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Private cortisone injections for carpal tunnel syndrome pain in South London. Understand what types of carpal tunnel syndrome are treatable and how cortisone injections can help. Free consultation. Cortisone Injections for Carpal Tunnel Syndrome in Central and South London Cortisone injections for Carpal Tunnel Syndrome at our clinic We are a leading cortisone injection clinic offering steroid injections for pain from carpal tunnel syndrome. Steroid injections can bring significant relief from your condition and bring you much-needed respite from your condition. We offer private injections at our Central London and South London clinics and also offer home visits in the South London area. A free telephone consultation is available to understand whether injections will be helpful and appropriate in your particular case, and your appointment also includes a diagnostic ultrasound consultation to ensure your injection will be safe and give you maximum benefit. Booking is quick and easy, please see our book appointment page for more details. What is carpal tunnel syndrome? Carpal tunnel syndrome is a condition characterized by pain, numbness, tingling, and weakness in the hand and fingers. These symptoms result from compression of the median nerve due to swelling or inflammation of the tendons as it passes through the carpal tunnel, a narrow passage way in the wrist formed by bones and ligaments. Various factors, such as repetitive hand movements, prolonged use of vibrating tools, certain medical conditions (e.g., rheumatoid arthritis, diabetes), and pregnancy, can contribute to its development. Typical features of carpal tunnel syndrome include: Numbness or tingling in the thumb, index finger, middle finger, and inner part of the ring finger. Weakness or difficulty gripping objects. Discomfort or pain in the hand and wrist, which may radiate up the forearm Aggravated symptoms during activities that involve prolonged or repetitive use of the hands, such as typing, using a mouse, or holding a phone Night symptoms leading to disrupted sleep. Diagnosis typically involves a medical history review, physical examination, and, in some cases, ultrasound imaging and nerve conduction studies. More information can be found here . In order to ensure injection therapy is the right course of action in your particular case, we offer a free virtual consultation to get a quick picture of your health and the condition you are experiencing, and advise on whether steroid injections are a good course of action for you. At your appointment we will also carry out a full ultrasound-led diagnosis and assessment to ensure you are receiving the most appropriate treatment and best possible care. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say How do cortisone injections help with carpal tunnel syndrome? Recent medical research suggests that Ultrasound guided cortisone injections are effective and superior to non-guided injection for carpal tunnel syndrome. A cortisone injection can rapidly reduce pain, bringing much-needed relief and increased mobility. If you have found your sleep, work or other daily activities being hindered by your pain, a steroid injection can allow you the freedom to get back to work and normal life. Pain is not to be underestimated and when it becomes bad it can become debilitating and lead to depression. Pain can also lead to inactivity which can cause further problems such as postural and health issues, leading to even further inactivity, known as the chronic pain cycle . It is crucial to seek help when you are in pain and not simply try to live with it, as when left unchecked pain can cause gradual deterioration of both mental and physical health. All our treatments include a written report and guidance on moving forward with treating your problem following your injection, so that you can use the opportunity the injection gives to set yourself on a path to better health. We also include a personalised physiotherapy exercise plan wherever appropriate. For more information about cortisone injections and frequently asked questions, see our cortisone injections page . How much do cortisone injections cost? Our cortisone injections start at just £260 including initial telephone consultation, diagnostic ultrasound, ultrasound-guided injection, written report with care plan and exercise prescription if appropriate. See our fees Are cortisone injections a long-term solution for carpal tunnel syndrome? Corticosteroids have a short term effect (around 3 months) but a common belief is that cortisone injections do not address the underlying causes of your pain and will only stop the symptoms. First of all, your pain has a massive impact on your daily life and any relief, even temporary, can help significantly with your sleep, work or family activities, and as a result, improve your general well being and mental health. Fortunately, simple pathologies, even when causing severe pain, tend to improve overtime and by the time the steroid has stopped working, we expect that your body has healed by itself and the pain won't return. Secondly, the pain free period allowed by steroid injections (up to 3-6 months on average and sometime over 1 year) is a window that will be used to begin further treatment such as a prescribed exercise program or sessions of physiotherapy , in order to address other causative factors for your problems. In some cases steroid injections can also be a permanent solution by stopping chronic inflammation or disrupting your pain signal. More information about pain can be found on our blog . At your virtual consultation and first appointment , your clinician will ask questions and assess you to diagnose your problem and explain to you the options available. This will help you to understand how you can use the respite from pain which a corticosteroid injection provides, to work directly on your problem and provide you with a personalized exercise plan to avoid reliance on injections in the future. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page , or book a free online or telephone consultation to speak to Max directly. Read More What other treatments are available for carpal tunnel syndrome? After an acute carpal tunnel syndrome caused by recent repetitive strain or overuse, usually rest, activity modifications and painkilling treatments like over-the-counter medications or gels are often sufficient and 30% of carpal tunnel syndromes will resolve naturally overtime. The following treatments can be alternative, complementary or subsequent to cortisone injections : Physiotherapy and exercises such as neural mobilization can help modulate pain, helps improve flexibility, and promote healing with an exercise induced response anti-inflammatory activity. Wrist Splints during activities or at night to keep the wrist in a neutral position. Surgery (Carpal Tunnel Release) may be considered to relieve pressure on the median nerve in cases where conservative measures are not effective. Extracorporeal Shock Wave Therapy (ESWT) has been suggested as an option in medical research . The specific treatment approach depends on the type and severity of carpal tunnel syndrome, and it's crucial for individuals experiencing symptoms to seek professional medical advice for an accurate diagnosis and appropriate management MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . 10 New Cavendish St, London, W1G 8UL, England Our Central London clinic is based in The French Pharmacy in Marylebone. 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and you can normally have your injection treatment within 3-4 days of first making contact. Book Appointment Now

Private cortisone injections for tennis elbow & golfer's elbow in South London. Understand tennis elbow and golfer's elbow and how cortisone injections can help. Free consultation. Tennis Elbow & Golfer's Elbow Injections in Central London and South London Cortisone injections for elbow pain in South London We are a leading musculoskeletal clinic offering injections for tennis elbow and golfer’s elbow. Our treatments can bring significant relief from musculoskeletal pain and bring you much-needed respite from your condition. We offer private injections at our Central London and South London Clinics and also offer home visits in the South London area. A free telephone consultation is available to understand whether injections will be helpful and appropriate in your particular case, and your appointment also includes a diagnostic ultrasound consultation to ensure your injection will be safe and give you maximum benefit. Booking is quick and easy, please see our book appointment page for more details. What are tennis elbow and golfer’s elbow? Tennis and golfer’s elbow are common tendinopathies affecting tendons located on outer and inner sides of the elbow (epicondyles). They are commonly referred as epicondylitis or epicondylopathy. Tennis elbow (lateral epicondylitis) This is the more common type of epicondylitis which involves tendons of the lateral (outer) epicondyle of the humerus, the bone of the upper arm that forms the elbow joint, and in particular the extensor carpi radialis brevis tendon . Despite its name, tennis elbow is not limited to tennis players; it can affect anyone who engages in activities that involve repetitive gripping, wrist extension or vibrating handheld tools. Overuse of the forearm muscles can cause stress of the the tendon attachment at the lateral epicondyle, causing pain and inflammation. Common symptoms include pain on the outer side of the elbow, weakness in the forearm, and difficulty with gripping. More information on tennis elbow can be found here . Golfer’s elbow (medial epicondylitis) Golfer's elbow is less common than tennis elbow but has a similar mechanism. It is caused by overuse of the muscles and tendons on the inner side of the forearm, leading to irritation and inflammation at the medial epicondyle. Activities such as golfing, throwing, and repetitive gripping can contribute to this condition. Symptoms include pain on the inner side of the elbow, weakness, and difficulty with certain hand and wrist movements. