Advanced Treatment Options for Shoulder Osteoarthritis

Precision care for joint preservation — powered by biologics, biomechanics, and the SIGMA 100 Days to Success recovery system.

At Sigma Orthopedics & Sports Medicine, Dr. Frank McCormick combines Harvard-trained surgical precision with a multimodal pain-management system designed to accelerate healing and minimize medication dependence. Our approach focuses on faster recovery, lower risk, and better long-term outcomes.

WHAT IS SHOULDER OSTEOARTHRITIS?

Understanding Shoulder Osteoarthritis

Shoulder osteoarthritis occurs when the smooth cartilage surfaces of the joint gradually wear away, leading to stiffness, inflammation, and pain with movement.
At SIGMA Orthopedics, we look deeper — beyond the X-ray — to understand the root cause of your pain and loss of motion.
Common causes include:
  • Degenerative wear-and-tear over time
  • Prior shoulder injuries or dislocations
  • Rotator cuff weakness or imbalance
  • Genetic and metabolic factors that accelerate joint degeneration
Types of Shoulder Osteoarthritis

Type

Description

Primary OA

Age-related “wear-and-tear” arthritis with gradual cartilage loss.

Secondary OA

Follows prior trauma, instability, rotator cuff tear, or surgery.

Rotator Cuff Arthropathy

Advanced degeneration after chronic cuff tears.

At SIGMA Orthopedics, we look deeper — beyond the X-ray — to understand the root cause of your pain and loss of motion. Our evaluation process integrates high-resolution MRI and ultrasound imaging, functional motion testing, and data-driven analytics to build a complete diagnostic picture — what we call your SIGMA Shoulder Score™.

Redefining Shoulder OA Care with the SIGMA System

If you’ve been told that shoulder osteoarthritis means “wait a while then replace the joint”, it’s time to see things differently. At SIGMA Orthopedics & Sports Medicine, we believe that advanced shoulder pain isn’t just about worn cartilage — it’s about biomechanics, tissue health, joint stability and performance restoration.
In the video below, you’ll discover how we integrate state-of-the-art imaging and diagnostics, minimally invasive treatments (including biologic support and joint preservation strategies), and a 100-Day Recovery Framework that moves you beyond pain relief and toward restoration of shoulder function, strength and mobility.
Whether your goal is returning to your active lifestyle, avoiding or delaying joint replacement, or getting back to pitch, paddle, or overhead work — watch the video to learn how the SIGMA approach offers you options, outcomes and a plan that’s built around you.

SIGMA DIAGNOSTIC FLOW

The SIGMA Approach to Diagnosis and Planning
Every patient is unique. Our process uses precision imaging, Six Sigma–inspired checklists, and data analytics to map your joint’s function, degeneration pattern, and healing potential.

Comprehensive Evaluation

pain, motion, strength, and lifestyle mapping

High-Resolution Imaging

X-ray, MRI, or CT for bone and cartilage detail

Functional Motion Analysis

scapular tracking, load distribution

Six Sigma Decision Matrix

objective scoring for cartilage loss, cuff integrity, and bone quality

Biologic Optimization Plan (SynerG)

PRP / A2M / BMAC as indicated

100 Days to Success Roadmap

your customized recovery blueprint

TREATMENT OPTIONS

Non-Surgical and Advanced Treatments

Conservative Management
  • Activity and workload modification
  • Targeted physical therapy to improve motion and stability
  • Non-steroidal anti-inflammatory medications
  • Image-guided injections for temporary pain relief
  • Cryotherapy and joint offloading protocols

Surgical Options

Arthroscopic debridement

smoothing frayed cartilage and removing loose debris

Biologic resurfacing

PRP or graft augmentation to preserve joint surface

Anatomic total shoulder replacement (TSA)

for advanced OA with intact rotator cuff

Reverse TSA

for cuff-deficient or post-traumatic arthritis

Biologic Joint Preservation

For early or moderate arthritis, SIGMA leverages SynerG Orthobiologics — our proprietary suite of biologic injections engineered to modulate inflammation and support cartilage health.

Biologic

Function

PRP (Platelet-Rich Plasma)

Delivers growth factors to promote repair and reduce inflammation.

A2M (Alpha-2-Macroglobulin)

Inhibits cartilage-damaging enzymes and slows OA progression.

BMAC (Bone Marrow Aspirate Concentrate)

Supplies regenerative cells and proteins to enhance healing.

The SIGMA Treatment Pathway

We don’t believe in one-size-fits-all medicine. The SIGMA Approach blends biologic innovation, surgical precision, and outcome analytics into a phased, personalized recovery plan.

SynerG™ Orthobiologics

Harness your body’s own healing potential.

SIGMA’s biologic suite includes Platelet-Rich Plasma (PRP), Alpha-2-Macroglobulin (A2M), and Bone Marrow Concentrate (BMAC) — natural cell-based treatments designed to reduce inflammation, slow cartilage breakdown, and promote tissue repair.

