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Musculoskeletal Chronic Pain

Shoulder rotator cuff injury treatment Birmingham UK


Have you been suffering with the shoulder pain caused by rotator cuff injury or damage? At the Dynamic Clinic we may be able to help with your pain or injury. Our experienced musculoskeletal clinicians have been treating rotator cuff injuries for many years and have gained an excellent reputation in this very complex common area. It is our primary objective to reduce shoulder rotator cuff painprevent further damage, improve shoulder function and get people back to their normal daily activities and occupation as soon as possible. We can provide many different types of treatment for your shoulder pain or injury that may be suitable for you. Below we would like to provide you with a basic overview.


Common causes of shoulder rotator cuff injury

Shoulder pain is an extremely common compliant, primarily caused from rotator injury. Rotator cuff injuries are commonly caused from direct trauma (i.e fall or sports injury), occupational demands or from progressive degenerative changes. This often leads to ongoing pain and reduced functionMost cases of rotator cuff damage and shoulder pain are triggered by a combination of age, poor posture, overuse, repetition, injury (or trauma), occupational strain, genetic predisposition and inflammation. Severity can vary, depending on cases of mild to moderate to severe. 


Shoulder rotator cuff injury treatment Birmingham

Symptoms of rotator cuff injury

  • Pain

  • Reduced function

  • Night pain 

  • Catching 

  • Arm pain


It is very important to be aware of alternate causes of shoulder pain, like inflammatory arthritis or polymyalgia rheumatica. Other important symptoms to be aware of are prolonged morning joint stiffness, multiple joint pain, fever, altered sensation, fatigue, weight loss and unremitting night pain.



Depending on the severity, there are various treatment options for the shoulder pain and rotator cuff injury that can really help and slow further damage. These treatments include:


  • Osteopathy/manipulation (manual therapy)

  • Physiotherapy (physical therapy)

  • Injury rehabilitation

  • Postural correction 

  • Acupuncture / Dry needling


  • Shoulder joint injection (cortisone, platelet rich plasma PRP)

  • Rotator cuff injection

  • Subacrominal injection

  • Anti-inflammatory injection 

  • Calcific tendinosis 


  • PRP injection therapy

  • Stem cell therapy

  • Prolotherapy

  • Hyaluronic acid injection 


Treatment for rotator cuff tear Birmingham
Injection for rotator cuff tear Birmingham

Shoulder rotator cuff injury can be caused from many different reasons mentioned above. Ultimately, we want to reduce pain, improve function and slow the disease progression. At the Dynamic Clinic shoulder rotator cuff injury is extremely common and something we see many times every day. Cases can range from mild-moderate to severe. We always explain to every patient the importance of treating rotator cuff tears early, to treat and slow progressive degeneration. Severe tears often require surgical intervention. That being said, we treat all cases of rotator cuff injuries.


Where possible, we like to enforce conservative treatment and management of shoulder pain and injury. But in many cases, extra resources are needed and encouraged. We have built ourselves a very good reputation of delivering high quality regenerative treatments for shoulder pain. The most popular by far being P-PRP injection treatment, in which patients travel from all over the UK to see us for treatment (further information can be found on the ORTHOBIOLOGICS link below). If patients are showing signs of advanced injury or disease then we may discuss the option for an MRI scanning, to get diagnostic clarity of what it is that may be causing the issue. 

If a cause of your shoulder pain is suspected to be of an rheumatological origin, then you will be asked to provide a blood test to check for raised inflammatory markers and maybe immunological makers.

Specialist Imaging or Private MRI Scans

At the Dynamic Clinic we can provide ultrasound imaging to look for signs of tissue damage and inflammation. However, the knee joint can require a more in-depth analysis using an MRI. If a private MRI scan is considered, we will put in a local referral to our Imaging Centre in Solihull. You will then be booked in within 5-10 days. Following your scan, the report will be completed by our colleague Dr David Beale (Consultant Musculoskeletal Radiologist). This report will then come back to the Dynamic Clinic and will we then discuss with you then best course of treatment for your compliant. 

In cases where the injury disease progression is too severe, or the problem is not getting better than we may refer to our trusted surgical colleague Mr Samir Massoud (Consultant Orthopaedic Surgeon) for surgical opinion. 

