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If you have any questions, please do not hesitate to contact us and a member of the team at Insight MSK will get back to you. Contact Us We're here to help. If you have any questions at all, please don't hesitate to contact us. Please note that in order to ensure you speak directly to the clinicians rather than a receptionist, we do not publish our phone number. However, please feel free to request a call back. First Name Last Name Email Phone number Message Send Thanks for submitting!

Book appointment for a private cortisone injection in our South London clinic or in your own home. Free consultation. Book Appointment How It Works Contact us with our form and we will call you back to arrange a face to face appointment. 1. First contact/Our call back During your call with our lead clinician, we will discuss your condition, answer any questions you have and ask about any contraindications to our treatments*. If you're ready to go ahead, we'll book you in for your treatment at a time that's convenient for you at the clinic. 2. Treatment Session Your treatment session with our expert clinician begins with a recap of your condition and brief medical history, before moving on to diagnostic ultrasound and examination to ensure the treatment is safe and appropriate for you. Once the diagnostic exam is complete your clinician will administer your injection, using the latest ultrasound guidance equipment to ensure the maximum possible benefit and safety. Finally, your clinician will provide you with any follow-up advice, and a personalised exercise programme to keep you pain-free for as long as possible. 3. Aftercare We perform over 2000 ultrasound guided procedures per year and are here to help. If you have any questions or concerns following your treatment, don't hesitate to contact us and we will do whatever we need to do to help you. * Please note that whilst we do our best to gauge your suitability for our treatments during a virtual consultation, it is not a substitute for the in-person examination and diagnostic ultrasound carried out at your appointments and should not be considered as a medical examination. It is possible we may find previously unknown contraindications for treatment when the full diagnostic examination is carried out. If in doubt, please speak to us or consult your GP. Contact us

Map, directions and practical information for your visit to our South London cortisone injection clinic. We are based in Brixton, just 2 minutes from the tube. South London Cortisone Injection Clinic Cortisone Injections at our London Bridge Clinic Treatments Opening Hours Fees Public Transport Book Appointment Contact All our treatments are available in our South London clinic including diagnostic ultrasound , cortisone injections , hyaluronic acid injections , barbotage and dry needling . We can see you Monday - Friday from 8am - 8pm and Saturdays from 9am - 12pm Our fees start at just £150 for a diagnostic ultrasound consultation and £240 for cortisone injections (including the diagnostic consultation). For a full list of fees please see our fees page . London Bridge is easily accessible via multiple transportation options. It is served by the Northern and Jubilee lines on the London Underground, as well as by several bus routes including the 17, 344, 133, 141, and 388. The station is also accessible by train, with services from Southeastern, Thameslink, and the Elizabeth line. For transport information use the Transport for London Journey Planner . We have made the booking process as simple as possible. Simply visit our book appointment page. To contact us, please drop us an email from our contact page and we will be in touch as soon as possible.

Private US Guided Barbotage for cacific tendonitis in South London. Understand what a barbotageis and how it can help you. US Guided Barbotage in Central London and South London Barbotage Procedure at our clinic We are a leading musculoskeletal clinic offering diagnostic ultrasound and ultrasound guided procedures such as Barbotage for calcific tendonitis. We perform all procedures as part of a comprehensive and global management of your condition. We offer our services at South London clinic. Your request will be screened 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 a barbotage procedure? We use this procedure to treat resistant calcific tendinopathy, especially on the shoulder's tendons (rotator cuff). Calcific tendinopathy refers to the deposition of calcium into tendons leading to pain, inflammation, and reduced joint mobility. The goal of barbotage is to disrupt the calcific deposit, promote the absorption of calcium by the body, and alleviate symptoms such as pain and stiffness. Medical research suggests that this is the treatment of choice for calcific tendonitis with up to 70% success rate. More information are available here. “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 is an ultrasound guided barbotage performed ? Tendon barbotage typically involves the following steps: First, ultrasound is used to locate assess the extent of calcium deposits in the affected tendon. A needle is then carefully inserted into the calcium deposit area, ensuring precision in reaching the targeted site. Once positioned, a combination of solution and local anesthetic is injected into the tendon, which serves to numb the area, break up the calcium deposits, and create space within the tendon. After this injection, the same needle is to aspirate the dislodged calcium deposits and fluid, helping to clear debris from the tendon. Following the procedure, patients are recommended to rest before undergoing further treatments such as physiotherapy or anti-inflammatory medications, to support the healing process. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . How much barbotage cost? Our Ultrasound Guided High Volume Injection procedure start from £350 including a consultation, diagnostic ultrasound, written report with care plan and exercise prescription if appropriate. See our fees Why should I book my US guided barbotage 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. Read More Is an ultrasound guided barbotage procedure painful ? The level of pain experienced during an ultrasound guided barbotage can vary from person to person. Some individuals may find the procedure uncomfortable, while others may experience more significant pain. We use local anaesthesia to numb the area before performing the procedure, which can help minimize pain during the actual injection. After the procedure, patients may experience some soreness, but this is typically temporary. We encourage you to communicate any concerns with us to ensure a comfortable and informative experience. Cortisone Injections at our South London Clinic Book an Appointment Booking an appointment is easy. 