Common Symptoms 

  • The shoulder is in a lot of pain, and it’s stiff.
  • Pain radiates down the arm and is growing worse.
  • You can’t sleep because of the pain.

Treatments we offer

  • Ultrasound guided steroid Injection
  • Ultrasound guided hydrodistension Injection 
Acromioclavicular (AC) Joint Injuries injections treatment

Ultrasound guided steroid Injection 

The priority during the initial (‘painful’) stage is to inject local anaesthesia and steroid into the shoulder joint. Steroid is a very effective anti-inflammatory medicine, and the steroid is injected directly into the joint using ultrasound guidance to achieve maximum pain relief.

Steroid injections are quite successful at reducing shoulder pain, especially at night (Wu at el., 2017). We frequently notice an increase in range of motion as a result of this pain reduction. Steroids, on the other hand, are mostly used to alleviate pain and inflammation. Patients might begin a physiotherapy programme once their discomfort is under control. This is critical to ensuring the patient’s complete recovery, including full range of motion and function in the shoulder.

Your Care Pathway with us

  • To book an appointment, call us on 020 8870 8761 or email us at:
  • Comprehensive MSK examination.
  • Detailed MSK ultrasound scan for just £120.
  • Treatments we offer. Cortisone Injection £250, Hyaluronic acid Ostenil Injection £350.

Ultrasound guided hydrodistension Injection 

Hydrodistension (also known as hydrodilatation or high volume injection) entails injecting the local anaesthetic and steroid as well as 20 to 30 millilitres of saline solution (sterile salty water). The purpose of this injection is to relieve discomfort while stretching the capsule to increase range of motion. This can be utilised in stage 1 of frozen shoulder, as well as on occasion in stage 2 to try to restore more movement to the joint. Following this injection, it is critical to engage in physiotherapy to regain full range of motion and strength in the shoulder.


What is frozen shoulder?

Frozen shoulder is a painful ailment in which the shoulder joint becomes tight and uncomfortable. It affects persons between the ages of 40 and 60 (women more than males) and often begins without warning. It can happen after shoulder surgery or a fall, for example. Using clinical testing and a diagnostic ultrasound scan, your doctor will be able to determine if you have frozen shoulder during your first session. Physiotherapy and conservative treatments such as rest and/or medications are generally ineffective in treating frozen shoulder. The most effective treatment for frozen shoulder has been found to be an ultrasound-guided steroid injection.

Frozen shoulder vs rotator cuff pain

Frozen shoulder creates a lot of discomfort and stiffness, so even if you weren’t in pain, you couldn’t move your arm through its full range of motion, whereas rotator cuff pain is unpleasant but has less stiffness.

Frozen shoulder is characterised by severe discomfort and stiffness of the shoulder joint that worsens with time. The capsule around the joint, in particular, becomes inflammatory and tight. There are three phases to frozen shoulder. Each of these stages can last anywhere from a few months to several years before finally resolving. The following are the stages of frozen shoulder:

  • The first stage, sometimes known as the “painful” stage. This stage might extend for several months, during which time the shoulder stiffens and becomes uncomfortable.
  • The second stage is referred to as the “stiff” stage. The shoulder stays quite rigid during this period, resulting in limited function.
  • The ‘unfreezing’ or ‘thawing’ step is the third stage. The shoulder begins to loosen and mobility becomes easier during the ‘thawing’ phase. This can take months, if not years, to fully resolve. According to recent studies, only 59 percent of patients regain full function after four years (Wang et al., 2016).

How do we treat frozen shoulder?

In the painful (initial) stage of frozen shoulder, research has shown that conservative therapy alone is ineffective. A progressive stretching home exercise programme, manual treatments to move your shoulder joint, and maybe acupuncture and taping are all part of physiotherapy for the treatment of frozen shoulder.

It’s not uncommon for pain to be too intense for you to benefit from physiotherapy. This is when an injection is recommended to relieve the pain. An ultrasound-guided injection is a well-supported therapeutic option for frozen shoulder, and the NICE recommendations endorse it.

frozen shoulder injection UK

Here are a few pointers that may be useful:

  • Change your everyday routines and attempt to avoid occupations that increase your discomfort. Taking regular breaks or breaking down a task into smaller, more manageable chunks are examples of this.
  • If you sleep on your side, place a pillow under your hurting arm and lie on the unaffected side. If you lie down on your back, lay the cushion under the back of your shoulder and under the affected arm.
  • Begin a mild stretching routine for your shoulder. Stretching the shoulder joint by walking your fingers up a wall is a nice place to start. Stretching the shoulder after a hot shower/bath or using a hot water bottle may be easier.
  • Pain can be relieved with over-the-counter medications like paracetamol or nonsteroidal anti-inflammatory gels like Voltarol. Before beginning therapy, talk to your pharmacist about the drug you’ll be taking.