Shoulder Pain Assessment & Pain relief Treatment
Diagnostic Musculoskeletal Ultrasound scan and Ultrasound-guided injection treatment options are readily available. At joint care Clinics, in house diagnostic ultrasound scan helps to diagnose your shoulder problem and treat your shoulder problem appropriately in the same visit.
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.
Shoulder Ultrasound diagnostic scan can reveal :
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
If you are experiencing painful joints, muscles, tendons or ligaments please get in touch for a diagnostic scan and or treatment
Why do I need a diagnostic shoulder Ultrasound Scan?
Shoulder pain is a common problem and often difficult to diagnosis 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.
Who is prone to develop shoulder problems?
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 is 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 is also possible. In both of the above scenarios, one would experience pain and stiffness. The diagnostic ultrasound scan can differentiate between the two.
Frozen shoulder: Often rotator cuff tears needs to be ruled out to confirm the frozen shoulder, before planning for appropriate treatment. Diagnostic ultrasound can rule out the rotator cuff tears.
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 on to 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 or treatment.
If you are experiencing painful joints, muscles, tendons or ligaments please get in touch for a diagnostic scan and treatment
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.
Types of Injections available:
- Steroid injections also known as corticosteroid or cortisone injections.
- Viscosupplementation, Hyaluronic Acid, Gel or Lubricant Injections. Ex: Ostenil plus, Synvisc.
- Platelet rich plasma (PRP) injections
"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"
FREQUENTLY ASKED QUESTIONS ABOUT ULTRASOUND GUIDED INJECTIONS
How long does an ultrasound guided injection 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 minimized by using the local anesthesia 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.
What is an ultrasound guided cortisone / Steroid / Corticosteroid injection?
Cortisone injection is also known as Corticosteroid injection or steroid injection. This is a strong anti-inflammatory medication is used for many of the inflammatory and arthritis conditions to control pain, swelling, stiffness and improve function. Corticosteroid injections are NOT the same used by body builders 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.
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 the 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. Aslo, 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 are 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 ( helps in repairing the cell and its growth) and prepared from the patient's own blood. Separated growth factors from the patients blood is injected back into the affected area of the same patient. Due to PRP's ability to heal and even regenerate injured or aging tendons, ligaments and joints, providing 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.
What should i expect after an injection?
After the injection, you may feel pain-free for a couple of hours due to Local anesthesia. However, 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.
How to manage bruising pain?
Discomfort from the needle insertion can be minimized by using an ice pack ( wrapped in a towel, to minimize the risk of frostbite from direct skin contact) to the area of treatment. 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 the severity of the problem, body response to the steroid injection, rest period following an injection, rehabilitation, and exposure to the risk factors.
how many 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) a course of 3, you can repeat as you like.
What conditions can be treated?
Arthritis, Tendinopathies, Ligament, Muscle and Nerve related problems. We also offer trigger point injections for persistent pain ( usually a course of 2-5 are effective).
How long the injection effect 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.
Do you offer PRP and Cortisone Injections Near me?
We have a number of clinics across the UK , please check our contact page for the clinic that is nearest to you.
AREAS COVERED FOR SHOULDER PAIN TREATMENT
We cover a wide area throughout Warwickshire and surrounds, either by home visit or clinics in the following areas: Warwickshire including Rugby, Coventry and Warwick. Aylesbury, Milton Keynes, Leamington Spa, Kenilworth, Whitnash, Atherstone, Bedworth, Leicester, Nuneaton, Birmingham and Solihull. We also have a clinic in Newcastle covering the North East.
If you do not see your area listed please still get in touch as we may be able to refer you to another practitioner in your area.