Joint & Soft Tissue Injection Therapy

Steroid Injections

  • Purpose: Reduces inflammation to relieve pain, improve movement, and enable recovery through exercise.
  • How It Works:
    • Steroids break the pain-inflammation cycle.
    • Usually combined with a local anaesthetic for immediate relief.
  • When to Expect Results:
    • Local anaesthetic works within minutes.
    • Steroid effects begin within 2–3 days and peak in 2–3 weeks.
  • Duration of Effect:
    • Varies depending on the condition and lifestyle.
    • Can last from a few weeks to several months.
    • Some chronic conditions (e.g., arthritis) may require ongoing management.
  • Aftercare Instructions:
    • Rest the injected joint for 48 hours.
    • Avoid high-impact or repetitive movements for 2 weeks.
  • Booking an Appointment:
    • If diagnosed by another clinician: send your report; pre-injection questionnaire required.
    • If undiagnosed: an initial assessment with a clinician is necessary – One of our Addlestone Physiotherapists, Osteopaths or Chiropractors can refer you directly to our Injection Specialist.
Conditions Treated with Steroid Injections:
  • Shoulder (impingement, AC joint, arthritis, frozen shoulder)
  • Thumb arthritis (1st CMCJ)
  • Trigger finger
  • De Quervain’s tenosynovitis
  • Carpal tunnel syndrome
  • Finger joint arthritis
  • Hip bursitis and tendinopathies (trochanteric, gluteal, ischial)
  • Knee joint issues
  • Pes anserine bursitis
  • Ankle joint pain
  • Big toe arthritis (1st MTPJ)
  • Morton’s neuroma
  • Plantar fasciitis
  • Note: Spinal or coccyx injections are not performed.

Available instore only transactions over £300

Hyaluronic Acid / Visco-Supplementation Injections

What It Is:
  • Injections of hyaluronic acid (e.g., Ostenil Plus, Durolane) into synovial joints (e.g., knee, hip, shoulder).
  • Helps restore lubrication and shock absorption lost due to osteoarthritis.
How It Helps:
  • Protects joint cartilage, reduces pain, improves joint function.
  • Ostenil Plus contains mannitol to prolong effectiveness.
When to Use:
  • Best when pain is related to activity.
  • If joint is inflamed even at rest, a steroid injection may be needed first, followed by hyaluronic acid later.
Duration and Repeatability:
  • Effects last several months.
  • Safe to repeat when the effect wears off.
Side Effects: No known serious side effects.

Available instore only transactions over £300