Injection Therapy

ABOUT INJECTION THERAPY

Precise, Pain Relief

The ultrasound guided injection service at Physio On The Green is part of our ambition to become a centre of clinical excellence. In the 21st century patients want speed of access to quality services to address pain from injury and inflammation. Current and prospective patient’s can directly self-refer into the service. Please contact us to know if an injection may be suitable for you.

INJECTION PROCESS

Assessment | Scan | Report | Injection

Clinical Assessment

In your initial consultation we will take a detailed history of your presenting condition. This will guide our musculoskeletal screening, where we will perform a battery of tests to help with diagnosing your condition. This will guide the process as to where to conduct our diagnostic ultrasound.

Accurate Diagnostic Ultrasound

Clinical evidence suggests that diagnostic ultrasound alongside our clinical assessment enhances our clinical decision making in making a more accurate diagnosis. In using diagnostic ultrasound we can potentially illustrate the pain driver with your condition.

Report of Findings

Your assessing clinician will be able to provide a detailed report of the findings from both your ultrasound scan and musculoskeletal assessment. A management plan will be discussed with you, this may include physiotherapy interventions alongside injection therapy to get the optimum results.

Injection Therapy

If clinically indicated an injection may be indicated. The potential benefits and risks will be discussed with you for you to make an informed decision. if consent is gained, a ultrasound guided injection will be performed. Aftercare advice will be provided to you and a follow up appointment will be arranged to check your progress.

INJECTIONS PRODUCTS

Each Injection Plays an Individual Role

We specialise in advanced ultrasound-guided techniques, utilising precision-driven procedures to deliver the highest standard of care. Our expertise in real-time imaging allows us to perform targeted interventions with exceptional accuracy, enhancing treatment effectiveness while minimising risks. By combining cutting-edge technology with refined clinical skill, we ensure each procedure is conducted with meticulous precision, offering patients a safer, more effective approach to diagnosis and treatment.

Steroid Injection

Steroid injections are a synthetic version of the bodies own anti-inflammatory ingredients. Injecting directly into a painful region can help reduce pain, swelling and swelling. Steroid injections are also a treatment for inflamed joints, tendon sheaths and chronic joint pain conditions

£250

Ostenil Plus

Ostenil Plus is a hyaluronic acid solution developed specifically for the treatment of osteoarthritis. The addition of Mannitol in the solution increases the efficiency and elongates the benefits of Ostenil Plus within the joint.

£320

Sinovial

Sinovial injections use patented technology to provide joints with shock absorbing and lubricating properties that mimic those of natural joint fluid (synovial fluid), increasing mobility and reducing pain.

£335

Durolane

A Durolane injection is a purified form of hyaluronic acid and used to treat osteoarthritis. Durolane can provide increased shock absorption and lubricating the affected joint. Therefore reducing pain and increasing your function.

£335

Arthrosamid

Arthrosamid® offers knee osteoarthritis patients a new treatment option. This non-biodegradable hydrogel, injected into the knee, cushions the joint and reduces pain effectively. An Arthrosamid® injection can improve the pain and stiffness of knee osteoarthritis for up to 3 years.

Contact Clinic for Further Details

INJECTION PROCEDURES

The answers to your most frequent questions

We offer cutting-edge ultrasound-guided procedures, delivering precise, safe, and highly effective treatments for a wide range of conditions. By harnessing real-time imaging, our skilled clinicians achieve unparalleled accuracy, ensuring targeted interventions that enhance treatment outcomes while reducing risks. This advanced approach allows us to diagnose and treat with confidence, offering patients the highest standard of care and precision in musculoskeletal medicine.

Advanced Procedure

Our advanced ultrasound-guided procedures represent the pinnacle of precision and innovation in musculoskeletal care. Utilizing state-of-the-art imaging technology, we perform highly targeted interventions with exceptional accuracy, ensuring safer, more effective treatments. These techniques allow us to diagnose and treat a wide range of conditions with minimal invasiveness, reducing risks and enhancing patient outcomes.

£280

Shoulder Hydrodilatation

Regain shoulder mobility and find relief from the pain of frozen shoulder with our advanced ultrasound-guided procedure. Using real-time imaging, we precisely administer fluid into the joint capsule to gently break up adhesions, stretch the capsule, and restore movement. This technique is designed to improve flexibility, reduce discomfort, and help you regain a full, pain-free range of motion.

