Got question for Dr Garg, M.D.? Click Here


Shoulder Impingement Syndrome/Bursitis

"Within two or three days I noticed a significant difference on my movement, my pain threshold and the amount of movement that I could do." – Mike K.

Common Causes

Shoulder impingement is common in sports that involve repetitive overhead movements or throwing, e.g.  swimming, surfing, rowing, baseball, softball, water polo, and volleyball.


Experience Counts - Located in Jacksonville, Florida, we are the leader in Adult Stem Cell and Platelet-Rich Plasma (PRP) Procedures. We have performed these procedures for more than ten years with over 90 % results and ZERO side effects.

Top Stem Cell Center in the World: Unique Proven Clinical Protocols, over ten years of experience and hundreds of satisfied patients is why people from around the world come to us for their adult stem cell and Platelet-Rich Plasma Procedures. 

FIVE reasons you need to know before you decide. You will see why people around the world choose us over other Clinics.

Glaring Differences




Other Leading Stem Cell Clinics (including Regenexx, Cell surgical Networks and others)

1. Gene and Cellular tests to evaluate your stem cell functions.



2. Use BOTH Bone Marrow and Fat Stem Cells, along with PRP.



3. Process Your Stem Cells with safety and use no dangerous chemicals like collagenase.



4. Use Dynamic Ultrasound Guided Injections for Precision and safety (and NOT use X-Rays that can damage your cells).



5. Improve body functions with proprietary Hormones and Supplements, so you get the best possible clinical outcome.




At SmartChoice® we believe that cost should not be an obstacle to getting your quality of life back. We put these procedures within reach of most budgets.

Treatment costs less
than you might think.
Learn More

These treatments are already extensively used by people with sports injuries and orthopedic conditions, for faster recovery times and better results.

Over 95% success rate
for joint restoration.
Learn More

Last year, I successfully performed SmartChoice® Procedure on my son, Neil for a ligament injury near his shoulder. Yes, these procedures are safe.

Patient safety is our
number one priority
Learn More

During normal shoulder motion, the rotator cuff and subacromial bursa travel smoothly beneath the acromion in the subacromial space (the space between the acromion and humeral head). Additionally, the subacromial bursa, a small fluid-filled sac, helps the rotator cuff travel smoothly beneath the acromion and AC joint.

In shoulder impingement, however, the rotator cuff and bursa get pinched or impinged underneath the acromion during overhead activities, resulting in pain.

Several factors can contribute to shoulder impingement. Structural abnormalities might result in a narrower subacromial space. For example, some people are born with a curved or hook-shaped acromion that narrows the subacromial space. With aging, development of AC joint arthritis and bony spurs underneath the acromion can also narrow the subacromial space. The less room there is for the rotator cuff and bursa to travel, the more likely it is that these structures get pinched during shoulder motion.

A second factor is inflammation. Overuse or repetitive irritation of the rotator cuff underneath the acromion can lead to inflammation and swelling of the rotator cuff tendons and overlying bursa (tendinitis and bursitis). Not only are the inflamed tendons and bursa painful, but pain is aggravated when these inflamed and swollen structures get pinched or impinged underneath the acromion during overhead motions.

A third factor is shoulder instability, especially in young athletes. If the structures of the shoulder are ineffective in stabilizing the humeral head within the socket (glenoid fossa) during overhead motions, the humeral head might migrate upward out of the socket, causing impingement. Underlying shoulder instability is likely a primary cause of impingement symptoms in young athletes.


Common Symptoms are:

Shoulder impingement is an extremely common condition that affects athletes of all ages. Athletes typically experience gradual pain in the front or side of the shoulder that is aggravated by reaching or overhead activities. Sometimes the pain radiates down into the upper arm. They might have decreased range of motion and subjective weakness with difficulty raising the arm overhead or behind the back. Night pain and difficulty sleeping on the affected shoulder are also common.

Repeated impingement usually leads to rotator cuff tendinitis (inflammation of the rotator cuff tendons) and bursitis (inflammation of the subacromial bursa that overlies the rotator cuff). Again, these two conditions can aggravate the impingement symptoms.

Usual Treatments include:

Tendinitis and bursitis may occur alone or at the same time. Treatment for tendinitis and bursitis includes:

PRP and Stem Cell Treatments can help:

Most times athletes are told that they need surgery to fix their sports injuries. But surgery is not the answer for most of the sports injuries, and may actually never help you regain your performance to the level you were prior to the injury.

Patients coping with sports injuries, tendon strains, sprained ligaments, muscle injuries, arthritis and more, will be comforted to know that surgery is not the only option of treatment available to them. Faster healing as well as improved functionality both are possible with innovative, cutting- edge ADULT stem cell and PRP procedures.

As alternatives to the joint surgery, SmartChoice® Procedures may help alleviate joint pain, arthritis and other sports injuries that caused it with a simple office injection procedure. We encourage the patients to walk the same day and most experience almost no downtime after our procedures whatsoever.

Dr. Garg has experience working with professional and amateur athletes from different sports to increase their performance with this unique and individualized health and wellness program. He has worked with professional athletes like former number one PGA Tour Golfer, several NFL players, many Tennis and baseball athletes and athletes from various other sports.

And if you are considering a knee, hip or other joint surgery for your sports injury, you might want to learn about how the adult stem cells and PRP procedures stack up against these risky Orthopedic surgeries.

Call us today and find out if these procedures are an option for you.

Back to Top