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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. 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. 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 . 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 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

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 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 South London Clinic 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. 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 . 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 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 you can normally have your injection treatment within 3-4 days of first making contact. Book Appointment Now

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 cliniciands 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!

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 in our South London Clinic 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 Body Alliance Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 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 . Our South London clinic is easily accessible on public transport, just a 2 minute walk from Brixton underground station. Many buses also stop within a couple of minutes walk, including the P4, P5, 2, 3, 35, 59, 109, 118, 133, 159, 196, 250, 333, 355, 415 and 432. 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 select a convenient time for a free initial consultation, and we will see you then to book your in-person appointment. To contact us, please drop us an email from our contact page and we will be in touch as soon as possible.

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 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 South London Clinic. 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 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 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 can offer same day appointments. Book Appointment Now

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

Map, directions and practical information for your visit to our Central London cortisone injection clinic. We are based in Marylebone, close to Harley Street. Central London Cortisone Injection Clinic Cortisone Injections in our Central London Clinic We also provide home visits 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 The French Pharmacy 10 New Cavendish St, London, W1G 8UL, England 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 also offer home visits in the South London area. 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 . Our South London clinic is easily accessible on public transport, just a 2 minute walk from Brixton underground station. Many buses also stop within a couple of minutes walk, including the P4, P5, 2, 3, 35, 59, 109, 118, 133, 159, 196, 250, 333, 355, 415 and 432. 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 select a convenient time for a free initial consultation, and we will see you then to book your in-person appointment. To contact us, please drop us an email from our contact page and we will be in touch as soon as possible.

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

Ultrasound Guided Platelet Rich Plasma in Central London PRP Injections at our Clinic We are a leading musculoskeletal clinic offering diagnostic ultrasound and ultrasound guided procedures such as Platelet Rich Plasma (PRP) Injections. We perform all procedures as part of a comprehensive and global management of your condition. ​ We offer this service exclusively at our Central London clinic in partnership with Dr Haytham Salem from Arthregen . A free telephone consultation is available to understand whether this treatment 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 Platelet Rich Plasma? Coming soon. ​ ​ “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 Platelet Rich Plasma injections are performed? Comin soom How much Platelet Rich Plasma injection cost? Our Ultrasound Guided PRP procedure start from £675 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 PRP injection with your clinic? Platelet Rich Plasma injections are offered in collaboration with Dr. Haytham Salem , former Orthopedics Surgeon, Sports & Exercise Medicine Consultant and English Premier League Doctor, who offers his expertise and in regenerative medicine. All procedures are then performed by Mr Maxence Legout who is expert in ultrasound guided injections. 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 Do I need PRP injections ? Coming Soon 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

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US Guided Barbotage in 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 our South London clinic 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 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 generally includes the following steps: ​ Identification of Calcium Deposits using ultrasound to identify the location and extent of calcium deposits within the affected tendon. A needle is then inserted into the area of the calcium deposit and carefully guided to ensure precision in reaching the targeted site within the tendon. Once the needle is in position, a mix of saline solution and local anaesthetic is injected into the tendon . The fluid serves multiple purposes, including numbing the area, breaking up the calcium deposits and creating space within the tendon. After the fluid injection, we use the same needle to aspirate the dislodged calcium deposits and the injected fluid. This process helps remove the debris from the tendon. Following tendon barbotage, patients are advised to rest prior to receive additional treatments , such as physiotherapy or anti-inflammatory medications, to aid in the healing process. How much Barbotage cost? Our Ultrasound Guided Barbotage procedure start from £300 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 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, or book a free telephone or online consultation to speak to Max directly. 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. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . Our South London Clinic We also provide home visits 7 min from Brixton Underground Station 24 min from Pimlico via Victoria Line 21 min from Oxford Circus 26 min from King's Cross St Pancras ​ South London Clinic Details 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