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steroid injections

Treatments And Methodologies

See Results In

1-7 days

Effects Last

Up to 3 months

Total Costing

£220

Steroid Injections for Pain Relief

Regain Mobility, Ease Pain, and Restore Function

Are you suffering from joint or soft tissue pain that limits your mobility and quality of life? You’re not alone. Over the past 15+ years, we have successfully helped thousands of clients manage pain and improve their well-being.


One effective treatment we offer is Guided steroid injections, a powerful tool to reduce inflammation, alleviate pain, and restore function to joints and soft tissues. Here’s everything you need to know about this treatment option.

What Are Steroid Injections?

Targeted Pain Relief with Precision Injections

Guided Steroid injections deliver anti-inflammatory medication directly to the area of pain, providing targeted relief. Wether to end self perpetuating inflammation, reduce inflammation to aid a long term management such as HA or to provide a window of to rehab to solve the issue, they are an incredibly useful tool

This treatment
can help:

Reduce inflammation caused by arthritis, bursitis, tendinitis, and other conditions.

Relieve pain and swelling, which allows you to regain mobility and function.

Facilitate rehabilitation, providing a pain-free window to begin or progress with physical therapy.

Removes inflammation helping to get the most out of other injections

Whilst rarely a long term management, once a tissue is inflamed it becomes easier to irritate and enters a perpetual cycle. Steroid is used to break this cycle and give a window to allow for optimsation. Ultrasound guidance is used during the procedure to ensure precise needle placement, making the injection as safe and effective as possible.

What to expect

Precision, Speed, and Long-Term Relief

Guided Steroid injections are designed to provide immediate and long-term relief from pain and inflammation. Here’s how they work:

Ultrasound-Guided Precision

The use of ultrasound ensures that the injection is delivered to the exact location, whether it’s a small joint or deep tissue area. This maximizes the effectiveness of the treatment and minimizes the risk of complications.

Injection of Steroids

The steroids are injected with local anesthetics or saline and will start to work within 48hrs, often giving immediate pain relief, often allowing function i.e. driving and reaching its full effect in about 1-2 weeks but

Window of Relief

Steroid injections provide pain relief for 12 weeks or more, helping restore mobility and functionality. This extended relief allows you to break the inflammation cycle engage in daily activities and rehabilitation without discomfort, improving your overall quality of life.

Targeted Relief for Various Musculoskeletal Issues

Conditions We Treat

Guided Steroid injections are highly effective for managing inflammation and pain in a variety of musculoskeletal conditions.

Shoulder

- Rotator cuff injuries
- Shoulder impingement
- Tendinopathy
- Bursitis

Elbow

- Tennis elbow
- Golfer's elbow
- Tendonitis
- Bursitis

Wrist

- Wrist sprains
- Tendonitis
- Arthritis

Hand & Finger

- Trigger finger
- Thumb arthritis
- De Quervain's tenosynovitis
- Finger joint pain

Hip

- Hip joint pain
- Bursitis
- Hip impingement
- Tendonitis

Knee

- Osteoarthritis
- Patellar tendinopathy
- Meniscus tears
- Ligament sprains (ACL, MCL)

Feet

- Plantar fasciitis
- Achilles tendonitis
- Midfoot arthritis
- Heel spurs

Toes

- Toe joint pain
- Morton's neuroma
- Hammertoe pain
- Sesamoiditis

How It Works

Breaking Down Each Step of the Process

Understanding the Procedure

Guided Steroid injections deliver a powerful anti-inflammatory solution directly to the affected area. Administered under ultrasound guidance, this precise approach ensures maximum accuracy, minimizing discomfort and enhancing effectiveness.

The Science Behind It

Steroids reduce inflammation by targeting the body’s inflammatory cell producing response. This process helps alleviate pain, swelling, and stiffness, making it ideal for conditions like arthritis, bursitis, and tendonitis. Other beneficial cells will also be affected and so steroid must be judiciously used

Window of Relief

Quick relief within 1 to 7 days

Long-lasting effects for 6 weeks to 3 months

Improved mobility and reduced pain for enhanced daily function

Booking Your Appointment

Take the First Step Toward Pain-Free Living

To learn more or schedule an appointment, feel free to book a free 30-minute consultation or book your injection today. Our team is here to guide you through the process and provide personalized care that meets your needs.

Benefits of Guided
Steroid Injections

Comprehensive Relief for Joint and Soft Tissue Pain

Restore Function and Reduce Joint Pain

If you’re struggling with osteoarthritis, steroid injections can offer significant relief. By targeting the affected joints, these injections help reduce pain, stiffness, and swelling, restoring mobility and improving your quality of life.

Speed Up Healing and Restore Functionality

Injuries to soft tissues, such as tendinitis, plantar fasciitis, and bursitis, can cause severe discomfort. Steroid injections help reduce inflammation in tendons, bursae, and other soft tissues, speeding up recovery and restoring function.

Treat Joint Pain with Accuracy and Speed

For conditions such as osteoarthritis, plantar fasciitis, and frozen shoulder, steroid injections offer fast and accurate relief. The medication is directly injected into the joint, reducing inflammation and easing pain at the source.

