Shoulder Injections

In Maryland, Pennsylvania, Florida and Virginia


Shoulder injections are a targeted pain management treatment designed to alleviate pain and inflammation in your shoulder joint. At Pain and Spine Specialists, our shoulder injections can help relieve persistent shoulder pain, reduce stiffness, and improve your range of motion. If you are experiencing chronic shoulder pain and other traditional treatments have not worked, then shoulder injections may be the right option for you.

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Shoulder Injections for Chronic Pain Relief

Living with chronic shoulder pain can be debilitating, disrupting your everyday activities and diminishing your quality of life. Shoulder injections, offered by Pain and Specialists, offer a targeted approach to pain relief, helping to restore functionality and improve your overall well-being. These injections are designed to alleviate pain directly at the source, providing rapid relief and promoting healing in the affected area. 

If you're considering shoulder injections as a treatment option and would like to learn more, we encourage you to explore further. By navigating through the navigation buttons listed below, you can gain insights into who makes an ideal candidate for the procedure, tips for a smooth recovery, and answers to frequently asked questions. This information aims to provide a comprehensive understanding of what to expect from the procedure, aiding in your decision-making process.

When you're ready to take the next step towards pain-free living, our team of shoulder injection specialists at Pain and Specialists is here for you. We're committed to providing personalized care tailored to your specific needs. To schedule a new patient consultation, simply reach out to us by submitting a contact form or giving us a call


What Patients Are Saying


Great office, good people. Been there quite a few years. Never a problem. Leave them a message, they always respond. I've had six back surgeries 2knees and right shoulder. Gregg keeps my chronic debilitating pain managed well so I can still live my life best I can. Im so grateful.

Jenny Martins / google review

Dr. Rao. I can't find the words to tell you how much he has meant to me. I followed him from an old practice to his very new high tech office. They offer so many different areas of assistance to those with issues from nutrition to spinal surgery... and much more. His office is professional.

Mom To2 / vitals

Dr. Rao is such an amazing doctor! During my first visit, he never tried to rush through my appt.; he genuinely listened to all my concerns and then took his time to explain to me in detail all his recommendations and how they would help me.

Nikki / healthgrades

Shoulder Injections Treatment Guide

Shoulder Injections Digital Guide

Explore our comprehensive digital guide on shoulder injections.  You will find details about the procedure, ideal candidates, and the diagnosis process. You'll also get answers to numerous frequently asked questions.

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Understanding The Shoulder Joint

The human shoulder muscles are responsible for your body's most comprehensive range of motion. Your shoulders are composed of muscles, tendons, and ligaments that provide flexibility for this movement. The two joints that compose your shoulder are the glenohumeral and the acromioclavicular joint. Essentially, it is where your upper arm bones connect with your shoulder blade and where your shoulder blade meets your collarbone.

This joint structure keeps your arm in place of the shoulder socket, and this wide range of flexibility and range of movement makes your shoulder susceptible to injury. Within this joint, there is synovial fluid that allows the joint to move fluidly and comfortably. That's why a shoulder injury injection can be instrumental in regaining the shoulder's range of motion.

Shoulder pain is a common complaint for many people. Whether from normal wear and tear or an injury, injection therapy effectively treats shoulder pain. Before beginning any treatment to treat your pain, it is essential to recognize the symptoms of shoulder pain.


Recognizing Symptoms of Shoulder Pain:

  • Aching or sharp pain in your shoulder area, which might extend down your arm
  • Difficulty lifting objects or moving your arm
  • Stiffness that makes it hard to rotate your shoulder
  • Swelling or redness around your shoulder
  • An unusual clicking or popping sound when you move your shoulder

These symptoms might interfere with your daily activities, causing discomfort or even distress. It's important to remember that everyone's experience with shoulder pain is unique. If you're dealing with any of these symptoms, it might be time to seek professional advice.

Xray of the shoulder joint with red overlay to show the shoulder pain region.

Xray of the shoulder joint with red overlay to show the shoulder pain region.


Pain Conditions Treated by Shoulder Injections

During your new patient consultation,our injection specialists will be able to accurately diagnose the source of your shoulder pain and the specific pain condition that needs to be treated.

