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
The injection therapy indicated for you, will be specifically based on the desired outcome. All of our injections are ultrasound guided to give you accurate and targeted pain relief. For example, a steroid injection may be used for pain and inflammation relief. While those suffering from osteoarthritis joint pain may benefit from a hyaluronic acid based products. The treatment recommended and provided will be catered specifically for your condition.
Steroid Injection
Advanced Procedure
Ostenil Plus Injection
Durolane Injection
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.
Dan Boyd
Physiotherapist | Bike Fit Expert | Extended Scope Practitioner
