Dr. Joshua John-Ram SchacterDr. Joshua Schacter, DO FAAOS, is America’s Holistic Orthopedic Surgeon, with nearly two decades of surgical expertise.

Before you consider surgery… Watch this.

13 Apr 2026 · 0 min

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In this brief video excerpt, two clinicians discuss a non‑surgical approach to a full‑length rotator cuff tear. Speaker A reports that the patient received an injection of exosomes combined with platelet‑rich plasma (PRP) directly into the tear site, and a follow‑up MRI showed complete resolution of the tear. Speaker B notes that the patient’s shoulder does not exhibit significant arthritis and points out inflammation of the trochlea tendon (muscle‑over‑bone area), suggesting that the injury’s surrounding tissues are being monitored. The conversation highlights regenerative injection therapy as an alternative to surgery, supported by imaging evidence and clinical assessment of joint health.

Full-length rotator cuff tear. Okay. And they used exosomes. Next MRI I had, the, the tear was gone. They did exosomes with platelet-rich plasma and they mix it together and shoot it into the injury.
Like we can see, you don't have bad arthritis, right? Out here over the muscle and the bone, this is called your trochlea tendon. Oftentimes you can get some inflammation in that muscle and it actually