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say How injections can help with tennis elbow and golfer's elbow? Cortisone injections can rapidly reduce pain, bringing much-needed relief and increased mobility. If you have found your work or other daily activities involving gripping, throwing or anything being hindered by your pain, a steroid injection can allow you the freedom to get back to work and normal life. Pain is not to be underestimated and when it becomes bad it can become debilitating and lead to depression. Elbow pain can also lead to inactivity which can cause further problems such as postural and health issues, leading to even further inactivity, known as the chronic pain cycle . It is crucial to seek help when you are in pain and not simply try to live with it, as when left unchecked pain can cause gradual deterioration of both mental and physical health. The break from pain and other symptoms brought by steroid injections will also allow you to take other actions to proactively combat your problem. In particular, you will be able to follow a physiotherapist-prescribed exercise programme to deal with your condition at the root by stimulating healing of the tendon fibres. It is important you do any exercises your physiotherapist gives you to avoid your problem worsening in the future and potentially leading to more problems further down the line. All our treatments include a written report and guidance on moving forward with treating your problem following your injection, so that you can use the opportunity the injection gives to set yourself on a path to better health. We also include a personalised physiotherapy exercise plan wherever appropriate. For more information about cortisone injections and frequently asked questions, see our cortisone injections page . How much do cortisone injections cost? Our cortisone injections start at just £260 including initial telephone consultation, diagnostic ultrasound, ultrasound-guided injection, written report with care plan and exercise prescription if appropriate. See our fees Are there other conditions which can affect the elbow? It is a common misconception that all elbow pain is a tennis elbow or golfer’s elbow, but there are many other conditions which can affect the elbow and cause similar pain. These includes tendinopathy, bicipital or olecranon bursitis , osteoarthritis , cubital and radial nerve syndrome , strain and sprain and bone injuries such as fractures and dislocations. A diagnosis from a medical professional is essential to understand what is causing your elbow pain. This ensures you can be provided with the correct treatment to address the pain and prevent worse issues moving forward. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page , or book a free online or telephone consultation to speak to Max directly. Read More Are cortisone injections a long-term solution for elbow pain? Corticosteroids have a short term effect (around 3 months) but a common belief is that cortisone injections do not address the underlying causes of your pain and will only stop the symptoms. First of all, your pain has a massive impact on your daily life and any relief, even temporary, can help significantly with your sleep, work or family activities, and as a result, improve your general well being and mental health. Fortunately, simple pathologies, even when causing severe pain, tend to improve overtime and by the time the steroid has stopped working, we expect that your body has healed by itself and the pain won't return. Secondly, the pain free period allowed by steroid injections (up to 3-6 months on average and sometime over 1 year) is a window that will be used to begin further treatment such as a prescribed exercise program or sessions of physiotherapy , in order to address other causative factors for your problems. In some cases steroid injections can also be a permanent solution by stopping chronic inflammation or disrupting your pain signal. More information about pain can be found on our blog . At your virtual consultation and first appointment , your clinician will ask questions and assess you to diagnose your problem and explain to you the options available. This will help you to understand how you can use the respite from pain which a corticosteroid injection provides, to work directly on your problem and provide you with a personalized exercise plan to avoid reliance on injections in the future. Are there other treatments for tennis elbow & golfer's elbow? After an acute injury, such as recent repetitive strain or overuse, usually rest, ice, activity modifications and painkilling treatments like over-the-counter medications or gels are often sufficient. Depending on the location, bracing or Supports can provide stability and reduce strain on the affected tendon. Giving the affected tendon some time to recover is often a key component of treatment and fortunately, most tendonitis will resolve naturally overtime. If symptoms do not settle after 6-12 weeks the following treatments can be alternative, complementary or subsequent to cortisone or hyaluronic acid injections . Physiotherapy and exercises is an important aspect of tendon rehabilitation as it modulates pain, helps strengthen muscles, improve flexibility, and promote healing with an exercise induced response in collagen turnover, blood flow, anti-inflammatory activity. Extracorporeal Shock Wave Therapy (ESWT) uses shock waves to stimulate healing in the affected tendon. Dry Needling or tendon fenestration is a procedure involving the creation of small openings in a tendon to promote healing. Barbotage for calcific tendonitis which involving the injection and aspiration of fluid into and out of a tendon to remove calcifications. Platelet-Rich Plasma (PRP) Therapy involves injecting a concentrated form of the patient's own blood platelets into the tendon to promote healing. There is currently limited evidence to supports its use in regard to high costs. Surgery might be necessary for severe cases not responding to conservative management. The specific treatment approach depends on the type and severity of tendinopathy, and it's crucial for individuals experiencing symptoms to seek professional medical advice for an accurate diagnosis and appropriate management MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . 10 New Cavendish St, London, W1G 8UL, England Our Central London clinic is based in The French Pharmacy in Marylebone. 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and you can normally have your injection treatment within 3-4 days of first making contact. Book Appointment Now

Private cortisone injections for Frozen Shoulder pain in South London. Understand what types of treatments are possible and how cortisone injections can help. Free consultation. Cortisone Injections for Frozen Shoulder in Central London and South London Frozen Shoulder (capsulitis) cortisone injections at our clinic We are a leading cortisone injection clinic offering steroid injections for frozen shoulder pain. Steroid injections can bring significant relief from musculoskeletal pain and bring you much-needed respite from your condition. We offer private injections at our Central London and South London Clinics and also offer home visits in the South London area. A free telephone consultation is available to understand whether injections will be helpful and appropriate in your particular case, and your appointment also includes a diagnostic ultrasound consultation to ensure your injection will be safe and give you maximum benefit. Booking is quick and easy, please see our book appointment page for more details. What is Frozen Shoulder ? Frozen shoulder, also known as adhesive capsulitis or simply capsulitis, is a condition characterized by pain, stiffness, and restricted range of motion in the shoulder joint. It typically develops gradually over time and can progress through distinct stages. Women after 40 are more often affected but the exact cause of frozen shoulder is not always clear, but certain factors may contribute, including inflammation, thickening, and tightening of the joint capsule (the bag surrounding the shoulder joint). It can starts after a trauma or surgery but certain conditions, such as hyperthyroidism, diabetes, cardiovascular disease, and prolonged immobility or smoking may increase the risk of developing frozen shoulder. Individuals with frozen shoulder often experience pain deep in the shoulder which sometimes radiates down the arm, back or the neck and may be more pronounced at night. Stiffness is a hallmark of frozen shoulder. The shoulder gradually becomes more difficult to move, leading to a progressive loss of range of motion. The loss of shoulder mobility affects both active and passive movements. Activities such as reaching overhead, reaching behind the back, or even basic activities like combing hair or putting a bra may become challenging. Frozen shoulder typically progresses through three stages: Pain (Freezing) Stage: The initial stage is characterized by the gradual onset of pain, especially with movement. As pain increases, shoulder mobility starts to decline. Frozen Stage: Stiffness becomes more prominent, and range of motion continues to decrease. Pain may persist but often becomes less intense. Thawing Stage: During this stage, there is a gradual improvement in shoulder mobility. Range of motion begins to return, and pain subsides In order to ensure injection therapy is the right course of action in your particular case, we offer a free virtual consultation to get a quick picture of your health and the condition you are experiencing, and advise on whether steroid injections are a good course of action for you. At your appointment we will also carry out a full ultrasound-led diagnosis and assessment to ensure you are receiving the most appropriate treatment and best possible care. