Diagnosing shoulder pain - Dr. Michael Lehmann

Why are imaging methods useful for shoulder pain?

Following a careful history and subsequent detailed clinical examination, various imaging methods such as X-rays, ultrasound and MRI scans are needed to confirm the detail of the diagnosis.

Special radiological methods can be used to detect, precisely identify and quantify a bony impingement problem, for example, which is a common cause of shoulder problems.

Using professionally performed ultrasound, a procedure known as sonography, the various structures of the rotator cuff can be analysed individually while the arm is being moved at the same time.

Magnetic resonance imaging (MRI), a technology commonly used in specialist shoulder centres, can also yield valuable information.
Computed tomography (CT) is used less commonly.

Injection tests under local anaesthetic can also be a useful tool in the sometimes complex process of establishing a diagnosis.