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 US Guided Barbotage for calcific tendonitis in South London. Understand what is barbotage and how it can help to manage your pain from calcific tendonitis. Free consultation. US Guided Hydrodistension in South London for Frozen Shoulder What is a shoulder hydrodistension? We are a leading musculoskeletal clinic offering diagnostic ultrasound and ultrasound guided procedures such as hydrodistension for frozen shoulder . We perform all procedures as part of a comprehensive and global management of your condition. We offer our services at our South London clinics. Your call will be screened 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 a shoulder hydrodistension? Hydrodistension, also called hydrodilatation, is a technique is used to treat capsulitis (frozen shoulder) when other treatments have failed. Frozen shoulder is characterized by pain and stiffness in the shoulder joint resulting in severe limited mobility. After numbing the shoulder with an anaesthetic agent, sterile saline is injected to attempt to stretch the joint and help to recover some mobility. Here's an overview of the expected benefits: Mechanical Stretching as the injected fluid creates pressure within the joint and distend the capsule. This stretching aims to break up adhesions that may have formed within the joint capsule, contributing to the restricted range of motion. Increased Joint Space temporarily with the fluid occupying the inside of the shoulder joint. This expansion can help improve shoulder mobility and reduce the sensation of tightness associated with frozen shoulder. Facilitating physiotherapy and exercises as the increased joint space created by the procedure can make it easier to move, which plays a crucial role in restoring normal shoulder function. Pain Relief following the associated injection of corticosteroid also contribute to pain relief for individuals with frozen shoulder. Recent medical research suggests that hydrodistension helps more in the short term mobility in comparison to steroid injection alone. However it is not clear if it helps in the long term. We typically recommend this procedure if more conservative management has failed and prior to consider surgical management. “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 an hydrodistension is performed? Here's an overview of how shoulder hydrodistension is typically performed: An ultrasound scan is first performed to exclude other pathologies and confirm where the injection will be performed. We first inject local anaesthetics around and inside the shoulder joint in order to minimize pain during the procedure. A sterile saline solution is injected slowly into the joint capsule to attempt to stretch the joint capsule. A corticosteroid injection is then performed at the end of the procedure. How much Hydrodistensions cost? Our Ultrasound Guided hydrodistension procedure start from £350 including initial telephone consultation, diagnostic ultrasound, written report with care plan and exercise prescription if appropriate. See our fees Why should I book my US guided hydrodistension 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. Read More Is an ultrasound guided hydrodistension painful ? The level of pain experienced during an ultrasound guided hydrodistension can vary from person to person. Some individuals may find the procedure uncomfortable, while others may experience more significant pain. We use local anaesthesia to numb the area before performing the procedure, which can help minimize pain during the actual injection. After the procedure, patients may experience some soreness, but this is typically temporary. We encourage you to communicate any concerns with us to ensure a comfortable and informative experience. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . Cortisone Injections at our South London Clinic Book an Appointment Booking an appointment is easy. 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 Arthrosamid injection in South London. Understand what is Arthrosamid and how it can help to manage your knee pain and arthritis. Free consultation. US Guided Arthrosamid Injections in South London Arthrosamid Injection at our clinic We are a leading musculoskeletal clinic offering diagnostic ultrasound and ultrasound guided procedures such as Arthrosamid injections for knee arthritis . We perform all procedures as part of a comprehensive and global management of your condition. We offer our services at our South London clinic. Your request will be screened 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 Arthrosamid? Arthrosamid® is a 2.5% injectable polyacrylamide hydrogel (iPAAG), made of a non-biodegradable, water-rich gel that integrates with the knee’s synovial lining to reduce stiffness and pain. It’s supplied as six pre-filled 1 mL syringes (total 6 mL). This is an innovative treatment transforming knee osteoarthritis therapy. Unlike traditional treatments that need frequent repetition, this single injection provides long-lasting relief by creating a permanent scaffold within your knee joint. I have been performing ultrasound-guided knee injections for over 10 years, including thousands of procedures through my NHS consultant role. What sets Arthrosamid apart as a treatment option is its unique mechanism, rather than simply lubricating the joint like a hyaluronic acid injection, it becomes part of the joint lining, creating a cushioning scaffold that supports your knee every time you move. Arthrosamid hydrogel can offer long lasting pain relief maintained for 5 years after the injection in recent research (Bliddal, H., et al. 2025). More information are available here . Understanding Knee Osteoarthritis: Why Does It Happen? Before we discuss injection therapy and the different types of joint injections, let me explain what's happening in your knee. Osteoarthritis is a degenerative condition affecting the cartilage - that smooth, cushioning