflammation), but "osis" (which means multiple repeated micro-injuries to the tendon structures with incomplete healing. Therefore, different rotator cuff tendonosis will show typical ultrasound appearances, which with or without Ultrasound-Guidance, can be successfully treated with Prolotherapy.

The ROOT CAUSES of a lot of chronic pains in our bodies are usually soft tissue injuries which includes ligaments, tendons, joint capsules and cartilages. These soft tissues are easily injured from sports injuries, traffic accidents, fights, accidental fall, and repeated micro-injuries (which are usually called wear and tear/degeneration) from poor postures, overweight or repeated manual works. These soft tissues, especially the tendons, joint capsules and cartilage have good nerve supply, therefore, injuries in these regions produces a lot of PAIN from stimulating these nerve endings. However, after injuries, these soft tissues are so DIFFICULT TO HEAL (a lot of times maximally up to only 70% of original integrity and strength after injuries) simply because they naturally have very poor blood supply. That is why injuries to these regions produce a lot of chronic pain in various regions of our body after repeated injuries. Prolotherapy carries a new hope to these injuries and chronic pain.