Each treatment is ultrasound-guided for accuracy and customized based on your diagnostic profile and SIGMA Score™.

Arthroscopic Optimization

When conservative care isn’t enough, SIGMA’s arthroscopic specialists use minimally invasive “keyhole” surgery to:

  • Smooth damaged cartilage surfaces
  • Remove loose debris or bone spurs
  • Deliver targeted orthobiologic agents directly to affected tissue
  • Address concurrent labral or rotator cuff pathology

Our approach minimizes trauma, anesthesia time, and downtime — allowing most patients to begin guided motion and physical therapy within days.

Data-Driven Rehabilitation: 100 Days to Success

Every patient enters our 100-Days-to-Success™ recovery system — a structured, measurable plan that integrates:
  • Customized physical therapy protocols
  • Strength and flexibility milestones
  • Digital progress tracking and patient-reported outcomes
  • Ongoing communication with your SIGMA clinical team
This isn’t guesswork — it’s precision recovery by design.

Joint Preservation and Replacement — Only When Necessary

For patients with advanced arthritis, SIGMA offers computer-navigated total and partial shoulder replacement procedures.

We use custom implants, intraoperative navigation, and biologic augmentation to improve implant longevity and postoperative outcomes — all guided by the same Six Sigma-inspired rigor that defines our brand.

Measured Outcomes. Real Results.

Excellence Defined by Outcomes™
At SIGMA, success is quantifiable. We track every patient’s progress through objective data and validated outcome metrics to ensure real improvement in strength, motion, and quality of life.
Average Results with the SIGMA Shoulder Program:
of patients report improved function within 100 days
0 %
average reduction in pain scores
0 %
improvement in range of motion compared to baseline
0 %

Why Choose SIGMA Orthopedics

Excellence Defined by Outcomes™

Harvard-trained orthopedic surgeon

Harvard-trained orthopedic surgeon with fellowship training in sports medicine and shoulder reconstruction

Data-driven protocols

inspired by Six Sigma and fighter-pilot precision

Integrated biologic lab (SynerG™)

for same-day advanced orthobiologic treatments

Concierge coordination

from your first consultation through full recovery

Multi-state centers of excellence

Bayonne University Hospital (NJ), New York City, and South Florida

TOOLS & TECHNOLOGIES

Engineering Better Outcomes

Tool

Purpose

Motion Capture Analysis

Quantifies scapular rhythm and joint kinematics.

SynerG Orthobiologic Suite

Customized PRP/A2M/BMAC injections to enhance healing.

Cryo-Compression Systems

Reduce swelling and improve comfort post-procedure.

Outcome Analytics Dashboard

The SIGMA Scoreboard tracks recovery metrics and benchmarks.

FREQUENTLY ASKED QUESTIONS

Cartilage loss cannot fully regenerate, but symptoms can be dramatically improved through biologic modulation, physical therapy, and modern surgical options.
Yes — PRP, A2M, and BMAC therapies can reduce inflammation and delay the need for joint replacement in many cases.
Surgery is considered when pain persists despite comprehensive non-operative and biologic treatment or when imaging shows severe cartilage loss.
Most patients follow the 100 Days to Success framework: early motion within 2 weeks, strength phase by 8 weeks, and functional recovery by 3 months.
With proper biomechanics, biologic support, and adherence to your recovery plan, patients typically achieve stable, pain-free function for years.

Comprehensive Treatment Options for Shoulder Osteoarthritis

Embrace your journey back to wellness

Megan T. : “Dr. McCormick’s approach is refreshingly different. He emphasizes patient involvement in decision-making, which I found very empowering during my recovery.”
20+ Years of Experience
Over 5000+ Surgeries performed
30+ Award-Winning Orthopedic Researcher
National and International Speaker
Harvard Trained and Former Harvard Faculty

Introduction

Shoulder osteoarthritis (OA) is a degenerative condition that can significantly impact an athlete’s performance and quality of life. As sports medicine specialists, our approach to treatment focuses on preserving function, reducing pain, and maintaining athletic performance. This report outlines advanced treatment options for shoulder OA, emphasizing both conservative and surgical interventions.

