Musculoskeletal ultrasound · Harley Street, Central London & St Albans · 7 days a week

Private Shoulder Ultrasound Scan in London

A private shoulder ultrasound scan at London Private Ultrasound costs £199 for one shoulder, or £299 for both, with no GP referral needed. It is a painless, radiation-free scan of the rotator cuff, biceps tendon, subacromial bursa and the wider shoulder and upper arm soft tissues, used to diagnose rotator cuff tears, impingement, bursitis, frozen shoulder and calcific tendinitis. It takes about 20–30 minutes, includes a dynamic (moving) assessment that MRI cannot provide, and comes with same-day verbal results and a written report within 24 hours. Book a shoulder ultrasound near you in Central London (Harley Street Medical District) or St Albans.

Shoulder pain that will not settle, a click or weakness when you lift, or an injury you want answered quickly: a shoulder ultrasound is the recommended first-line scan for most of these problems. You are seen by an MSK-specialist clinician who scans the shoulder in real time, moves the joint to reproduce your symptoms, explains what they find in the room, and sends a full written report.

  • £199 one shoulder · £299 both
  • Rotator cuff, biceps, bursa & upper arm
  • Dynamic assessment MRI can’t match
  • MSK-specialist clinicians
  • Same-day results · report in 24 hours
  • No GP referral needed
  • Injection referral if required
Not sure if you need one shoulder or both?

If only one shoulder hurts, a single-side scan is all you need. Book both shoulders if you have pain on both sides, want a symptomatic shoulder compared against the other for context, or are being assessed for a widespread condition. Both-shoulder scans are £299, saving £49 versus two separate appointments. Ask us if you are unsure, and we will point you to the right one.

Quick facts

Shoulder Ultrasound at a Glance: Cost, What It Shows and Where

Price£199 one shoulder · £299 both shoulders (saving £49) · all-inclusive, scan, verbal results and written report
Also known asShoulder ultrasound · shoulder & upper arm scan · rotator cuff scan · shoulder tendon scan · MSK shoulder ultrasound · private shoulder scan London
What is assessedRotator cuff tendons (supraspinatus, infraspinatus, subscapularis, teres minor), long head of biceps tendon, subacromial–subdeltoid bursa, acromioclavicular (AC) joint, and the upper-arm soft tissues
DiagnosesRotator cuff tears and tendinopathy, shoulder impingement, subacromial bursitis, calcific tendinitis, biceps tendon problems, AC joint arthritis, and soft-tissue lumps around the shoulder
Who it is forAdults with shoulder pain, weakness, clicking, or a suspected injury. A dynamic assessment is a particular strength for impingement and cuff problems. Children can be scanned in appropriate cases
Appointment timeAllow about 20–30 minutes per shoulder
How it is doneA gentle external scan with warm gel on the skin. You will be asked to move the arm during the scan for a dynamic assessment. No needles, nothing internal
AccuracyHigh-resolution ultrasound is highly accurate for rotator cuff tears, comparable to MRI for the cuff and biceps in experienced hands, with the added benefit of imaging in motion
Ultrasound vs MRI/CTUltrasound is first-line for the rotator cuff, tendons and bursa and allows movement testing. MRI is better for the labrum, bone and deep joint; CT is rarely used for soft tissue
PreparationNone. Wear or bring a vest or sleeveless top so the shoulder and upper arm are easy to reach. No fasting
RadiationNone. Ultrasound uses sound waves only
GP referralNot required. Book directly. Bring any previous X-ray, ultrasound or MRI reports if you have them
ResultsFindings explained on the day · full written report within 24 hours to share with your GP, physiotherapist or specialist
TreatmentIf the scan shows a treatable soft-tissue problem, an ultrasound-guided cortisone injection can often be arranged
Locations27 Welbeck Street, Harley Street Medical District, Central London W1G 8EN · 54–56 Victoria Street, St Albans AL1 3HZ
Availability7 days a week, 9am–7pm · same-day and next-day shoulder appointments often available
Two ways to book

One Shoulder or Both: Which Shoulder Scan Do You Need?

Most people book a single-shoulder scan for the side that hurts. Choose both shoulders if you have pain on both sides, if it helps to compare the painful shoulder with the other for context, or if you are being investigated for a condition that can affect both. Both are performed by the same MSK-specialist clinicians, with the same report and same-day results.

