Shoulder INJECTION
Milton Keynes Pain Clinic
Advanced Shoulder Injections in Milton Keynes
Whether you need a steroid injection, cortisone shot, hydrodilatation, or shoulder barbotage, our experienced team delivers targeted treatments designed to relieve shoulder pain. Discover precise, expert-led interventions for long-lasting comfort and improved mobility.
Conditions we treat
Frozen Shoulder
Frozen shoulder (adhesive capsulitis) causes pain, stiffness, and reduced movement due to thickening of the joint capsule. It can make daily tasks difficult, and targeted injections are often used to relieve symptoms and restore mobility.
Symptoms
- Severe shoulder pain that often becomes worse over time.
- Stiffness and difficulty moving the shoulder joint.
- Pain radiating down the arm, making arm movements uncomfortable.
- Increased pain at night, especially when lying on the affected side.
- Sleep disturbances due to persistent shoulder pain.
- Limited range of motion, affecting daily tasks like dressing or reaching overhead.
Treatments We Offer
- Ultrasound guided Steroid Injection
- Ultrasound guided Hydrodistension Injection
Shoulder bursitis
Shoulder bursitis is the inflammation of a fluid-filled sac (bursa) that cushions the joint, leading to pain, swelling, and limited movement. The subacromial bursa—under the top shoulder bone—is most commonly affected, often linked with rotator cuff issues or impingement syndrome.
Symptoms of Shoulder Bursitis
- Pain: The most common symptom is pain in the shoulder, especially with overhead movements, lifting, or certain activities.
- Swelling: Inflammation in the area can cause visible swelling.
- Limited range of motion: Pain can make it difficult to move the shoulder freely.
- Tenderness: The shoulder may feel tender when touched, especially around the affected bursa.
Treatment We Offer
If rest and medication don’t ease your symptoms, ultrasound-guided cortisone injections can offer effective relief. At Joint Injections, we provide precise, minimally invasive treatments to target shoulder bursitis and reduce pain.
Shoulder impingement
Shoulder impingement happens when the shoulder blade pinches the rotator cuff, causing pain—especially with movement. Also known as impingement syndrome, it involves friction between joint structures.
Symptoms of Shoulder Impingement
- Tenderness in the shoulder.
- Pain radiating from the front of the shoulder down the arm.
- Worsening pain at night, which may disrupt sleep.
Shoulder impingement pain may become more severe during specific movements, such as:
- Lifting the arm above the head.
- Raising and lowering the arm.
- Reaching behind the back.
- Lying on the affected shoulder.
Treatment we offer
Ultrasound-guided cortisone injections provide precise treatment for shoulder impingement by delivering anti-inflammatory
Rotator Cuff Pain
Rotator cuff pain involves irritation or inflammation of the muscles and tendons around the shoulder joint, often due to overuse, injury, or age-related wear. It typically causes pain when lifting or rotating the arm, especially during sports or overhead activities.
Common causes include tears, tendonitis, and bursitis (inflammation of the subacromial bursa). Corticosteroid bursa injections are often used to reduce inflammation and ease pain.
Symptoms
- Pain or tenderness: Commonly felt at the front or outside of the shoulder, especially during overhead movements or lifting with the injured arm. Poor form during upright rows may worsen the discomfort.
- Weakness: Difficulty lifting or rotating the arm, often impacting daily activities and exercises for the rotator cuff.
- Limited range of motion: Trouble moving the shoulder freely, particularly during overhead tasks. Tension may extend to the shoulder blades.
- Pain at night: Sleeping on the injured arm can increase discomfort, sometimes linked to inflamed bursae.
Treatment We Offer
If rest, medication, and physiotherapy don’t bring relief, ultrasound-guided cortisone injections may help manage rotator cuff pain. Using real-time imaging, we deliver corticosteroid medication precisely to the inflamed area—such as tendons or bursae—for targeted pain relief.
Biceps Tendinitis
Biceps tendinitis is the inflammation of the upper biceps tendon (long head), a strong cord connecting the biceps muscle to the shoulder socket.
Symptoms of Biceps Tendinitis
- Activity-Related Pain: The pain typically intensifies with activities that involve lifting the arm overhead, such as reaching for objects on high shelves, throwing, or swimming.
- Night Pain: Some individuals experience increased pain at night, particularly when lying on the affected shoulder, which can disrupt sleep.
