Care for rotator cuff tears, labral injuries and chronic tendonitis, combining surgical judgment with non-surgical options to restore shoulder function.
The shoulder is the most mobile joint in the human body, making it uniquely vulnerable to both acute trauma and chronic degradation. Dr. Scheinberg leverages his extensive experience treating world-class professional athletes to provide a sophisticated "Biologic over Bionic" approach to shoulder care. By integrating surgical-grade diagnostics with advanced orthobiologic therapies, we focus on repairing structural damage and restoring high-level function while helping you avoid the lengthy, painful recovery associated with traditional open shoulder surgery.
We specialize in the non-surgical repair of partial rotator cuff and labral tears using targeted growth factors. This biologic approach supports natural tissue regeneration and restores joint stability without the significant recovery time required by traditional invasive surgery.
Our biologic alternative to total shoulder replacement utilizes BMAC and PRP to target deep inflammation and fight cell death within the joint. This treatment improves the shoulder’s mechanical environment, helping to preserve your natural joint and maintain long-term range of motion.
We treat chronic upper extremity conditions like Tennis and Golfer’s Elbow by stimulating a localized healing response in the damaged tendons. Our "Biologic First" philosophy ensures even stubborn cases of chronic inflammation receive a precision-guided, surgical-level assessment and treatment plan.
Every shoulder procedure is performed under high-resolution ultrasound or fluoroscopic guidance to ensure absolute delivery accuracy. This surgical-grade precision places regenerative cells exactly within the damaged tissue, maximizing the therapeutic impact while ensuring the highest standard of safety.
The problems that bring people to this page. If one of them is yours, a consultation is the next step.
BursitisTendonitisImpingementRotator cuff tearsLabral tearsInstability and dislocationShoulder osteoarthritis
Orthobiologics come after conservative care has been tried, and before surgery. See the full patient journey
Most patients arrive with their imaging and have already tried physical therapy or steroid injections. Dr. Scheinberg reviews your history, your imaging and your goals. Patients outside the area can start with a telemedicine consultation.
Physical therapy and viscosupplementation come before orthobiologics. If they have not been tried yet, they are the starting point.
When the basic treatments have not worked, PRP or BMAC is considered before surgery. BMAC is performed at Pueblo Surgery Center, the AAAHC-accredited facility on the same campus as the office.
If preserving the joint is not a reasonable option, you are referred for surgical care.
Jeri W.
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Answered by Dr. Scheinberg. The full list covers cost, insurance, risks and more.
See all questions →Have a question about your own situation?
Call (805) 682-1394PRP (Platelet-Rich Plasma) is derived from your blood and contains concentrated platelets loaded with growth factors. It is most effective for soft tissue injuries, early-to-moderate arthritis, and tendon or ligament damage. BMAC (Bone Marrow Aspirate Concentrate) is derived from your bone marrow and contains mesenchymal stem cells, cells with genuine regenerative potential, as well as a broader and more potent array of growth factors and anti-inflammatory agents. BMAC is used for more advanced joint degeneration, complex structural injuries, and cases where PRP alone is unlikely to provide sufficient support. In many cases, Dr. Scheinberg combines both treatments to maximize the biologic environment in the joint.
Most patients describe the experience as manageable. The blood draw for PRP is no different from a standard lab draw. The injection into a joint or around a tendon involves a brief feeling of pressure and mild discomfort. For BMAC procedures, the bone marrow harvest from the iliac crest is performed under local anesthetic, which minimizes the sensation at the harvest site. Post-procedure soreness for 24 to 48 hours is common and expected. It reflects the healing response being activated, not a complication.
Orthobiologics work through a biological healing process, which takes time. PRP patients typically begin noticing improvement four to eight weeks after treatment. The full benefit of BMAC often becomes apparent at two to three months and can continue improving for six months or more. This is a meaningful difference from cortisone injections, which may provide faster initial relief but fade quickly. The timeline is part of an honest conversation Dr. Scheinberg has with every patient before treatment begins.
Whether you are dealing with early-stage osteoarthritis or a severe sports injury, we provide surgical-level diagnostics and advanced biologic treatments to help you avoid invasive procedures and get back to the life you love.
Platelet-rich plasma concentrates your own platelets to support repair of tendon, ligament and early joint degeneration, delivered under image guidance.
Bone marrow aspirate concentrate uses your own marrow-derived cells for advanced joint preservation, performed as a surgical-grade outpatient procedure.
A combined PRP and BMAC protocol for severely degraded joints, pairing growth factors with marrow-derived cells under image-guided surgical precision.
Dr. Scheinberg evaluates both sides of the equation, what can reasonably be treated biologically and when surgery remains the better choice.
