1-7 days
Up to 3 months
£220
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.
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
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.
Guided Steroid injections are designed to provide immediate and long-term relief from pain and inflammation. Here’s how they work:
Guided Steroid injections are highly effective for managing inflammation and pain in a variety of musculoskeletal conditions.
- Rotator cuff injuries
- Shoulder impingement
- Tendinopathy
- Bursitis
- Tennis elbow
- Golfer's elbow
- Tendonitis
- Bursitis
- Wrist sprains
- Tendonitis
- Arthritis
- Trigger finger
- Thumb arthritis
- De Quervain's tenosynovitis
- Finger joint pain
- Hip joint pain
- Bursitis
- Hip impingement
- Tendonitis
- Osteoarthritis
- Patellar tendinopathy
- Meniscus tears
- Ligament sprains (ACL, MCL)
- Plantar fasciitis
- Achilles tendonitis
- Midfoot arthritis
- Heel spurs
- Toe joint pain
- Morton's neuroma
- Hammertoe pain
- Sesamoiditis
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.
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
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.
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.
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.
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.
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.
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.
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.
Using Point of Care Ultrasound (POCUS) during Guided steroid injections ensures greater accuracy and effectiveness. Here are some key reasons why ultrasound is essential:
Joints like the shoulder bursae or hip require precision to ensure the injection hits the target. Ultrasound ensures the needle is accurately placed.
Some joints and tendons, such as the hip joint or hamstring tendon, are too deep to reach without guidance.
POCUS helps to distinguish between conditions like Achilles tendinopathy and retrocalcaneal bursitis, ensuring the correct treatment is provided.
If excess fluid needs to be drained from a joint, POCUS ensures the needle is directed to the fluid for optimal results.
Ultrasound allows us to track changes in tissue and inflammation, ensuring the treatment is effective and providing insights for further care.
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:
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:
Yes, in some cases, repeated steroid injections at the same site can cause:
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:
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:
Most side effects are mild and temporary. Your doctor will assess the risks and benefits based on your condition before proceeding with the injection.
We understand that no two injuries are the same. That's why our expert team creates individualized treatment plans based on your specific needs, ensuring a personalized approach to recovery.
Our highly skilled physiotherapists bring years of experience to the table. Whether it’s sports rehab or chronic pain management, our team has the expertise to help you recover efficiently.
We employ advanced diagnostic tools like ultrasound imaging and gait analysis to precisely identify problem areas and track progress throughout your recovery.
Our treatments lead to faster, longer-lasting recoveries, with many clients experiencing significant improvement in fewer sessions. Client success stories and testimonials reflect our commitment to quality care.
EXCELLENT Based on 132 reviews Rose Floyd2025-02-16Trustindex verifies that the original source of the review is Google. Mark was very informative at the consultation, and didn’t rush me into the injections. I went back 7/10 days later and it’s now been a fortnight since they went in. Previously I had pain daily and couldn’t walk very far. I am now enjoying being pain free Hannah-May Elmasry2025-02-11Trustindex verifies that the original source of the review is Google. Really knowledgeable and friendly physio, fully assess and explains things thoroughly would highly recommend andy muir2025-01-30Trustindex verifies that the original source of the review is Google. Mark is a wonderful knowledgeable practitioner, he explains things perfectly. I had hip steroid and hyaluronic injections and are feeling the benefits already. I would highly recommend Mark to anyone. Rebecca Benson2025-01-27Trustindex verifies that the original source of the review is Google. Worth his weight in gold. This guy has been a godsend to me. After experiencing extreme levels of pain for three weeks with whiplash after a car accident.. I’d tried another physio as well as attending my GP several times for medication and nothing had touched me. I was becoming depressed with the level of pain I was experiencing… Mark did an extremely thorough consultation, talked me through options and got to work. After my first session I felt some relief, though the benefits continued throughout the day; That evening was the first evening I didn’t have vice crushing headaches from moving my neck downwards and that night was the first night I hadn’t woken up in the middle of the night needing to take pain medication. The following day he did