- Localized Tenderness: Palpating the biceps tendon at the front of the shoulder often reveals a specific point of tenderness, which is a key indicator of biceps tendinitis.
- Difficulty Lifting Objects: Individuals may find it challenging to lift even light objects above shoulder height due to weakness and pain.
- Reduced Grip Strength: In some cases, the weakness may extend to the hand, resulting in a weaker grip.
Treatment we offer
Ultrasound-guided cortisone injections offer a precise and targeted approach to treating biceps tendinitis. By using ultrasound imaging, clinicians at Joint Injections can accurately locate the inflamed tendon and deliver cortisone directly to the affected area.
Calcific Tendinopathy
Calcific tendinopathy occurs when calcium deposits form in a tendon, most often in the shoulder’s rotator cuff. It can cause severe pain, inflammation, and restricted movement, making daily tasks difficult.
Symptoms of Calcific Tendinopathy
- Sharp, localised pain: Typically felt in the shoulder, especially when lifting the arm or reaching overhead. The pain can also occur in other joints, depending on the affected tendon.
- Pain at rest: In some cases, pain persists even when the affected joint is not in motion, particularly during the night. Many patients report increased pain while sleeping, especially when lying on the affected side.
- Limited range of motion: The accumulation of calcium deposits can restrict tendon movement, leading to stiffness in the affected joint. In the shoulder, this may make it difficult to perform activities such as reaching or dressing.
- Tenderness over the tendon: The affected area may feel tender when touched, and there may be visible swelling around the tendon due to inflammation.
- Weakness in the affected limb: In severe cases, patients may experience muscle weakness or a loss of strength in the affected arm or leg, which can make it difficult to perform daily tasks.
The treatment we offer
Ultrasound-guided cortisone injections have become a popular treatment option for calcific tendinopathy due to their precision and effectiveness. Ultrasound-guided injections allow the clinician to visualise the tendon and the calcific deposits in real-time, ensuring the medication is delivered directly where it is needed most.
Shoulder Osteoarthritis
Shoulder arthritis occurs when cartilage in the shoulder joint wears down. It commonly affects the glenohumeral joint, where the ball (humeral head) and socket (glenoid) are normally cushioned by cartilage. As this cartilage breaks down, pain and stiffness develop.
Symptoms
- Pain in the shoulder joint
- Loss of range of motion and stiffness
- Clicking, popping, grinding, or cracking
Treatment We Offer
For shoulder osteoarthritis, ultrasound-guided cortisone injections provide targeted relief. Using real-time imaging, the medication is delivered precisely to the inflamed joint, reducing swelling and easing pain effectively.
Acromio-clavicular joint sprain
The AC joint connects the collarbone to the shoulder blade. Overuse, injury, or arthritis can cause pain, swelling, and stiffness. Ultrasound-guided cortisone injections provide targeted relief by reducing inflammation and easing discomfort.
Symptoms
Acromioclavicular (AC) joint pain can stem from arthritis, overuse, or injury. Symptoms often vary depending on the severity of the condition. Common signs include:
- Localised pain at the top of the shoulder, especially when pressing on the AC joint
- Swelling or tenderness over the joint
- Limited shoulder movement or discomfort during overhead activities
- A visible bump or deformity, often caused by joint separation or arthritis
- Grinding or clicking sensations during shoulder motion
- Worsening pain at night or while lying on the affected side
- Reduced strength and flexibility in the shoulder
The treatment we offer
Ultrasound-guided cortisone injections are a targeted and minimally invasive treatment for acromioclavicular joint pain. This technique allows your clinician to accurately visualise the AC joint using real-time ultrasound imaging, ensuring precise placement of the cortisone injection. By delivering medication directly into the affected joint, this approach helps reduce inflammation and alleviate discomfort associated with ACJ arthritis, AC joint osteoarthritis, or other degenerative conditions.
Treatments we offer
Targeted Ultrasound Guided Cortisone Injection (£275)
Cortisone injections reduce inflammation and pain in conditions like arthritis or joint injuries.
Hydrodilatation (£550)
Hydrodilatation involves injecting a high-volume saline solution with or without cortisone, into the shoulder joint to expand the joint capsule, providing relief for frozen shoulder.
Shoulder Barbotage (£550)
Shoulder Barbotage is a specialized procedure for treating calcific tendonitis. It involves breaking down and removing calcium deposits in the shoulder tendons.
