With fast access to an appointment within 48 hours of submitting an online enquiry or booking an appointment online, you can benefit from effective treatment for shoulder problems at The Hampshire Clinic.
At your initial consultation at The Hampshire Clinic, you will be seen by a bones and joints specialist (your Orthopaedic Surgeon). Your Orthopaedic Surgeon will work with our multidisciplinary team of specialists, including Radiologists, Anaesthetists, Pain Management Consultants and Physiotherapists to diagnose and treat your symptoms. This could include treatment such as oral or topical pain relief medication, steroid injections into your shoulder or physiotherapy sessions to improve the condition of your shoulder.
If your symptoms do not improve following initial treatment, your Orthopaedic Consultant at The Hampshire Clinic might advise having a shoulder procedure such as:
Shoulder surgery starting from £5,031*
Your shoulder surgery will use different arthroscopic (keyhole) procedures depending on your symptoms. This could include an arthroscopic subacromial decompression surgery, where the surface underneath your acromion (the outer part of your shoulder blade) is shaved to provide your rotator cuff tendon (a tendon in your shoulder) with more room to move. Your rotator cuff consists of four muscles, which each have a tendon. These tendons merge to form a single large tendon called your rotator cuff tendon. This tendon is attached to your humeral head (the ball at the top of your humerus or arm bone) and passes under your acromion when you raise your arm.
Your shoulder arthroplasty could also include a procedure known as arthroscopic capsular release, where your shoulder joint’s capsule or lining is released to improve movement in your shoulder.
Shoulder manipulation under anaesthetic starting from £2,060*
Shoulder manipulation is a non-surgical procedure that is performed under anaesthetic to alleviate pain and stiffness in your shoulder. As part of your shoulder manipulation treatment, your Orthopaedic Surgeon will move or manipulate your shoulder joint to relieve stiffness.
Shoulder dislocation surgery starting from £6,235*
After an injury or accident, you could experience partial or complete shoulder dislocation. A partial dislocation, also known as subluxation, is when the ball at the top of your humerus (arm bone) is partially removed from your shoulder joint’s socket. A complete dislocation occurs when the ball at the top of your humerus or arm bone is completely removed from its socket.
Your Orthopaedic Specialist can carefully place the top of your arm bone back into its socket through a technique called reduction, where your arm is rotated around your shoulder joint until your humeral head (the ball at the top of your humerus or arm bone) is returned to its socket.
Shoulder replacement surgery starting from £ 11,895*
Shoulder replacement surgery involves removing and replacing the damaged surfaces of your shoulder joint with artificial parts, which are referred to as a prosthesis. These artificial parts can be treated to encourage them to fuse to your bone or are secured in place using a substance called bone cement. This is often made from a synthetic resin.
*This is a guide price for treatment when paying for yourself. The initial consultation and diagnostics are not included in the price. Prices are confirmed in writing after initial consultation with a Consultant Specialist. Aftercare may vary depending on your treatment. Further terms and conditions apply.
Your Orthopaedic Surgeon will consider surgery after initial treatment such as medication, steroid injections and physiotherapy have not helped alleviate your symptoms. Your Consultant will also consider surgery if you are affected by the following symptoms:
Persistent pain or stiffness: Frozen shoulder is a condition linked to chronic stiffness or pain in your shoulder. It happens when your joint capsule (the lining of your shoulder joint) becomes fibrous (thickened) or inflamed, causing pain and stiffness. Unfortunately, osteoarthritis can also create persistent shoulder pain and stiffness. This form of arthritis causes the cartilage cushioning your joints to become thinned out, which can trigger pain, swelling and lead to bone spurs (abnormal growths on your bone). Eventually, the loss of cartilage can cause the bones that form your joint to rub together — this can cause severe pain and even change the shape of your joint.
Pain that increases when moving your arm: Shoulder pain that feels worse when using your arm could be caused by a shoulder impingement, which happens when your rotator cuff tendon rubs against nearby tissue, such as your acromion (the bony part of your shoulder blade) when you raise your arm. Shoulder bursitis is another cause of shoulder pain when using your arm. It occurs when your bursa (a fluid-filled sac) located between your rotator cuff tendon and acromion becomes inflamed.
