Regenexx™ SD Versus Exercise Therapy for Rotator Cuff Tears

Exclusion Criteria

• •A massive rotator cuff tear as demonstrated by Grade 3 or less muscle strength on testing internal and external rotation of the affected shoulder
• •Previous surgery to the affected shoulder
• •Concomitant tears of biceps tendons
• •Grade 2 or greater SLAP tear
• •Type 3 acromion
• •Significant bone spur in subacromial space
• •Inflammatory or auto-immune based joint diseases or other upper extremity pathology (e.g., rheumatoid arthritis, systemic lupus erythematosus, psoriatic arthritis, polymyalgia, polymyositis, gout pseudogout)
• •Quinolone or Statin induced myopathy/ tendinopathy
• •Kellgren-Lawrence grade 2 or greater glenohumeral osteoarthritis
• •Adhesive capsulitis (mild or severe)
• •Symptomatic cervical spine pathology (e.g. radicular cervical pain)
• •Severe neurogenic inflammation of the cutaneous nerves about the shoulder
• •Shoulder instability requiring surgical stabilization
• •Contraindications for MRI
• •Tested positive or has been treated for a malignancy in the past or is suspected of having a malignancy or is currently undergoing radiation or chemotherapy treatment for a malignancy anywhere in the body, whether adjacent to or distant from the proposed injection site
• •Condition represents a worker's compensation case
• •Currently involved in a health-related litigation procedure
• •Is pregnant
• •Bleeding disorders
• •Currently taking anticoagulant or immunosuppressive medication
• •Use of chronic opioid