Shoulder Scan: One Shoulder

Single side · about 20–30 minutes

£199

The right choice when only one shoulder is symptomatic. A full assessment of the rotator cuff, biceps tendon, bursa, AC joint and upper arm on the affected side, with dynamic movement testing.

  • Complete rotator cuff assessment
  • Biceps tendon, bursa and AC joint
  • Dynamic, real-time movement testing
  • Same-day verbal results
  • Written report within 24 hours
Book One Shoulder · £199
Most booked

Shoulder Scan: Both Shoulders

Both sides · comparison included

£299

Best if both shoulders hurt, or if comparing sides adds useful context. You save £49 against two separate single-shoulder appointments, in one visit.

  • Everything in the single-shoulder scan, both sides
  • Direct left-versus-right comparison
  • Useful for bilateral or widespread symptoms
  • Save £49 versus two separate scans
  • One appointment, one report
Book Both Shoulders · £299
What is included

What a Shoulder & Upper Arm Ultrasound Includes

A shoulder ultrasound is a systematic, structure-by-structure examination of everything that commonly causes shoulder pain, extended down into the upper arm. Because it is performed live, the clinician can move your arm and watch the tendons glide, which is how impingement and subtle cuff problems are picked up.

Rotator cuff tendons

The four rotator cuff tendons, supraspinatus, infraspinatus, subscapularis and teres minor, are examined along their length for full-thickness and partial tears, tendinopathy and calcific deposits. The supraspinatus, the most commonly injured, is assessed in detail.

Long head of biceps tendon

The biceps tendon is checked within its groove for tenosynovitis, partial tearing and subluxation, a frequent and often-missed cause of pain at the front of the shoulder.

Subacromial–subdeltoid bursa

The bursa that sits under the acromion is assessed for fluid, thickening and inflammation (bursitis), and watched during movement for impingement as the arm is raised.

Acromioclavicular (AC) joint

The AC joint at the top of the shoulder is examined for osteoarthritis, joint swelling and capsular changes, a common source of pinpoint pain over the tip of the shoulder.

Shoulder & upper arm soft tissues

The scan extends into the upper arm to assess muscles, tendons and any soft-tissue lumps or swellings, and to explain pain that radiates down the arm from the shoulder.

Dynamic assessment & your report

Your arm is moved through range so structures are seen in motion, something a static MRI cannot show. Findings are explained on the day, with a full written report and images within 24 hours.

What ultrasound sees best, and where MRI adds value. Shoulder ultrasound is excellent for the rotator cuff, biceps, bursa, AC joint and surrounding soft tissue, and it is the only common test that shows the shoulder moving. Some deeper structures, the labrum, the bone itself and the deep glenohumeral joint, are better assessed on MRI. If your scan suggests a problem that needs it, we will tell you clearly and advise on the right next step.

What the scan finds

What’s Causing Your Shoulder Pain, and What the Scan Finds

Shoulder pain is a symptom, not a diagnosis. An ultrasound is designed to identify the specific structural cause so you know what you are dealing with and what to do next. These are the conditions it detects most often.

Rotator cuff tear or tendinopathy

The most common cause of shoulder pain in adults over 40. Ultrasound reliably shows full-thickness and partial tears, and degenerative tendinopathy, and helps decide between physiotherapy, injection or surgical referral.

Shoulder impingement

Pinching of the cuff and bursa under the acromion as you lift the arm. Because ultrasound is dynamic, impingement can be reproduced and seen in real time, a key advantage over MRI.

Subacromial bursitis

Inflammation and fluid in the bursa beneath the acromion, a frequent cause of painful arc and night pain. Often treatable with an ultrasound-guided injection once confirmed.

Frozen shoulder (adhesive capsulitis)

Ultrasound can support the diagnosis by showing thickening around the joint and rotator interval and ruling out a cuff tear that mimics it. It also helps guide treatment such as a hydrodistension or injection.

Calcific tendinitis

Calcium deposits within the rotator cuff tendons causing acute or chronic pain. Ultrasound both detects the deposits and can guide barbotage or injection where appropriate.

Biceps & AC joint problems

Long head of biceps tendinopathy, tears or subluxation, and acromioclavicular joint arthritis, two common causes of front-of-shoulder and top-of-shoulder pain that the scan targets directly.