layer between your bones. Think of cartilage like the space between a door and its frame. When that space narrows, the door creaks and sticks. Similarly, when cartilage thins, your bones under the cartilage get closer together inducing stress and inflammation, leading to pain and restricted movement (not everyone with cartilage loss has pain). Several factors contribute to knee osteoarthritis (knee OA): Age-related changes (though they’re not inevitable) Repetitive activities or certain jobs Previous injuries Being overweight - not just from increased load, but also because fat cells produce inflammatory chemicals that damage cartilage Family history or genetic predisposition The key is understanding that whilst some factors like age and genetics can't be changed, many others can be addressed through lifestyle modifications, exercise, weight management, and targeted treatments like Arthrosamid. How Does Arthrosamid Work? Hydrogels like Arthrosamid® have been used safely in urogynecology for stress urinary incontinence for many years. It's also been successfully used in horses' knees over the last decade, being adapted for human knee injectable treatment. When I inject Arthrosamid into your knee joint, it doesn't provide immediate relief like a steroid injection. Instead, over the following months, it integrates with your joint capsule, the 'bag' surrounding your knee joint. This creates a permanent cushion-like scaffold that stabilizes the joint and limits compression when you walk or move. Think of it as putting scaffolding around a building to provide structural support. The gel merges with your joint capsule, preventing it from folding and compressing excessively during movement, which reduces pain and improves function. Relief often starts in weeks, builds over 1–3 months, and has been maintained in studies through at least 3 years, while 5-year effectiveness and 10-year safety have been presented in research more recently (Bliddal, H., et al. 2025). “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 Arthrosamid Knee Injection Post-Treatment Timeline: When You'll Feel the Difference Understanding the Arthrosamid timeline helps set realistic expectations: First 48 Hours: Complete rest as advised including driving. You may experience some tenderness or mild swelling around the injection site for 24h, it affects around 12% of patients - this is completely normal as your body begins responding to the treatment. Week 1 to 2: Rest period with possible mild swelling or stiffness. Most patients manage normal daily activities but should avoid strenuous exercise, heavy lifting, or prolonged standing. Weeks 3-4: Many patients notice decreased pain levels within just four weeks, allowing for improved mobility and quality of life. This is when you can gradually return to normal activities with greater confidence. Months 1-3: The hydrogel integrates with your joint tissues. Most patients begin experiencing significant pain relief and improved function during this period, with a gradual return to everyday activities with less discomfort. 3-12 months: Clinical studies show this is when maximum benefit is typically achieved, with improvements continuing throughout the first year. Years 2-4+: Sustained benefit period. Research demonstrates maintained pain relief and functional improvement for at least four years. Who is the Ideal Candidate for Arthrosamid? The best candidates for Arthrosamid injections are: Under 70 years old (success rates reported by the manufacturer drop from close to 80% to 62% after age 70) Mild to moderate osteoarthritis on imaging (Kellgren–Lawrence grade 2–3). Patients with healthy weight tend to respond better; outcomes are less predictable when BMI is over 30. No acute joint inflammation Previous imaging (X-ray or MRI) to confirm diagnosis I particularly recommend Arthrosamid for active individuals who want a long-term solution rather than repeated treatments, and those who are trying to delay or avoid knee surgery, such as knee arthroscopy or joint replacement surgery. Research Studies show sustained improvement for at least 3 years, with new data suggesting benefits may last up to 5 years or longer. There are anecdotical patients reporting benefits for seven to eight years. How Does Arthrosamid Compare to Other Injection Options? Can Arthrosamid Help Me Return to Running? Arthrosamid vs Steroid Injections : Unlike corticosteroid injections, which offer temporary relief by reducing inflammation and osteoarthritis pain, Arthrosamid works by improving the cushioning within the joint, addressing the underlying mechanical cause of pain and stiffness. A corticosteroid injection will typically last a few months, whilst Arthrosamid provides longer-lasting relief for years without the side effects often associated with repeated steroids, such as cartilage damage or infection risk. Arthrosamid vs Hyaluronic Acid: Hyaluronic acid injections aim to restore some of the lost “lubrication” in the joint. Around 60–70% of patients get temporary improvement, which can last 6–12 months, , and those who do often continue benefiting from repeated treatments. A recent head-to-head study showed Arthrosamid was at least as effective as hyaluronic acid at 52 weeks (Bliddal, H., et al. 2022). The key difference is that Arthrosamid integrates permanently into the joint lining, so structural support lasts for years rather than months. Arthrosamid vs PRP (Platelet-Rich Plasma): PRP injections use your own blood platelets to release growth factors in the joint to stop the inflammation. Some studies suggest this may help slow disease progression, but this requires multiple sessions, and costs can add up. Arthrosamid provides a more predictable and durable benefit with just one injection. The key advantage of Arthrosamid is that it's not just masking symptoms temporarily - it provides long-term mechanical support to your knee joint whilst the other treatments focus on short-term pain relief or attempting to slow disease progression. Final Key Message: Steroids = short-term inflammation control. Hyaluronic acid = joint lubrication, months of relief. PRP = biological approach needing repeated injections. Arthrosamid = one treatment, years of cushioning support. Absolutely, if you're fit and active, with knee pain as your only limitation, Arthrosamid can definitely help you return to running. I've had patients resume their favorite