1. Conservative Management:

a) Advanced Physical Therapy Techniques: – Eccentric strengthening exercises – Scapular stabilization programs – Proprioceptive training – Manual therapy techniques (joint mobilization, soft tissue mobilization) – Kinesio taping for pain relief and improved biomechanics b) Innovative Pain Management: – Topical NSAIDs with enhanced penetration formulas – Compounded pain creams (e.g., ketamine, gabapentin, lidocaine) – Low-level laser therapy (LLLT) – Transcutaneous electrical nerve stimulation (TENS) c) Cutting-edge Injection Therapies: – Hyaluronic acid viscosupplementation – Platelet-rich plasma (PRP) injections – Stem cell therapy (mesenchymal stem cells) – Prolotherapy – Botulinum toxin injections for muscle spasms d) Biologic Therapies: – Autologous conditioned serum (ACS) – Growth factor injections (e.g., IGF-1, TGF-β) – Exosomes and extracellular vesicles e) Advanced Bracing and Orthotics: – Custom-fitted, lightweight shoulder braces – Kinesiology taping techniques – Smart wearables for posture correction and movement analysis

2. Minimally Invasive Procedures:

a) Arthroscopic Debridement:
– Removal of loose bodies
– Synovectomy – Chondroplasty
– Capsular release for frozen shoulder


b) Arthroscopic Microfracture:
– Stimulation of cartilage repair through subchondral bone perforation – Enhanced microfracture techniques (e.g., nanofracture)


c) Arthroscopic-assisted Rotator Cuff Procedures:
– Partial repair for irreparable tears
– Superior capsular reconstruction
– Balloon spacer implantation


d) Arthroscopic Biceps Tenodesis:
– For associated biceps tendon pathology


e) Radiofrequency Ablation:

– Genicular nerve ablation for pain management

3. Regenerative Medicine Approaches:

a) Autologous Chondrocyte Implantation (ACI):
– Harvesting and culturing of patient’s own cartilage cells
– Implantation into defect areas

b) Matrix-induced Autologous Chondrocyte Implantation (MACI):
– ACI with a collagen membrane for improved cell adherence

c) Osteochondral Autograft Transfer System (OATS):
– Transplantation of healthy cartilage plugs from non
-weight-bearing areas

d) Particulated Juvenile Articular Cartilage Allograft:
– Implantation of minced juvenile cartilage for enhanced healing potential

e) Scaffold-based Cartilage Repair:
– Use of biocompatible scaffolds seeded with chondrocytes or stem cells

4. Advanced Surgical Interventions:

a) Resurfacing Arthroplasty:
– Partial joint replacement preserving bone stock
– Ideal for younger, active patients

b) Anatomic Total Shoulder Arthroplasty (TSA):
– Latest generation implants with improved biomechanics
– Highly cross-linked polyethylene for reduced wear
– Trabecular metal or porous
-coated components for enhanced osseointegration

c) Reverse Total Shoulder Arthroplasty (rTSA):
– For cases with irreparable rotator cuff tears
– Newer designs with reduced scapular notching

d) Computer-assisted Navigation:
– Improved accuracy in component positioning
– Patient-specific instrumentation

e) Stemless Shoulder Arthroplasty:
– Bone-preserving option for humeral component

f) Biologic Glenoid Resurfacing:
– Use of acellular dermal matrix or other biologic scaffolds

5. Post-operative Rehabilitation Strategies:

a) Accelerated Rehabilitation Protocols:
– Early range of motion exercises
– Progressive strengthening programs

b) Aquatic Therapy:
– Reduced joint loading during early rehabilitation

c) Neuromuscular Electrical Stimulation (NMES):
– Enhanced muscle activation and strength gains

d) Blood Flow Restriction (BFR) Training:
– Promotes muscle hypertrophy with lower loads

e) Virtual Reality (VR) Rehabilitation:
– Gamified exercises for improved engagement and proprioception

6. Emerging Technologies:

a) 3D Printing in Shoulder Arthroplasty:
– Custom implants and surgical guides

b) Augmented Reality (AR) in Surgical Planning:
– Enhanced preoperative planning and intraoperative guidance

c) Artificial Intelligence (AI) in Outcome Prediction:
– Machine learning algorithms for personalized treatment selection

d) Nanotechnology in Implant Coatings:
– Improved osseointegration and infection resistance

e) Smart Implants:
– Embedded sensors for real-time monitoring of joint function and healing

7. Return to Sport Considerations:

a) Sport-specific Functional Testing:
– Objective criteria for return to play decision-making

b) Biomechanical Analysis:
– Motion capture technology for technique optimization

c) Load Management Strategies:
– Gradual return to sport-specific activities – Pitch count limitations for overhead athletes

d) Nutritional Interventions:
– Targeted supplementation for joint health (e.g., collagen, omega-3 fatty acids)

e) Psychological Preparation:
– Mental skills training for successful return to competition

Conclusion:

The management of shoulder osteoarthritis in athletes requires a comprehensive, multidisciplinary approach. By integrating advanced conservative treatments, minimally invasive procedures, regenerative medicine techniques, and cutting-edge surgical interventions, sports medicine specialists can optimize outcomes for athletes with shoulder OA. Individualized treatment plans, considering the athlete’s age, sport, level of competition, and personal goals, are crucial for successful management. As technology and research continue to evolve, new treatment modalities will likely emerge, further expanding our ability to address this challenging condition in the athletic population.

Shoulder