The shoulder is the most mobile joint in the body, and several different problems can make it painful or stiff.
Shoulder Pain Treatment
Common shoulder problems include irritated tendons (rotator cuff tendinopathy), inflamed bursae, frozen shoulder and wear and tear of the joint. Pain can also come from the neck and be felt in the shoulder.
Ultrasound allows us to see tendons and bursae while we treat, so injections go precisely where they are needed. For arthritis pain that does not settle, radiofrequency treatment of the shoulder nerves may be considered.
- Pain lifting the arm or reaching behind the back
- Pain at night or lying on the shoulder
- Stiffness and reduced movement
- Weakness in lifting
- Pain spreading down the arm
What Can Cause Shoulder Pain?
Rotator cuff tendon problems
Irritated or torn tendons cause pain with lifting and overhead activity.
Bursitis
An inflamed bursa (fluid cushion) can make movement painful.
Frozen shoulder
The joint becomes stiff and painful, with movement progressively limited.
Shoulder arthritis
Wear and tear of the joint can cause deep, aching pain.
Pain from the neck
A pinched nerve in the neck can refer pain to the shoulder.
How We Find the Cause
We examine shoulder movement and strength, check the neck, and use ultrasound or MRI to see the tendons, bursa and joint.
- Shoulder and neck examination
- Ultrasound of tendons and bursa
- X-ray / MRI review
- Diagnostic nerve blocks where needed
Your Treatment Path
We begin with the least invasive option that is appropriate and move on only when needed. Surgery is not always avoidable, and we will tell you if it is the better choice.
Physiotherapy and exercise
Restoring movement and strengthening the supporting muscles.
Physical therapy →Ultrasound-guided injections
Steroid or other injections into the joint, bursa or tendon sheath.
Joint & soft-tissue injections →PRP for tendon problems
Selected tendon problems may be treated with platelet-rich plasma.
PRP injections →Radiofrequency of the shoulder nerves
For persistent arthritis pain after a positive diagnostic block.
Radiofrequency nerve ablation →
Last reviewed: October 2026 · View Dr. Rustam’s profile → · Procedures available at IPSSC →
Frequently Asked Questions
Straight answers from the IPSSC team — see all FAQs or contact us directly.
Ready to Get Your Shoulder Pain Checked?
Book a consultation with Dr. Zahid Rustam at IPSSC, G-8 Markaz, Islamabad — seeing patients from Islamabad, Rawalpindi and surrounding areas.