Some common pain conditions that can benefit from shoulder injections include:

  • Shoulder Osteoarthritis: When the smooth cartilage in your shoulder wears down due to injury or normal wear and tear, it can result in osteoarthritis. Corticosteroid injections into your shoulder joint can help reduce inflammation and provide relief from pain.
  • Frozen Shoulder: Frozen shoulder means that your shoulder capsule thickens and becomes tight, limiting your movement. Injections can help relieve the pain and increase the range of motion.
  • Rotator Cuff Disease: Rotator cuff disease involves degenerative tendinosis or partial tears in the cuff. Injections can help manage the pain and inflammation associated with this condition, allowing you to move your shoulder more comfortably.
  • Inflamed Bursa: Bursae are fluid-filled sacs that cushion your joints. When these sacs become inflamed from repetitive motions, it can cause pain and limit mobility. Injections can help reduce the inflammation, providing relief.
  • Shoulder Tendinitis: Shoulder tendinitis occurs when the tendons in your shoulder joint become inflamed, typically due to overuse or repetitive strain. Corticosteroid injections can help reduce inflammation and alleviate pain, enabling you to move your shoulder more freely.

Common Causes of Shoulder Pain

A wide array of causes can lead to pain and discomfort in the shoulder. Many of these causes and catalysts can lead to shoulder pain conditions if left untreated.

  • Rotator Cuff Injuries: Rotator cuff injuries occur when the tendons in your rotator cuff, the group of muscles and tendons that surround your shoulder joint, become torn or inflamed. This can result from repetitive overhead movements or a sudden injury.
  • Shoulder Impingement: Shoulder impingement happens when the top of your shoulder blade puts pressure on the underlying soft tissues when you lift your arm away from your body. As you continue to lift your arm, it can cause bursitis or tendinitis, leading to impingement.
  • Arthritis: Shoulder pain can also be due to various types of arthritis, including osteoarthritis, rheumatoid arthritis, and post-traumatic arthritis.

If you are experiencing shoulder pain, it's important to seek professional advice from our doctors at Pain and Spine Specialists. Our providers can help identify the exact cause of your discomfort and guide you toward the most appropriate treatment.

Types of Shoulder Injections Offered at Pain and Spine Specialists

Our team of pain management doctors specializes in providing effective treatments for various types of shoulder pain, including the use of a steroid injection to shoulder joints.

  • Corticosteroid Injections: Corticosteroid injections are one of the most common treatments for shoulder pain. These powerful anti-inflammatory medications are injected directly into your shoulder joint, reducing inflammation and easing your discomfort. Whether you're dealing with osteoarthritis, tendinitis, or bursitis, corticosteroid injections can provide significant relief.
  • Hyaluronic Acid Injections: HA injections, also known as viscosupplementation, are another option for managing shoulder pain. This treatment involves injecting a gel-like substance into your shoulder joint, which helps to lubricate the joint, reduce pain, and improve mobility. These injections are especially beneficial if you're living with shoulder osteoarthritis.
  • Platelet-Rich Plasma Injections: PRP injections use your own blood to promote healing in your shoulder. During this procedure, a small sample of your blood is taken and processed to extract the platelets, which are then injected back into your shoulder. The high concentration of platelets delivers growth factors that can stimulate tissue repair and reduce inflammation.
  • Nerve Block Injections: Nerve block injections are used to block pain signals from reaching your brain. By injecting anesthetic medication around specific nerves in your shoulder, these injections can provide temporary relief from severe shoulder pain. This treatment can be particularly helpful if you're preparing for shoulder surgery or recovering from it.
Customers served! 1 per 1,000  Americans Affected by lower back pain at any given time in their lives.

Shoulder pain is a very common complaint in primary care affecting 14.7 affecting 1,000 patients. - NIH

Customers served! 1 %  Americans Affected by lower back pain at any given time in their lives.

Almost three-quarters of individuals may experience shoulder pain at some point in their lives. - Harvard Health Publishing

95%
Of patients

Over 95% of patients stated that the injections helped reduce shoulder pain and increased function 6 weeks post-injection. - NIH

Candidates for Shoulder Injections

Shoulder injections are considered based on several critical factors that include the specific diagnosis, the severity and duration of pain, the patient's previous medical history, and how their body has responded to other treatments.

