Precise diagnosis. Targeted treatment. Lasting relief for joint and tendon pain.
Accurate, real-time ultrasound assessment and precision-guided injections for joints, tendons, muscles and nerves, with a clear diagnosis and treatment plan in a single visit.
Real-time ultrasound assessment of joints, tendons, muscles and nerves. Get a clear diagnosis in one visit, no referral or long wait required.
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Precise ultrasound-guided steroid injections to reduce pain and inflammation in joints, tendons and bursae, for shoulder pain, arthritis and tendonitis.
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Lubricating gel injections to reduce pain and improve movement in joints and tendons, performed under ultrasound guidance for optimal accuracy.
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A long-lasting, non-surgical hydrogel treatment for knee arthritis, designed to reduce pain and improve function, delivered under ultrasound guidance.
Find out more →Every patient receives a thorough clinical assessment, diagnostic ultrasound scan and a complete treatment plan, the same level of expert care we provide in our senior NHS roles.
Research shows ultrasound-guided injections are more accurate than landmark-guided injections in many joints, and may be associated with improved clinical outcomes.
Many patients arrive without a confirmed diagnosis, told different things by different doctors, or waiting months for an NHS scan. In a single appointment we assess, scan and, where appropriate, treat.
Perfect if you have persistent joint or tendon pain, an unclear diagnosis, or you simply want answers without the wait.
Book a one-stop assessmentA long-lasting hydrogel injection that cushions the joint and provides pain relief for up to 3 years from a single treatment. Unlike temporary steroid or hyaluronic acid injections, Arthrosamid integrates with your joint lining for sustained relief.
Learn more about ArthrosamidArthrosamid may help reduce pain and delay the need for knee replacement in selected patients. It's ideal for people who:
Choose a body area to see the specific conditions we help with.
Knee pain
Shoulder
Hip & back
Wrist & hand pain
Foot & ankle
Elbow painWe never inject "blind." We see the needle enter the joint, avoid important structures, and place medication exactly where it needs to be.
Both clinicians are senior NHS MSK physiotherapists and injection specialists, performing over 3,000 ultrasound-guided procedures a year between us.
Every treatment is part of a complete, research-informed plan, rehabilitation, lifestyle advice and strategies to prevent recurrence.
Most patients are seen within 3–4 days. Flexible appointments including evenings and weekends to fit around work and family.
You'll know exactly what you're paying before you book. No hidden fees, no surprise charges.
Consistently rated excellent on Trustpilot, with reviews from patients we've helped return to active, pain-free lives.
No hidden fees or surprise charges. Every price below is all-inclusive, it covers your consultation, ultrasound assessment, the procedure and a written report.
Every price is all-inclusive (consultation, ultrasound assessment, procedure & written report). Adding a steroid injection to an assessment is just £70 more at the same session. All injections are performed under real-time ultrasound guidance.
"A highly trained, responsive, competent and caring practitioner. Max has successfully treated me for knee pain and other arthritic conditions over the last 5–6 years, enabling me to live a physically active life. I really cannot recommend him highly enough."
"I had an ultrasound-guided steroid injection in my shoulder and honestly couldn't have asked for a better experience. Max explained the procedure clearly and it was completely painless. I'm already noticing improvement, a genuinely 5-star experience!"
"For someone that's afraid of needles, Max made me feel so comfortable and talked me through the scan and procedure. Yesterday I was in so much pain from calcific tendonitis, and today I'm 100% better and can move my arm without the pain I've had for months."
Insight MSK is a unique musculoskeletal clinic offering individualised, honest, evidence-based care, helping you live pain-free and recover your mobility with a precise diagnosis and a clear, coherent care plan.
One expert clinician, complete continuity, diagnosis, treatment and ongoing care, backed by over 15 years' experience, with consultations in English, French and Spanish. Meet our clinicians below.
We're Maxence Legout and Gareth Evans, experienced NHS advanced practice MSK physiotherapists and sonographers, offering you the same expertise privately, without the wait.
