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We are a private cortisone injection clinic in South London. We treat musculoskeletal conditions including back pain, knee pain, elbow pain and tennis elbow, shoulder pain, frozen shoulder and many more. Free assessment available. Conditions treated Shoulder pain Frozen shoulder (capsulitis) , glenohumeral, acromioclavicular & sternoclavicular joint osteoarthritis , subacromial & sub coracoid bursitis, rotator cuff impingement & tendinopathies Knee pain Femorotibial & patellofemoral osteoarthritis , meniscal tears, prepatellar & infrapatellar bursitis, Hoffa’s fat pad impingement, quadriceps & patellar tendinopathy , iliotibial band (ITB) syndrome, Baker's cyst Elbow pain Tennis elbow & golfer’s elbow , triceps tendinopathy , olecranon bursitis, humeroradial & humeroulnar joint osteoarthritis , cubital tunnel syndrome Hip & Pelvic pain Coxofemoral osteoarthritis , iliopsoas bursitis, gluteus & hamstring tendinopathy , greater trochanteric pain syndrome & bursitis, low back pain , sacroiliitis , coccyx pain (coccygodynia) Hand & Wrist pain De Quervain tenosynovitis, Carpal Tunnel Syndrome , wrist joint & fingers osteoarthritis , trigger finger/thumb, ganglion cysts Foot & Ankle pain Ankle, foot and toes osteoarthritis , tibialis posterior, peroneal & extensors tendinopathy , intermetatarsal bursitis & Morton’s neuroma, plantar fasciopathy , ganglion cysts It all starts with pain... You might feel pain in different parts of your musculoskeletal system. We understand the impact of pain on all aspects of daily life. It all start from how you feel in your body and what activity you cannot do as easily as usual or maybe what is not possible anymore. Painful conditions can place a considerable burden on people. In most people, it can affect the perception of general health , it can be associated with depressive symptoms. Pain can have considerable social and economical impacts by interfering with one's ability to work and carry out usual activities. It can also affect interactions and relationships. What does my pain mean? Pain can occur for a variety of reasons, and its mechanisms are highly complexes. Pain also has different type of presentation and can be described with a variety of terms. Check our page blog to learn more about the functioning of physical pain as well as the British pain society website . It can be very difficult to understand the reason of a certain type of pain without a professional assessment. Various types of pain in the same body part can mean different things and have different origins. As demonstrated below, a variety of conditions can cause pain. These conditions involve joints, muscles, nerves and tendons and can be extremely debilitating and overwhelming. Should I wait for the pain to go away by itself? If you're experiencing pain, it's generally a good idea to consult with a healthcare professional for personalized advice. Pain can be a signal that something might be wrong, and it could be important to understand the underlying cause. In some cases, pain may be temporary and resolves on its own. Over the counter analgesia such as paracetamol can help for mild to moderate pain. Relative rest, ice, compression, and elevation (RICE) can also be helpful for minor injuries. However, persistent or severe pain may require medical attention. Ignoring or waiting too long to address certain types of pain could potentially lead to further complications. If you're unsure about what to do, contact us so we can evaluate your specific situation, provide a proper diagnosis, and recommend an appropriate course of action. How long should I wait if I am in pain before seeking treatment? The decision on when to seek advice for pain depends on various factors, including the severity and duration of the pain, as well as any accompanying symptoms. Ultimately, if you're unsure or concerned about your pain, it's better to consult with a healthcare professional sooner rather than later. Insight MSK can help determine the cause of the pain and recommend appropriate treatment options. Ignoring persistent or severe pain may lead to complications or delayed treatment of underlying issues. When do I need surgery? Surgery may be recommended for various conditions affecting the bones, joints, muscles, ligaments, tendons, and other parts of the musculoskeletal system. The decision to undergo surgery is typically based on the severity of the condition, the extent of symptoms, and the response to conservative treatments. It's important to note that surgery is often considered after other less invasive treatment options have been explored. Always seek the guidance of a qualified healthcare provider to determine the most appropriate course of action for your musculoskeletal condition. Should I still contact you if I am not sure what is happening? Absolutely. If you're uncertain about your condition, experiencing persistent symptoms, or have concerns about your health, it's always a good idea to contact a healthcare professional. It's important