Shoulder or upper-arm lumps

A lump or swelling around the shoulder can be characterised on ultrasound, for example a lipoma, ganglion or bursal swelling, with onward MRI or referral advised if anything looks indeterminate.

Sports & overuse injuries

Throwing, racket, gym and contact-sport injuries to the cuff, biceps and surrounding soft tissue, assessed dynamically so you get a clear return-to-activity picture.

Post-injury & second opinion

After a fall or dislocation, or when symptoms have not settled, ultrasound gives a fast, focused answer and a report you can take to a physiotherapist or surgeon.

Seek urgent medical care, not a routine scan, if your shoulder pain follows significant trauma with obvious deformity, if you cannot move the arm at all, or if pain is accompanied by chest pain, breathlessness, fever, a hot swollen joint, or numbness and weakness spreading down the arm. Contact your GP, NHS 111, or attend urgent care or A&E as appropriate.

Choosing the right scan

Shoulder Ultrasound vs MRI vs CT: Which Is Best?

For most shoulder pain, ultrasound is the recommended first-line test. It images the rotator cuff and tendons at high resolution, shows the shoulder in motion, is quick and comfortable, and lets the clinician explain findings on the spot. MRI and CT have their place for specific problems. Here is how they compare.

Shoulder ultrasound vs MRI vs CT at a glance

What you need to see Ultrasound MRI CT
Rotator cuff tears & tendinopathyBest first-lineAlso accurateLimited
Impingement while you moveOnly test that shows itNo (static)No
Biceps tendon & bursaExcellentGoodLimited
Calcific deposits & guided injectionDetects & guides liveDetectsDetects
Labrum & deep jointLimitedBestWith arthrogram
Bone & complex fracturesNoMarrowBest
RadiationNoneNoneUses X-rays
Results explained same visitYesUsually laterUsually later
Best first test for most shoulder painUltrasound

In short: a shoulder ultrasound is the best starting point for the rotator cuff, tendons, bursa and soft tissue, and it is the only routine test that shows the joint moving. If the scan points to a labral, bony or deep-joint problem, we will explain that an MRI or CT is the better next step, so you are never sent for imaging you do not need.

Your appointment

How to Prepare for Your Shoulder Ultrasound

There is nothing to do beforehand: no fasting, no full bladder, no medication changes. The scan is gentle and painless, and you can drive and return to your day straight afterwards.

When you bookTell us

Say which shoulder, and bring your history

Let us know whether it is one shoulder or both, and mention any injury, previous scans, injections or surgery. Choose the both-shoulder scan if both sides are symptomatic or a comparison would help.

On the dayWear

Wear a vest or sleeveless top

We need easy access to the shoulder and upper arm, so a vest, sleeveless top or a loose top that can be moved off the shoulder is ideal. There is no fasting and no special preparation.

BringReports

Bring any previous imaging

If you have earlier X-ray, ultrasound or MRI reports for the shoulder, bring them so the clinician can read today’s findings in context. A female clinician can be requested at booking, subject to availability.

DuringMove

Expect to move the arm

Warm gel is applied and the shoulder is scanned from several angles. You will be asked to move the arm so the clinician can watch the tendons and bursa in motion. This dynamic assessment is a key part of the examination.

Why us

Why People Choose London Private Ultrasound for Their Shoulder Scan

Shoulder scans are widely advertised and prices vary. What matters underneath is who performs and reports the scan, whether the assessment is dynamic, how quickly you get your report, and whether treatment can follow in the same place. These are the things worth comparing before you book anywhere.

MSK-specialist clinicians

Your shoulder is scanned and reported by clinicians with specialist musculoskeletal expertise, a consultant-led team combining orthopaedic surgery, MSK ultrasound and radiology, not a general appointment.

Dynamic, real-time assessment

We image the shoulder moving, so impingement and subtle cuff problems are reproduced and seen live. This is the single biggest advantage ultrasound has over a static MRI for the shoulder.

Results the same day

Findings are explained in the room, and a full written report with images follows within 24 hours, ready to share with your GP, physiotherapist or surgeon.

No referral, no waiting

Self-refer directly, with same-day and next-day shoulder appointments often available. Bring any previous imaging and we will factor it into your report.

Harley Street, seven days a week

A CQC-registered clinic at 27 Welbeck Street in the Harley Street Medical District, plus St Albans for Hertfordshire, open 9am to 7pm every day. Established 2012, rated 4.8 across more than 1,200 reviews.

