Ultrasound-guided Prolotherapy with Glucose and Oxygen–ozone: In Vivo Restoration of Shoulder Muscle Function and Structure

Learning Objectives:

• describe the anatomical and biomechanical basis for shoulder dysfunction related to fascial gliding restrictions, particularly in individuals with anterior muscular hypertrophy and postural imbalances.
• demonstrate the ultrasound-guided near-fascial and interfascial injection technique, including the Subpectoral Upper Cross Release protocol, for targeted prolotherapy with 5% glucose and oxygen–ozone.
• interpret musculoskeletal ultrasound and Showmotion analysis findings to assess improvements in muscle structure, fascial dynamics, and shoulder function following prolotherapy interventions.