Long-Lasting Protection for Damaged Joints

For joint damage caused by past injuries, combining steroid injections with Ostenil (hyaluronic acid) offers added protection. Ostenil lubricates and cushions the joint, providing long-lasting relief and preventing further wear and pain for up to 12 months.

Precautions Before Steroid Injections

Essential considerations to ensure safe & effective treatment

Before undergoing Guided steroid injection therapy, certain precautions must be reviewed with your clinician to minimize risks and enhance the treatment’s efficacy. Please discuss the following factors during your consultation:

If you’ve had a steroid injection in the last few weeks, a minimum wait time of three months is usually required before another injection.

A maximum of four injections in the same area is typically recommended within a 12-month period to avoid complications.

Any prior allergic reactions to steroids should be disclosed.

Active infections, including eye infections, may delay your treatment.

Inform your clinician if you’ve recently had or are planning to have vaccinations.

If you’re pregnant, breastfeeding, or trying to conceive, your clinician will assess whether steroid injections are a suitable option for you.

Conditions like diabetes, epilepsy, high blood pressure, or problems with the liver, heart, or kidneys must be communicated, as they can impact the treatment plan.

Notify your clinician if you are taking medications such as anticoagulants or others that might interact with steroid therapy.

Cost of Steroid Injections

Affordable Treatment for Effective Pain Relief

Single Injection

£220

This option is ideal if you need treatment for one specific area, whether it’s a joint or soft tissue, and provides targeted relief with a single injection. The medication is injected directly into the affected area for immediate pain relief and reduced inflammation.

Two Injections

£400

If you have multiple areas requiring treatment, this option offers the convenience and cost-effectiveness of two injections. Whether it’s for two separate joints or tissues, this option helps address pain and inflammation in multiple areas for a comprehensive solution.

Pre-Injection

£150

n some cases, excess fluid build-up (such as in a Baker’s Cyst) may need to be drained before the steroid injection is administered. This procedure ensures that the injection will be more effective by removing any fluid that could interfere with the treatment.

Why Ultrasound Guidance?

Maximizing Accuracy and Effectiveness

Using Point of Care Ultrasound (POCUS) during Guided steroid injections ensures greater accuracy and effectiveness. Here are some key reasons why ultrasound is essential:

Precision in Small Spaces

Joints like the shoulder bursae or hip require precision to ensure the injection hits the target. Ultrasound ensures the needle is accurately placed.

Deep Tissue Access

Some joints and tendons, such as the hip joint or hamstring tendon, are too deep to reach without guidance.

Accurate Diagnosis

POCUS helps to distinguish between conditions like Achilles tendinopathy and retrocalcaneal bursitis, ensuring the correct treatment is provided.

Joint Draining

If excess fluid needs to be drained from a joint, POCUS ensures the needle is directed to the fluid for optimal results.

Monitoring Progress

Ultrasound allows us to track changes in tissue and inflammation, ensuring the treatment is effective and providing insights for further care.

Frequently Asked Questions

Corticosteroids are anti-inflammatory medications used to reduce pain and swelling in joints and soft tissues. Steroid injections are commonly used for conditions like arthritis, tendonitis, and bursitis, offering targeted relief when oral medications or physiotherapy are not sufficient.

An ultrasound-guided steroid injection ensures precise placement of the medication in the affected joint or tissue. The procedure involves:

  1. Cleaning the injection site.
  2. Applying ultrasound gel and using a probe to locate the exact area.
  3. Injecting a combination of corticosteroid and local anesthetic for pain relief.
  • You may experience immediate pain relief due to the anesthetic, but this will wear off within a few hours.
  • The steroid takes 2-7 days to start working.
  • Some mild discomfort or swelling may occur but usually resolves within 48 hours.
  • You will be advised to rest the treated area for 24-48 hours to allow the medication to take effect.

Some patients experience long-term relief after a single injection, while others may require additional treatments. If symptoms return, another injection can be considered, but most specialists limit corticosteroid injections to 3-4 times a year to avoid potential side effects.

Steroid injections are generally safe, but potential side effects include:

  • Temporary pain flare-up at the injection site.
  • Mild swelling or bruising.
  • Facial flushing (temporary redness in the face).
  • Rarely, a rise in blood sugar levels in diabetic patients.

Yes, in some cases, repeated steroid injections at the same site can cause:

  • Skin thinning (atrophy)
  • Depigmentation (lighter skin patches)

These effects are cosmetic and do not impact the treatment’s effectiveness.

While rare, infections can occur at the injection site. Signs of infection include:

  • Increased redness, warmth, or swelling beyond 48 hours.
  • Persistent pain or fever.

If you experience these symptoms, contact your healthcare provider immediately.

Unlike oral steroids, which can lead to weight gain, steroid injections do not cause systemic weight gain as they act locally within the joint or tissue.

Yes, corticosteroids can temporarily raise blood sugar levels, especially in diabetic patients. If you have diabetes:

  • Monitor your blood sugar closely for 24-48 hours after the injection.
  • Inform your doctor beforehand to discuss possible adjustments to your diabetes medication.
  • Temporary increase in pain (“steroid flare”) lasting 24-48 hours.
  • Tendon weakening if injected too frequently.
  • Allergic reactions, though very rare.

Most side effects are mild and temporary. Your doctor will assess the risks and benefits based on your condition before proceeding with the injection.