Our medical team with guide you step by step through any intervention you may require.
Having an injection can be a daunting process for patients. Furthermore, there are now a lot of different agents to choose from all with different advantages and disadvantages. It is important to remember that injections can also be potentially harmful if performed incorrectly, or the wrong agent used.
Our medical team pride themselves in ensuring that patients fully understand the benefits and risks of any procedure. Using the latest techniques, all injections are performed under ultrasound guidance. This ensures that the correct structures are precisely targeted, improving outcomes. Any intervention we performance is always part of a wider rehabilitation plan.
Our doctors perform a range of ultrasound-guided injections with different agents treating tendon, ligament and joint problems to suit individual patient clinical needs.
What are steroids?
Some steroids occur naturally in the human body. Man-made steroids act like natural steroids to reduce inflammation. They’re not the same as the steroids used by body builders to increase their muscle size and strength.
They can be taken as tablets or given as injections into the affected area (a ‘local’ injection). Steroid injections are often recommended for people with joint inflammation and if your joints are very painful. The injection should reduce inflammation, which in turn reduces pain and enables healing and rehabilitation.
Corticosteroid injections are commonly used throughout medical practice and in the NHS. Please see the link below to the NHS website to find out more.
Hyaluronic acid (HA) is a natural component of joint fluid. Hyaluronan injections help to lubricate joints, which reduces inflammation and pain. These injections are sometimes best considered at regular intervals.
Over the past several years, evidence is emerging around a novel preparation, platelet-rich plasma (PRP), and its potential effectiveness in the treatment of injuries.
Many famous athletes — Tiger Woods, tennis star Rafael Nadal, and several others — have received PRP for various problems, such as sprained knees and chronic tendon injuries. These types of conditions have typically been treated with medications, physical therapy, or even surgery. Some athletes have credited PRP with their being able to return more quickly to competition.
What Is Platelet-rich Plasma (PRP)?
Although blood is mainly a liquid (called plasma), it also contains small solid components (red cells, white cells, and platelets.) The platelets are best known for their importance in clotting blood. However, platelets also contain hundreds of proteins called growth factors which are very important in the healing of injuries.
PRP is plasma with many more platelets than what is typically found in blood. The concentration of platelets, and thereby, the concentration of growth factors, can be 5 to 10 times greater (or richer) than usual.
To develop a PRP preparation, blood must first be drawn from a patient. The platelets are separated from other blood cells and their concentration is increased during a process called centrifugation. Then the increased concentration of platelets is combined with the remaining blood.
‘Frozen shoulder’ (also known as ‘adhesive capsulitis’) is a painful condition associated with restriction in the shoulder joint. There are several causes which can include traumatic injury and arthritis.
Our team uses a non-surgical treatment for the treatment of frozen shoulder known as hydrodilatation (or hydrodistention). This involves injecting the shoulder joint with a large volume of fluid to stretch the shoulder capsule and disrupt adhesions (scar tissue), thereby freeing up the joint. Corticosteroid, local anaesthetic and a large volume of sterile saline is included as part of the procedure.
There is good evidence that hydrodistension provides benefits in reducing pain, improving range of movement and function in ‘frozen shoulder’.