Shoulder pain is commonly encountered in pain management practices. Although the rotator cuff and the subacromial structures are thought to contribute to the majority of shoulder pain presentations, there are a number of other structures that generate pain. Fortunately, all these structures are easily accessible with office-based procedures, and injections are useful to confirm the diagnosis and provide analgesia. Ultrasound (US) is particularly suited for addressing shoulder problems. The majority of pain-generating shoulder structures can be visualized with basic US equipment. In particular, the superficial tendons such as long head biceps, supraspinatus, and infraspinatus show excellent echogenicity and structural resolution