
Medically reviewed by Derek Wimmer, PA
Shoulder pain often involves the rotator cuff, frozen shoulder (adhesive capsulitis), or arthritis. Wimmer uses in-office imaging (ultrasound or fluoroscopy) when needed to identify the cause and treats it non-surgically with options like PRP, focused shockwave, and image-guided injections.
| Common causes | Rotator cuff, frozen shoulder, arthritis |
|---|---|
| Evaluation | In-office imaging as needed |
| Options | PRP, Focused Shockwave, injections |
| Goal | Restore motion, avoid surgery |
Common causes & symptoms
- Rotator cuff strain and tendinopathy
- Frozen shoulder (adhesive capsulitis)
- Shoulder arthritis and stiffness
- Pain with overhead motion, golf, tennis, or swimming
When to seek care
If shoulder is limiting your activity, lingering for more than a couple of weeks, waking you at night, or causing swelling or instability, it's worth a proper evaluation. Early, accurate assessment often opens up more — and less invasive — options.
How we evaluate it
Your visit begins with an in-office evaluation, with imaging — ultrasound or fluoroscopy — when it's needed, so we can see the area clearly. Occasionally we'll arrange additional imaging elsewhere. From there, Derek builds a personalized, honest plan — and walks you through the options for your situation.
Non-surgical options we may consider
- Image-guided injections — targeted relief for the joint or cuff
- PRP — to support tendon and soft-tissue healing
- Focused shockwave therapy — for stubborn cuff-related pain
- Mobility & maintenance planning — to restore and protect range of motion
Keeping you active
For golfers, pickleball and tennis players, boaters, and active retirees, the goal isn't just less pain — it's getting back to the life you love and staying there. That's the heart of how we plan your care.
Frequently asked questions
Not always. Many rotator cuff problems improve with non-surgical care. We assess your specific situation honestly and refer for surgery only when it's truly the best option.
Yes. Frozen shoulder is a common reason patients see us, and a structured, non-surgical plan can help restore motion over time.
The shoulder is a complex joint. Ultrasound guidance helps place injections precisely where they're intended for better accuracy.
