The most common shoulder injections we carry out are to help ease pain and restore mobility in people suffering with frozen shoulder or Rotator cuff pain also known as shoulder impingement. We are also able to help with shoulder osteoarthritis (OA) and Acromioclavicular joint ACJ pain. .
What is Shoulder Impingement?You may have been diagnosed with shoulder impingement or Rotator cuff tears but what exactly is this injury? The rotator cuff is made up of 4 muscles which essentially help to centre the ball (humeral head) in the socket (glenoid) at the shoulder joint. Tears, under activity or overactivity in any or all of these muscles can lead to "impingement" pain in the shoulder. People commonly suffer pinching pain with repetitive manual work, reaching and elevating the arms above 90 degrees.
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What is Frozen Shoulder?Frozen Shoulder or Adhesive Capsulitis is a condition which causes acute pain in one shoulder joint followed by progressive stiffness. Frozen shoulder tends to present in people in their 50s particularly sufferers of diabetes or hyperthyroidism. There is usually no specific injury with pain coming on gradually, affecting sleep and day to day activities.
Sufferers of Frozen Shoulder usually complain of worsening pain, an inability to lie on the affected shoulder and limitation of movement when reaching. |
At Physioimpulse our team of expert therapists specialise in shoulder joint assessments and can identify the cause of your pain to provide a rehabilitation plan. Injections also help 'lubricate the area and relieve pain making it easier to carry our your exercises and day to day tasks
Shoulder Injection Therapy in Bath
At Physioimpulse we provide therapeutic injections in conjunction with Physiotherapy treatment to optimise recovery from injury and reduce pain in conditions such as shoulder impingement.
Injections are performed by our Clinical Specialist Physiotherapist Matt Shepherd who has undertaken extensive Post Graduate training in order to carry out injections at our Bath injection Clinics. Matt has also undertaken training in Ultrasound Scanning to enable him to guide injections using an ultrasound machine if required. Alongside his work at Physioimpulse, Matt also carries out specialist shoulder clinics at a local orthopaedic hospital with a number of top local surgeons giving him an excellent insight into optimal shoulder treatment.
Injections are performed by our Clinical Specialist Physiotherapist Matt Shepherd who has undertaken extensive Post Graduate training in order to carry out injections at our Bath injection Clinics. Matt has also undertaken training in Ultrasound Scanning to enable him to guide injections using an ultrasound machine if required. Alongside his work at Physioimpulse, Matt also carries out specialist shoulder clinics at a local orthopaedic hospital with a number of top local surgeons giving him an excellent insight into optimal shoulder treatment.
Ostenil Plus Injections
Joint injections have traditionally used corticosteroid but taking into consideration their potential side effects Matt now chooses to use Ostenil Plus hyaluronic injections at our clinics which carry the same benefits of pain relief and improved mobility but with no known side effects.
What is Ostenil®?
Ostenil® is a treatment for the symptoms of osteoarthritis and other joint and tendon pain. It can be used in the knee, shoulder or in any of the other joints in the body that are classified as ‘synovial’. Despite supporting scientific evidence it is not commonly used within the NHS due to its cost but has been used privately and within sports medicine for many years with great effect. It has similar benefits to corticosteroid injections but with less side effects.
How does it work?
Ostenil® is a solution containing hyaluronic acid (your joint's natural lubricator). It is injected into the space in the joint or tissue that contains synovial fluid and works by restoring the normal balance between the breakdown and production of hyaluronic acid. This effect of Ostenil® means that it can decrease pain and stiffness and improve the other symptoms of osteoarthritis. It can also be used for other joint pain, frozen shoulder and shoulder impingement to reduce pain and aid rehabilitation.
What can I expect if I decide to have treatment with Ostenil®?
If you decide to have treatment with Ostenil®, it will be injected directly into the joint or area affected by osteoarthritis. It may take a number of days to take effect but then symptoms can improve for up to 12 Months. Once the effects of the first injection wears off, you can, if you choose, have another.
Are there any side effects?
