A physical exam can only suggest the cause of pain. Diagnostic ultrasound allows us to see inside the shoulder in real-time to identify rotator cuff tears, bursitis, or calcification. It provides a definitive diagnosis so we can treat the exact cause of your pain.

Ultrasound is "dynamic." Unlike an MRI where you must stay still, we can move your shoulder while scanning. This allows us to see "impingement" or "catching" as it happens, which often provides more useful information than a static MRI.

Most patients find them very manageable. Because we use ultrasound guidance, we can see exactly where the needle is, avoiding nerves and bone. We also use local anaesthetic and very fine needles to ensure the procedure is as comfortable as possible.

It is a specialist treatment where we use ultrasound to guide a high-volume injection into the joint capsule to "stretch" the scarred tissue. It is highly effective for restoring range of motion and stopping intense night pain.

Yes, usually immediately. We ask patients to wait in the clinic for 15 minutes. If your arm feels slightly heavy due to the local anaesthetic, we simply recommend waiting until full sensation returns.

Research shows "blind" injections can miss the target in the shoulder up to 30% of the time. Guided injections reach the target 100% of the time, ensuring the medication is delivered exactly where it’s needed.

No. You can self-refer and book directly. This saves you weeks of waiting. We provide the assessment, scan, and treatment all in one specialist visit.

When lying down, the arm bone can compress the inflamed bursa against the top of the shoulder. A targeted injection reduces this inflammation, helping patients achieve their first full night of sleep in months.

Yes. If our scan confirms that an injection is the right path, we can usually perform the treatment during the same 45-minute appointment.

Yes. Using ultrasound, we perform Barbotage, where we use a needle to break up and wash out the calcium. This provides dramatic relief for Calcific Tendonitis.

On ultrasound, we can see the fluid-filled bursa versus a disruption in the tendon fibres. This is vital because a tear might require a surgical opinion, whereas bursitis responds to a guided injection.

We recommend 48 hours of relative rest. Avoid heavy lifting or overhead reaching during this window. This allows the medication to settle without being displaced by activity.

Side effects are minimal. Some experience a "steroid flare" (temporary soreness for 24-48 hours). Serious complications are extremely rare due to our guided precision.

We generally recommend no more than 2 to 3 steroid injections in the same area per year. Our guided approach ensures maximum impact, often requiring fewer repetitions.

Yes, but you must monitor blood sugar closely for 48–72 hours afterward. We discuss this in detail during your pre-treatment screening to ensure it is safe for you.