You will have a thorough assessment to determine if this treatment is suitable for you, and the procedure, any potential side effects will be fully explained. The doctor may occasionally use ultrasound equipment to help guide the placement of the needle accurately. Once the area has been identified, cortisone often combined with a local anaesthetic, will be injected into the painful area to help reduce inflammation and relieve discomfort.

Shoulder impingement, cuff tear ( at clinicians discretion), tendonitis/tendinopathies, shoulder AC Joint, OA joint ( thumb, wrist, shoulder, hip, knee, foot/ankle), carpal tunnel, dequervains, plantar fasciitis, mortons neuroma, trigger finger, trigger point injections

Each appointment lasts approximately 30 minutes, including both the assessment and the procedure, though this may vary depending on individual patient needs.

Usually no, but sometimes it is necessary to have another one in 6-8 weeks.

Relief is usually felt within 3–10 days, though in some cases it may take up to 8 weeks for the full effect. A small number of patients may require a follow-up appointment if the treatment does not work as expected.

Some people experience a temporary flare of pain within the first 48 hours. Other side effects may include facial flushing, altered blood sugar levels, or mild changes in menstrual cycle.

Please visit the below link for further information on side effects:

https://www.nhs.uk/medicines/hydrocortisone-injections/side-effects-of-hydrocortisone-injections/

You will have a thorough assessment to ensure this treatment is appropriate for your condition, and the procedure will be clearly explained to you. The doctor may occasionally use ultrasound equipment to accurately guide the needle into the joint. Once the area has been identified, hyaluronic acid will be injected into the affected joint to help lubricate and cushion it, aiming to reduce pain and improve mobility.

Osteoarthritis of any joint including the knee, hip, shoulder, wrist, CMCJ(base of thumb)

Each appointment lasts approximately 30 minutes, including both the assessment and the procedure, though this may vary depending on individual patient needs.

Depending on which product you buy, you may need up to three injections, 2 weeks apart

Within 1-3 days.

Hyaluronan injections have very few side effects. However, some people may have pain, stiffness or swelling in their joint after the injection. There’s also a small risk of infection.

If you notice any symptoms after the injection, tell the person treating you

You will have a thorough assessment to determine if this treatment is suitable for your condition, and the procedure will be fully explained to you.  Cortisone, often combined with a local anaesthetic, will then be injected into the targeted area of your spine to help reduce inflammation and relieve pain.

There are many conditions associated with back and neck pain. Common reasons for attending include: Degenerative disc pain, Facet joint pain, coccyx pain,  SIJ dysfunction,  Nerve blockage pain.

Each appointment lasts approximately 30 minutes, including both the assessment and the procedure, though this may vary depending on individual patient needs.

Usually no, but sometimes it is necessary to have another one in 6-8 weeks.

Relief can begin within a few days, but for some people, it may take up to 1–2 weeks.

Temporary leg or back discomfort, headache, or changes in sensation may occur. Rarely, there may be a temporary drop in blood pressure or infection risk.

Please visit the below link for further information on side effects:

https://www.nhs.uk/medicines/hydrocortisone-injections/side-effects-of-hydrocortisone-injections/

You will have a thorough assessment to confirm whether this treatment is appropriate for your condition, and the procedure will be clearly explained to you. The doctor may occasionally use ultrasound guidance to help accurately place the needle into the joint. Once the area has been identified, Arthrosamid®—a non-biodegradable hydrogel—is injected into the affected joint. This helps to cushion the joint and relieve pain by improving lubrication and reducing inflammation.

Osteoarthritis of any joint including the knee, hip, shoulder, wrist, CMCJ(base of thumb)

Each appointment lasts approximately 30 minutes, including both the assessment and the procedure, though this may vary depending on individual patient needs.

Only a single injection of Arthrosamid® is required. Its effects are designed to be long-lasting, and many patients experience relief for up to 12 months or more. Repeat injections are not usually needed unless symptoms return over time.

Relief may begin within a few weeks, but the full effect can take up to 6–8 weeks to develop.

Arthrosamid® is considered very safe, but as with any injection procedure, there are potential risks and side effects.

Common and mild side effects are usually temporary and related to the injection itself, such as:

Pain, swelling, or redness at the injection site.

Bruising.

A feeling of fullness in the knee.

Rare risks include:

Infection where the needle was inserted. If you experience redness, warmth or pus, please get in touch with your doctor or healthcare team immediately.

Allergic reaction to the anaesthetic or equipment used during the procedure.

Temporary increase in joint stiffness.

Your doctor will discuss all the potential risks and benefits with you in detail during your consultation.

You will have a thorough assessment to ensure this treatment is appropriate for your condition, and the procedure will be clearly explained to you. The clinician will identify specific areas of muscle tightness or trigger points. Fine, sterile needles will then be gently inserted into these areas to help release tension, improve muscle function, and reduce pain. No substances are injected during this procedure.

