Shoulder Pain

shoulder-pain
 
What does shoulder pain look like?
 
Shoulder pain and ‘pain’ in general cannot be seen. What can be seen are changes to the tissues that make up our shoulder joints.
Shoulder Bursitis
Common problems include shoulder bursitis, which is the inflammation of a fluid sac within your shoulder joint. This can be seen on the ultrasound image below (see the darkened band pointed to by the white arrow) . It is a common painful condition that responds very well to ultrasound guided cortisone injections.
 
ultrasound-showing-shoulder-bursitis
Next picture shows a needle directed into the bursa. Note the measurement ‘A ‘(3.6mm). This is the size of the bursa after injecting with cortisone. To ensure accurate needle placement when the tissues are so small requires ultrasound guidance.
 
shoulder-bursitis-guided-injection
 
Rotator cuff tendon tear
Another common shoulder problem is a tear within the rotator cuff tendon. The image below shows a comparison between a normal supraspinatus tendon (left image) and a torn supraspinatus tendon (right image). This problem is not for injection, but requires surgical consideration and appropriate rehabilitation.
 
rotator-cuff-tear-diagnosis-of-shoulder-problem
Acromio-clavicular joint inflammation
A common and often over looked problem is inflammation of the acromioclavicular joint (ACJ). When inflamed the joint responds really well to injection therapy.
 
If your shoulder is painful then first establish a diagnosis and then select the right treatment for your problem.
Call Active Healthcare Sheffield on 0114 2671901 and ask about an ultrasound scan and injection therapy.

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Author: admin

Chris Creaghan is a chartered physiotherapist and specialises in musculoskeletal pathology. With a sporting history Chris remains focused on the attainment of best health. Enhanced skills include ultrasound sonography, biomechanical analysis, guided injection therapy and over 20 years of experience in differential diagnosis. Chris is familiar with NHS and private care and has developed numerous clinical pathways to facilitate both cost savings and seamless integration of care.