activities after successful treatment, by reducing pain and improving joint function. One particularly memorable success story was a patient who hadn't been able to visit her family in Australia due to knee pain making long-distance travel impossible. After her Arthrosamid injection, she emailed me from Australia, thrilled to finally be spending time with her grandkids again. These are the moments that remind me why I love this work. How much Arthrosamid injections cost? Our Arthrosamid Injection start from £2500 including a consultation, diagnostic ultrasound, written report with care plan and exercise prescription if appropriate. Finance is available, please reach out to discuss further. See our fees What are contraindications of Arthrosamid? According the manufacturer's recommendations we do not inject Arthrosamid in the following cases: Infection or skin condition inside or close to the injection site. Severe knee inflammation Previous injection of another non-absorbable injectable/implant Recent injection of hyaluronic acid. Patients with knee arthroplasty or any foreign material in the knee. Knee arthroscopy within less than 6 months . Patients with haemophilia or poorly controlled anticoagulant treatment . Patients under 18 years, pregnant or breastfeeding . Will Arthrosamid Interfere with Future Knee Replacement? This is a common concern, and I'm pleased to reassure you that Arthrosamid doesn't interfere with knee replacement surgery if you need it in the future. When I examine knees on ultrasound after Arthrosamid injection, the capsule appears slightly thickened, but during knee replacement surgery, surgeons cut the bone and insert implants, stitching the capsule around the new joint. The presence of integrated Arthrosamid doesn't complicate this process. What Are the Risks of Arthrosamid Injections? As with any medical procedure, there are risks, though they're minimal when proper precautions are taken: Allergic reactions are extremely rare and more likely from the local anaesthetic than the Arthrosamid itself. I monitor all patients after the injection and have emergency medications and training to handle any reactions. Infection is the main concern with any joint injection, particularly with a non-biodegradable substance. As per manufacturer’s guidance, I prescribe antibiotics following manufacturer guidelines (typically azithromycin and flucloxacillin or clindamycin if you have penicillin allergy) to be taken 1-2 hours before the procedure. For patients allergic to penicillin, alternative antibiotics are available. Post-procedure discomfort is usually minimal thanks to the long-acting local anesthetic, though some patients experience temporary stiffness. Overall, Arthrosamid has an excellent safety record, with long-term studies showing no evidence of later reaction or joint damage. The Treatment Process: What Happens When You Come to See Me First, we'll have a telephone consultation where I review your symptoms, previous treatments, and imaging. This usually takes 15-30 minutes, though occasionally longer for complex cases. For straightforward candidates, I can sometimes arrange direct booking with pre-completed forms. You'll need recent imaging (X-ray or MRI) before the procedure. This isn't just to confirm osteoarthritis - I can assess that clinically and with ultrasound on the day. The imaging helps exclude other conditions that might mimic arthritis symptoms and ensure we're not missing anything significant. On procedure day, I perform an ultrasound examination to check for acute inflammation, such as severe synovitis (a contraindication for Arthrosamid) or a large build-up of synovial fluid (which can be removed first) and plan the injection approach. The injection itself involves six syringes of Arthrosamid delivered through a single needle entry point, all under ultrasound guidance. Preparing for Your Arthrosamid Injection Food & drink: You can eat and drink as normal before the procedure, there’s no need to fast. Medication: Take the prescribed antibiotics 1–2 hours before your appointment. If antibiotics upset your stomach, taking them with food usually helps (flucloxacillin is best taken 30-60 min before food). Usual medicines: Continue your regular medications unless I’ve advised otherwise. Transport: You won’t be able to drive immediately afterwards, so please arrange for someone to take you home or use public transport/taxi. Clothing: Wear comfortable clothes that allow easy access to your knees. After Your Arthrosamid Injection: Recovery Guidelines Don't drive for 48 hours after the injection. You won't need crutches but arrange alternative transport home. For childcare responsibilities, it depends on your situation. If you're chasing multiple active children all day, arrange some help if possible. For normal childcare activities, you should manage fine with the rest restrictions I provide. You can take paracetamol or ibuprofen if needed and not contraindicated, though many patients find the long-acting local anaesthetic provides excellent initial comfort. Apply ice if there's swelling, and seek medical advice if you notice any signs of infection. 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. Read More Why Choose Ultrasound Guidance for Your Arthrosamid Injection? This is absolutely crucial - Arthrosamid must be precisely placed within the joint capsule. Studies show that even experienced clinicians have between 10% to 25% chance of missing the joint when injecting without ultrasound guidance. With steroid injections, missing the target isn't catastrophic because the medication gets absorbed systemically. With hyaluronic acid, there's less effect if injected outside the joint, but it's still absorbed safely. However, Arthrosamid doesn't dissolve. If injected outside the joint, it remains there permanently, potentially forming a granuloma (inflammatory tissue) that might require surgical removal. The gel is thick and heavy, making it difficult to inject incorrectly, but ultrasound guidance provides absolute certainty of correct placement. Having performed thousands of knee injections throughout my career - both in private practice and my NHS consultant role - you can be confident that your injection will be accurately placed where it needs to be. Clinical Evidence and Success Rates: What Research Shows The effectiveness of Arthrosamid isn't just anecdotal - it's backed by robust