Shoulder Tendonitis

    At Mayo Clinic Healthcare in central London, our orthopaedic specialists provide expert evaluation and management of shoulder tendonitis. Drawing on internationally recognised clinical expertise and advanced diagnostic imaging, we take a considered, multidisciplinary approach to identifying the source of pain and guiding each patient towards the most appropriate treatment.

    Shoulder tendonitis can significantly affect daily function, particularly when left untreated. Early assessment and tailored care can help restore movement, relieve discomfort, and prevent longer-term complications.

    • Shoulder tendonitis is a common musculoskeletal condition characterised by inflammation or irritation of the tendons within the shoulder, most often involving the rotator cuff. It typically develops gradually as a result of repetitive strain or age-related changes.

      The condition often affects the top and outer aspect of the shoulder and may progress over time, leading to increasing discomfort and reduced mobility if not appropriately managed.

    • Symptoms can vary in severity but commonly include:

      • Pain when lifting or rotating the arm
      • A persistent, deep ache in the upper arm or shoulder
      • Discomfort that worsens at night, particularly when lying on the affected side
      • Restricted range of movement
      • Tenderness around the shoulder joint
      • Occasional clicking or popping sensations

      If these symptoms persist, worsen, or begin to interfere with sleep or daily activities, it is advisable to seek specialist assessment. Early evaluation allows for more effective, conservative treatment and reduces the likelihood of chronic dysfunction.

    • Shoulder tendonitis typically develops over time and is often associated with a combination of mechanical and degenerative factors. Common causes and risk factors include:

      • Repetitive overhead activity: Sports such as swimming or cricket, or occupations involving frequent lifting
      • Shoulder impingement: Compression of the rotator cuff tendons within the shoulder joint
      • Age-related degeneration: Reduced tendon elasticity and resilience over time
      • Postural factors: Poor posture can alter shoulder mechanics and increase strain
      • Calcific tendonitis: Calcium deposits forming within the tendons

      Understanding the underlying cause is essential in guiding effective treatment and preventing recurrence.

    • At Mayo Clinic Healthcare, diagnosis is led by experienced orthopaedic consultants, often working alongside physiotherapists and radiology specialists to ensure a comprehensive evaluation.

      Assessment typically includes:

      • Clinical examination to evaluate movement, strength, and areas of tenderness
      • Imaging studies, where appropriate
      • MRI scans to assess tendon integrity and exclude tears
      • X-rays to identify bone changes or calcification

      This collaborative, multidisciplinary approach ensures that the diagnosis is accurate and that other potential causes of shoulder pain are carefully excluded.

    • Shoulder tendonitis treatment is highly individualised, taking into account the severity of symptoms, underlying causes, and each patient’s lifestyle and goals.

      Non-surgical Management

      Most cases respond well to conservative treatment, including:

      • Activity modification: Reducing aggravating movements while maintaining gentle mobility
      • Pain management: Use of anti-inflammatory medications such as ibuprofen or paracetamol, where appropriate
      • Physiotherapy: Structured rehabilitation programmes to improve strength, flexibility, and shoulder mechanics

      Advanced Non-surgical Interventions

      If symptoms persist, Corticosteroid injections may be considered to reduce inflammation and provide short-term relief

      Surgical Consideration

      Surgical intervention is rarely required and is typically reserved for severe or refractory cases. Where necessary, patients are guided appropriately through referral pathways.

      Recovery timelines vary, though many patients experience significant improvement within 6 to 12 weeks with guided physiotherapy and adherence to treatment recommendations. 

    • Treatment for frozen shoulder focuses on reducing pain and restoring movement. At Mayo Clinic Healthcare, frozen treatment is tailored to the stage of the condition and the individual needs of each patient. 

      Treatment options may include: 

      • Pain relief medication, such as ibuprofen to reduce pain and inflammation 
      • Physiotherapy, with guided exercises to improve mobility and function
      • Steroid injections, to reduce inflammation within the shoulder joint
      • Hydrodilatation, a procedure that gently stretches the joint capsule through the injection of sterile water 
      • Activity modification to support recovery
      • Arthroscopic surgery

      As frozen shoulder develops in stages, treatment approaches may evolve over time. Our multidisciplinary team works closely across specialities to ensure coordinated and effective care. 

    Arrange a Consultation

    If you are experiencing ongoing shoulder pain or restricted movement, a specialist assessment can provide clarity and reassurance.

    Our team at Mayo Clinic Healthcare is available to guide you through diagnosis and treatment with a personalised, patient-centred approach. To arrange a consultation or make an enquiry, you may contact our team online or call 0207 871 2575.