For some patients, a shot for shoulder pain is considered a first-line treatment option. Particularly for those diagnosed with conditions such as arthritis, neuropathy pain, or degenerative disc disease, shoulder injections can potentially provide significant relief and enhance quality of life. However, there are also situations where shoulder injections are recommended after other conservative treatments have been tried.

A few examples of conservative treatments for shoulder pain include:

  • Physical Therapy: Physical therapy is often the first line of treatment for shoulder pain. A skilled physical therapist can guide you through exercises to strengthen your shoulder muscles, improve flexibility, and enhance range of motion.
  • Medication: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce inflammation and relieve pain. If these aren't effective, your doctor might prescribe stronger pain relievers.
  • Heat and Cold Therapy: Applying heat can help loosen tight muscles and increase blood flow to the area, promoting healing. Cold therapy can reduce inflammation and numb the area, providing relief from pain.
  • Lifestyle Modifications: Changes in your daily activities can also help manage shoulder pain. This could involve avoiding movements that exacerbate your pain, improving your posture, or making ergonomic adjustments to your workspace.
  • Rest and Immobilization: Sometimes, the best treatment is simply resting your shoulder and avoiding activities that cause pain. Your doctor might recommend using a sling or other type of support to immobilize your shoulder and give it a chance to heal.

If these therapies have failed to provide sufficient relief, it might be time to schedule a consultation with one of our pain specialists to discuss your options for shoulder injections. 


Our Comprehensive Consultation Process

The first step to effective pain management begins with a thorough consultation process. This process ensures that we accurately diagnose your pain condition before recommending treatments such as shoulder injections.

Four square tiles outlining the consultation steps at pain and spine specilialists
Four blue blocks with icons that represent the consultation process at Pain and Spine Specialists
  1. 1
    Review of Your Medical History: The initial component of this process is a comprehensive review of your medical history. Understanding your past health experiences gives our team valuable insights into your overall health and potential contributing factors to your current pain condition.
  2. 2
    Physical Exam: Next, a physical examination is conducted to assess your current health status. During this examination, our doctors will evaluate your range of motion, strength, flexibility, and any areas of tenderness or discomfort. This hands-on approach allows us to identify potential sources of your pain and determine the most effective treatment plan.
  3. 3
    Advanced Imaging: In some cases, diagnostic imaging such as X-rays, MRI, or CT scans may be necessary. These advanced imaging techniques provide a detailed view of your musculoskeletal system, helping us to pinpoint specific areas of concern that may be contributing to your pain.
  4. 4
    Nerve Tests: Depending on your symptoms and the results of your physical examination and diagnostic imaging, nerve tests may be recommended. These tests can help determine whether your nerves are functioning correctly or if nerve damage could be causing your pain.
Four rows of shower xrays showing a rotator cuff injury.

Four rows of shower xrays showing a rotator cuff injury.

The Shoulder Joint Injection Procedure

Injections for shoulder pain are a minimally invasive way to treat your symptoms. An overview the procedure for each of the shoulder injections we offer at Pain and Spine Specialists includes:

Four circles with icons on the center that represent the four process for Pain and Spine Specialists procedures
Four circles with icons on the center that represent the four process for Pain and Spine Specialists procedures

Corticosteroid Injections

Before the procedure, your doctor will discuss your medical history and any medications you're taking. You should avoid strenuous activities 24 hours before the injection.

During the procedure, your doctor will clean the injection site, numb it with a local anesthetic, then inject the corticosteroid medication into your shoulder joint. The whole process usually takes a few minutes.

After the procedure, you might feel temporary relief due to the local anesthetic. Once it wears off, your shoulder may become sore before the corticosteroid takes effect. Resting your shoulder and applying ice can help manage this discomfort.


Hyaluronic Acid Injections

Preparation for hyaluronic acid injections is similar to that for corticosteroid injections. Your doctor will review your health status and advise you to take it easy before the procedure.

The procedure involves injecting a hyaluronic acid solution into your shoulder joint. This substance, which naturally occurs in your body's connective tissues, helps lubricate your joint and reduce pain.

