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Shoulder

Anatomy of the Shoulder – The shoulder is a complex structure made of three separate joints. They work together to give the shoulder a tremendous range of motion. Let’s take a closer look at the main parts of the shoulder’s anatomy. Acromioclavicular (AC) Joint Arthritis – This condition, also called AC joint arthrosis, is a degeneration of the joint at the top of the shoulder where the acromion meets the clavicle. Frozen Shoulder (Adhesive Capsulitis) – This condition is a loss of motion or stiffness in the shoulder, usually accompanied by pain in the joint. Frozen shoulder is most common in people between the ages of 40 and 60, but can afflict anyone regardless of gender, arm preference or occupation. Osteoarthritis of the Shoulder – Osteoarthritis, also called degenerative arthritis, is a gradual breakdown of cartilage in the joints. Cartilage is a tough, flexible connective tissue that protects the ends of bones in the joints. Osteoarthritis of the shoulder can severely impact a person’s lifestyle. Rheumatoid Arthritis (RA) of the Shoulder – Rheumatoid arthritis, a condition of the immune system that can attack joints throughout the body, commonly affects the shoulder. Over time, it can destroy cartilage and bone in the joint. Rotator Cuff Tears – The rotator cuff is a group of muscles and tendons that cover the head of the humerus and hold it securely inside the shoulder socket. The cuff helps maintain joint stability while allowing the arm to lift and rotate. A tear of the rotator cuff can be painful and can interfere with shoulder movement. Four muscles make up the cuff: the supraspinatus, infraspinatus, teres minor, and subscapularis muscles.

Procedures & Treatments

These procedures are performed under imaging guidance, either in our clinic or at a nearby surgery center. Ask us which option is right for you.

Medical diagram illustrating a glenohumeral joint injection into the shoulder joint space

Glenohumeral (Joint) Injections

  • Intracapsular (Glenoid) Injection — a mixture of anesthetic and anti-inflammatory medication injected into the space between the head of the humerus and the glenoid. Used to treat osteoarthritis, rheumatoid arthritis and adhesive capsulitis.
  • Therapeutic Joint Injection — an outpatient injection that relieves pain in the shoulder and arm caused by arthritis, injury or disorder.
Medical diagram illustrating a subacromial injection into the bursa space below the acromion

Subacromial & Bursa Injections

  • Subacromial Injection — anesthetic and anti-inflammatory medication injected into the space between the acromion and the head of the humerus. Used to treat adhesive capsulitis, rotator cuff tendinosis and impingement syndrome.
  • Soft Tissue Injection — an outpatient injection that relieves shoulder pain caused by bursitis, inflammation of the fluid-filled sac that reduces friction between bone and muscle.
Medical diagram illustrating a suprascapular nerve block at the top of the shoulder blade

Suprascapular Nerve Block

  • Suprascapular Nerve Block (Fluoroscopically Guided) — an outpatient procedure used to treat pain and discomfort from arthritis, bursitis or impingement of the suprascapular nerve, a major motor nerve that serves the muscles of the shoulder.
Medical diagram illustrating a trigger point injection into a muscle knot in the shoulder

Trigger Point Injections

  • Trigger Point Injection — an outpatient procedure designed to reduce or relieve the pain of trigger points — small, tender knots that can form in muscles or fascia. The procedure takes only a few minutes to complete.

Learn more in our Education center, or explore other pain conditions.

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