Diagnostic Musculoskeletal Ultrasound scan and Ultrasound-guided injection Private Shoulder treatment Warwickshire

get in touch



If you are in need of Shoulder Pain Treatment in Warwickshire, Joint Care Clinics are HCPC registered and members of the Chartered Society of Physiotherapy. and the Society of Radiographers. We offer a one-stop clinic for consultation, diagnostic scans and treatment. Highly experienced clinicians offer this service. We use an ultrasound diagnostic scanner to pinpoint the area of shoulder pain, for a more accurate diagnosis and tailor-made treatment.

We can help if :

If you are suffering from shoulder pain and not sure about the reason for the shoulder pain.

No relief from the pain medication/physiotherapy or other treatments.

private shoulder pain treatment Warwickshire

A shoulder ultrasound diagnostic scan can reveal shoulder conditions including :

  • Rotator cuff Tendinitis pain: Tendinitis, tears, supraspinatus Calcifications.
  • Acromioclavicular joint pain (AC joint) (located on the top of the shoulder): Arthritis, capsulitis, synovitis.
  • Shoulder Joint (glenohumeral joint)  Arthritis, fluid /effusion.
  • Bursitis: Bursal thickening or bursal effusion can cause shoulder impingement. Biceps tendinitis/tear/tenosynovitis.
  • Frozen Shoulder: Severe pain especially night pain and shoulder joint stiffness.
  • Calcific tendinitis: Severe shoulder pain with shoulder movement restriction.
  • Rotator Cuff tear: Severe pain and weakness in the shoulder movement.
  • Long head of Biceps tear: Usually presents with a pop eye sign
Shoulder Pain Treatment Warwickshire

Do I need a diagnostic ultrasound scan for my shoulder pain?

Shoulder pain is a common problem and often difficult to diagnose the source of the pain through the traditional clinical assessment alone. This is due to the complexity of the shoulder anatomy and the possibility of referred pain from elsewhere. A correct diagnosis helps to formulate an appropriate treatment plan to optimize the recovery.

What Shoulder Injections are available?

shoulder anatomy

Musculoskeletal issues?

If you are experiencing painful joints, muscles, tendons or ligaments please get in touch for a diagnostic scan and treatment

Common Causes of shoulder pain

Shoulder injuries are common in sports such as tennis, swimming, baseball, weightlifting, rugby, cricket, squash, and any other sport demanding a quick change in pace and direction. Our clinic routinely diagnoses and treats the following shoulder disorders:

  • Rotator Cuff Injuries
    Surrounding the shoulder joint, the rotator cuff is a collection of muscles and tendons that provide support and aid movement. Particularly prone to rotator cuff injuries are sports such as tennis, swimming, baseball, and other activities requiring repeated overhead motions.
  • Labral Tears
    The labrum, a ring of cartilage around the shoulder socket, serves to stabilise the joint. Sports such as weightlifting, rugby, and football, which require quick, strong shoulder motions, can cause labral tears.
  • Tendinitis
    Overuse often causes tendinitis, the inflammation of a tendon. Popular therapeutic choices with rehabilitation are PRP, steroids, and viscosupplementation (gel) injections.
  • Bursitis
    The bursa is a small sac that cushions several shoulder tissues to reduce friction. Bursitis is the bursa's inflammation. The subacromial bursa and the subdeltoid bursa are two common bursae that are sensitive to inflammation in the shoulder. You can diagnose the bursa and aspirate the fluid under ultrasonic direction.

Sports or careers: Requiring repetitive shoulder movement can cause overuse conditions, including tendinitis or bursitis.

Poor posture: Over time poor posture can lead to misalignment and increased tension in the shoulder joints, resulting in pain and injury.

Sudden collisions: Falls or accidents could cause dislocations, rotator cuff tears, or fractures.

Weak joint mechanics: Caused by weak or unbalanced shoulder muscles increase the risk of strain and other complications.

Osteoarthritis: This is an example of age-related wear and tear, which can gradually weaken the shoulder joint and cause limited mobility and chronic pain.

