SHOULDER IMPINGEMENT INJECTION
Understanding Shoulder Impingement
Shoulder impingement syndrome is a common cause of shoulder pain, especially in adults who engage in repeated overhead activities. It occurs when the tendons of the rotator cuff muscles and the subacromial bursa become compressed between the upper part of the shoulder blade (the acromion) and the top of the arm bone (the humerus). This compression leads to irritation and inflammation, causing persistent pain and limited movement.
At Alton Pain Clinic, our focus is on relieving pain and improving function through minimally invasive procedures. We specialise in ultrasound-guided cortisone injections for shoulder impingement, offering targeted treatment with greater accuracy and patient comfort.
Symptoms of Shoulder Impingement
The signs of shoulder impingement can vary in severity and typically develop gradually. Common symptoms include:
- Pain during overhead movements
Especially noticeable when reaching or lifting the arm. - Night pain
Discomfort can worsen when lying on the affected side. - Shoulder weakness
Difficulty lifting or rotating the arm against resistance. - Reduced range of motion
Movements may feel stiff or restricted. - A catching or grinding sensation
This can occur with specific movements of the arm.
When these symptoms persist and interfere with daily activities, it may be appropriate to consider an injection-based treatment approach.
Treatment We Offer
Ultrasound-Guided Cortisone Injections
When symptoms are not relieved through conservative measures, ultrasound-guided cortisone injections offer an effective, minimally invasive solution. These injections reduce inflammation within the subacromial space, providing substantial pain relief and improved function.
How It Works
Cortisone is a powerful anti-inflammatory steroid. When injected into the subacromial bursa under ultrasound guidance, it reduces swelling and inflammation around the rotator cuff tendons. The ultrasound ensures the medication is precisely delivered to the area of impingement, maximising benefit while minimising risk.
The Procedure
- Preparation
The injection site is cleaned and sterilised. A local anaesthetic may be applied to minimise discomfort. - Ultrasound guidance
A real-time ultrasound scan is used to identify the inflamed subacromial space. - Injection
A combination of cortisone and local anaesthetic is injected directly into the bursa, relieving inflammation and pain.
Benefits of Cortisone Injections
- Immediate pain relief
Many patients feel relief within a few days, allowing for improved daily function. - Non-surgical option
Avoids the risks and downtime associated with surgery. - Improved mobility
Reduced pain enables patients to move the shoulder more freely and perform daily tasks with less restriction. - Highly accurate
Ultrasound guidance ensures the steroid is delivered directly to the source of pain. - Minimal side effects
When administered properly, side effects are rare and mild.
Your Care Pathway with us
- To book an appointment you can call our reception line, 0142084487, or email to info@altonpainclinic.co.uk or click the button given below.
- Comprehensive Musculoskeletal examination and testing.
- Same day Ultrasound Guided Injection for pain relief.
- Discussion of your treatment plan, treatment plan can include advanced treatments for example Cortisone Injections, Hyaluronic injections and various other options tailored to your specific needs.
Causes and Risk Factors
Understanding the underlying causes of shoulder impingement is essential in identifying the most effective treatment. Key contributors include:
- Repetitive strain
Continuous overhead or reaching movements can cause inflammation and narrowing of the subacromial space. - Structural abnormalities
A curved or hooked acromion or the presence of bony growths may reduce space in the joint, increasing impingement risk. - Muscle imbalance or poor posture
Weakness in shoulder stabilisers or slouched posture can alter the position of the shoulder joint, worsening compression. - Rotator cuff injuries
Tears or degeneration in these tendons can contribute to impingement. - Age-related degeneration
Tendons and soft tissue structures can lose elasticity and thickness with age.
Diagnosis
A clinician at Alton Pain Clinic will diagnose shoulder impingement through a physical examination, assessing the range of motion and pain in the shoulder. They may ask about your activities, hobbies, and work, particularly those that involve repetitive shoulder movements. To confirm a diagnosis or rule out other conditions, imaging tests such as ultrasounds may be used.
Why Choose Alton Pain Clinic?
- Clinician-led care
All procedures are performed by experienced clinicians with expertise in musculoskeletal pain. - Ultrasound-guided accuracy
We use advanced imaging for precision, safety, and optimal outcomes. - Personalised treatment plans
Every patient is evaluated individually, ensuring tailored care based on their symptoms and goals. - Minimally invasive approach
Our goal is to provide effective relief without surgery, promoting faster recovery and return to normal activity.
Conclusion
Shoulder impingement can significantly impact quality of life, particularly when pain limits everyday activities or sleep. At Alton Pain Clinic, we provide ultrasound-guided cortisone injections as a safe, effective, and accurate method to relieve pain and reduce inflammation associated with this condition. With a precise diagnosis and expert care, most patients can achieve substantial relief and improved shoulder function.