Shoulder Pain & Stiffness, Treated Without Surgery
Frozen shoulder (adhesive capsulitis), rotator cuff tears, tendinopathy, and impingement — precisely diagnosed with real-time ultrasound and treated with capsular hydrodistension, PRP, and orthobiologic and regenerative therapies — advanced care for athletes, active individuals, and anyone with lingering orthopedic pain.
Free Consultations & Personalized Case Review
Diagnoses We Commonly Treat
Adhesive Capsulitis (Frozen Shoulder)
Progressive stiffness from thickening and tightening of the shoulder joint capsule.
Rotator Cuff Tendinopathy
Chronic irritation and degeneration of the rotator cuff tendons.
Biceps Tendinosis
Degeneration of the biceps tendon at the front of the shoulder, often coexisting with rotator cuff injury.
Partial Rotator Cuff Tear
An incomplete tear of one of the rotator cuff tendons.
Shoulder Impingement Syndrome
Pinching of rotator cuff tendons between the shoulder blade and upper arm bone.
Subacromial Bursitis
Inflammation of the bursa beneath the shoulder blade, often accompanying impingement.
This list is not exhaustive. We evaluate and treat many other musculoskeletal conditions — contact us to schedule a consultation for a proper diagnosis and treatment options.
An Accurate Diagnosis Is the Treatment That Matters Most
Shoulder pain and stiffness can come from a tight joint capsule, a torn or inflamed rotator cuff tendon, or both at once — and the treatment for each is different. Every evaluation at OCMSK includes a real-time diagnostic ultrasound exam of the shoulder, so we know exactly which structures are involved before anything is treated.
We also assess your range of motion, shoulder mechanics, and any prior injury, and build a plan that restores motion and function — not just reduces pain.
Regenerative Therapies & Orthobiologics, All Ultrasound-Guided
The same non-operative protocols used with professional and collegiate athletes — matched to your diagnosis, your imaging, and your goals.
Platelet Rich Plasma (PRP)
PRP concentrates the platelets and growth factors from your own blood and delivers them directly into the injured rotator cuff tendon — targeting the underlying biology of the injury to reduce pain and support healing.
Learn more about PRP injections for the rotator cuff →
Ultrasound-Guided Capsular Hydrodistension
A minimally invasive procedure that stretches and releases a contracted joint capsule using a carefully injected fluid mixture — a well-studied treatment for frozen shoulder.
Minimally Invasive Tenotomy
A precise needle-based procedure to break up and remove degenerative rotator cuff tendon tissue, promoting healing without open surgery.
Anti-Inflammatories
Corticosteroid injections and NSAIDs, used selectively to calm pain and swelling during a flare-up.
Neuromodulation (IOVERA° & SPRINT PNS)
Targeted, medication-free options that calm the pain-signaling nerves around an injured shoulder.
Evidence-based, always. We do not offer unregulated peptide therapies or unproven "stem cell" treatments — only safe, well-studied orthobiologic therapies supported by peer-reviewed research.
Common Questions
Can frozen shoulder or a rotator cuff tear be treated without surgery? +
Yes. Many cases of frozen shoulder and rotator cuff tendinopathy or partial tears respond well to non-operative treatment, including capsular hydrodistension and regenerative injections, helping patients regain motion and avoid surgery.
Why does ultrasound guidance matter? +
Blind injections frequently miss their target. Every procedure at OCMSK is performed under real-time ultrasound guidance, so the diagnosis is confirmed visually and the treatment is delivered to the exact structure causing your pain.
What is capsular hydrodistension? +
Capsular hydrodistension is a minimally invasive, ultrasound-guided procedure that stretches and releases a tight, contracted shoulder joint capsule using a carefully injected fluid mixture — a well-studied treatment for adhesive capsulitis (frozen shoulder).
Is this covered by insurance? +
We accept PPO plans through Cigna, Anthem Blue Cross, Aetna, and United Healthcare, as well as Medicare; coverage varies by treatment. Self-pay patients are welcome with transparent, accessible rates. Call us and we will help verify your benefits.
What happens at the first visit? +
A full history and physical exam plus a diagnostic ultrasound of the shoulder — so you leave with an accurate diagnosis, an understanding of every factor contributing to it, and a clear treatment plan.
Find Out If You're a Candidate for Non-Surgical Treatment
Call or email today — we'll answer your questions and schedule your consultation with Dr. Salamatipour.
Free Consultations & Personalized Case Review400 Newport Center Dr, Suite 602-A, Newport Beach, CA 92660 · PPO insurance, Medicare, & self-pay accepted