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say How do cortisone injections help with Frozen Shoulder? For a long time, frozen shoulder was considered a self-limiting condition resolving spontaneously, however more recent medical research suggests that it is not often the case and that treatment is needed. Cortisone injections have powerful anti-inflammatory effects. When injected directly into the shoulder joint, they can help suppress inflammation in the synovial lining of the joint capsule. Inflammation is a key contributor to the pain and stiffness associated with frozen shoulder. By reducing inflammation, corticosteroids can provide relief from pain associated with frozen shoulder. This can make it more comfortable for individuals to engage in physical therapy and exercises aimed at improving shoulder mobility as inflammation and the formation of adhesions in the joint capsule contribute to the restricted range of motion in frozen shoulder. Corticosteroid injections can help reduce these inflammatory processes, allowing for improved joint mobility. Pain is not to be underestimated and when it becomes bad it can become debilitating and lead to depression. A reduction in mobility due to frozen shoulder can also lead to inactivity which can cause further problems such as postural and health issues, leading to even further inactivity, known as the chronic pain cycle . It is crucial to seek help when you are in pain and not simply try to live with it, as when left unchecked pain can cause gradual deterioration of both mental and physical health. All our treatments include a written report and guidance on moving forward with treating your problem following your injection, so that you can use the opportunity the injection gives to set yourself on a path to better health. We also include a personalised physiotherapy exercise plan wherever appropriate. For more information about cortisone injections and frequently asked questions, see our cortisone injections page . Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and we can offer same day appointments. Book Appointment Now How much do cortisone injections cost? Our cortisone injections start at just £260 including initial telephone consultation, diagnostic ultrasound, ultrasound-guided injection, written report with care plan and exercise prescription if appropriate. See our fees Are cortisone injections a long-term solution for Frozen Shoulder? Cortisone injections are usually the best first line treatment for painful frozen shoulder and are usually effective in providing a quick pain relief. A common belief is that cortisone injections do not address the underlying causes of your pain but are there to only rapidly stop the symptoms. However your pain has a massive impact on your daily life and any relief, even temporary, can help significantly with your sleep, work or family activities, and as a result, improve your general wellbeing and mental health. Medical research suggests that 60% of frozen shoulders resolve after 36 months and fortunately, only 6% of patient with persisting symptoms have severe limitations. We expect that when the steroid effect start to fade away, your shoulder has improved and the pain won't return. Steroid injections are typically used as part of a comprehensive treatment plan for frozen shoulder. Physiotherapy, exercises, and other conservative measures are often recommended in conjunction with cortisone injections to promote long-term improvement. At your virtual consultation and first appointment our physiotherapist will carry out diagnostic work to fully understand your problem and explain to you the options available. They will help you to understand how you can use the respite from pain which a corticosteroid injection provides to work directly on your problem and provide you with a personalised exercise plan to avoid reliance on steroids in the future. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page, or book a free online or telephone consultation to speak to Max directly. Read More 10 New Cavendish St, London, W1G 8UL, England Our Central London clinic is based in The French Pharmacy in Marylebone. 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and we can offer same day appointments. Book Appointment Now

Private ganglion cysts aspiration & injections pain in South London. Understand what types of treatments are possible for ganglion cysts and how aspiration and cortisone injections can help. Free consultation. Aspirations & Injections for Ganglion Cysts in Central London and South London Ganglion Cyst aspiration & Injection at our clinic We are a leading Musculoskeletal clinic offering non-surgical management of ganglion cysts. Aspiration and injections can bring significant relief from cysts pain and bring you much-needed respite from your condition. We offer private aspirations & injections at our Central London and South London clinic and also offer home visits in the South London area. A free telephone consultation is available to understand whether injections will be helpful and appropriate in your particular case, and your appointment also includes a diagnostic ultrasound consultation to ensure your injection will be safe and give you maximum benefit. Booking is quick and easy, please see our book appointment page for more details. What is a ganglion cyst? A ganglion cyst is a non-cancerous, jelly-like fluid-filled lump or sac that typically forms near joints or tendons, most commonly in the wrist or hand. However, ganglion cysts can also occur in other areas, such as the ankle or foot. These cysts are generally harmless and are usually firm and round, with a smooth or slightly lumpy surface. They may vary in size, and their size can change over time. Ganglion cysts are often painless, but they can cause discomfort if they press on a nearby nerve. In some cases, the cysts may interfere with joint movement. If the cyst is located near the surface of the skin, it may be visible and felt as a palpable lump. The exact cause of ganglion cysts is not well understood. They may develop as a result of trauma or repetitive stress to a joint, leading to the leakage of synovial fluid and the formation of the cyst In order to ensure that an aspiration and/or injection is the right course of action in your particular case, we offer a free virtual consultation to get a quick picture of your health and the condition you are experiencing, and advise on the best course of action for you. At your appointment we will also carry out a full ultrasound-led diagnosis and assessment to ensure you are receiving the most appropriate treatment and best possible care. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say How do you manage ganglion cysts? In many case, ganglion cysts do not require treatment, especially if they are not causing significant pain or functional limitations. Medical research suggests that approximately 50% of ganglion cysts resolve spontaneously. Our patients typically seek treatment because the pain has an impact on their daily life, or for cosmetic reasons. If treatment is desired, our options may include aspiration (drawing out the fluid with a needle) or corticosteroid injections , or surgical removal. However, recurrence is possible in half of the cases. Aspirations and corticosteroid injection can provide relief from pain associated with ganglion cysts This can make it more comfortable for individuals to engage in daily activities and recreational exercises. Pain is not to be underestimated and when it becomes bad it can become debilitating and lead to depression. A reduction in mobility due to ganglion cysts can also lead to inactivity which can cause further problems, leading to even further inactivity, known as the chronic pain cycle . It is crucial to seek help when you are in pain and not simply try to live with it, as when left unchecked pain can cause gradual deterioration of both mental and physical health. All our treatments include a written report and guidance on moving forward with treating your problem following your injection, so that you can use the opportunity the injection gives to set yourself on a path to better health. We also include a personalised physiotherapy exercise plan wherever appropriate. For more information about cortisone injections and frequently asked questions, see our cortisone injections page . How much do aspiration procedures cost? Our aspiration procedures start at just £200 including initial telephone consultation, diagnostic ultrasound, ultrasound-guided aspiration, written report with care plan and exercise prescription if appropriate. See our fees Do I need to have my ganglion cyst investigated? While ganglion cysts are generally benign, any lump or swelling should be evaluated by a healthcare professional to confirm the diagnosis and rule out other potential causes of the lump. If a ganglion cyst is causing pain or functional limitations, or if the patient is concerned about its appearance, they should seek medical advice for appropriate management. At your virtual consultation and first appointment your clinician will carry out a diagnostic ultrasound to confirm the diagnosis, exclude a sinister pathology and explain to you the available treatments. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page, or book a free online or telephone consultation to speak to Max directly. Read More What other treatments are available for ganglion cysts? Other treatments for ganglion cyst may includes splinting or surgical management in case of failure to improve with aspiration & injection. Medical research suggests that surgery for ganglion cysts has a lower recurrence rate but a higher rate of complication with longer recovery period and do not provide better pain relief. You can read more information on ganglion cysts here . If you are suffering from a ganglion cyst, a diagnosis from a medical professional is an essential first step in understanding your problem and deciding what is the right course of treatment for you. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . 10 New Cavendish St, London, W1G 8UL, England Our Central London clinic is based in The French Pharmacy in Marylebone. 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and we can offer same day appointments. Book Appointment Now