Following the injection, you should avoid putting too much stress on your shoulder for a couple of days. Some patients experience mild pain or swelling at the injection site, which usually subsides within a few days.


Platelet-Rich Plasma Injections

Before a PRP injection, your doctor will draw a small amount of blood from your arm. This blood is then centrifuged to separate the platelet-rich plasma.

During the procedure, the PRP is injected into your shoulder joint. Because the injection uses your own blood, the risk of allergic reactions is minimal.

After the procedure, you may experience some discomfort in your shoulder. Rest, ice, and over-the-counter pain relievers can help manage this. Your doctor will likely recommend physical therapy to assist in healing and strengthening your shoulder.


Nerve Block Injections

Prior to a nerve block injection, your doctor will discuss the procedure with you and answer any questions you may have.

In this procedure, anesthetic medication is injected around specific nerves in your shoulder, blocking pain signals from reaching your brain.

Post-procedure, you should arrange for someone to drive you home, as your shoulder will likely be numb for several hours. It's important to rest your shoulder and follow your doctor's instructions regarding when you can resume normal activities.

Remember, these procedures are generally safe, but like any medical procedure, they do carry some risks. Always consult with your healthcare provider before deciding on a course of treatment. You're not alone in this journey, and there are solutions that can help.

What to Expect After Treatment

Over the weeks and months post-procedure, our pain management doctors closely monitor your progress. Regular follow-up appointments are scheduled to assess the effectiveness of the treatment. These check-ins provide an opportunity to address any cortisone injection shoulder side effects you may have and adjust your treatment plan if necessary. Your well-being is our priority, and we strive to ensure a safe, personalized, and ethical treatment process that aligns with your unique needs.

Frequently Asked Questions

What types of doctors offer Shoulder Injections?

A range of medical professionals can provide shoulder injections for chronic pain relief, including orthopedic surgeons, rheumatologists, sports medicine doctors, and pain management specialists. Particularly, pain management specialists are highly skilled in diagnosing and treating chronic pain conditions.

Are shoulder pain injections covered by insurance?

The coverage for shoulder injections for chronic pain relief varies based on your specific insurance plan. Many insurance providers do cover this procedure as it's often considered a necessary treatment for chronic pain conditions. You should confirm with your insurance provider to understand your coverage details.

What are the alternatives to Shoulder Joint treatment?

Alternatives to shoulder injections for chronic pain relief may include physical therapy, oral or topical medications, lifestyle modifications such as exercise and diet changes, and in some cases, surgery. The best treatment option will depend on your individual condition and overall health.

How do I find a Shoulder pain treatment center near me?

You can find a treatment center that offers shoulder injections for chronic pain relief by asking your primary care physician for a referral, searching online, or by contacting local hospitals or clinics for information.

How do I find a Shoulder Shot specialist near me?

To find a specialist who provides shoulder injections for chronic pain relief near you, consider asking your primary care physician for a referral, search online, or use a healthcare provider directory.

Is Shoulder Injections considered a minimally invasive treatment?

Yes, shoulder injections for chronic pain relief is considered a minimally invasive procedure. The treatment involves using a needle to deliver medication directly into the shoulder joint, without the need for large incisions or extended recovery time.

How much do The Injections cost?

The cost of shoulder injections for chronic pain relief can vary widely based on factors such as your location, the specific healthcare provider, and your insurance coverage. It's recommended to check with your healthcare provider and insurance company for the most accurate cost estimate.

Do Medicare and Medicaid cover shoulder Pain Shots?

Both Medicare and Medicaid often cover shoulder injections for chronic pain relief, but coverage can vary depending on the specific plan and state. It's recommended to check directly with your plan to understand what is covered.

can i exercise after cortisone injection in shoulder?

Yes, you can exercise after a cortisone injection in your shoulder. However, it is important to take it easy for the first 24-48 hours post injection as your shoulder may be sore and tender. You should also follow any instructions on activity level provided by your doctor or healthcare provider. For best results, start slowly with light stretching and strengthening exercises to help rehabilitate the affected area while avoiding activities that cause pain or discomfort.