more work on the front of my neck and I practically floated out of the place. I really can’t recommend him enough. For the first time in three weeks I see some light at the end of the tunnel. I’d never experienced pain like it before, but he’s really made such a difference in such a short space of time. Professional, experienced and a lovely person. Thank you so much. Robert Serkis2025-01-10Trustindex verifies that the original source of the review is Google. Highly recommend seeing Mark Boundy I had very bad hip problem which had lasted a year Mark administered a cortisone and lubricant injection 10 months ago the pain eased very quickly and it's improved to where I don't have a problem darren ross2025-01-04Trustindex verifies that the original source of the review is Google. Booked in to see Mark regarding a hip/glute issue. Following an initial consultation I booked a dry needle appointment (which he managed to get in the same day for me) provided immediate relief to the issue. Was prescribed some exercises and stretching to help moving forward. Great service, reasonably priced and provided clear answers to all my questions. Good to know I have a reliable option for any future problems Wayne Price2024-12-14Trustindex verifies that the original source of the review is Google. Shoulder pain for a long time got unbearable. And literally 1 visit and within 3 days pain free Debbie Tasker2024-12-05Trustindex verifies that the original source of the review is Google. Finding Mark has been life changing, I have had years of back problems since the birth of my second child, After over doing it at the gym, I was in terrible pain and discomfort, a feeling I deal with often, We found Mark, so friendly, helpful, and extremely knowledgeable, he was able to help me with dry needling, which made a huge difference to my ability to move better, along with physio which was intense but so amazing, moving forward to where I am today! After feeling so broken for so long, I see the light at the end of the tunnel all thanks to Mark 🙏🏻 Forever grateful. Thank you 🙏🏻 Emma Wheat2024-11-11Trustindex verifies that the original source of the review is Google. Mark was recommended to my hubby who was suffering with a very bad knee. Lots of pain when walking/bending and very swollen. I dropped him off to have his knee assessed, he was impressed with the ultrasound scan Mark did (got alot more information about the state of his knee after 15 minutes with Mark than after an MRI with NHS!). Steroid & thick oil were given as an option as the knee was a bit of a mess, osteoarthritis and cartilage torn. Mark offered no guarantee but it was deemed worth a try. It was the right decision. 3 weeks in and there is no pain - used to be constant pain. Less discomfort - used to ache. No swelling. The result is he can now walk & kneel down better than he has in about 20 years. Lesley2024-10-14Trustindex verifies that the original source of the review is Google. I can’t rate Mark highly enough. I previously visited him a few years ago for Achilles heel pain and swelling which he swiftly assessed was related to issues in my hip and after a few sessions he resolved my issue. When I had pain in the ball of my foot recently, I visited him again after the NHS were unhelpful. Mark immediately knew that I was suffering with Mortons neuroma for which he administered a steroid injection guided by ultrasound. It’s very clear that Mark is very skilled and knowledgeable in his field, he also makes you feel very at ease and explains the whole treatment process carefully. Even though Mortons neuroma tends not to go away completely I am now almost pain free following the treatment. I would highly recommend Mark to others.
At Rebound Physiotherapy, our commitment to providing top-quality care is reflected in the numerous awards and certifications we’ve earned over the years. From industry accolades to professional certifications, these recognitions highlight our dedication to innovation, expertise, and patient success.
After completing a Biology BSc, my journey in physiotherapy began in 2004 at King’s College, London. I spent eight years in the NHS, where I saw how long waiting lists and short appointments hindered effective rehabilitation. This led me to pursue an MSc in Manual Therapy in 2015, becoming a member of the MACP.
I moved into private practice at Oxford Sports Physio & Pilates, where I helped rehabilitate high-level athletes, including GB rowers and Oxford University sports teams. Today, I’m an expert generalist with a passion for treating a variety of musculoskeletal issues.
While I don’t specialize in one area, I have a keen interest in using MRI machine for diagnostics and injection therapy, which allows me to offer precise, effective treatments. Combined with medication prescription, I provide a comprehensive range of musculoskeletal care.
MSc, BSc (Hons), MMACP,
MSOMM
Non-medical Prescriber & Ultrasound Guided Injector
At Rebound Physiotherapy, we’ve transformed the lives of countless clients, guiding them from pain to recovery and enhanced well-being. Now it’s your turn to experience the benefits of expert physiotherapy. Our dedicated team is here to support you on your journey to better health.