not to ignore symptoms or delay seeking medical advice, especially if you're unsure about what might be causing your discomfort. Early intervention and proper medical guidance can often lead to better outcomes and prevent potential complications. If your symptoms are severe or if you experience a medical emergency, don't hesitate to seek immediate medical attention and call 999. How can I know if you can help with my condition? Contacting us is always going to be helpful. The most important thing we do is help assess your symptoms, and offer guidance on the appropriate course of action whether or not it is with our service. You will never be left unsure of what to do next. We are with you every step of the way to recovery.See our What to expect page for more details on what happens at the initial consultation. 10 New Cavendish St, London, W1G 8UL, England Our Central London clinic is based in The French Pharmacy in Marylebone. 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and we offer same day appointment. Book Appointment Now 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

Private cortisone injections for Meralgia Paresthetica in South London. Understand Meralgia Paresthetica and how cortisone injections can help. Free consultation. Meralgia Paresthetica Injections in Central London and South London What is a Meralgia Paresthetica ? Meralgia Paresthetica is a condition that affects a nerve at the front of your hip (the lateral femoral cutaneous nerve), causing pain, numbness, and tingling sensations in the outer thigh. What causes a Meralgia Paresthetica ? Meralgia Paresthetica can be due to tight clothing, being overweight, pregnancy or injury. How a Meralgia Paresthetica is diagnosed ? The diagnosis is primarily base on your symptoms and clinical presentation. An ultrasound can can detect specific changes on the nerve to confirm the diagnosis. If you think you may be experiencing symptoms of Meralgia Paresthetica, book an appointment with our expert clinician, Maxence Legout , for an accurate diagnosis and appropriate management. 10 New Cavendish St, London, W1G 8UL, England Our Central London clinic is based in The French Pharmacy in Marylebone. 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and we offer same day appointment. 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.

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 by email and we will call you back. We can either directly arrange a face to face appointment or offer a first initial video/phone consultation. 1. Option for free initial Virtual/Phone Consultation At your video/telephone consultation 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, either in-clinic or at a location of your choice. 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 steroid injections 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

Private cortisone injections for sacroiliitis in South London. Understand what types of sacroiliac pain are treatable and how cortisone injections can help. Free consultation. Cortisone Injections for Sacroiliac joint pain in Central London and South London Sacroiliac joint pain cortisone injections at our clinics We are a leading cortisone injection clinic offering steroid injections for sacroiliac joint pain, also known as sacroiliitis or sacroiliac joint dysfunction. Medical research suggests that up to 25% of low back pain are sacroiliac joint related. Steroid injections can bring significant relief from SIJ pain and bring you much-needed respite from your condition. We offer private injections at our Central London and South London clinics and also offer home visits in the South London area. A free telephone consultation is available to understand whether injections will be helpful and appropriate in your particular case and 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 causes sacroiliac joint pain and what are the symptoms? The sacroiliac joint connects the sacrum, the triangular bone at the base of the spine, to the ilium, which is one of the large pelvic bones. The sacrum and ilium are connected by strong ligaments that stabilize the joint. The sacroiliac joint plays a crucial role in transferring the weight of the upper body to the pelvis and legs. Sacroiliac joint pain can result from various factors, and the precise cause may differ from person to person. Some common causes of sacroiliac pain include: Trauma to the sacroiliac joint, such as a fall or car accident, can cause damage to the ligaments or cartilage, leading to pain and dysfunction. Pregnancy secondary to the hormonal changes and increased mobility of joints can sometimes lead to sacroiliac joint pain. This condition is often referred to as pregnancy-related pelvic girdle pain. Osteoarthritis similar to those seen in other joints, cause by progressive cartilage degeneration can cause pain. Ligamentous Laxity in some individuals with joint hypermobility syndrome (such as Ehlers-Danlos syndromes) can contribute to instability and increased motion in the sacroiliac joint, leading to