Shoulder Pain and Injury Assessment

To help your shoulder pain or rotator cuff injury, we firstly need to provide a functional assessment. If you have been suffering with shoulder pain which has not been improving or is impacting on your function, it is recommended to see a musculoskeletal professional for assessment. With this we will be able to provide a full assessment, gain information to make a diagnosis and provide the best treatment and management strategies to resolve your pain and get you back to best function again. At the Dynamic Clinic, shoulder pain and injury is a very common issue we see every day. Our experienced musculoskeletal clinician, Mr Adam Whatley will be able to provide assessment, diagnosis and treatment of a wide range of shoulder injuries from sport injuries to osteoarthritis.

Shoulder pain treatment Birmingham UK
Shoulder pain assessment and treatment flow
  • Clinical case history

  • Clinical assessment

  • Functional assessment

  • Investigations (if needed)

  • Treatment

  • Projected management plan

  • Follow up monitoring and reviews

Pain and injury clinic Birmingham


Occasionally shoulder pain and injuries to muscles and tendons can turn into chronic pain. In these cases, the body may sometimes need a push to assist with healing and repair of damaged tissue. Injection therapy for shoulder pain and injury can also be commonly used to treat stubborn conditions and can deliver fantastic success in many cases. There are many different forms of injection therapies but the most common are steroid injections, platelet rich plasma (PRP) injections and hyaluronic acid.


Steroid (cortisone) Injection Treatment for shoulder pain and injury

Individuals who have been suffering with shoulder pain or injury who have not responded fully to conservative treatment options may be advised to consider a cortisone (steroid) injection to reduce pain and inflammation. However, it is very important to understand that these injections (if successful) are often only short-lived and may have an overall degenerative effect on the local tissue and cartilage if repeated. Although they can be good for reducing inflammation, cortisone injections are not routinely used for ongoing shoulder pain or injury due to weakening of important tissues. This can put tendons at an increased risk for rupture (tear), if repeated too often.

Platelet Rich Plasma (PRP) Injection Treatment for shoulder pain and injury

Growing extremely fast in popularity, platelet rich plasma (PRP) injection treatment is a safe natural treatment commonly used in many different cases of musculoskeletal pain and injury. PRP treatment uses platelets from the patient’s blood to promote and facilitate healing and repair of damaged tissue. Increased scientific literature from evidence-based clinical trials are repeatedly showing how platelet rich plasma (PRP) treatment is safe and effective treatment for many types of shoulder pain and injury, also having improved benefits over cortisone, particularly for long term benefit.


During your consultation, this gives us the opportunity to discuss your arising shoulder complaint or injury and then to discuss possible treatment options and expectations. Below is a simple consultation flow:


  1. discuss your condition

  2. what treatment you have had so far

  3. clinical assessment (where applicable) - having a look at the area and examining

  4. ultrasound scanning (where applicable)

  5. diagnosis (refer for further investigations if necessary)

  6. treatment options

  7. treatment plan

  8. review/monitoring

Please note that treatment can indeed follow on from consultation if happy to do so and enough time has been set aside to do so. 

Pain and Injury Consultation UK
Ultrasound Birmingham UK
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PRP Treatment Birmingham

We are extremely proud to say we are one of the UK’s leading regenerative musculoskeletal clinics. Alongside physiotherapy and osteopathy, we have been providing exciting non-surgical, non-invasive regenerative therapies like PRP therapy with ongoing success for almost 10 years, providing many 1000's of treatments to patient suffering with pain and injury. We are extremely proud of the huge help and support this has provided to so many people.


Furthermore, we offer the highest quality and concentration at very affordable prices. 


Our Clinic Director and Clinical Scientist Mr Adam Whatley is continuing with ongoing clinical research in the exciting area of platelets and stem cells, and to offer the best level of clinical practice to all patients. PRP treatment has been ongoingly praised for being very safe and effectiveness for various different conditions are very different areas of clinical practice. Risks and adverse complications associated with PRP treatment is practically non-existent.

Mr Adam Whatley, is extremely experienced in the field and hugely passionate. Furthermore, he a clinical scientist, carrying out research-based clinical trials in this area of Regenerative Medicine.

Dynamic regenerative medicine. Injection therapy for pain and joint conditions
PRP treatment UK

For further information please contact us on 01564 330773 or alternatively email us at

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