Book online

Book Your Private Shoulder Ultrasound

£199 for one shoulder, £299 for both, with your findings explained on the day and a full written report within 24 hours. Same-day and next-day appointments are often available at both clinics, seven days a week. Call 020 7101 3377 if you would like to talk it through first, or to request a female clinician.

Related services

The MSK appointments that most often go before, with, or after a shoulder ultrasound.

Both Shoulders Ultrasound

Both sides scanned in one visit, with a direct left-versus-right comparison. Best for bilateral symptoms, and saves £49 versus two separate scans.

Ultrasound-Guided Cortisone Injection

If the scan confirms bursitis, impingement or a painful soft-tissue problem, a precision injection placed under live ultrasound can often be arranged for faster relief.

Elbow Ultrasound Scan

For tennis or golfer’s elbow, biceps or triceps tendon problems and elbow soft-tissue pain, often relevant when shoulder pain radiates down the arm.

Sports Injury Ultrasound

Focused imaging of a sports or overuse injury, with dynamic assessment and a clear return-to-activity picture for the shoulder and beyond.

Knee & Hip Ultrasound

Assessment of tendons, bursae and soft tissue around the knee or hip, useful when more than one joint is involved or symptoms are widespread.

One-Stop Orthopaedic & MSK Clinic

Scan, specialist review and treatment in a single pathway when you want to move from diagnosis to a plan as quickly as possible.

Find us

Shoulder Ultrasound Near Me: Central London and St Albans

Two clinics, seven days a week, 9am to 7pm, with same-day and next-day shoulder appointments frequently available. Both run the full £199 shoulder scan (£299 both shoulders) with MSK-specialist clinicians and the written report within 24 hours.

London Private Ultrasound clinic at 27 Welbeck Street in the Harley Street Medical District, Central London

Central London: Harley Street Medical District

27 Welbeck Street, London W1G 8EN

Two minutes from Bond Street (Elizabeth line, Central, Jubilee), five from Oxford Circus, eight from Marylebone and Baker Street. Convenient for patients travelling in from Mayfair, Fitzrovia, Marylebone, Soho, the City and Paddington, and searches for a shoulder ultrasound on Harley Street.

020 7101 3377 · Get directions

London Private Ultrasound clinic, St Albans, Victoria Street

St Albans: Hertfordshire

54–56 Victoria Street, St Albans AL1 3HZ

A short walk from St Albans City station, with parking nearby. Convenient for patients across Hertfordshire and North London, including Watford, Hatfield, Harpenden, Radlett and Welwyn Garden City.

Contact the clinic · Get directions

Accredited · Regulated · Trusted

Registered & Regulated

Your shoulder scan sits within a CQC-registered pathway, performed and reported by clinicians on the UK’s professional registers.

Care Quality Commission

Independent regulator of health and adult social-care services in England.

General Medical Council

Official register and professional standards for doctors, including our orthopaedic and medical team.

Health & Care Professions Council

Statutory register for sonographers, radiographers and allied MSK clinicians in the UK.

Royal College of Radiologists

Professional standards for radiology, reflected in our MSK-radiology reporting.

British Medical Ultrasound Society

Professional standards, education and guidance for medical ultrasound practice.

4.8Google Rating
1,200+Verified Reviews
35,000+Patients Served
2012Harley Street Est.
Who you will see

Meet the MSK Team Behind Your Shoulder Scan

A consultant-led musculoskeletal team combining orthopaedic surgery, specialist MSK ultrasound, and musculoskeletal radiology. The clinician who scans you explains your findings, and can arrange treatment where it is needed.

Mr Peyman Bakhshayesh, Consultant Trauma and Orthopaedic Surgeon at London Private Ultrasound

Mr Peyman Bakhshayesh

Principal Consultant · Trauma & Orthopaedic Surgeon

MD · PhD · MBA · multi-joint specialist · ultrasound-guided procedures, PRP & regenerative medicine

Mr Paul Watson, Lead MSK Consultant Clinician at London Private Ultrasound

Mr Paul Watson

Lead MSK Consultant Clinician

NMP · DipMSK · DFSEM · CSP · HCPC · MSK ultrasound & ultrasound-guided injection therapy