pain. Infection (in rare cases) affecting the sacroiliac joint can cause pain. Septic arthritis of the sacroiliac joint is a serious condition that requires prompt medical attention. Inflammatory related conditions including spondyloarthritis (such as ankylosing spondylitis), psoriatic arthritis, reactive arthritis, Inflammatory Bowel Disease (IBD) or other inflammatory disorders. can cause secondary SIJ pain and inflammation. Referred Pain from nearby structures, such as the lumbar spine or hip, can be referred to the sacroiliac joint, making it appear as though the pain is originating from the joint itself. Common symptoms of sacroiliac pain include: Pain and Stiffness in the lower back and buttocks . The pain may be felt on one or both sides. Reduced range of motion in the lower back and hips making activities such as bending, twisting, or lifting more challenging. Morning Stiffness where symptoms gradually improve with movement throughout the day. Pain Radiating to Legs and thighs in some cases mimicking sciatica. Tenderness with palpation over the sacroiliac joints. Systemic Symptoms such as fatigue, fever, and weight loss. 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 physical 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 sacroiliac pain? We typically perform corticosteroid injections sacroiliac pain related to degenerative conditions such as osteoarthritis or secondary to trauma, when the pain has not settled with simple analgesia and that a fracture has been ruled out. Cortisone injections can rapidly reduce pain, bringing much-needed relief and increased mobility. If you have found your work or other daily activities involving prolonged sitting, standing, walking uphill, or anything else causing sacroiliac 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. Sacroiliac 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 building flexibility and strength in the pelvic floor and lumbar region. 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 £240 including initial telephone consultation, diagnostic ultrasound, ultrasound-guided injection, written report with care plan and exercise prescription if appropriate. See our fees Do you diagnose sacroiliac pain with ultrasound? Ultrasound imaging itself is not appropriate to diagnose sacroiliac pain but it can be useful to perform a diagnostic ultrasound guided injection where a local anaesthetic is injected into the joint to confirm its role in pain. Diagnosing the exact cause of sacroiliac pain can be challenging, and we often use a combination of clinical evaluation, blood tests, X-rays and/or MRI, and to determine the underlying cause. Are cortisone injections a long-term solution for sacroiliac joint pain? Corticosteroids have a short term effect (around 3 months) but a common belief is that cortisone injections do not address the underlying causes of your pain and will only stop the symptoms. First of all, your pain has a massive impact on your daily life and any relief, even temporary, can help significantly with your sleep, work or family activities, and as a result, improve your general well being and mental health. Fortunately, simple pathologies, even when causing severe pain, tend to improve overtime and by the time the steroid has stopped working, we expect that your body has healed by itself and the pain won't return. Secondly, the pain free period allowed by steroid injections (up to 3-6 months on average and sometime over 1 year) is a window that will be used to begin further treatment such as a prescribed exercise program or sessions of physiotherapy , in order to address other causative factors for your problems. In some cases steroid injections can also be a permanent solution by stopping chronic inflammation or disrupting your pain signal. More information about pain can be found on our blog . At your virtual consultation and first appointment , your clinician will ask questions and assess you to diagnose your problem and explain to you the options available. This will help you to understand how you can use the respite from pain which a corticosteroid injection provides, to work directly on your problem and provide you with a personalized exercise plan to avoid reliance on injections in the future. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page , or book a free online or telephone consultation to speak to Max directly. Read More What other treatments are available for sacroiliac joint pain? After a minor injury or repetitive strain, usually rest, ice or heat and painkilling treatments like over-the-counter analgesic pills or gels are often sufficient. Pelvic belt can be useful for pregnancy related SIJ pain. For sever pain or when symptoms persist over 12 weeks and are not responding to cortisone injection, radiofrequency denervation or surgery might be recommended. More information on sacroiliac joint pain are available here . Rehabilitation with pelvic floor and low back exercises are all also important, and your physiotherapist will guide you on what activities you should do or should avoid at each stage of your recovery. If you are suffering from coccyx pain, 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. 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