The hyaluronic acid in Ostenil® is very pure and is manufactured using a process called fermentation. It contains no animal proteins, which means that it is very unlikely to cause an allergic reaction. Ostenil® has been given to thousands of patients and has not been found to cause any serious side effects.
Do you use ultrasound scanning to guide injections?
Injections can be carried out using bony landmarks and anatomic knowledge to locate the site to be injected or Ultrasound scanning can be used if more clinically appropriate for the area you are having injected. Matt is well versed in both techniques and will use the best injection protocol for your condition.
What is Ostenil®?
Ostenil® is a treatment for the symptoms of osteoarthritis and other joint and tendon pain. It can be used in the knee, shoulder or in any of the other joints in the body that are classified as ‘synovial’. Despite supporting scientific evidence it is not commonly used within the NHS due to its cost but has been used privately and within sports medicine for many years with great effect. It has similar benefits to corticosteroid injections but with less side effects.
How does it work?
Ostenil® is a solution containing hyaluronic acid (your joint's natural lubricator). It is injected into the space in the joint or tissue that contains synovial fluid and works by restoring the normal balance between the breakdown and production of hyaluronic acid. This effect of Ostenil® means that it can decrease pain and stiffness and improve the other symptoms of osteoarthritis. It can also be used for other joint pain, frozen shoulder and shoulder impingement to reduce pain and aid rehabilitation.
What can I expect if I decide to have treatment with Ostenil®?
If you decide to have treatment with Ostenil®, it will be injected directly into the joint or area affected by osteoarthritis. It may take a number of days to take effect but then symptoms can improve for up to 12 Months. Once the effects of the first injection wears off, you can, if you choose, have another.
Are there any side effects?
The hyaluronic acid in Ostenil® is very pure and is manufactured using a process called fermentation. It contains no animal proteins, which means that it is very unlikely to cause an allergic reaction. Ostenil® has been given to thousands of patients and has not been found to cause any serious side effects.
Do you use ultrasound scanning to guide injections?
Injections can be carried out using bony landmarks and anatomic knowledge to locate the site to be injected or Ultrasound scanning can be used if more clinically appropriate for the area you are having injected. Matt is well versed in both techniques and will use the best injection protocol for your condition.
Our Injection Specialist
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CSP:068038 HCPC: PH63547
Matt is our Clinical Specialist Bath Physiotherapist. He graduated from Huddersfield University in 2002 and worked for 2 years within local NHS Hospitals before specialising into sports and private practice. Working at a number of professional sports clubs, private clinics and hospitals has provided him with over 20 years of invaluable experience in treating a range of clients from elite athletes to the weekend golfer striving to recover from a knee operation. Matt has also completed a Diploma in Injection Therapy which enables him to carry out pain relieving joint injections. If you have any questions regarding injections you can contact Matt at matt.shepherd@physioimpulse.co.uk |
So glad I found Matt to help with my knees. I have arthritis in both knees after having a number of arthroscopies and was written off as needing knee replacements. Matt listened to all my concerns, was honest and gave me some great advice on rehab to carry out after the injections which gave me fantastic relief from my pain for 9 months.
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Corticosteroid Injections
Local steroid injections can be a rapid and effective treatment for joint pain and inflammation, although unlike Ostenil Injections the improvement is usually temporary. They can be used alongside conventional physiotherapy treatment to help resolve musculoskeletal conditions. Research shows repeated Corticosteroid injections may have a detrimental effect on joint cartilage and tendons so at Physioimpulse we prefer to use Ostenil as it has no known side effects.
Corticosteroid is a prescription medication so although we can carry out these injections in clinic you would need to obtain the medication from your GP via a private prescription.
Corticosteroid is a prescription medication so although we can carry out these injections in clinic you would need to obtain the medication from your GP via a private prescription.
ServicesPhysiotherapy Chiropractic Osteopathy Injection Therapy Gait Analysis/Orthotics Shockwave Therapy Bike Fit Running Analysis Sports Massage Pilates 
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