Understanding Shoulder Pain
The shoulder is the most mobile joint in the body — and that mobility comes at the cost of inherent instability and susceptibility to injury. Shoulder pain can arise from the rotator cuff tendons (tendinopathy or tears), the subacromial bursa (bursitis), the glenohumeral joint (arthritis, labral tears, adhesive capsulitis), the acromioclavicular joint (AC joint arthritis or separation), or the biceps tendon. Each source has a distinct clinical presentation and responds best to specific treatments.
Dr. Qureshi performs all shoulder injections under ultrasound guidance, which allows real-time visualization of the target structure and significantly improves accuracy. Studies consistently show ultrasound-guided shoulder injections outperform landmark-guided approaches for both accuracy and clinical outcomes.
Symptoms
- Aching or sharp pain in the shoulder, especially overhead activities
- Pain and weakness with lifting, pushing, or pulling
- Night pain — inability to sleep on the affected shoulder
- Clicking, catching, or grinding with shoulder movement
- Stiffness and reduced range of motion (frozen shoulder pattern)
- Pain radiating from shoulder to upper arm
Treatment Options at Our Katy Practice
Dr. Qureshi takes a multimodal, non-surgical approach to pain management. Treatment recommendations are based on your diagnosis, imaging findings, symptom severity, and prior treatment history.
- Ultrasound-guided subacromial bursa injections for bursitis and impingement
- Glenohumeral joint injections for arthritis and adhesive capsulitis
- AC joint injections for acromioclavicular arthritis
- PRP therapy for rotator cuff tendinopathy and partial tears
- Ultrasound-guided biceps tendon sheath injections
- Physical therapy direction and activity modification