Private cortisone injections for plantar fasciitis pain in South London. Understand what types of plantar fasciitis are treatable and how cortisone injections can help. Free consultation. Cortisone Injections for Plantar Fasciitis in Central London and South London Cortisone injections for plantar fasciitis at our clinic We are a leading cortisone injection clinic offering steroid injections for pain from plantar fasciitis, also known as plantar fasciopathy in medical terms. Steroid injections can bring significant relief from your plantar fasciitis pain and bring you much-needed respite from your condition. We offer private injections at our Central London and South London clinics and also offer home visits in the South London area. A free telephone consultation is available to understand whether injections will be helpful and appropriate in your particular case, and your appointment also includes a diagnostic ultrasound consultation to ensure your injection will be safe and give you maximum benefit. Booking is quick and easy, please see our book appointment page for more details. What is plantar fasciitis? Plantar fasciitis is a common condition characterized by disorders of the plantar fascia, a thick band of tissue that runs across the bottom of the foot, connecting the heel bone to the toes. Plantar fasciopathy or plantar fasciosis are preferable medical terms as there is not always an inflammation. Plantar fasciitis typically causes stabbing pain in the heel, especially during the first steps in the morning or after periods of rest. Plantar fasciitis is often associated with overuse, strain, or microtears in the plantar fascia, and it is a frequent cause of heel pain. Factors such as obesity, excessive standing, walking, running, or improper footwear can contribute to the development of plantar fasciitis. More information can be found here . In order to ensure injection therapy is the right course of action in your particular case, we offer a free virtual consultation to get a quick picture of your health and the condition you are experiencing, and advise on whether steroid injections are a good course of action for you. At your appointment we will also carry out a full ultrasound-led diagnosis and assessment to ensure you are receiving the most appropriate treatment and best possible care. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say How do cortisone injections help with plantar fasciitis? Recent medical research suggests that cortisone injections combined with exercises is the best treatment option for plantar fasciitis. A cortisone injection can rapidly reduce pain, bringing much-needed relief and increased mobility. If you have found your work or other daily activities involving walking, running or anything being hindered by your pain, a steroid injection can allow you the freedom to get back to work and normal life. Pain is not to be underestimated and when it becomes bad it can become debilitating and lead to depression. Pain can also lead to inactivity which can cause further problems such as postural and health issues, leading to even further inactivity, known as the chronic pain cycle . It is crucial to seek help when you are in pain and not simply try to live with it, as when left unchecked pain can cause gradual deterioration of both mental and physical health. The break from pain and other symptoms brought by steroid injections will also allow you to take other actions to proactively combat your problem. In particular, you will be able to follow a physiotherapist-prescribed exercise programme to deal with your condition at the root by stimulating healing of the plantar fascia fibres. It is important you do any exercises your physiotherapist gives you to avoid your problem worsening in the future and potentially leading to more problems further down the line. All our treatments include a written report and guidance on moving forward with treating your problem following your injection, so that you can use the opportunity the injection gives to set yourself on a path to better health. We also include a personalised physiotherapy exercise plan wherever appropriate. For more information about cortisone injections and frequently asked questions, see our cortisone injections page . How much do cortisone injections cost? Our cortisone injections start at just £260 including initial telephone consultation, diagnostic ultrasound, ultrasound-guided injection, written report with care plan and exercise prescription if appropriate. See our fees Are cortisone injections a long-term solution for tendonitis? Corticosteroids have a short term effect (around 3 months) but a common belief is that cortisone injections do not address the underlying causes of your pain and will only stop the symptoms. First of all, your pain has a massive impact on your daily life and any relief, even temporary, can help significantly with your sleep, work or family activities, and as a result, improve your general well being and mental health. Fortunately, simple pathologies, even when causing severe pain, tend to improve overtime and by the time the steroid has stopped working, we expect that your body has healed by itself and the pain won't return. Secondly, the pain free period allowed by steroid injections (up to 3-6 months on average and sometime over 1 year) is a window that will be used to begin further treatment such as a prescribed exercise program or sessions of physiotherapy , in order to address other causative factors for your problems. In some cases steroid injections can also be a permanent solution by stopping chronic inflammation or disrupting your pain signal. More information about pain can be found on our blog . At your virtual consultation and first appointment , your clinician will ask questions and assess you to diagnose your problem and explain to you the options available. This will help you to understand how you can use the respite from pain which a corticosteroid injection provides, to work directly on your problem and provide you with a personalized exercise plan to avoid reliance on injections in the future. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page , or book a free online or telephone consultation to speak to Max directly. Read More What other treatments are available for plantar fasciitis? After an acute injury, such as recent repetitive strain or overuse, usually rest, ice, activity modifications and painkilling treatments like over-the-counter medications or gels are often sufficient. Fortunately, most plantar fasciitis will resolve naturally overtime. If symptoms do not settle after 6-12 weeks the following treatments can be alternative, complementary or subsequent to cortisone or hyaluronic acid injections . Physiotherapy and exercises is an important aspect of plantar fascia rehabilitation as it modulates pain, helps strengthen muscles, improve flexibility, and promote healing with an exercise induced response in collagen turnover, blood flow, anti-inflammatory activity. Night splints keeping the ankle in prolonged dorsiflexion. Orthotic Devices (custom or over-the-counter) such as shoe inserts or special footwear can provide additional support and help distribute pressure more evenly. Extracorporeal Shock Wave Therapy (ESWT) uses shock waves to stimulate healing in the affected plantar fascia. Barbotage for calcifications which involves the injection and aspiration of fluid into and out to remove calcific deposits. Platelet-Rich Plasma (PRP) Therapy involves injecting a concentrated form of the patient's own blood platelets into the plantar fascia to promote healing. There is currently limited evidence to supports its use in regard to costs. Surgery might be necessary for rare severe cases not responding to conservative management. The specific treatment approach depends on the type and severity of plantar fasciitis, and it's crucial for individuals experiencing symptoms to seek professional medical advice for an accurate diagnosis and appropriate management MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and you can normally have your injection treatment within a few days of first making contact. Book Appointment Now 10 New Cavendish St, London, W1G 8UL, England Our Central London clinic is based in The French Pharmacy in Marylebone. 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and you can normally have your injection treatment within a few days of first making contact. Book Appointment Now

Private Ultrasound Guided Cortisone Injection in South London. Understand what is a Cortisone Injection and how it can help to manage you joint or tendon pain. Free consultation. Ultrasound Guided Cortisone Injections in Central London and South London Cortisone Injections at our clinic We are a leading musculoskeletal clinic offering diagnostic ultrasound and ultrasound guided procedures such as cortisone injections or hyaluronic acid injections for musculoskeletal pathologies. We perform all procedures as part of a comprehensive and global management of your condition. We offer our services at our Central London and South London clinics and also offer home visits in the South London area. A free telephone consultation is available to understand whether an ultrasound scan will be helpful and appropriate in your particular case. Booking is quick and easy, please see our book appointment page for more details. What are Cortisone Injections? Although “cortisone" is often used as a general term, it refers to a class of hormones called corticosteroids which are natural anti-inflammatory substances produced by the adrenal glands (above the kidneys). We do not actually inject cortisone as per say as it is short acting and less potent, but we use medications of the same family such as Triamcinolone Acetonide, Methylprednisolone or Dexamethasone which last longer and are more effective to manage inflammation, decrease pain, swelling and stiffness. We usually combine these injections with local anaesthetic drugs such as lidocaine , to reduce the discomfort of the injection and limit pain afterward. The main effects of corticosteroids injections are: Anti-Inflammatory Effects where corticosteroids act by inhibiting the production and release of pro-inflammatory substances, such as cytokines and prostaglandins. This helps to reduce the inflammatory response at the site of injection. Suppression of the Immune Response meaning that corticosteroids can dampen an overactive immune response present in some pathologies, which contributes to inflammation and tissue damage. Reduction of Swelling (oedema) and accumulation of fluid in the affected tissues often caused by inflammation. Corticosteroids can help reduce this swelling by stabilizing cell membranes and decreasing the permeability of blood vessels, thereby limiting the leakage of fluids into the tissues. Pain reduction as a secondary effect by reducing inflammation, swelling, and immune response. