The Pinnacle of Non-Surgical Care

Combined Therapy
Surpassing the Limits of Single Treatments Through Combination

Shoulder problems are rarely singular. When calcific tendinitis accompanies a torn ligament, or when a tear has multiple aspects, combining two or more treatments multiplies the outcome.

3 Core Combined Therapies

Custom Combinations Designed by Dr. Lee

Most Common

Calcific Aspiration + Plication Suture

For calcific tendinitis co-existing with a partial ligament tear. Calcium is completely removed (aspiration) while the torn ligament is simultaneously repaired and anchored (plication suture). Two problems resolved in one session.

Best for: Calcific tendinitis + partial ligament tear

Complete Tendon Reinforcement

Plication Suture + Collagen Patch (Regeneten)

Plication suture anchors the articular-side tear to bone from below, while the collagen patch (Regeneten) reinforces the thinned bursal surface from above. Comprehensive inside-and-out restoration.

Best for: Articular-side tear + thinned bursal surface

Regeneration + Fixation Synergy

Plication Suture + Bone Marrow Stem Cell

Suture provides structural fixation of the tear, while bone marrow stem cells optimize the regenerative environment simultaneously. Structural stabilization and biological regeneration in tandem.

Best for: Tear requiring simultaneous repair + regeneration

The Combined Therapy Principle

Sequence and Candidacy Matter More Than the Treatment Itself

The most common mistake in non-surgical care is focusing only on “which treatment to receive.” Even with the same diagnosis of rotator cuff tear, the optimal treatment differs based on tear location, extent, and accompanying pathology.

Platinum Clinic uses precise ultrasound and MRI analysis to design the optimal treatment combination for each patient.The same protocol is never applied to every patient.

Clinical Evidence

Co-occurrence of Calcific Tendinitis and Rotator Cuff Tear

Reference

A multicenter Korean study analyzing calcific tendinitis patients (Yoo JC et al., Clinics in Shoulder and Elbow, 2021) found that 15–28% of calcific tendinitis patients also have a concurrent rotator cuff tear. In addition, a significant proportion of rotator cuff tear patients have a concurrent delaminated tear, in which case combined therapy is more effective than single-procedure treatment.

Yoo JC, et al. Calcific tendinitis of the shoulder in the Korean population. Clin Shoulder Elbow. 2021;24(1):15-21. PMC7943384 ↗

At Platinum Clinic, the first visit includes ultrasound and MRI to precisely evaluate for concurrent calcium deposits, tears, and delaminated tears. Dr. Lee directly designs the optimal combined treatment plan for each patient.

Explanation Videos by Dr. Lee

Watch Dr. Lee Explain

How to avoid having shoulder surgery twice

YouTube Shorts ↗

The hottest rotator cuff procedure right now — Regeneten