Any tendon issues such as tennis elbow, golfer’s elbow, achilles tendon pain, plantar fascia, hamstring tendinopathy, patellar tendinopathy,

15-20 minutes

Recommendation is to have three injections 6 weeks apart.

2 Weeks

You might experience temporary soreness, bruising, or light-headedness after treatment. Muscle twitching during needling is normal and usually short-lived.

You will have a thorough assessment to ensure this treatment is appropriate for your condition, and the procedure will be clearly explained to you. The doctor may occasionally use ultrasound guidance to accurately place the needle at the affected area, often near a tendon or around a nerve. A high volume of fluid—typically a combination of saline, local anaesthetic, and sometimes steroid—is then injected to help separate adhesions, reduce inflammation, and relieve pain. This technique is often used to treat conditions such as tendinopathy or nerve entrapment.

Tendon sheath dysfunctions ( achilles, patella tendinopathy).

15-20 minutes

Single injection enough, rarely requires a second.

3 weeks

Temporary discomfort or a feeling of pressure is common. Some people experience soreness in the tendon or mild bruising.

You will have a thorough assessment to confirm whether this treatment is suitable for your condition, and the procedure will be fully explained to you. The doctor may occasionally use ultrasound guidance to accurately position the needle into the shoulder joint. A combination of sterile fluid, which may include saline, local anaesthetic, and a small dose of steroid, will then be injected to gently stretch the joint capsule. This aims to reduce stiffness, improve range of motion, and relieve pain—particularly in cases of frozen shoulder.

Frozen shoulder/adhesive capsulitis.

15-20 minutes

Usually no, but sometimes it is necessary to have another one in 6-8 weeks.

Stiffness will improve immediately. Key is to keep moving or else a second injection may be needed.

You may notice increased shoulder discomfort for a day or two. Fluid leakage around the joint is possible but harmless.

You will have a thorough assessment to ensure this treatment is appropriate for your condition, and the procedure will be clearly explained to you. The doctor may occasionally use ultrasound guidance to accurately place the needle at the affected area, often near a tendon or around a nerve. A high volume of fluid—typically a combination of saline, local anaesthetic, and sometimes steroid—is then injected to help separate adhesions, reduce inflammation, and relieve pain. This technique is often used to treat conditions such as tendinopathy or nerve entrapment.

Carpal tunnel cubital tunnel orther nervie enrapment issues.

15-20 minutes

Single injection enough, rarely requires a second.

7-10 days, Key is to keep moving or else a second injection may be needed.

You may experience temporary numbness, tingling, or weakness in the treated area. Mild discomfort at the injection site is also common. Rarely, symptoms may temporarily worsen before improving.

You will have a thorough assessment to determine if this treatment is appropriate for your condition, and the procedure will be clearly explained to you. The doctor will occasionally use ultrasound guidance to accurately locate calcium deposits within the tendon, most commonly in the shoulder. A fine needle is then inserted into the area, and a combination of saline and gentle suction is used to break up and remove the calcium. This aims to reduce pain and improve movement by relieving pressure and inflammation in the affected tendon.

Tendon pain due to calcium deposition ( calcific tendonitis).

15-20 minutes

Recommendation is to have two injections 6 weeks apart and a third one if needed.

2 weeks

You may have soreness or swelling for a few days after the procedure. There is a small risk of calcium reaccumulation over time.

You will have a thorough assessment to ensure this treatment is appropriate for your condition, and the procedure will be clearly explained to you. Using ultrasound guidance, the doctor will accurately locate the ganglion cyst. A fine needle is then inserted into the cyst to puncture (fenestrate) and drain the fluid. In some cases, a small amount of steroid may also be injected to help reduce inflammation and lower the chance of recurrence. This minimally invasive approach aims to relieve discomfort and restore normal movement.

Troublesome ganglions

15-20 minutes

Single injection enough, rarely requires a second.

Swelling reduces instantly can thek upto 6 weeks to see lasting change.

The area may feel tender or bruised for a short time. There is a small chance the ganglion may refill or recur.

You will have a thorough assessment to confirm that this treatment is appropriate for your condition, and the procedure will be clearly explained to you. Using ultrasound guidance if needed, the doctor will locate the ganglion cyst and insert a fine needle into it. The fluid inside the cyst is then carefully aspirated (withdrawn) to reduce its size and relieve pressure or discomfort. In some cases, a small amount of steroid may be injected afterwards to help reduce inflammation and minimise the chance of recurrence.

Troublesome ganglions

5-10 minutes

Single injection enough, rarely requires a second.

Swelling reduces instantly can take up to 6 weeks to see lasting change.

Mild discomfort or bruising at the aspiration site is common. The cyst may return over time, especially if not followed by steroid injection.