Tired of Shoulder Pain Holding You Back?

A systematic review published in PMC (2023) examined injection therapies for frozen shoulder and found that targeted non-surgical injections improved outcomes at 3 months. The study found that certain injection approaches demonstrated significantly better range of motion in passive forward flexion and improved SPADI scores compared to steroid injection alone, with no reported side effects beyond injection-site discomfort. Frozen shoulder typically follows a natural course over 1-3 years, and injection therapies are being studied as a potential way to support recovery during this process. Your specialist will assess which approach may be relevant to your stage of frozen shoulder.

Rotator cuff repair surgery has an overall complication rate of approximately 10.5%, with retear rates varying from 11% for small tears to as high as 94% for massive tears. Recovery requires 6-9 months before patients typically feel normal. Published research has shown that certain advanced injection approaches used alongside surgical repair can reduce revision surgery rates significantly. Non-surgical injection therapies alone may be suitable for partial tears and tendinopathy, while acute full-thickness tears in active patients often benefit most from surgical repair. Your specialist will provide an honest assessment based on your imaging and examination findings.

Non-surgical injection therapies used at our clinic — including cortisone, hyaluronic acid, and other evidence-based approaches — have well-established safety profiles. The most common side effect is temporary soreness at the injection site, which typically resolves within 24-48 hours. All procedures are performed by GMC-registered practitioners using sterile techniques for precision. As with any medical procedure, potential risks and individual suitability are discussed thoroughly during your consultation. Your practitioner will review your medical history, current medications, and any contraindications before recommending a treatment plan tailored to your needs.

Your consultation begins with a comprehensive review of your medical history, symptoms, and any previous imaging or treatments. The specialist will perform a physical examination of the affected area and may recommend additional imaging if needed. You will receive a clear explanation of your diagnosis, all available treatment options (including conservative, injection-based, and surgical approaches), the current evidence base for each, and associated costs. There is no obligation to proceed with any treatment. The consultation typically lasts 30-45 minutes, and you will receive written information to take away and consider at your own pace.

We offer a range of evidence-based injection therapies tailored to your condition. Cortisone injections reduce inflammation quickly and are ideal for acute flare-ups. Hyaluronic acid injections help lubricate the joint and improve cushioning, particularly effective for osteoarthritis. We also offer advanced non-surgical approaches that use your body's own natural healing mechanisms to support tissue repair. Your specialist will discuss which approach is most suitable based on your diagnosis, the severity of your condition, and the current published research. All options, including their benefits and limitations, are explained transparently during your consultation.

Treatment costs vary depending on the type of therapy recommended for your specific condition. Cortisone and hyaluronic acid injections are among the most affordable options, with prices confirmed following your assessment. Final fees are based on your individual treatment plan, including the area being treated and the number of sessions recommended. All pricing is transparent and inclusive with no hidden fees. Your consultation will include a detailed breakdown of costs. These treatments are not currently available on the NHS, and most private health insurance policies do not cover injection therapies, though we recommend checking with your provider.

A surgical recommendation does not necessarily mean surgery is the only option. Many patients explore non-surgical injection therapies as part of their decision-making process, particularly for mild-to-moderate conditions. Published research suggests that certain injection-based treatments may help support recovery in some patients who have been considered for surgery. However, for severe end-stage joint disease or acute injuries requiring structural repair, surgery may indeed be the most appropriate option. A consultation at our clinic will provide an honest, evidence-based assessment of whether non-surgical approaches may be relevant to your specific situation. We believe in presenting all options transparently.