Precise, rapid pain relief—what you need to know about steroid and hyaluronic acid injections, and how Physio On The Green can help
What Is Injection Therapy?
Injection therapy uses ultrasound guidance to deliver medication directly into a painful joint, tendon sheath or bursa. By combining a detailed clinical assessment with real-time imaging, we ensure the needle tip is placed with millimetre precision—maximising benefit and minimising risk.
The Four-Step Process
1. Assessment – Take your full history and perform musculoskeletal screening to decide if imaging-guided injection is appropriate.
2. Diagnostic Ultrasound – Visualise the exact pain driver (e.g., inflamed bursa or tendon).
3. Report of Findings – Discuss scan results and a tailored management plan (may combine physio + injection).
4. Injection & Follow-up – Discuss benefits/risks, obtain consent, perform the injection, provide aftercare advice and schedule a check-in appointment.
Types of Injections
1. Steroid Injections
What they are: Synthetic versions of your body’s anti-inflammatory compounds.
Benefits:
– Rapid reduction in pain & swelling
– Effective for inflamed joints, chronic tendon sheaths or arthritis
Onset & Duration: Begin to work in 3–5 days, with full effect up to 2 weeks.
Price: £250
2. Hyaluronic Acid Injections
We offer two leading products:
– Ostenil Plus (£320): Hyaluronic acid + mannitol for enhanced joint lubrication & sustained relief.
– Durolane (£335): High-molecular-weight hyaluronic acid for shock absorption & improved function.
Also available: Sinovial (£335) and Arthrosamid (contact clinic).
Who Can Benefit?
Injection therapy is suited to people with:
– Osteoarthritis or joint effusion
– Tendinopathy (e.g., Achilles, IT band)
– Bursal inflammation (e.g., subacromial, trochanteric)
– Baker’s cyst, ganglion cysts, and more.
Risks & Aftercare
Common side effects:
– Mild discomfort for 24–48 hrs
– Rare steroid flare (25% of cases), skin changes (2–4%), infection (1 in 25,000)
Aftercare tips:
– Avoid strenuous activities for 7–10 days
– Use paracetamol if needed; avoid NSAIDs to maximise injection efficacy
– Apply ice or heat as desired
– Arrange transport home on the day of your injection.
Why Choose Physio On The Green?
– Extended Scope Practitioners with prescribing rights and specialist sonography training
– Self-referral directly into our injection service—no GP wait required
– Integrated care: follow-up physio programmes to optimise long-term outcomes
– Central London clinic with a welcoming, community-driven ethos.
Ready to find lasting pain relief?
Contact us today to see if injection therapy is right for you:
📞 0207 870 0313
✉️ info@physioonthegreen.com
or Book Online
Your Health, Our Priority.