£280

Barbotage

Our advanced ultrasound-guided barbotage technique enhances the precision of fine-needle manipulation and aspiration to break down and remove calcifications. This highly targeted approach improves the effectiveness of treatment, promoting natural healing while ensuring accurate diagnosis and optimal patient outcomes.

£280

Joint Aspiration

Effectively eliminate excess joint fluid with unparalleled precision using advanced ultrasound-guided techniques. By utilising real-time imaging, we ensure accurate fluid removal, enhancing safety and minimising the risk of complications compared to traditional blind methods. This approach provides a more targeted, efficient, and comfortable experience for patients.

£280

Baker Cyst Aspiration

Alleviate pain and discomfort caused by fluid accumulation behind the knee with our advanced ultrasound-guided aspiration for Baker’s cysts. This precise technique allows for safe and effective fluid removal, reducing swelling, enhancing mobility, and restoring comfort with minimal risk.

£280

Ganglion Aspiration

Effectively treat ganglion cysts with advanced ultrasound-guided aspiration. This precise technique ensures accurate fluid removal, helping to collapse the cyst, relieve pain, and restore function with minimal discomfort and risk.

£280

Injection Therapy is... Targeted Precise Pain Relief

AREAS & CONDITIONS WE INJECT

We Cover Multiple Areas and Joints

What areas and conditions do you inject?

Injection therapy can be used to treat various conditions of joints, tendons, bursae and other regions.

Plantar fascia

Morton’s neuroma / Bursa complex

Tibialis posterior tendon sheath

Achilles tendon sheath

Joint Injection (Osteoarthritis/ Joint Effusion)

Illiotibial Band (ITB) Syndrome

ITB bursa

Bakers Cyst (aspiration)

Femoral Acetabular Joint Injection

Greater Trochanter Busra

Subacromial Joint Injection

Subacromial Bursa

Acromioclavicular (AC) Joint

Hydrodilatation (Frozen Shoulder)

Tennis or Golfer’s Elbow

De Quervain’s Tenosynovitis

Trigger Finger/Thumb

Carpal Tunnel Syndrome

Olecranon Bursa

Wrist & Hand Injections for Injections

Intersection Syndromes

FREQUENTLY ASKED QUESTIONS

The answers to your most frequent questions

Will i feel discomfort with my injection?

Some people may experience some discomfort for 24-48 hours following an injection. If you do experience an abnormal reaction this please contact us on 0207 870 0313

How long does it take for the injection to take affect?

All our injections play different roles in the management of your condition.

How long should i stay off sporting activities?

For the injection to have the optimum benefits, we suggest no sporting activities for up to 7-10 days, and to ease yourself back in gradually.

CAN I DRIVE FOLLOWING AN INJECTION?

Although you should not experience pain following an injection that would impede someones driving, it is recommended that someone drives you home or take public transport as an alternative.

CAN I TAKE PAIN RELIEF MEDICATION?

If desired you can take normal pain relief medication such as Paracetamol. However, we suggest you do not take anti-inflammatories. You may place an ice or heat pad on the desired area should you wish.

How long do steroid injections take to work?

Evidence suggests that it take between 3-5 days before the steroid injection starts to work. They work by reprogramming our body cells to stop producing inflammatory cells at the site of the injection, allowing our body to produce its own anti-inflammatory mechanism. The full effects of the injection may not be felt up to 1-2 weeks post injeciton.

Are there any side effects from the injection?

Although side effects are very rare, they may include:

Steroid flare: this can occur in 25% of patients, where the area becomes red, swollen and painful. Use anti-inflammatory medication such as Ibuprofen.
Bleeding: although rare this should stop with pressure and a plaster.
Skin Changes: this is very rare, 2-4% of patients may experience pigment changes and photosensitivity of the injection site.
Infection: this is rare and may occur in 1 in 25,000 patients.

If you require serious medical attention please attend your local A&E department.

Meet Our Team

Dan is a highly decorated and accomplished physiotherapist. He has undertaken extra qualifications to earn the title of an extended scope practitioner.

Dan is also a Musculoskeletal (MSK) Sonographer, and Independent Prescriber, working one day a week within an NHS radiology clinic and an active part of the multidisciplinary team for ultrasound constantly working on his expertise in ultrasound diagnostics and injection therapy.

Stephen Garvey

Director | Physiotherapist | Extended Scope Practitioner

Lee Barnes

Clinical Lead Physiotherapist | Extended Scope Practitioner

Dan Boyd

Physiotherapist | Bike Fit Expert | Extended Scope Practitioner