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say What can be treated with ultrasound guided cortisone injections? Cortisone injections have be used for decades as they are easily available and effective to manage a wide range of musculoskeletal conditions. Extensive medical research suggests that ultrasound guidance is more effective and decrease the risk of complications. Some of the common conditions that we treat include: Arthritis such as osteoarthritis . Tendon injuries like tendonitis or tendon tears. Nerve conditions and entrapment such as carpal tunnel syndrome , cubital tunnel syndrome or tarsal tunnel syndrome. Ganglion cysts . Bursitis commonly seen in shoulder, elbow, hip and knee pain . How often do I need to have cortisone injections done? The frequency of corticosteroid injections will depends on various factors, including the specific medical condition being treated, previous response to the injections, and individual features. Prior to repeat an injection, we will also consider the severity and chronicity of the condition, the location of the injection, and any potential side effects associated with repeated use. There is no risk of becoming addicted to corticosteroids if you have repeated procedures but there is some evidence that repeated injections may cause further joint degeneration (especially on the knee) or cause tendon damage . In some other conditions like trigger fingers, repeated injection are known to be safe . These side effects are more likely to occur if there are other risks factors (obesity, smoking...) and the need for repeated injection will be assessed on a case by case basis. If further injections are not recommended, we will discuss other alternatives such as hyaluronic acid or Arthrosamid® injections . How much do ultrasound guided cortisone injections cost? Our ultrasound guided injections start from £260 including initial telephone consultation, diagnostic ultrasound, written report with care plan and exercise prescription if appropriate. See our fees Are cortisone injections a long-term solution for my condition? Corticosteroids have a short term effect (around 3 months) but a common belief is that cortisone injections do not address the underlying causes of your pain and will only stop the symptoms. First of all, your pain has a massive impact on your daily life and any relief, even temporary, can help significantly with your sleep, work or family activities, and as a result, improve your general well being and mental health. Fortunately, simple pathologies, even when causing severe pain, tend to improve overtime and by the time the steroid has stopped working, we expect that your body has healed by itself and the pain won't return. Secondly, the pain free period allowed by steroid injections (up to 3-6 months on average and sometime over 1 year) is a window that will be used to begin further treatment such as a prescribed exercise program or sessions of physiotherapy , in order to address other causative factors for your problems. In some cases steroid injections can also be a permanent solution by stopping chronic inflammation or disrupting your pain signal. More information about pain can be found on our blog . At your virtual consultation and first appointment , your clinician will ask questions and assess you to diagnose your problem and explain to you the options available. This will help you to understand how you can use the respite from pain which a corticosteroid injection provides, to work directly on your problem and provide you with a personalized exercise plan to avoid reliance on injections in the future. Why should I book my ultrasound guided cortisone injection at Insight MSK? All our procedures and diagnostics are part of a comprehensive management of your condition in line with recent scientific evidence. All injections are ultrasound guided, which have been proven to be more effective and are all preceded by a thorough clinical examination. We do not only diagnose or "fix" problems but we strive to understand the context and causative factors which have led to your condition in order to prevent re-occurrence. These require several skills and the ability to deal with complex and multiple information which often need the expertise from different specialists and therefore multiple appointments, travel, fees... We offer all these services together to give you a prompt single point of contact to assess, diagnose and manage your condition thanks to our unique and vast experience in musculoskeletal medicine. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page, or book a free telephone consultation to speak to Max directly. Read More What are possible side effects of cortisone injections? Fortunately, serious side effects to corticosteroid injections are rare and reactions are generally mild and short-lived. but like any drug or medical intervention there are risks such as anaphylaxis (life-threatening allergic reaction, which is extremely rare in response to injected steroid or local anaesthetics), infection (1 out of 50 000 patients), but more likely to occur if you suffer from diabetes, rheumatoid arthritis, Chronic Kidney Disease, HIV or if you take intra venous drugs. Less serious reaction can occur such as a temporary increased pain (20% of the cases), cosmetic changes to the skin including depigmentation or localized fat atrophy around the injection site, bruising around the injection site (more likely, if you are on blood thinning medications), tendon rupture, increased cartilage degeneration, numbness or tingling, abnormal vaginal bleeding, temporary facial flushing, mood disturbances or depression (if you or your family have a history of psychosis or bipolar disorders) and of course failure to work. Your clinician is trained to recognise and deal with severe immediate reaction and we are equipped with the appropriate first aid equipment. To minimise risks of side effects we advise rest for 48h (including driving for lower limb procedures) and you will be asked to wait up to 20 minutes in the waiting area. We encourage you to communicate any concerns with us to ensure a comfortable and informative experience. Can I have a cortisone injection while I am pregnant or breastfeeding? Cortisone injections during breastfeeding is safe. No side effects on breastfed infant has never been reported for any corticosteroids. The amount of drug passing through the breast milk is very small and will no cause any harm to your baby. However, reduced maternal milk production has been reported. More information can be accessed on the Breastfeeding Network or the Drugs & Lactation database (LactMed®). Of course we will always weigh benefits against potential risks, considering factors like the specific condition being treated, and the overall health of the mother and baby. As with any treatment, the lowest effective dose for the shortest duration is preferred. Pregnant women are often subject to various musculoskeletal conditions which are commonly well managed with cortisone injections such as Carpal Tunnel Syndrome, De Quervain Tenosynovitis or sacroiliitis. Corticosteroids are known to cross the placenta with systemic administration such as oral or intravascular drugs. However there is little support that it increases any developmental defect on the baby. Despite non-systemic corticosteroids, which means drugs not reaching the entire body circulation such as cortisone injections inside a joint, are not considered absolute contraindication by recent medical research , we do not offer injections during pregnancy. If you are suffering from a MSK condition during your pregnancy, a diagnosis from a medical professional is an essential first step in understanding your problem and understanding what is the right course of treatment for you since effective alternative management can be offered. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . 10 New Cavendish St, London, W1G 8UL, England Our Central London clinic is based in The French Pharmacy in Marylebone. 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy, t here are no long wait times and you can normally have your injection treatment soon of first making contact. Book Appointment Now

Private cortisone injections for tendonitis pain in South London. Understand what types of tendonitis are treatable and how cortisone injections can help. Free consultation. Cortisone Injections for Tendonitis in Central London and South London Cortisone injections for tendonitis at our clinic We are a leading cortisone injection clinic offering steroid injections for pain from tendonitis, also known as tendinopathy or tendinosis in medical terms. Steroid injections can bring significant relief from your tendonitis pain and bring you much-needed respite from your condition. We offer private injections at our Central London and South London clinics and also offer home visits in the South London area. A free telephone consultation is available to understand whether injections will be helpful and appropriate in your particular case, and your appointment also includes a diagnostic ultrasound consultation to ensure your injection will be safe and give you maximum benefit. Booking is quick and easy, please see our book appointment page for more details. Types of tendonitis that are suitable for cortisone injections Tendonitis is a general term used to describe conditions that affect tendons, the thick, fibrous cords that connect muscles to bones. The term tendinopathy is preferable since tendonitis suggests an underlying inflammation which is not always present and tendinopathy encompasses a range of tendon disorders, including tendonitis and tendinosis. These conditions involve damage, degeneration, or inflammation of the tendons, typically due to overuse, injury, or aging. Tendonitis : Inflammation of a tendon which often occurs as a result of repetitive stress, overuse, or acute injuries. Common symptoms include pain, swelling, and tenderness at the site of the affected tendon. The pain is usually aggravated by movement. Tendinosis : Non-inflammatory condition characterized by degeneration of the tendon tissue. It is often associated with chronic overuse and may result in microscopic tears in the tendon. Tendinosis may present with pain, stiffness, and reduced function. Unlike tendonitis, there is not always inflammation. Calcific tendonitis : condition where calcium deposits form in a tendon, leading to inflammation, pain, and potential restriction of movement in the affected joint. It often occurs in the shoulder. Tendinopathy can affect any tendon in the body, but it commonly occurs in the tendons of the shoulders, elbows, wrists, hips, knees, and ankles. Causes and risk factors usually include repetitive stress or overuse, natural degeneration from age, incorrect or poor technique during physical activities, poor general health and conditioning, smoking or the presence of other condition such as diabetes, thyroid dysfunction or inflammatory diseases like rheumatoid arthritis. In order to ensure injection therapy is the right course of action in your particular case, we offer a free virtual consultation to get a quick picture of your health and the condition you are experiencing, and advise on whether steroid injections are a good course of action for you. At your appointment we will also carry out a full ultrasound-led diagnosis and assessment to ensure you are receiving the most appropriate treatment and best possible care. