Shoulder Pain

Shoulder pain may be an isolated problem localised to the shoulder or be a part of widespread pain as in rheumatoid arthritis. A combination of history, examination and diagnostic investigations is utilised to identify the pathology and guide further management. Diagnostic ultrasound scan is an effective bedside tool as it can reliably identify common shoulder pathologies and reduce the requirement of additional investigations. I routinely perform ultrasound scans at the time of initial assessment. This reduces the requirement of additional investigations and if required a guided injection can be performed at the same time.

Some of the common reasons for shoulder pain include

  • Inflammation, injury or weakening/tear of muscles and tendons around the shoulder joint (rotator cuff)
  • Damage to bones, cartilage of shoulder joints as in arthritis of glenohumeral, acromiocalvicular joint
  • Bursitis (Bursa allow for smooth sliding of tendons or muscles over the joint or frictional areas)
  • Frozen shoulder or Adhesive capsulitis
  • Spasm/injury of neck and shoulder muscles
  • Referred pain from surrounding areas like neck for example in nerve entrapment or neck joint arthritis
For More Information


Some of the common interventions I perform in pain clinic are given below. Click on these to find out more about them

Suprascapular block & Pulsed Radiofrequency
Subacromial bursa injection
Joint injections- Acromioclavicular and Glenohumeral joints
Dry needling & barbotage for calcific tendonitis
Hydrodilatation for frozen shoulder
Biceps tendon Injection
Platelet Rich Plasma (PRP) injection

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