Arthritis is a common cause of shoulder pain and dysfunction, significantly impacting your daily activities and quality of life. The following are the various common arthritic conditions observed in the shoulder:

  • Osteoarthritis
    The most common type of arthritis, osteoarthritis, is characterised by the gradual wear and tear of the shoulder joint cartilage. This leads to reduced mobility, discomfort, and stiffness.
  • Rheumatoid Arthritis
    An autoimmune disease, rheumatoid arthritis, causes inflammation of the shoulder joint lining. This inflammation may damage the joint cartilage and bones, leading to discomfort, swelling, and potential abnormalities.
  • Traumatic Arthritis: Post-Trauma
    Following a shoulder injury, including a fracture or dislocation, post-traumatic arthritis can develop. Arthritis can be caused by cartilage damage long after the injury heals.
  • Arthropathy of the Rotator Cuff
    The condition is caused by a long-standing rotator cuff injury that worsens arthritis in the shoulder. Damage to them may lead to severe arthritis and joint issues.
Darren Gough Cricketer

"Having played professional sport from 1989-2008 I’ve amassed plenty of aches and pains after numerous operations. I’ve been around the world and seen some of the best Doctors and surgeons out there, and Ram has been right up there with his care and skill. Never in a rush, he’s kind, compassionate and very professional. Not only helped me with knee and shoulder pain, he’s also treated my wife for elbow pain. My son is now going to see him as he’s seen a difference in how his parents are moving. Thanks for all your help, Darren Gough and Anna Gough"


Darren Gough - English Cricket Player


How long does an ultrasound guided injection in the shoulder take?

This will vary depending on the area and other factors, but an assessment, scan & ultrasound-guided injection will generally take around 60 minutes. Ultrasound-guided injection alone is done in a few seconds. Injection alone is carried out in a few seconds.

Are ultrasound guided injections painful?

Discomfort from the needle insertion can be minimised by using local anaesthesia using a very fine small needle. Ram is experienced and carried out more than 30,000 Ultrasound-guided injections so far. He routinely treats complex patients and patients with needle phobia, through the technique he developed through his experience.

Access Private Shoulder Pain Treatment at our clinic in Warwickshire

Who is more prone to Shoulder pain?

Shoulder pain can be experienced by any age group, occupation or sport. Occupations involving repetitive movements, such as overhead activities, lifting, pulling, pushing, gym-related injuries such as weight training and sports injuries from running, rugby, football, cricket, golf, hockey, jogging, running, cycling, etc. prone to develop shoulder problems.

The elderly population is prone to either arthritis or degenerative conditions. Traumatic rotator cuff tears following a fall or while lifting a heavy object are also possible. Arthritis can cause shoulder stiffness, pain, and loss of function. Traumatic rotator cuff tears following a fall or while lifting a heavy object are also possible. In both of the above scenarios, one would experience pain and stiffness. The diagnostic ultrasound scan can differentiate between the two.

Call today and get Shoulder Pain Treatment at our Warwickshire Clinic

What is an ultrasound guided cortisone / Steroid / Corticosteroid injection?

A cortisone injection is also known as a Corticosteroid injection or steroid injection. This is a strong anti-inflammatory medication used for many inflammatory and arthritis conditions to control pain, swelling, and stiffness, and improve function. Corticosteroid injections are NOT the same used by bodybuilders use. Corticosteroid injections do not cause weight gain.  To find out more please visit our ultrasound-guided steroid injections page from the ‘Types of Guided injection’ menu on the top.

Always, consider having the Steroid injections under ultrasound guidance for accuracy.

Schedule Private Shoulder Pain Treatment at our Warwickshire clinic

What is an ultrasound guided hyaluronic acid (HA) injection?

HA injection is also known as Gel injection or Lubricant injection. This viscosupplementation injection is a natural component of synovial fluid. This tends to increase joint fluid viscosity and restores joint lubrication. Hence, acts as a shock absorber to control the joint /tendon symptoms. Limits the further damage to the joint and delays or avoids the need for the surgery. Also, helps to enjoy your daily activities or your preferred hobbies. To find out more please visit our  GUIDED ULTRASOUND HYALURONIC ACID INJECTIONS page from the ‘Types of Guided injection’ menu on the top.

These injections are very popular, especially for knee joint pain. Any number of injections can be taken in a given period, due to minimal or no side effects from these injections. Usually, a course of 3 Injections is preferred, though some may do well just with an injection per year 9 we have patients managing just with 1/year.

What is an ultrasound guided PRP injection?

Platelet Rich Plasma (PRP) injections are rich in growth factors (help in repairing the cell and its growth) and prepared from the patient’s own blood. Separated growth factors from the patient’s blood are injected back into the affected area of the same patient. PRP’s ability to heal and even regenerate injured or aging tendons, ligaments, and joints, provides some patients with an alternative to surgery. PRP therapy may reduce the required healing time for the injuries (especially for sports injuries and early Arthritis); otherwise, athletes/sports professionals may require longer periods of rest from their sports-related activities. To read more please visit our Ultrasound Guided PRP page. Always, consider having the PRP injections under ultrasound guidance for accuracy.

can i drive after an injection

You will not be able to drive immediately after the procedure. Bring someone with you Or use another form of transport to return home. This is mainly due to your driving license policy, rather than injection efficacy. The majority of the motor insurance policies will not allow you to drive for 3-5 hours after the injection with Local Anesthesia.

