Shoulder

Shoulder pain that physical therapy has not fixed.

Rotator cuff problems, bursitis, frozen shoulder and shoulder arthritis — assessed with dynamic ultrasound rather than guessed at.

Request an appointment Insurance & cost

Why the shoulder needs ultrasound

The shoulder is the most mobile joint in the body, and most of what goes wrong with it involves soft tissue that behaves differently when it moves. A static MRI can show a partially torn tendon; it cannot show you the tendon catching under the acromion when you lift your arm. Dynamic ultrasound can, in real time, in the room.

That matters because shoulder problems are commonly treated by category rather than by diagnosis — an injection into the general area, months of generic strengthening — when the specific structure involved dictates whether an injection, a regenerative treatment, shockwave or a change of therapy programme is the right next step.

What we see

Shoulder problems we treat

  • Rotator cuff tendinopathy and partial-thickness tears
  • Subacromial bursitis and impingement
  • Adhesive capsulitis — frozen shoulder
  • Glenohumeral and AC joint osteoarthritis
  • Biceps tendon pain at the front of the shoulder
  • Shoulder pain that turns out to be referred from the neck

How it works

How we assess a shoulder

  1. 01

    Examination and movement testing

    Which movements hurt, and in which arc, separates cuff problems from joint problems from referred neck pain.

  2. 02

    Dynamic ultrasound

    We watch the tendons and bursa move. Impingement, tears and inflammation are visible directly rather than inferred.

  3. 03

    Guided injection where indicated

    Placed under ultrasound into the specific space involved — subacromial bursa, joint or tendon sheath — rather than by landmark.

  4. 04

    Rebuild the mechanics

    A shoulder that has hurt for months has changed how it moves. Relief without retraining tends not to last.

Treatment options

Ultrasound-guided injection

Subacromial, glenohumeral or AC joint, placed precisely under real-time imaging.

Learn more

Platelet-rich plasma

For rotator cuff tendinopathy and partial tears where the aim is tendon healing rather than short-term anti-inflammation.

Learn more

SoftWave therapy

Non-invasive treatment for chronic rotator cuff and calcific tendon pain.

Learn more

Hydrodilatation for frozen shoulder

Guided distension of the joint capsule to restore range of movement.

Learn more

In their words

Patients treated for this

5.0 from 217 Google reviews
★★★★★
The staff is amazing and always friendly. After just a couple treatments, my shoulder is feeling better. Definitely recommend to anyone with back or joint pain.
Ryan Baughman
★★★★★
I recently visited the Ponte Vedra Spine and Pain Center for shoulder pain and was extremely pleased with the entire experience. From the moment I walked in, the staff made me feel welcome — friendly, accommodating, and genuinely attentive. Dr. Loch was outstanding. He took the time to listen, was warm and personable, and explained everything clearly and thoroughly. I left feeling heard and confident in my treatment. If you’re dealing with orthopedic pain issues, I highly recommend this practice.
Carol Vergilis
★★★★★
Dr Loch is extremely dedicated to his Patients needs. He asks about the results of the prior spinal injections,, and then modifies the next treatment, resulting in a better pain management outcome. I’m now also going to have Dr. Loch take care of my rotator cuff issues. Nice office, staff and Dr.
Vincent Criscillo
Read all reviews on Google → Synced from Google on 24 July 2026

Questions we get asked

I was told I have a rotator cuff tear. Do I need surgery?
Many partial-thickness and degenerative tears are managed without surgery, and the size of a tear on a scan correlates poorly with how much pain it causes. Full-thickness tears in younger, active people are a different conversation. Dr. Loch will tell you honestly which category you are in.
How many cortisone injections can I have in a shoulder?
Repeated steroid injections into the same tendon are not benign, which is why we do not offer them on a schedule. If a shoulder needs a third injection, the diagnosis or the plan deserves revisiting.
Could my shoulder pain be coming from my neck?
Yes, and it commonly does. Pain across the top of the shoulder and shoulder blade with a normal shoulder examination points that way. We check.

Eliminate pain and reclaim your life.

Request an appointment with Dr. Loch, or call the office at (904) 750-3787. Most patients are seen within a week.

Request an appointment