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say How do cortisone injections help with tendonitis? Cortisone injections can rapidly reduce pain, bringing much-needed relief and increased mobility. If you have found your work or other daily activities involving walking, running, gripping, or anything being hindered by your pain, a steroid injection can allow you the freedom to get back to work and normal life. Pain is not to be underestimated and when it becomes bad it can become debilitating and lead to depression. Pain can also lead to inactivity which can cause further problems such as postural and health issues, leading to even further inactivity, known as the chronic pain cycle . It is crucial to seek help when you are in pain and not simply try to live with it, as when left unchecked pain can cause gradual deterioration of both mental and physical health. The break from pain and other symptoms brought by steroid injections will also allow you to take other actions to proactively combat your problem. In particular, you will be able to follow a physiotherapist-prescribed exercise programme to deal with your condition at the root by stimulating healing of the tendon fibres. It is important you do any exercises your physiotherapist gives you to avoid your problem worsening in the future and potentially leading to more problems further down the line. All our treatments include a written report and guidance on moving forward with treating your problem following your injection, so that you can use the opportunity the injection gives to set yourself on a path to better health. We also include a personalised physiotherapy exercise plan wherever appropriate. For more information about cortisone injections and frequently asked questions, see our cortisone injections page . How much do cortisone injections cost? Our cortisone injections start at just £260 including initial telephone consultation, diagnostic ultrasound, ultrasound-guided injection, written report with care plan and exercise prescription if appropriate. See our fees What tendonitis do you typically treat with injections? Whilst there is no definitive list, tendons disorders that we often see as candidates for injection therapy include: De Quervain tenosynovitis Peroneal tendinopathy Long head of biceps tenosynovitis Posterior Tibial Tendon Dysfunction Tennis elbow & golfer's elbow Rotator cuff tendinopathy Gluteal tendinopathy Plantar fasciitis We offer corticosteroid or hyaluronic acid injection depending the type of condition and its location. In all cases, a consultation with a medical professional is crucial in choosing the right course of treatment for your particular case. Are cortisone injections a long-term solution for tendonitis? Corticosteroids have a short term effect (around 3 months) but a common belief is that cortisone injections do not address the underlying causes of your pain and will only stop the symptoms. First of all, your pain has a massive impact on your daily life and any relief, even temporary, can help significantly with your sleep, work or family activities, and as a result, improve your general well being and mental health. Fortunately, simple pathologies, even when causing severe pain, tend to improve overtime and by the time the steroid has stopped working, we expect that your body has healed by itself and the pain won't return. Secondly, the pain free period allowed by steroid injections (up to 3-6 months on average and sometime over 1 year) is a window that will be used to begin further treatment such as a prescribed exercise program or sessions of physiotherapy , in order to address other causative factors for your problems. In some cases steroid injections can also be a permanent solution by stopping chronic inflammation or disrupting your pain signal. More information about pain can be found on our blog . At your virtual consultation and first appointment , your clinician will ask questions and assess you to diagnose your problem and explain to you the options available. This will help you to understand how you can use the respite from pain which a corticosteroid injection provides, to work directly on your problem and provide you with a personalized exercise plan to avoid reliance on injections in the future. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page , or book a free online or telephone consultation to speak to Max directly. Read More What other treatments are available for tendonitis? After an acute injury, such as recent repetitive strain or overuse, usually rest, ice, activity modifications and painkilling treatments like over-the-counter medications or gels are often sufficient. Depending on the location, bracing or Supports can provide stability and reduce strain on the affected tendon. Giving the affected tendon some time to recover is often a key component of treatment and fortunately, most tendonitis will resolve naturally overtime. If symptoms do not settle after 6-12 weeks the following treatments can be alternative, complementary or subsequent to cortisone or hyaluronic acid injections . Physiotherapy and exercises is an important aspect of tendon rehabilitation as it modulates pain, helps strengthen muscles, improve flexibility, and promote healing with an exercise induced response in collagen turnover, blood flow, anti-inflammatory activity. Extracorporeal Shock Wave Therapy (ESWT) uses shock waves to stimulate healing in the affected tendon. Dry Needling or tendon fenestration is a procedure involving the creation of small openings in a tendon to promote healing. Barbotage for calcific tendonitis which involving the injection and aspiration of fluid into and out of a tendon to remove calcifications. Platelet-Rich Plasma (PRP) Therapy involves injecting a concentrated form of the patient's own blood platelets into the tendon to promote healing. There is currently limited evidence to supports its use in regard to costs. Surgery might be necessary for severe cases not responding to conservative management. More information can be found here . The specific treatment approach depends on the type and severity of tendinopathy, and it's crucial for individuals experiencing symptoms to seek professional medical advice for an accurate diagnosis and appropriate management MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and you can normally have your injection treatment within a few days of first making contact. Book Appointment Now 10 New Cavendish St, London, W1G 8UL, England Our Central London clinic is based in The French Pharmacy in Marylebone. 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our Central London and South London Clinics We also provide home visits

Unable to attend a clinic? Tight schedule ? We are the only clinic in London offering cortisone injections at your home or any place of your convenience. We currently cover: Brixton, Clapham, Dulwich, Forest Hill, London Bridge. Please reach out to discuss. Home Visits for Ultrasound Guided Cortisone Injections in South London Do you offer home visits for diagnostic ultrasound and injections ? Unable to attend a clinic? Tight schedule ? We are the only clinic in London offering musculoskeletal ultrasound and guided injections at your home or any place of your convenience. We currently cover the following areas : Brixton Peckham Camberwell Clapham Dulwich Forest Hill London Bridge Please reach out and book a free appointment to discuss. *Please note that a surcharge of £100 is applicable . 10 New Cavendish St, London, W1G 8UL, England Our Central London clinic is based in The French Pharmacy in Marylebone. 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and you can normally have your injection treatment within 3-4 days of first making contact. Book Appointment Now