Mr Pedram M. Aghaei, Ultrasound Consultant at London Private Ultrasound

Mr Pedram M. Aghaei

Co-founder & Ultrasound Consultant

MD · Clinical Vascular Scientist · BMUS · SoR · MSK and Doppler imaging

Dr Reza Salehi, Musculoskeletal Radiology Doctor at London Private Ultrasound

Dr Reza Salehi

Musculoskeletal Radiology

MBChB · FRANZCR · MSK radiology reporting · extensive private-practice experience

Dr Adil Naeem, Musculoskeletal Radiology Doctor at London Private Ultrasound

Dr Adil Naeem

Musculoskeletal Radiology

MBChB · FRANZCR · MSK radiology reporting · extensive private-practice experience

Dr Babak Soleimanpour, Medical Director and GP at London Private Ultrasound

Dr Babak Soleimanpour

Medical Director & GP

MD · MRCGP · DRCOG · GMC 6060555 · overall clinical governance

Questions

Shoulder Ultrasound Scan: Frequently Asked Questions

Written and reviewed by our MSK clinical team, answering the questions we are asked most often.

How much does a shoulder ultrasound cost in London?

At London Private Ultrasound a shoulder ultrasound is £199 for one shoulder and £299 for both, all-inclusive, at our Central London (Harley Street Medical District) and St Albans clinics. There are no added fees. The price covers an MSK-specialist appointment, a full assessment of the rotator cuff (all four tendons), the long head of biceps, the subacromial bursa, the AC joint and the upper-arm soft tissues, a dynamic movement assessment, same-day verbal results and a full written report within 24 hours, shared with your GP or specialist on request.

Across the UK, private shoulder ultrasound scans typically advertise from around £130 to £300. The difference usually comes down to who performs and reports the scan, whether the assessment is dynamic, and what is included, so it is worth comparing like for like. Booking both shoulders together at £299 saves £49 versus two separate single-shoulder appointments.

Can an ultrasound detect shoulder problems, and what will it show?

Yes. Shoulder ultrasound is the recommended first-line scan for most shoulder pain. It shows the rotator cuff tendons, the long head of biceps, the subacromial–subdeltoid bursa, the acromioclavicular joint and the upper-arm soft tissues in high resolution and in real time.

It reliably identifies rotator cuff tears and tendinopathy, shoulder impingement, subacromial bursitis, calcific tendinitis, biceps tendon problems, AC joint arthritis and soft-tissue lumps. Because it is dynamic, it can reproduce and show problems that only appear when you move the arm.

Is MRI or ultrasound better for the shoulder?

For the rotator cuff, biceps tendon, bursa and soft tissue, high-resolution ultrasound is considered comparable to MRI in experienced hands, and it has one advantage MRI does not: it images the shoulder moving, which is how impingement and some subtle cuff problems are best seen.

MRI is better for the labrum, the bone and marrow, and the deep glenohumeral joint. In practice, ultrasound is the ideal first test for most shoulder pain, and if the findings suggest a labral, bony or deep-joint issue, an MRI is the right next step. We will tell you clearly if that applies to you.

Is a shoulder ultrasound or CT scan better?

For soft tissue, ultrasound is the better test. It shows the rotator cuff, biceps tendon, bursa and other soft tissues in high resolution and in real time, with no radiation. A CT scan uses X-rays and is best for bone, complex fractures and surgical planning, not for tendons.

So if your problem is a suspected cuff tear, impingement, bursitis or tendon pain, a shoulder ultrasound is the right first scan. CT is usually reserved for bony injuries, often after an X-ray, and we will tell you if that is the better route for you.

Can a shoulder ultrasound show cancer?

Ultrasound is not a cancer screening test, but it can detect and characterise lumps and masses around the shoulder and upper arm, for example a lipoma, ganglion or bursal swelling, and can raise suspicion of a soft-tissue tumour that needs further assessment.

If a lump has indeterminate or concerning features, the clinician will advise onward MRI and specialist referral, as a definitive diagnosis of cancer usually requires MRI and a biopsy. Ultrasound is a useful, radiation-free first look, not the final word.

Can ultrasound detect a rotator cuff tear?

Yes. High-resolution ultrasound is highly accurate for rotator cuff tears and can distinguish full-thickness tears, partial-thickness tears and degenerative tendinopathy, as well as calcific deposits within the tendons.

For full-thickness supraspinatus tears in particular, ultrasound performed by an experienced clinician has sensitivity and specificity comparable to MRI, with the added benefit of a dynamic assessment during movement.

