Understanding This Research: Lipogems® for Shoulder Arthritis
Heather Vinet-Jones, Kevin F Darr · 2020
25 Patients Show Steady Pain Relief Over One Full Year
This study followed 25 people with mild-to-moderate shoulder arthritis who received Lipogems® treatment. Researchers tracked their progress at six weeks, 18 weeks, and one full year after treatment. All patients showed meaningful improvements that continued to build over time. The results suggest this approach may offer a lasting alternative to surgery for the right candidates.
Pain Scores Drop Significantly at Every Check-Up
Patients rated their pain using a standard scale before and after treatment. At every follow-up visit, the group reported statistically significant pain reduction compared to their starting point. The improvement wasn't just immediate—it grew progressively stronger throughout the year. This pattern of ongoing gains is encouraging for those seeking long-term relief rather than temporary fixes.
Shoulder Function Improves Alongside Pain Relief
The study measured arm and shoulder function using a well-established questionnaire called DASH. This tool captures how well people can perform daily activities like reaching, lifting, and sleeping comfortably. Just like the pain scores, function scores improved steadily at each milestone. By the one-year mark, participants reported meaningful gains in their ability to use their shoulders normally.
How the Procedure Works: A Minimally Invasive Approach
The treatment used micro-fragmented adipose tissue (specially processed fat) from each patient's own body. Here's what the process involved:
Fat tissue was collected from the abdominal area using a small needle
The tissue was processed through the Lipogems® system without chemicals or enzymes
About seven cubic centimeters of the prepared material was injected into the shoulder joint
Ultrasound guidance ensured precise placement directly into the joint space
The entire procedure happened in one visit. Patients went home the same day with instructions for recovery.
Study Included Patients with Confirmed Arthritis Diagnosis
Researchers carefully selected participants to ensure meaningful results:
All patients were over 40 years old
Each had confirmed shoulder arthritis shown on X-rays
Arthritis severity ranged from mild to moderate (grades two to three)
People with very low initial pain scores were excluded from final analysis
Those with immune disorders, recent cancer treatment, or certain heart conditions could not participate
This careful selection helps ensure the results apply specifically to people with active shoulder arthritis symptoms.
A Promising Option Before Considering Surgery
Shoulder arthritis causes cartilage breakdown, joint inflammation, and progressive stiffness. Traditional treatments focus on managing symptoms rather than addressing the underlying damage. Steroid injections may provide temporary relief but can accelerate joint deterioration with repeated use.
The Lipogems® approach offers something different. Fat tissue contains regenerative cells called pericytes and mesenchymal stem cells. These cells naturally support healing and reduce inflammation. Because the treatment uses your own tissue, there's no risk of rejection.
This study adds to growing evidence that micro-fragmented fat therapy can meaningfully improve both pain and daily function in shoulder arthritis. For patients seeking alternatives to surgery, these year-long results demonstrate that benefits can be sustained well beyond the initial treatment period.
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Source: Vinet-Jones et al., None, 2020.
Original Publication
Clinical use of autologous micro-fragmented fat progressively restores pain and function in shoulder osteoarthritis
Heather Vinet-Jones, Kevin F Darr · 2020
A total of 25 subjects with mild to moderate shoulder osteoarthritis (OA) received an injection of nondigested micro-fragmented adipose tissue (MFat™, Lipogems®) and were followed at 6, 18 and 52 week intervals to evaluate this therapy as a viable alternative for treatment of joint pain and inflammation-associated dysfunction. Autologous adipose tissue was harvested via lipoaspiration from the abdominal area and immediately processed through a closed system minimal manipulation technique. Seven cc of processed MFat™ was injected into the glenohumeral joint under ultrasound guidance. Quantitative analysis of pain and function modalities were performed using the visual analog scale (VAS) and the disabilities of the arm, shoulder and hand (DASH) questionnaire, respectively. All study participants reported significant progressive improvement (p < 0.001) from baseline in both VAS and DASH scores in shoulder OA cases up to one year post-injection. These results demonstrate that MFat™ therapy improves pain and function in patients with shoulder OA and can provide a long-term alternative to surgical intervention. The therapeutic benefits are attributed to mesenchymal stem cells and other reparative pericytes present in adipose tissue, which provide anti-inflammatory activity and multilineage differentiation potential, including chondrogenic capacity for cartilage repair.