Cortisone injection Shoulder: Side Effects and Risk

Fortunately, steroid injection shoulder side effects are generally minimally and the risks are low. With that said, here are some side effects to be aware of:

  • Corticosteroid InjectionsYou might experience temporary pain and swelling in the shoulder joint after a corticosteroid injection. In rare cases, there could be a risk of infection, allergic reactions, or changes in skin color around the injection site.
  • Hyaluronic Acid Injections: Hyaluronic acid injections are generally well-tolerated. However, as with any medical procedure, there can be potential side effects. You may experience some pain, warmth, or slight swelling at the injection site. These symptoms usually subside within a few days. There is also a small risk of infection or allergic reaction.
  • Platelet-Rich Plasma (PRP) Injections: With PRP injections, because your own blood is used, the risk of an allergic reaction is minimal. However, you may feel some discomfort at the injection site. Other potential side effects include mild nausea or dizziness immediately after the procedure. It's crucial to have someone with you who can drive you home afterward
  • Nerve Block Injections: Nerve block injections can provide significant relief from severe shoulder pain. However, they may cause temporary numbness or weakness in the injected area. There is a small risk of bleeding or infection at the injection site. In rare instances, you might experience an allergic reaction to the anesthetic used.

Prior to proceeding with shoulder injections our providers will discuss all of the potential side effects with you and help you weigh the benefits against the risks.

A pain management doctor doing a physical exam on patient, touching his shoulder and back.

A pain management doctor doing a physical exam on patient, touching his shoulder and back.

Our Approach Managing Shoulder Pain with Shoulder Joint Injections 

At Pain and Spine Specialists, we understand the debilitating impact of chronic shoulder pain on your daily life. Administering a steroid shot in shoulder joints will often provide effective relief, but if it doesn't, our doctors are ready to guide you through alternative treatment options.

Our approach to treating your shoulder pain is comprehensive. As a team of board-certified medical doctors, we combine advanced medical techniques, alternative therapies, and supportive care designed specifically for you. In addition to shoulder injections, we also offer back injectionship injectionsknee injections, and neck injections. We consider your physical, mental, and emotional health in every step of our treatment plan design, aiming to improve your overall quality of life.

Beginning your journey with us is straightforward. You can reach out to us via our website or phone call to schedule an initial consultation. Together, we will create a plan that suits your needs and preferences. As your treatment progresses, we monitor your response and make necessary adjustments to ensure the plan continues to work effectively for you.

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About Us

We are a comprehensive pain management practice with board-certified doctors in Maryland, Pennsylvania, and Virginia that specialize in innovative treatments like Shoulder Injections

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We Accept All Insurances!

That includes Medicare and state Medicaid.

How Soon Can I Be Seen?

Usually within one week of the initial call.

Appointments can be schedule by phone or through our contact form here.

What To Expect During Appointments

At Pain and Spine Specialists we provide comprehensive pain care while offering the most up-to-date minimally invasive techniques. Our ethos is to treat each patient (and potential patient) as if they were a family member.

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Meet Our Team

Shoulder Injections Specialists in Maryland, Pennsylvania, Florida and Virginia


As board-certified specialists in pain management, we bring an extensive 20-year history of effectively treating shoulder pain. Our approach is comprehensive, integrating advanced medical practices, such as a cortisone injection for shoulder pain. You can trust in our expertise to guide you through all phases of your pain relief journey. We currently serve patients at convenient locations in MarylandPennsylvaniaFlorida, and Virginia.

MEET OUR PARTNER

OUR PARTNER

At Pain and Spine Specialists, we support the mission of PANCHA. A non-profit organization that is dedicated to assisting the families of those suffering from pancreatic cancer.

At Pain and Spine Specialists, we support the mission of PANCHA. A non-profit organization that is dedicated to assisting the families of those suffering from pancreatic cancer.

MEET OUR PARTNER

MEET OUR PARTNER

At Pain and Spine Specialists, we support the mission of PANCHA. A non-profit organization that is dedicated to assisting the families of those suffering from pancreatic cancer.

At Pain and Spine Specialists, we support the mission of PANCHA. A non-profit organization that is dedicated to assisting the families of those suffering from pancreatic cancer.

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