Does the scan cover the upper arm too?

Yes. This is a shoulder and upper-arm ultrasound. As well as the shoulder joint structures, the scan assesses the upper-arm muscles, tendons and soft tissue, and any lumps or swelling in that area.

This matters because shoulder problems often refer pain down the arm, and pain that feels like it is in the upper arm can originate at the shoulder. If your pain is centred at the elbow, wrist or hand instead, an elbow or hand-and-wrist scan may be more appropriate. Ask us and we will guide you.

Can ultrasound diagnose frozen shoulder?

Frozen shoulder (adhesive capsulitis) is largely a clinical diagnosis, but ultrasound helps in two important ways. It can show supportive signs such as thickening at the rotator interval and around the joint, and just as importantly it can rule out a rotator cuff tear or other problem that can mimic a frozen shoulder.

Ultrasound can also guide treatment, such as an ultrasound-guided injection or hydrodistension, if that is the plan. We will explain the findings and the options on the day.

Does the NHS do a shoulder ultrasound?

The NHS does offer shoulder ultrasound, but usually only after a GP referral and often with a wait for the appointment and then the report.

A private shoulder ultrasound is for people who want a fast, specialist answer, frequently the same or next day, with results explained in the room and a written report they can share with their GP, physiotherapist or surgeon. No GP referral is required to book with us.

How long does a shoulder ultrasound take?

Allow about 20 to 30 minutes for a single shoulder, or a little longer if both shoulders are being scanned. Your findings are explained straight after the scan, and the full written report follows within 24 hours.

Do I need a GP referral for a private shoulder ultrasound in London?

No. You can self-refer and book directly online, by phone on 020 7101 3377, or on WhatsApp, with same-day and next-day appointments often available at both clinics.

If you have previous X-ray, ultrasound or MRI reports for the shoulder, bring them so the clinician can read today’s findings in context.

Is a shoulder ultrasound painful, and how is it done?

It is painless and non-invasive. Warm gel is applied to the skin and the clinician moves a small probe over the shoulder and upper arm, viewing the structures on screen. There are no needles and nothing internal.

You will be asked to move your arm during the scan so the tendons and bursa can be watched in motion. If a movement is uncomfortable because of your symptoms, tell the clinician and they will adapt.

When will I get my shoulder scan results?

You get verbal results the same day: the clinician explains what they have found immediately after the scan and answers your questions. A full written report with images follows within 24 hours.

On request, we can share the report directly with your GP, physiotherapist or specialist to speed up your next step.

Can you do a child’s shoulder scan?

Ultrasound is radiation-free and can be appropriate for children in the right circumstances, for example after an injury or for a soft-tissue concern. Please call us on 020 7101 3377 first so we can confirm suitability and arrange the right appointment.

Do you do a shoulder ultrasound near me in London?

London Private Ultrasound has two clinics. Central London is at 27 Welbeck Street, W1G 8EN, in the Harley Street Medical District, a short walk from Bond Street, Oxford Circus and Marylebone. St Albans is at 54–56 Victoria Street, AL1 3HZ, serving Hertfordshire and North London.

Both offer the £199 shoulder scan (£299 both shoulders), seven days a week, 9am to 7pm, with MSK-specialist clinicians and same-day and next-day appointments often available.

Can the scan guide a cortisone injection for shoulder pain?

Yes. If the scan confirms a treatable problem such as subacromial bursitis, impingement or a painful tendon, an ultrasound-guided cortisone injection can often be arranged. Placing the injection under live ultrasound means it is delivered accurately to the right spot.

Our one-stop orthopaedic and MSK clinic can take you from scan to treatment quickly where that is the right plan.

Medical disclaimer. This page is general information and does not replace individual medical advice. A shoulder ultrasound is highly accurate for the rotator cuff, tendons, bursa and soft tissue, but image quality and interpretation depend on the clinical picture, and some structures (the labrum, bone and deep joint) are better assessed on MRI. Findings and any recommended next steps are explained on the day and set out in your written report. Seek urgent medical care rather than a routine scan if your shoulder pain follows significant trauma with deformity or inability to move the arm, or comes with chest pain, breathlessness, fever, a hot swollen joint, or spreading numbness or weakness. Contact your GP, NHS 111, or attend urgent care or A&E as appropriate.

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