Corticosteroid injection therapy 

Injection therapy is an extremely effective treatment as part of a physiotherapy programme for conditions such as frozen shoulder, tennis elbow or joint osteoarthritis or it can also be used as a stand alone treatment for conditions such as trigger finger or De Quervains Tenosynovitis (wrist tendon pain).


Steroid injections provide an effective anti-inflammatory and pain relieving treatment directly to the joint or soft tissues causing pain. Clinical specialist physiotherapists carry out the injections using ultrasound guidance to ensure the accuracy of the treatment. Normally, only one injection is required to gain sufficient pain relief and restore normal range of movement.

Hyaluronic Acid (Ostenil) injection therapy

Hyaluronic acid injections are normally used for the treatment of osteoarthritis by reducing pain and improving the function. Research has shown hyaluronic acid injections reduce cartilage erosion and periarticular fibrosis. Patients who are active particularly favour these injections as they work to nourish and lubricate joints mimicking the body’s natural synovial fluid, which generally becomes depleted and less viscous with age.


From one course you can expect relief for 9-12 months. Ostenil (hyaluronic acid) is widely used in sports medicine, and is used by most UK premiership football clubs, rugby clubs, cricket clubs and the British Olympic Association.


The injections can be used on a regular basis if required as they have no known side effects, and they are not known to be detrimental to the body’s tissues in any way. Because of its level of safety,

Hyaluronic acid is classed as a 'medical device' rather than a drug. For optimal affect, chronically swollen joints can be injected first with steroid to reduce inflammation and then injected with hyaluronic acid around 4 weeks later, reducing the need for repeated steroid injections.


All hyaluronic acid injections are delivered with image guidance to maximise their effectiveness.

Ultrasound guided injections 

Current research demonstrates that ultrasound guided injections give better levels of pain relief, give longer lasting effects, and improve the functionality compared with injections that are done without ultrasound guidance (blind/surface marked injections). There is also evidence that it reduces the risk of trauma or misplacement of the needle and/or the injection substance, therefore improving the safety of the injection and reducing the risk of adverse events associated with injection therapy.

Common conditions treated with injection therapy 

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