clinical trials. Major studies demonstrate that patients maintain statistically significant pain reduction for three years after a single Arthrosamid injection, with over 62% of patients meeting the OMERACT-OARSI criteria for meaningful clinical improvement after one year. In the landmark IDA study, 49 participants received a single 6ml Arthrosamid injection, with 46 completing the full 52-week follow-up. The results showed a significant reduction in WOMAC pain scores of 17.7 points - well above the minimum clinically important difference that patients can actually feel. Success Rates by Age Group: Patients under 70 years: Nearly 80% success rate Patients over 70 years: 62% success rate These statistics align perfectly with my clinical experience. The research particularly emphasizes what I see in practice - younger, active patients with mild to moderate arthritis achieve the best outcomes. What Success Means: Success is measured using the WOMAC scale (Western Ontario and McMaster Universities Osteoarthritis Index), which assesses pain, stiffness, and physical function. Studies show sustained improvements across all three areas for at least three years. But more importantly, success means returning to activities that matter to you Comparing Costs: Long-term Value of Arthrosamid When considering Arthrosamid, cost comparison with alternative treatments reveals its long-term value: Single Arthrosamid Treatment vs Repeated Alternatives: Hyaluronic acid injections: Typically, £320 per injection, needed every 6-12 months Steroid injections: £260-300 per injection, usually lasting 3-4 months Arthrosamid: Higher upfront cost but lasting 5+ years Over a four-year period, repeated conventional injections often exceed Arthrosamid's cost whilst requiring multiple clinic visits and procedures. Understanding WOMAC Scores: How We Measure Success The WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) is the gold standard for measuring knee arthritis improvement. It's a 24-item questionnaire covering pain (5 questions), stiffness (2 questions), and physical function (17 questions). Before treatment, I ask all my Arthrosamid patients to complete the WOMAC questionnaire. This gives us a baseline score and helps predict treatment success. Research shows the average WOMAC pain score improvement with Arthrosamid is 17.7 points - a substantial change that patients definitely notice in their daily lives. The questionnaire asks about real-world activities like walking, climbing stairs, getting in and out of cars, and sleeping comfort. When patients see their scores improve months after treatment, it validates what they're feeling - genuine, measurable improvement in their quality of life. You can access the questionnaire here Can Arthrosamid Help Avoid Knee Replacement? Recent five-year study data shows that over half of Arthrosamid patients avoided knee replacement surgery whilst maintaining improved knee function. For many of my patients, this represents the primary goal - delaying or avoiding major surgery. Recent 5-year study data suggest that over half of patients treated with Arthrosamid had not needed knee replacement surgery during that time, while still maintaining meaningful improvements in pain and function. For many, this represents the primary goal — staying active and postponing major surgery for as long as possible. Knee replacement surgery is highly effective, but it does involve: 3–4 months of recovery and rehabilitation Potential surgical complications Lifespan limits of the implant (often 15–20 years) Significant lifestyle disruption during recovery Arthrosamid offers a minimally invasive alternative that, when successful, can postpone these concerns for years whilst maintaining an active lifestyle. Safety Profile: 20+ Years of Medical Use Arthrosamid uses injectable polyacrylamide hydrogel (iPAAG) technology that's been safely used in medical applications for over 20 years. Arthrosamid uses injectable polyacrylamide hydrogel (iPAAG), a material that has been safely used in medical treatments for more than two decades. It is the same hydrogel technology used in urology for stress urinary incontinence, which has built a large and reassuring safety record. Infection Prevention Protocol : I prescribe prophylactic antibiotics to be taken 1-2 hours before the procedure. This follows manufacturer guidelines and significantly reduces infection risk. Long-term Safety: Clinical studies show no evidence of the gel migrating or damaging the joint. Instead, Arthrosamid integrates with the joint lining to provide ongoing structural support. Research with follow-up to at least 3 years confirms a good safety profile, and newer studies are reporting reassuring results out to 5 years and beyond. Advanced Ultrasound Guidance: Precision Placement One of the critical differences between success and failure often comes down to precise injection technique. Using ultrasound guidance, I can visualize the exact needle placement within your knee joint space, ensuring the Arthrosamid reaches the correct location. During the procedure, you'll see the ultrasound screen showing your knee anatomy in real-time. This isn't just for show - it's essential for optimal outcomes. The gel must integrate with the synovial membrane (joint lining), and ultrasound guidance provides the accuracy needed. Why Choose Me for Your Arthrosamid Injection ? My unique background combines physiotherapy, sonography, and sports science specialization. I've worked with patients throughout their entire knee arthritis journey - from initial conservative treatment and weight management through to post-surgical rehabilitation. This comprehensive experience means I truly understand the full spectrum of knee arthritis management. More importantly, Arthrosamid is a technical procedure requiring precise injection technique. Having performed thousands of knee injections over my career, including my ongoing NHS consultant role, you can trust that your injection will be accurately placed for optimal results. Arthrosamid Injection Cost and Booking For current pricing and to book your consultation, please contact the clinic directly. The process typically involves a brief telephone assessment followed by the appointment procedure, usually achievable within a few days of first contact. No GP referral is required, and unfortunately, Arthrosamid isn't currently available through the NHS, making