For Private Shoulder Pain Treatment at a Clinic in Warwickshire, please call us on 0333 444 2013

What are the common shoulder problems you can help?

The common shoulder problems we can help with are :

Rotator cuff tendinitis, impingement or Bursitis problems :
Often painful upon using your shoulder/arm, lying on the affected shoulder or with repetitive movements. Pain can be an intense sharp shooting pain with a particular movement.

Frozen shoulder/Osteoarthritis/rotator cuff tear: Often present as stiff and painful shoulder movements. Struggles with daily activities. Night sleep is affected.

Acromioclavicular (AC) joint Problems: Painful over the top of your shoulder. Painful with overhead activities and reaching onto the opposite shoulder. This could be due to arthritis, ligament sprain, joint subluxation or displacement.

Tingling, pins, and needles to the hand: This could be due to nerve pain radiating from your neck.

Don’t self-diagnose, consult us for diagnosis and  Shoulder Pain Treatment at our Warwickshire Clinic

What should I expect after a Shoulder Injection?

After the injection, you may feel pain-free for a couple of hours due to Local anaesthesia. However, the pain returns after 2 hours, you may even feel more pain for a couple of days due to bruising pain. Usually, you should start feeling better from the third day onwards. Pain relief from the steroid injection may take 1 to 2 weeks.

Schedule Private Shoulder Pain Treatment at our Warwickshire Clinic

How do I manage bruising pain?

Discomfort from the needle insertion can be minimised by using an ice pack (wrapped in a towel, to minimise the risk of frostbite from direct skin contact) to the area of treatment. Use the ice pack 3-4 times a day and 10-15 minutes at each time.

Will i always feel 100% pain free?

We can accurately inject the treatment area. However, pain relief depends on several factors, such as severity of the problem, body response to the steroid injection, rest period following an injection,  rehabilitation and exposing to the risk factors.

how many shoulder injections can i receive?

Corticosteroid Injections: 3 or 4 per treatment area/year.

Hyaluronic Acid: No limit as long as you are benefiting.

Platelet-rich plasma (PRP): This is a course of 3, which you can repeat as you like. 

Get in touch for Shoulder Pain Treatment at our Warwickshire Clinic

What shoulder conditions can be treated?

The following conditions can be treated with the Ultrasound-guided injections :

  • Subacromial-sub deltoid bursa (SASD) / aspiration ( Shoulder Bursa)
  • Acromioclavicular joint (AC Joint)
  • Biceps Tendon Sheath  (LHB) (Biceps tendonitis/tenosynovitis).
  • Glenohumeral joint (shoulder Joint Osteoarthritis) / aspiration of joint fluid.
  • Subcoracoid bursa/ aspiration.
  • Sternoclavicular joint (SC joint)
  • Frozen Shoulder (Hydrodilatation/ Hydrodistention)
  • Calcific supraspinatus tendinitis ( Barbotage)
  • Severe shoulder pain: Suprascapular nerve block.

    Call us for Private Shoulder Pain Treatment at one of our UK Clinics

    How long will the shoulder injection effects lasts?

    It is hard to determine without an assessment. It may be possible to estimate after assessing the patient. Usually, lasts up to 3 months. There are many patients who benefited for more than a year to 2 years.

    Richard Kilty

    "My name is Richard Kilty, I am the current captain of the British athletics team. World 60m champion, double European 60m champion & European 4x100m relay record holder. I have been using Ram Rachaputi for many years now. I have used many of his different treatments for my performance, injuries & general training recovery. I have always had huge success after seeing ram. He is truly world class at what he does. I will continue to work with ram all the way throughout my career and will be forever grateful for his precise and incredible work"


    Richard Kilty

    Joint Care Clinics Rugby

    1 Stratford Lane,



    Warwickshire CV22 5RA


    We cover many areas throughout the UK, and West Midlands with our convenient Joint Care Clinics including:

    Warwickshire clinic covering Rugby, Coventry, Nuneaton, Bedworth, Stratford Upon Avon, Kenilworth, Warwick and Leamington Spa.

    West Midlands clinic covering Birmingham, Edgbaston, Harborne, Sandwell, Dudley, Wolverhampton, Walsall, Sutton Coldfield and Solihull

    Buckinghamshire clinic covering Aylesbury, Milton Keynes, Bedford and Leighton Buzzard

    Northamptonshire clinic covering Northampton, Daventry, Kettering and Wellingborough.

    Leicestershire clinic covering Leicester and Nottingham (Nottinghamshire)

    We also have regular clinics in Newcastle covering the North East.