Private Ultrasound Guided Hyaluronic Acid Injections in South London. Understand what is a hyaluronic acid injection and how it can help to manage you joint or tendon pain. Free consultation. Ultrasound Guided Hyaluronic Acid Injections in Central London and South London Hyaluronic Acid Injections at our clinic We are a leading musculoskeletal clinic offering diagnostic ultrasound and ultrasound guided procedures such as hyaluronic acid injections for musculoskeletal pathologies. We perform all procedures as part of a comprehensive and global management of your condition. We offer our services at our Central London and South London clinics and also offer home visits in the South London area. A free telephone consultation is available to understand whether an ultrasound scan will be helpful and appropriate in your particular case. Booking is quick and easy, please see our book appointment page for more details. What is Hyaluronic Acid? Hyaluronic acid is a naturally occurring substance found in the human body and present in various tissues and fluids, with high concentrations found in skin, eyes, and synovial fluid within joints. In joints and tendons, hyaluronic acid ensures normal, painless movement due to its lubricating and shock absorbing properties. It is also responsible for the nutrition of the cartilage. The production of hyaluronic acid in the body can decrease with age, and this reduction is associated with changes in joint health. Hyaluronic acid injections have been proven safe and effective for chronic moderate osteoarthritis and tendon disorders. We typically recommend these injections for knees and hip osteoarthritis or patellar, Achilles and posterior tibial tendinopathy. We use Ostenil Plus and Ostenil Tendon. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say What can be treated with ultrasound guided cortisone injections? Hyaluronic acid injections, also called viscosupplementation, is injected as a gel. Extensive medical research suggests that ultrasound guidance is more effective and decrease the risk of complications. The conditions that we treat include osteoarthritis especially for knee pain and tendon injuries like tendonitis or tenosynovitis of the Long Head of Biceps or posterior tibial tendon. How do Hyaluronic acid injections work ? Mechanism of action and effects on joints and tendons is multiple but here are some general considerations: Joint Lubrication by supplementing the natural hyaluronic acid in the joint and potentially reducing friction and pain during joint movement. Anti-Inflammatory Properties. Stimulation of Tissue Healing by promoting the cellular activities of fibroblasts. Tendon Health by promoting tendon gliding, reducing adhesion as well as improving tendon architectural organisation. How much do ultrasound Hyaluronic Acid injections cost? Our hyaluronic acid injections cost £320 including initial telephone consultation, diagnostic ultrasound, written report with care plan and exercise prescription if appropriate. See our fees How often do I need to have hyaluronic acid injections? The frequency of hyaluronic acid injections depends on various factors, including the specific medical condition being treated, individual response to the injections, and individual features. Typically, we perform a single injection per joint and two injection with one week in between for tendons. Prior to repeat an injection, we will consider the severity and chronicity of the condition, the location of the injection, and any potential side effects associated with repeated use. There is no risk of becoming addict to hyaluronic acid if you have repeated procedures. Hyaluronic acid injections can also be combined with co rticosteroid injections in some occasions. Why should I book my hyaluronic acid injection at Insight MSK? All our procedures and diagnostics are part of a comprehensive management of your condition in line with recent scientific evidence. All injections are ultrasound guided, which have been proven to be more effective and are all preceded by a thorough clinical examination. We do not only diagnose or "fix" problems but we strive to understand the context and causative factors which have led to your condition in order to prevent re-occurrence. These require several skills and the ability to deal with complex and multiple information which often need the expertise from different specialists and therefore multiple appointments, travel, fees... We offer all these services together to give you a prompt single point of contact to assess, diagnose and manage your condition thanks to our unique and vast experience in musculoskeletal medicine. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page, or book a free telephone or online consultation to speak to Max directly. Read More What are the contraindications and risks associated to Hyaluronic Acid injections? Hyaluronic acid injections are extremely safe and very rarely cause side effects. However, like with any medical intervention, there are risks of allergic reactions, infection, bruising, feeling of heat, redness, joint swelling, tachycardia, hypertension, hypotension, shortness of breath, nausea, itchiness or temporary increased pain after the procedure. Hyaluronic acid preparations used in our clinic have been obtained by biofermentation and contain no animal protein but Ostenil Tendon contains mannitol which helps to stabilise the hyaluronic acid. If you have known allergy to Ostenil components it's an absolute contraindication. Other contraindications includes patients under 18, pregnant and breastfeeding women. We also do not inject hyaluronic acid on patients with rheumatoid arthritis or ankylosing spondylitis due to the absence of clinical studies. For more information, the manufacturer leaflets are available here for Ostenil Tendons and here for Ostenil Plus. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . 10 New Cavendish St, London, W1G 8UL, England Our Central London clinic is based in The French Pharmacy in Marylebone. 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and you can normally have your injection treatment within 3-4 days of first making contact. Book Appointment Now

Ultrasound-guided cortisone injections in South London. Senior NHS clinician. Home visits available. Free consultation. Cortisone Injections in Central London and South London At our clinics or in the comfort of your own home Book an appointment Private London Steroid Injections We are a leading London private injection clinic, dedicated to providing you with an expert professional service to fix musculoskeletal (MSK) pain fast. We use the latest ultrasound-guided technology and our lead clinician is an established senior NHS practitioner with extensive experience in top London hospitals. We provide a streamlined and personal service from consultation to aftercare, with an experienced clinician to discuss your treatment and answer your questions at every step of the way. Free Consultation Free Learn More Cortisone Injections £260 Learn More Home Visits from £360 Learn More Our Treatments & Fees “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists Our Simple Appointment Process We have done everything we can to make your appointment as effortless as possible. Simply choose a time for a free virtual consultation using the button below. Our qualified clinician will ensure injection therapy is the appropriate choice for you, and take time to discuss the treatment and answer any questions you have. If you're ready to go ahead our clinician will book you in there and then for your treatment, at a time that is convenient to you. Book a Free Virtual Consultation Shoulder pain Includes frozen shoulder , arthritis , rotator cuff impingement and tendinopathy Knee pain Includes patellofemoral and femorotibial arthritis , meniscal tears, bursitis, tendonitis , IT band syndrome, Baker's cyst Elbow pain Includes tennis elbow & golfer's elbow , biceps tendonitis, bursitis, osteoarthritis , cubital tunnel syndrome Hip & Back pain Includes hip & low back arthritis , bursitis, tendinopathy , greater trochanteric pain syndrome, meralgia paresthetica, sacroiliac pain , coccyx pain Hand & Wrist pain Includes De Quervain tenosynovitis, Carpal Tunnel Syndrome , hand and fingers arthritis , trigger finger/thumb, ganglion cysts Foot & Ankle pain Includes ankle, foot and toes arthritis , posterior tibial or peroneal tendonitis, bursitis, Morton’s neuroma, plantar fasciitis , ganglion cysts Not sure if we can help? Book a free virtual consultation with our expert clinician to discuss your condition and treatment. 10 New Cavendish St, London, W1G 8UL, England Our Central London clinic is based in The French Pharmacy in Marylebone. 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our Central London and South London Clinics We also provide home visits Book Now Start your journey to a pain-free life today. Our experts are waiting to help you. Book Appointment Partners

Private US Guided High Volume Injections for Achilles tendonitis in South London. Understand what a High Volume Injection is and how it can help you. Free consultation. Ultrasound Guided High Volume Injections for Achilles Tendonitis in South London What is Insight MSK? We are a leading musculoskeletal clinic offering diagnostic ultrasound and ultrasound guided procedures such as High Volume Injections for Achilles tendonitis. We perform all procedures as part of a comprehensive and global management of your condition. We offer our services at our South London clinic and also offer home visits in the South London area. A free telephone consultation is available to understand whether this procedure will be helpful and appropriate in your particular case. Booking is quick and easy, please see our book appointment page for more details. What is a High Volume Injection ? A High-Volume Injection is a treatment used for chronic tendon pain, particularly around the Achilles tendon, knee (patellar tendon), and sometimes the plantar fascia. It involves injecting a larger-than-usual volume of sterile fluid, usually a mix of saline (salt water), local anaesthetic, and sometimes a small amount of cortisone around the affected tendon. This technique helps separate the tendon from surrounding irritated tissues, reducing pain by calming down nerves and blood vessels that may be contributing to the problem. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say Do I need a High Volume Injection ? You might benefit from a High-Volume Injection if: You’ve had ongoing tendon pain for several months (like Achilles or patellar tendinopathy). You’ve tried other treatments such as rest, physiotherapy, or shockwave therapy with limited success. Your ultrasound scan shows signs of neovascularisation (new blood vessels and nerves growing into the painful area), which is often associated with chronic tendon pain. Our team will carefully assess your condition and history to determine if this is the right treatment for you. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . How much High Volume Injections cost? Our Ultrasound Guided High Volume Injection procedure start from £300 including initial telephone consultation, diagnostic ultrasound, written report with care plan and exercise prescription if appropriate. See our fees How are High Volume Injections performed ? The procedure is quick, image-guided, and precise: You'll be lying comfortably on the front or on the side while the clinician uses ultrasound guidance to identify the exact area around the painful tendon. A fine needle is used to numb the region and then to inject the high-volume fluid safely and accurately. The injection usually takes only a few minutes, and you’ll be able to walk out of the clinic shortly afterward. A tailored rehab plan (usually involving specific exercises) is often recommended after the procedure for the best results. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page, or book a free telephone or online consultation to speak to Max directly. Read More Why should I book my US guided High Volume Injection at Insight MSK? All our procedures and diagnostics are part of a comprehensive management of your condition in line with recent scientific evidence. All injections are ultrasound guided, which have been proven to be more effective and are all preceded by a thorough clinical examination. We do not only diagnose or "fix" problems but we strive to understand the context and causative factors which have led to your condition in order to prevent re-occurrence. These require several skills and the ability to deal with complex and multiple information which often need the expertise from different specialists and therefore multiple appointments, travel, fees... We offer all these services together to give you a prompt single point of contact to assess, diagnose and manage your condition thanks to our unique and vast experience in musculoskeletal medicine. 10 New Cavendish St, London, W1G 8UL, England Our Central London clinic is based in The French Pharmacy in Marylebone. 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and you can normally have your injection treatment within 3-4 days of first making contact. Book Appointment Now

Private cortisone injections for osteoarthritis pain in South London. Understand what types of osteoarthritis are treatable and how cortisone injections can help. Free consultation. Cortisone Injections for Osteoarthritis in Central London and South London Cortisone injections for osteoarthritis at our clinic We are a leading cortisone injection clinic offering steroid injections for all osteoarthritis pain related conditions such as knee or hip. Steroid injections can bring significant relief from musculoskeletal pain and bring you much-needed respite from your condition. We offer private injections at our Central London and South London clinics and also offer home visits in the South London area. A free telephone consultation is available to understand whether injections will be helpful and appropriate in your particular case, and your appointment also includes a diagnostic ultrasound consultation to ensure your injection will be safe and give you maximum benefit. Booking is quick and easy, please see our book appointment page for more details. What is Osteoarthritis ? Osteoarthritis (OA) is a form of arthritis (joint inflammation) characterized by the gradual degeneration of the cartilage, the smooth and protective tissue that covers the ends of bones in a joint. Over time, the bones in the joint may undergo changes, such as the formation of bone spurs (osteophytes) in response to the stress caused by the loss of cartilage. While osteoarthritis is not primarily an inflammatory condition like rheumatoid arthritis, inflammation may occur as a secondary response to cartilage damage leading to joint pain, stiffness, and reduced range of motion. These symptoms often worsen with activity and improve with rest. Weight-bearing joints such as the knees, hips, and spine are commonly affected, but osteoarthritis can occur in any joint. Several factors contribute to the development of osteoarthritis, including: Aging: The risk of osteoarthritis increases with age. Joint Overuse or Injury: Previous joint injuries or repetitive stress on a joint can contribute to the development of osteoarthritis. Genetics: There is a genetic component to osteoarthritis, and it may run in families. Obesity: Excess body weight can increase the risk of osteoarthritis, particularly in weight-bearing joints. For more resources on Osteoarthritis consult the reference website, Versus Arthritis . In order to ensure injection therapy is the right course of action in your particular case, we offer a free virtual consultation to get a quick picture of your health and the condition you are experiencing, and advise on whether steroid injections are a good course of action for you. At your appointment we will also carry out a full ultrasound-led diagnosis and assessment to ensure you are receiving the most appropriate treatment and best possible care. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say How do cortisone injections help with osteoarthritis? Cortisone injections rapidly reduce swelling and pain, bringing much-needed relief and increased mobility. If you have found your work or other daily activities such as family or general activity being hindered by your pain, a steroid injection can allow you the freedom to get back to work and normal life. Pain is not to be underestimated and when it becomes bad it can become debilitating and lead to depression. A reduction in mobility due to knee pain can also lead to inactivity which can cause further problems such as postural and health issues, leading to even further inactivity, known as the chronic pain cycle . It is crucial to seek help when you are in pain and not simply try to live with it, as when left unchecked pain can cause gradual deterioration of both mental and physical health. The break from pain and other symptoms brought by steroid injections will also allow you to take other actions to proactively combat your problem. In particular, you will be able to follow a physiotherapy-prescribed exercise programme to deal with your condition at the root by building flexibility and strength in the knee. It is important you do any exercises your physiotherapist gives you to avoid your problem worsening in the future and potentially leading to more problems further down the line. All our treatments include a written report and guidance on moving forward with treating your problem following your injection, so that you can use the opportunity the injection gives to set yourself on a path to better health. We also include a personalised physiotherapy exercise plan wherever appropriate. For more information about cortisone injections and frequently asked questions, see our cortisone injections page . How much do cortisone injections cost? Our cortisone injections start at just £260 including initial telephone consultation, diagnostic ultrasound, ultrasound-guided injection, written report with care plan and exercise prescription if appropriate. See our fees What joints with osteoarthritis do you typically treat with injections? Whilst there is no definitive list, joints that we often see as candidates for injection therapy include knee , hip, wrist and fingers (especially the base of the thumbs) or lumbar spine. In all cases, a consultation with a medical professional and sometime an ultrasound-led diagnosis is crucial in choosing the right course of treatment for your particular case. Are cortisone injections a long-term solution for osteoarthritis? Corticosteroids have a short term effect (around 3 months) but a common belief is that cortisone injections do not address the underlying causes of your pain and will only stop the symptoms. First of all, your pain has a massive impact on your daily life and any relief, even temporary, can help significantly with your sleep, work or family activities, and as a result, improve your general well being and mental health. Fortunately, simple pathologies, even when causing severe pain, tend to improve overtime and by the time the steroid has stopped working, we expect that your body has healed by itself and the pain won't return. Secondly, the pain free period allowed by steroid injections (up to 3-6 months on average and sometime over 1 year) is a window that will be used to begin further treatment such as a prescribed exercise program or sessions of physiotherapy , in order to address other causative factors for your problems. In some cases steroid injections can also be a permanent solution by stopping chronic inflammation or disrupting your pain signal. More information about pain can be found on our blog . At your virtual consultation and first appointment , your clinician will ask questions and assess you to diagnose your problem and explain to you the options available. This will help you to understand how you can use the respite from pain which a corticosteroid injection provides, to work directly on your problem and provide you with a personalized exercise plan to avoid reliance on injections in the future. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page, or book a free online or telephone consultation to speak to Max directly. Read More What other treatments are available for osteoarthritis? Management of osteoarthritis involves a combination of lifestyle modifications, pain management, and, in some cases, surgical interventions. For acute flare up episodes, relative rest, ice and painkilling treatments like over-the-counter analgesic pills or gels can be sufficient. Braces and supports can also be helpful adjuncts and maintaining a healthy weight can reduce stress on weight-bearing joints. Low-impact exercises are recommended to improve joint flexibility and strengthen the muscles around the affected joint are all also important as it modulates pain and promote healing with an exercise induced response in collagen turnover, blood flow and anti-inflammatory activity. Your physiotherapist will guide you on what activities you should do or should avoid at each stage of your recovery. If conservative management or steroid injection do not help, we also offer hyaluronic acid injections . For severe pain or when symptoms persist, surgical intervention such as joint replacement might be recommended. If you are suffering from osteoarthritis, a diagnosis from a medical professional is an essential first step in understanding your problem and decide what is the right course of treatment for you. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . 10 New Cavendish St, London, W1G 8UL, England Our Central London clinic is based in The French Pharmacy in Marylebone. 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and we can offer same day appointments. Book Appointment Now