private treatment your only option for accessing this innovative therapy. Frequently Asked Questions How long does Arthrosamid last? Clinical studies show meaningful pain relief and improved function lasting at least 3 years, with newer follow-up data suggesting benefits may extend to 5 years or more. Some patients report relief beyond this, but long-term outcomes can vary. If the effects wear off, we can discuss further treatment options, which may include a second injection. What happens if I need a knee replacement later? Arthrosamid doesn't interfere with future knee replacement surgery. The integrated gel doesn't complicate the surgical procedure, and many patients successfully delay replacement by several years. Can I combine Arthrosamid with other treatments? No, Arthrosamid isn't combined with other injection treatments. However, it's part of comprehensive knee arthritis management including exercise, weight management, and lifestyle modifications. Is Arthrosamid suitable for severe arthritis? Arthrosamid works best for mild to moderate osteoarthritis (Kellgren-Lawrence grades 2-3) but can be used successfully for severe arthritis. What imaging do I need? Recent X-rays are usually sufficient, though MRI provides more detailed information. The imaging helps exclude other conditions and confirms the pattern of arthritis in your knee. How does Arthrosamid compare to PRP or stem cell therapy? Unlike PRP which might slow arthritis progression or stem cell treatments that aim to regenerate tissue, Arthrosamid provides mechanical support through permanent integration with joint tissues. It offers more predictable outcomes with a single treatment rather than multiple procedures. Currently there is limited evidence for the use of stem cell therapy. Can I have Arthrosamid in both knees? Yes, bilateral treatment is possible. I typically recommend treating one knee first to assess your individual response before proceeding with the second, though both knees can be treated if your consultant feels it's appropriate based on your condition. Will my insurance cover Arthrosamid? Currently, Arthrosamid isn't available through the NHS, making private treatment necessary. Some private insurance policies may provide coverage - check with your provider. Can Arthrosamid be used for other joints besides knees? Arthrosamid is exclusively used to treat osteoarthritis in the knee. We have other treatments options for other joints. How quickly can I return to normal activities? Arthrosamid treatment is minimally invasive, so most patients can return to normal activities within a couple of weeks. However, I recommend avoiding strenuous exercise or heavy lifting for the first week to allow the joint to settle and begin the integration process. Many patients notice decreased pain levels within just four weeks, allowing for improved mobility and a gradual return to everyday activities with greater confidence Why This Represents a Breakthrough in Knee Osteoarthritis Treatment? Arthrosamid is the only intra-articular 2.5% injectable polyacrylamide hydrogel treatment approved in Europe that permanently integrates with synovial tissue. This represents a genuine advancement beyond traditional temporary treatments. For the first time, we can offer patients with knee osteoarthritis a single treatment providing years of benefit, delivered as a straightforward outpatient procedure. This bridges the gap between short-term injection therapies and major surgical intervention. If you're struggling with knee osteoarthritis and want to explore whether Arthrosamid could help you return to the activities you love, I'd be happy to discuss your individual situation during a consultation. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . Injections at our South London Clinics Book an Appointment Booking an appointment is easy. 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 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 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 South London clinic. Your request will be screened 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 £320 including a 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. 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. 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 . Cortisone Injections at our South London Clinic 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

Our professional fees for private cortisone injections and related treatments. We are a private injection clinic in South London. Book easily online. Our Fees Diagnostic Ultrasound Consultation Includes a full musculoskeletal assessment, ultrasound scan, written report with care plan & exercise prescription if appropriate £250 Ultrasound Guided Cortisone Injection Includes consultation & diagnostic ultrasound (£250), Ultrasound guided injection of corticosteroid, written report with care plan & exercise prescription if appropriate £320 Ultrasound Guided Hyaluronic Acid Injection Includes the consultation & diagnostic ultrasound (£150), Ultrasound guided injection of hyaluronic acid (Ostenil or Durolane), written report with care plan & exercise prescription if appropriate £350 (Ostenil) - £400 (Durolane) Ultrasound Guided Arthrosamid Injection Includes the consultation, Ultrasound guided injection of Arthrosamid, written report with care plan & exercise prescription & one follow up consultation £2500 one knee £4700 both knees Ultrasound Guided Hydrodistension Includes the consultation & diagnostic ultrasound (£150), Ultrasound guided hydrodistension, written report with care plan & exercise prescription if appropriate £350 Ultrasound Guided Tendon Barbotage Includes the consultation & diagnostic ultrasound (£150), Ultrasound guided tendon barbotage, written report with care plan & exercise prescription if appropriate £400 Ultrasound Guided High Volume Injection Includes consultation & diagnostic ultrasound (£150), Ultrasound guided High Volume Injection, written report with care plan & exercise prescription if appropriate £350 Ultrasound Guided Aspiration Includes consultation & diagnostic ultrasound (£250), Ultrasound guided aspiration, corticosteroid injection if appropriate (+£70), written report with care plan & exercise prescription if appropriate from £250 Please reach out to discuss further possible indication and contra-indications for each procedure. Let us know about any needle phobia or intervention related anxiety as our care can be adapted. Cancellation Policy Please provide at least 24 hours’ notice to cancel or reschedule an appointment. Cancellations, failing to attend or rescheduling made less than 24 hours prior to your booked appointment will incur a cancellation charge subject to the full fee of your booking. Cancellations or rebooking requests need to be made by email. Cortisone Injections at our South London Clinic Book an Appointment Booking an appointment is easy. 