The shoulder joint is the most mobile and thus most at risk joint for injury. It is attached or held on the body mostly by muscles including the pectoralis, deltoid, rhomboids, latissmus dorsi, infraspinatus, supraspintus, subscapularis, and a few others. Often shoulder pain develops immediately following reaching out or up after a fall or to grab something above the head. Treatment involves examining every attachment of the shoulder for strains that then easily treated with PRP and Prolotherapy injections. Often trigger points have developed that cause severe referred pain patterns. These have to be identified and treated also using trigger point injection, acupuncture and stretching.
Elbow and wrist pain develop as a result of overuse injuries mostly, cutting hair, painting, lifting weights, playing tennis etc. They are treated successfully using PRP and Prolotherapy to regenerate and rebuild the tendon attachments.