Advanced Practice Musculoskeletal (MSK) Physiotherapist & Sonographer
Maxence Legout is a musculoskeletal (MSK) physiotherapist with over 15 years' experience. He holds consultant-level clinical positions in the NHS and performs more than 2,000 ultrasound-guided procedures each year.
His foundations run deep: a BSc in Sport Science (2007) and early work as a strength & conditioning coach at David Lloyd Brussels shaped a career-long focus on movement, strength and rehabilitation. After graduating with a Master's in Physiotherapy, top of his year, with its highest-ranked dissertation, he specialised in MSK medicine, developing a particular interest in acute spinal conditions.
In 2016 he became the first physiotherapist to join the Emergency Department at King's College Hospital as a senior clinician, managing acute presentations from minor surgery and fracture management to undifferentiated illness. There he pioneered ultrasound scanning for MSK conditions, notably ultrasound-guided anaesthesia for dislocated shoulders prior to reduction. He also spent 10 years as an advanced practitioner within orthopaedic triage and treatment services, and now works exclusively in diagnostic and interventional radiology alongside his private practice.
Max is also a recognised educator. He has taught on the MSc in MSK Physiotherapy at Louvain University in Belgium and created the UK's first MSK ultrasound course for emergency clinicians. Today he teaches ultrasound-guided injection techniques to doctors on international cadaveric courses in Belgium, the first of their kind in the French-speaking world.
Alongside his procedural expertise, Max has a particular interest in longevity medicine, including how the menopause affects the musculoskeletal system, and how to preserve strength and physical activity in an ageing population.
He combines technical precision with a holistic, patient-centred approach, taking the time to understand each person and build a treatment plan that lasts.
Advanced Practice Musculoskeletal (MSK) Physiotherapist & Sonographer
Gareth is a Specialist Musculoskeletal Physiotherapist and Sonographer with over 15 years' experience managing musculoskeletal conditions. He performs more than 1,000 MSK interventions each year, and is actively involved in education, regularly teaching on MSK injection and ultrasound courses.
Gareth holds degrees in Sport & Exercise Science and Physiotherapy, along with postgraduate qualifications in Injection Therapy, musculoskeletal ultrasonography and MSK medicine. With a strong clinical background across community and hospital musculoskeletal services, as well as radiology, he performs over 1,000 MSK interventions each year.
His clinical background is complemented by previous roles as Clinical Lead, Care Quality Commission (CQC) Registered Manager, and executive committee member for MSK professional networks, which have kept him closely engaged with evolving practice and regulatory standards.
His passion lies in delivering patient-centred care that is both safe and clinically effective. At Insight MSK, Gareth provides musculoskeletal assessment, diagnostic ultrasound and MSK injections.
Regulated & registered, both clinicians are Chartered Physiotherapists registered with the Health & Care Professions Council (HCPC).
HCPC registration: PH105833 (Maxence Legout) · PH92303 (Gareth Evans)
1. Promenade Entrance (Jubilee Line / Eden Dock). Look for the 'Revolut' building, closest when arriving via the Jubilee Line.
2. Plaza Entrance (DLR / South Colonnade). Access via 30 South Colonnade, closest to Canary Wharf DLR.
Saturday access: the Promenade Entrance is closed on Saturdays. Please use the Plaza Entrance at 30 South Colonnade, nearest Canary Wharf DLR.
Bikes: public bike-lock areas are outside the Promenade Entrance facing Eden Dock, closest to the Jubilee Line station.
Nearest car parks, all with a 2.0m height restriction:
Arthrosamid® only, by enquiry. The Dulwich clinic is for Arthrosamid® knee injections only, and these are arranged by contacting us first rather than online booking. For all other assessments and treatments, please book Canary Wharf.
Enquire about Arthrosamid Get directions →Book a comprehensive assessment, scan and treatment plan with an expert clinician, most patients are seen within 3–4 days, no referral required.
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