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 diagnostic musculoskeletal ultrasound in South London. Understand what is a MSK ultrasound and how it can help to diagnose you joint or tendon pain. Free consultation. Musculoskeletal Diagnostic Ultrasound Scan in South London Diagnostic ultrasound 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 diagnostic ultrasound scans as part of a comprehensive and global assessment of your condition and your general health. We offer diagnostic ultrasound at our South London clinic. Your request will be screened 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 an Ultrasound Scan examination ? Ultrasound examination, also called ultrasound imaging or ultrasound scan, is a non-invasive medical imaging technique that uses high-frequency sound waves to create real-time images of internal structures in the body. A transducer emits sound waves, and the echoes produced as they bounce off tissues are used to generate detailed images of the musculoskeletal system, which includes muscles, tendons, ligaments, nerves, and joints. Musculoskeletal ultrasound is often used as a dynamic imaging tool, allowing real-time visualization of moving structures which is not possible with X-ray, CT or MRI. “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 diagnosed with an ultrasound scan? Musculoskeletal ultrasound can be used to diagnose a variety of conditions affecting the muscles, tendons, ligaments, joints, and other soft tissues in the musculoskeletal system . Some of the common conditions that we diagnose and evaluate include: Tendon pathology like tendonitis , tendon tears or ruptures. Ligament Injuries such as sprains or tears. Joint swelling caused by effusion or synovitis (Inflammation of the joint lining). Muscle tears or strains. Nerve conditions and entrapment such as carpal tunnel syndrome , cubital tunnel syndrome or tarsal tunnel syndrome. Cysts and Masses such as ganglion cysts or lipomas . Bursitis commonly seen in shoulder, elbow, hip and knee pain . Arthritis such as osteoarthritis or inflammatory joint diseases like rheumatoid arthritis . Foreign Bodies Fractures and particularly stress fractures can be detected despite not being the best exam for that. Calcifications such as calcific tendonitis . We also use musculoskeletal ultrasound to guide needle placement during joint aspirations or injections, please visit our treatment page for more information. How much does an ultrasound scan cost? Our ultrasound scans start from £250 including initial telephone consultation, diagnostic ultrasound, written report with care plan and exercise prescription if appropriate. See our fees Do I need an ultrasound scan for my condition? An ultrasound scans is an invaluable tool to assess musculoskeletal pathologies and can make a significant difference in your treatment and recovery. However, you do not always need an ultrasound scan and a good clinical examination can be sufficient and as effective, or sometimes there is a better alternative such as a X-ray, CT or MRI. We assess individually each patient to ensure that this is the best examination and we offer a free virtual consultation to save you time and money. Please visit our appointment page for more details. Please note that we do not scan the following: 1. Spine and spinal nerves such as to assess sciatica. 2. Non-musculoskeletal related presentations like pregnancy, vascular or abdominal scans. 3. Children before 10 . Why should I book an ultrasound scan with Insight MSK? We typically perform diagnostic ultrasound scans as part of a comprehensive management of your problem. An ultrasound scan in isolation is only a single element in the diagnosis process, this need to be correlated to your general health, age, and information from a clinical and physical assessment. This requires 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. Read More Is an ultrasound scan painful or risky? No, ultrasound scans are generally not painful but some positions might be temporarily uncomfortable. A gel is applied to the skin to enhance the transmission of sound waves and hence limits the need to compress the probe with most individuals feeling only mild pressure. Ultrasound scans are harmless examinations due to the absence of radiations. To ensure the highest safety of our patients we practice in line with the recommendations of The British Medical Ultrasound Society . We encourage you to communicate any concerns with us to ensure a comfortable and informative experience. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . Cortisone Injections at our South London Clinic Book an Appointment Booking an appointment is easy, t here are no long wait times and you can normally have your injection treatment soon after 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 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 South London clinic. Your request will be screened 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 £350 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. 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 . Cortisone Injections at our South London Clinic Book an Appointment Booking an appointment is easy. 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

