Shoulder Problems

The most common cause of acromioclavicular joint arthritis is wear and tear through over use. For this reason it is most common in people who are aged 50 or older and in athletes who place a lot of stress on the joint.

Bicep Problems

The most common shoulder conditions affecting the biceps are injuries to the cartilage and tendons that attach the biceps muscle to the shoulder bones. These include SLAP lesions, tendonitis, and tendon rupture.

Calcific Tendonitis

Calcific tendonitis is a build-up of calcium deposits within one or more of the four tendons that meet at the top of the shoulder joint. Together these four tendons are known as the rotator cuff.

Frozen Shoulder

Frozen shoulder is a condition where the ball and socket joint of the shoulder appears to "freeze". This causes loss of motion with stiffness in all directions. Typically the shoulder joint is stiff and initially painful.

Shoulder Arthritis

Glenohumeral arthritis is also known as shoulder arthritis. It is a progressive type of arthritis that is normally caused by damage to the cartilage surfaces of the shoulder's glenohumeral (ball and socket) joint.

Shoulder Instability

This is when the ball of your shoulder slips in certain position or completely comes out of joint (dislocates). There are a number of types of instability and it can get worse with time.

Rotator Cuff Injuries

The rotator cuff is the group of four tendons that surround the shoulder joint and control its movement. The tendons can become inflamed, degenerate or tear and can lead to pain and weakness, particularly with sudden movements.

Snapping Scapula

Snapping scapula is a general term applied to a range of disorders that can result in a painful clicking or snapping sensation in the shoulder blade (scapula).

Subacromial Impingement

Subacromial impingement is a condition that causes pain in the shoulder and upper arm. It happens when the tendons of the shoulder joint are strained or injured.

Winging Scapula

Winging scapula is the description for a condition where the shoulder blade protrudes from your back, giving the impression of a wing. In most cases, only one shoulder blade is affected.

Diagnostic/Treatment Injection

There are two different types of diagnostic injections; those that help Mr. Cole interpret scans more clearly and those that help identify the source of pain.

In some scans, including MRI arthrograms and fluoroscopy studies, the affected area will be injected with a special dye or contrast agent. This is especially useful in complex or hard to see areas of your shoulder.

Although scans including MRI, CT, ultrasound and X-ray are good at identifying some problems in your shoulder, they cannot always identify the precise source of your pain. After speaking to you about the nature of your pain, examining your shoulder and, if appropriate, looking at your scans, Mr. Cole may suggest a steroid or anaesthetic injection (and often both). In addition to providing excellent pain relief by numbing the area and reducing the inflammation, such an injection can also help diagnose the problem by confirming the source of the pain.

It is important that such injections are placed in exactly the right spot. Mr. Cole has many years’ experience in administering these injections, many of which are carried out with the added guidance of ultrasound or fluoroscopy.

Summit Digital11 June 2018

Diagnostic/Treatment Injection

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Southampton Shoulder Clinic

Southampton Shoulder Clinic

Mr Cole’s Shoulder Clinic