An inability or difficulty moving your arm: If you cannot move your arm or find it difficult to move your arm, you might have dislocated your shoulder or torn your rotator cuff tendon (a rotator cuff tear). A rotator cuff tear can occur due to an overuse of your shoulder from playing certain sports, the natural wear and tear of your tendon as a result of ageing, or an injury.
Disrupted sleep: Your shoulder pain could affect your sleep by making it hard to find a comfortable sleeping position. Disrupted sleep from shoulder pain can interfere with your pain pathways triggering an increased sensitivity to pain, which, in turn, can cause your pain to feel worse the following morning. Chronic sleep deprivation from shoulder pain could lead to serious health consequences by putting you at risk of developing diabetes, anxiety or depression. If your shoulder pain is causing disrupted sleep, you could be advised to have surgery.
At The Hampshire Clinic, we provide fast, efficient and easy access to appointments with an Orthopaedic Surgeon. Our extensive appointment availability means you can book your initial consultation with a specialist in the evening or even on a Saturday.
At your consultation at The Hampshire Clinic in Basingstoke, your Orthopaedic Surgeon will ask about your symptoms and medical history. Your Consultant will examine your shoulder and could recommend an X-ray or MRI scan to further investigate your symptoms. These are quick and painless scans that enable your Orthopaedic Consultant to examine the inside of your shoulder.
If you require shoulder surgery, you will be supported throughout your treatment process by our team of specialists at The Hampshire Clinic.
Before being admitted for shoulder surgery at The Hampshire Clinic in Basingstoke, you may need to attend a preoperative assessment. This will consist of a general health check where one of our Nurses will monitor your blood pressure and heart rate. Your Nurse at The Hampshire Clinic will also measure your weight and take a sample of your blood or urine.
Your preoperative assessment will determine whether you are fit to have shoulder surgery. If you are happy to go ahead with your shoulder treatment, you will be asked to complete and sign a patient consent form.
At The Hampshire Clinic, you will be taken to an operating theatre on the day of your surgery. Your Orthopaedic Consultant or an Anaesthetist will administer either general anaesthetic or a local anaesthetic. This will consist of an anaesthetic injection into your skin to numb the area that will be operated on.
Your Orthopaedic Surgeon will perform your surgery through an open procedure or an arthroscopy. The method used to perform your surgery will be explained to you at your consultation or preoperative assessment.
If you require an arthroscopy, your Surgeon will first create two to three small incisions in your shoulder. An arthroscope (a thin metal tube with a camera) is passed through one of these incisions in your shoulder. The camera in your arthroscope will enable your Surgeon to view the inside of your shoulder on a video monitor. Your Surgeon will then use the images from this video monitor to carefully insert surgical instruments through the other incisions in your shoulder. These instruments will be used to perform your shoulder surgery.
During open surgery, your Orthopaedic Surgeon will create a single large incision in your shoulder to perform your operation.
Your incision(s) from an open or arthroscopy shoulder surgery will be closed with dissolvable stitches which will disappear over time or stitches that will need to be taken out at your next appointment. A bandage will be placed over these incisions and your arm could be placed into a sling to protect the operated area.
After your operated area has been bandaged, you will be taken to a recovery room at The Hampshire Clinic. A member of our nursing team will offer you food and something to drink. If you are in any pain or discomfort, your Nurse will also offer you pain relief medication.
Your healthcare team will then show you how to take care of your wounds and arrange a follow-up appointment with you to assess your recovery. If your arm has been placed into a sling, you will be shown how to put this on and take it off before showering, dressing or doing your recommended post-surgery shoulder exercises. Before you head home, your Physiotherapist will guide you through your different post-surgery shoulder exercises, which you will need to practise at home to aid your recovery.
After arthroscopic shoulder surgery, you will usually be able to go home on the same day. If you have had open surgery, your Orthopaedic Consultant might want to monitor your recovery more closely. This could mean staying overnight at our hospital.
Your Orthopaedic Consultant will then work with our physiotherapy team at The Hampshire Clinc to create an exercise plan to encourage more movement in your shoulder and strengthen the muscles around your shoulder joint. You will then be offered a session where you will be guided through this exercise plan by a Physiotherapist.
At The Hampshire Clinic, our en-suite rooms come with a shower and TV provide you with privacy and comfort throughout your stay.
Content reviewed by Circle in-house team in October 2021. Next review due October 2024.
