Joint Injections - Shoulder
Specialist Shoulder Joint Injections in London
At Rejuvence Clinic, we provide evidence-based shoulder joint injection treatments for pain, stiffness and reduced mobility. All treatments are diagnosis-led and delivered by experienced clinicians, helping patients manage shoulder conditions safely and effectively when conservative treatment alone has not been sufficient.
Shoulder Joint Injections
The shoulder is a highly complex joint, and pain may arise from inflammation, tendon injury, joint degeneration or capsular stiffness. Shoulder injections can play a valuable role in symptom management when appropriately selected and combined with rehabilitation.
At Rejuvence Clinic, shoulder injections are offered following a comprehensive clinical assessment, ensuring treatment is tailored to the underlying condition and individual patient needs.
Shoulder Conditions We Treat
Injection therapy may be considered for:
Rheumatoid arthritis affecting
the shoulder
Corticosteroid (Steroid) Injections
Corticosteroid injections are a well-established treatment for inflammatory shoulder conditions. They reduce inflammation within the joint or surrounding soft tissues, helping to relieve pain and improve function in the short to medium term.
Clinical evidence supports their use in shoulder impingement, bursitis and tendonitis, as well as in the early stages of adhesive capsulitis to reduce pain and facilitate rehabilitation. Steroid injections are also used in rheumatoid arthritis to manage inflammatory flares affecting the shoulder.
These injections are used carefully and are typically combined with physiotherapy rather than used as a long-term standalone treatment.
Summary – Steroid Injections- Reduce inflammation and pain
- Strong evidence for bursitis and impingement
- Useful in early frozen shoulder
- Short- to medium-term relief
Hyaluronic Acid Injection (Ostenil Plus®)
Hyaluronic acid injections aim to improve joint lubrication and reduce mechanical pain. Ostenil Plus is a high-purity formulation used in degenerative joint conditions.
Evidence supports its use in shoulder osteoarthritis, where it may improve pain and function and provide longer-lasting symptom relief compared with steroids in selected patients. It may also be considered in chronic degenerative shoulder pain where repeated steroid injections are not appropriate.
Summary – Hyaluronic Acid- Improves joint lubrication
- Evidence-based option for shoulder osteoarthritis
- Non-steroidal treatment
- Suitable for longer-term symptom management
Hydrodistension for Frozen Shoulder
Hydrodistension is a specialised procedure for adhesive capsulitis (frozen shoulder). It involves controlled injection of fluid into the joint to stretch the capsule and reduce stiffness.
Clinical studies support its use in improving pain and range of motion, particularly when stiffness is the dominant symptom. It is commonly combined with physiotherapy.
Summary – Hydrodistension- Targeted frozen shoulder treatment
- Improves stiffness and mobility
- Supported by clinical evidence
- Often combined with rehabilitation
Joint Aspiration (Shoulder Arthrocentesis)
Joint aspiration involves removing excess fluid from the shoulder joint or bursa. This can reduce pain caused by joint pressure and may assist diagnosis in inflammatory conditions.
It is most commonly used in rheumatoid arthritis and acute inflammatory bursitis and is often combined with injection therapy where appropriate.
Summary – Joint Aspiration- Reduces swelling and pressure
- Useful in inflammatory arthritis
- Can aid diagnosis
- Often combined with injection treatment
Autologous Exosome-Based Injection (ExoSmart™)
Autologous exosome-based injections are an emerging treatment approach using biologically active extracellular vesicles derived from a patient’s own blood sample. These vesicles are involved in cellular signalling and inflammatory modulation.
Clinical interest focuses on chronic tendon-related shoulder conditions and degenerative joint pathology, including rotator cuff disease. Research in this area is ongoing, and outcomes may vary. Treatment is offered following careful assessment and informed discussion.
Summary – Autologous Exosome Injection- Patient-derived biological treatment
- Used in selected chronic tendon and joint conditions
- Emerging evidence base
- Individualised patient selection
Your Shoulder Injection Specialist
Mr Ameerudhin Ahamed
MBBS, MRCS, FRCS, PG Cert (MSK USGI) Consultant Trauma & Orthopaedic Surgeon Barts Health NHS Trust
Mr Ameerudhin Ahamed is a GMC-registered consultant orthopaedic surgeon with specialist expertise in musculoskeletal conditions and ultrasound-guided injections. He qualified with an MBBS in 2000 and has held full GMC registration since 2007.
He completed extensive postgraduate training in Trauma and Orthopaedic Surgery across major London hospitals, including the Royal National Orthopaedic Hospital, Stanmore, and was awarded Fellowship of the Royal College of Surgeons (FRCS, Trauma & Orthopaedics) in 2016.
Mr Ahamed has a strong clinical interest in Point of Care Ultrasound (POCUS) and holds a Postgraduate Certification in Musculoskeletal Ultrasound-Guided Injection. At Rejuvence Clinic, he provides specialist assessment and ultrasound-guided shoulder injections as part of an evidence-based, patient-centred care plan.
Rejuvence Philosophy
At Rejuvence we understand the psychological distress that can accompany problematic and stubborn acne. It can lead to low confidence and self-esteem that can compromise personal relationships and performance in the workplace. The key to acne control is sebum reduction. We are able to guide sufferers through a variety of skin care options in an attempt to control symptoms. Once under control, we have the experience and expertise to improve any scarring and pigmentation problems.
Most patients experience minimal discomfort. Ultrasound guidance helps improve accuracy and comfort.
This depends on the condition and injection type. Relief may last weeks to months, particularly when combined with physiotherapy.
When appropriately selected and performed by experienced clinicians, shoulder injections are generally safe. Risks will be discussed during consultation.
Injections help manage symptoms and support rehabilitation but are usually part of a broader treatment plan rather than a cure.
References & Further Reading
1. Buchbinder R et al. Corticosteroid injections for shoulder pain. Cochrane Database Syst Rev. 2. Lewis JS. Rotator cuff related shoulder pain. Br J Sports Med. 3. Blaine T et al. Hyaluronic acid treatment for shoulder osteoarthritis. J Bone Joint Surg Am. 4. Shanahan EM et al. Hydrodilatation for adhesive capsulitis. Rheumatology. 5. McAlindon TE et al. Osteoarthritis management guidelines. Osteoarthritis and Cartilage.
