Injection therapy is an effective way of reducing pain and improving function for many conditions like osteoarthritis. We provide gold standard care by using latest ultrasound technology to guide the injection to the exact target which not only makes the procedure more comfortable but improves the outcome.

For many years, cortisone was used in injections because of its powerful anti-inflammatory effects but are now used far more sparingly because of concerns about side effects. As an alternative, Hyaluronic Acid (HA), a naturally occurring substance found in normal joints and tissues, can be injected without any concerns of harmful side effects and this treatment has been shown reduce pain and stiffness and allow increased movement and activity. This is now used widely in helping to treat the older active population as well as in sports medicine where it is used among elite footballers, cricketers etc. The benefit from injection treatment is enhanced with exercise and your physiotherapist will ensure this is integrated carefully in order to achieve the best possible outcome.

Injection therapy can be beneficial for all synovial joints, including

  • Hip
  • Knee
  • Ankle
  • Shoulder
  • Thumb
  • Big Toe

There are some cases where the use of cortisone is helpful (e.g. calcific tendinitis, acute bursitis, tenosynovitis) but this will be considered carefully with you, your physio and your doctor. Your physio will liaise with your GP about this in order to obtain the necessary medicines.

Principal physio Paul Hattam leads this service and has many years of experience of using injection therapy as well as teaching the subject to doctors and physiotherapists both in the UK and overseas.

Please note that we are unable to offer an injection as part of an initial consultation. One of our team will have to comprehensively assess your injury and make the suitable arrangements for an injection (prescription, etc) should this be indicated.