We are a private cortisone injection clinic in Brixton, South London. We provide steroid injections for a wide range of musculoskeletal problems such as back pain, knee pain and elbow pain. We offer a free consultation and easy online booking. About Us Academic and Professional Excellence. Located at London Bridge , Insight MSK is a unique MSK clinic dedicated to providing individualised, honest, evidence based and high quality care service to help individuals live pain free and recover their mobility. Insight MSK specialises in age-related conditions in tendons and joints as well as body adaptation to exercise. At Insight MSK, we commit to help you get a clear understanding of your condition, diagnose precisely and provide you with a coherent care plan, targeted treatments and advice. Insight MSK is a one of kind service that offers you a complete combination of input and procedures thanks to the rare skill set and expertise of its founder, Maxence Legout . Indeed, a patient's journey to recovery can be long and complicated due to many appointment, waiting lists, different professional to meet and update. Insight MSK is one of the most complete MSK service provided by the same professional with honesty, clarity and continuity from diagnosis and treatment to care plan. Insight MSK is a South London company, and proudly carries its values of respecting diversity and equality and promoting an inclusive society. We also have our own special "French touch" meaning that we proud ourselves in offering an exceptional quality of service. We are registered on the French embassy website. Our consultation can be carried out in English, French and Spanish. We understand the full impact of pain, and pain conditions on daily life, whether it be personal or professional. We know how it can interfere with performance, relationships and how pain can impact mental health and aspirations. We have 15 years experience helping people overcome hard times and getting back to the life they want. Choosing us means you will be genuinely listened to and heard. We are also recognised expert in our field and techniques and can guaranty the highest quality in terms of care and safety. Please see Maxence Legout page for more information on qualifications, trainings and achievements. Insight MSK represents the integration of the best skills, the integrity, the dedication and the strong network brought to you by expert clinicians. The Chartered Society of Physiotherapy is the professional, educational and trade union body for the UK’s 60,000 chartered physiotherapists, physiotherapy students and associates What our patients have to say: “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 Cortisone Injections at our South London Clinic Book an Appointment Booking an appointment is easy. There are no long wait times and we offer same day appointment. Book Appointment Now

Maxence Legout (Max) is a specialist physiotherapist with over 15 years’ experience providing private cortisone injections for musculoskeletal pain. He is passionately dedicated to providing an individualised, honest, evidence based and affordable service to help Londoners live pain free and recover their mobility The Team Your MSK expert clinicians Maxence Legout is the founder of Insight MSK. He is a specialist physiotherapist with over 15 years’ experience helping people with musculoskeletal conditions. Max has worked in France, in Belgium, in Switzerland and has been practicing in the UK for 8 years. He is a well-established senior NHS clinician in South London where he performs over 2000 ultrasound guided procedures each year. Max is fully registered with the Health & Care Professions Council and the Chartered Society of Physiotherapy . He is also licensed to prescribe and administer medicines in the UK. Max has always been passionate about physical activity and supporting people to develop their full potential. Early on, he was conscious that being physically active and healthy plays a major role in maintaining positive mental health and wellbeing. After a Bachelor in Sport Sciences in 2007 from Le Mans University in France, he then obtained his Master’s degree in physiotherapy from Brussels, Belgium during which he achieved top scores and the highest graded MSc dissertation from his student cohort. He then developed his expertise by pursuing post graduate university degrees in musculoskeletal medicine, advanced clinical practice and CASE accredited medical ultrasound. His professional experience is broad and marked by innovation and forward thinking. He has worked in Europe’s leading sports & fitness clubs, in rehabilitation and orthopaedics services as well as in emergency and radiology departments in busy NHS university hospitals in London. He pioneered the use of ultrasound scan for musculoskeletal injuries in the Emergency Department at King’s College Hospital in London. Involved in teaching, Maxence has also been a visiting lecturer at the University of Louvain in Belgium and currently teaches the first and only MSK ultrasound course for emergency clinicians in the UK. He also teaches ultrasound guided injections to doctors in Belgium. Throughout his career, Maxence has built a solid professional network and collaborates closely with some of the best healthcare professionals in London. As an exercise specialist, Max has a holistic approach and possesses strong skills to apprehend complex health issues. Max offers appointments on Monday, Tuesdays and Thursdays at London Bridge. Gareth Evans is a Specialist Musculoskeletal Physiotherapist and Sonographer with over 15 years of experience in managing musculoskeletal conditions. Gareth holds degrees in Sport & Exercise Science and Physiotherapy, along with postgraduate qualifications in Injection Therapy, MSK Ultrasonography, and MSK Medicine. With a strong clinical background in both community and hospital musculoskeletal services, as well as radiology, Gareth performs over 1,000 MSK interventions each year. He is also actively involved in education, regularly teaching on MSK injection and ultrasound courses Gareth's clinical background is complemented by previously serving as Clinical Lead, Care Quality Commission (CQC) Registered Manager, and executive committee member for MSK professional networks. These roles have kept him closely engaged with evolving practices and regulatory standards. His passion lies in delivering patient-centered care that is both safe and clinically effective. At MSK Insights, Gareth provides musculoskeletal assessment, diagnostic ultrasound, and MSK injections. Gareth offers appointments on Wednesdays at London Bridge and accept direct bookings here . The Chartered Society of Physiotherapy is the professional, educational and trade union body for the UK’s 60,000 chartered physiotherapists, physiotherapy students and associates What our patients have to say: “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 Cortisone Injections at our South London Clinic 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 offer same day appointment. Book Appointment Now