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. With locations in Central London's Marylebone and South London's Brixton , 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 byt the 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. To better answer your needs, Insight MSK is offering home visits and consultations at your place of preference. 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 10 New Cavendish St, London, W1G 8UL, England Our Central London clinic is based in The French Pharmacy in Marylebone. 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and we offer same day appointment. Book Appointment Now

Private cortisone injections for low back pain in South London. Understand what types of low back pain are treatable and how cortisone injections can help. Free consultation. Cortisone Injections for Low Back Pain in Central London and South London Low Back Pain cortisone injections at our clinic We are a leading cortisone injection clinic offering steroid injections for certain type of low back pain. Steroid injections can bring significant relief from low back pain and bring you much-needed respite from your condition. We offer private injections at our Central London and South London clinics and also offer home visits in the South London area. A free telephone consultation is available to understand whether injections will be helpful and appropriate in your particular case, and 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 causes Low Back Pain? Low back pain can have various causes, and it is a common condition that affects people of all ages. Some of the common causes of low back pain include: Disc pathologies affecting intervertebral discs (cushions between the vertebrae in the spine) such as natural aging process, often called Degenerative Disc Disease or herniated (bulging disc sometime called "slipped disc") occurring when the soft inner portion of the disc pushes through its outer layer, potentially irritating nearby nerves. causing pain numbness, or tingling in the lower back and legs such as in sciatica. Spinal Stenosis caused by the narrowing of the spinal canal, which can put pressure on spinal nerves. Osteoarthritis & degeneration of the facet joints in the spine can lead to inflammation and pain in the lower back. inflammatory arthritis such as ankylosing spondylitis that primarily affects the spine. Injuries such as fractures of the vertebras. Lifestyle Factors such as a lack of regular exercise, obesity or smoking can contribute to low back pain. It's important to note that many cases of low back pain resolve on their own or with conservative treatments such as rest, exercises and over-the-counter pain medications. However, persistent or severe pain, especially if accompanied by other symptoms, should be evaluated by a healthcare professional for a comprehensive diagnosis and appropriate management. 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 low back pain? In our clinic we offer injections for low back pain caused by osteoarthritis of the spinal joints (facet joints), sacroiliac joint or coccyx pathologies. An injection in the low back muscles (also known as trigger points injections) can also be helpful for acute or chronic back pain and sciatica . Cortisone injections can rapidly reduce pain, bringing much-needed relief and increased mobility. If you have found your work or other daily activities involving prolonged sitting, standing, sleeping, being hindered by your low back 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. Low back 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 building flexibility and strength in your back region. 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 £240 including initial telephone consultation, diagnostic ultrasound, ultrasound-guided injection, written report with care plan and exercise prescription if appropriate. See our fees Can you diagnose the cause of low back pain with an ultrasound scan ? Ultrasound imaging itself is not appropriate to diagnose the cause of low back pain and in most cases, no investigation at all is required to make a diagnosis and start a treatment. We use ultrasound guidance to perform spinal injections safely and effectively. In all cases, a consultation with a medical professional is crucial in choosing the right course of treatment for your particular case. Are cortisone injections a long-term solution for low back pain? Corticosteroids have a short term effect (around 3 months) but a common belief is that cortisone injections do not address the underlying causes of your pain and will only stop the symptoms. First of all, your pain has a massive impact on your daily life and any relief, even temporary, can help significantly with your sleep, work or family activities, and as a result, improve your general well being and mental health. Fortunately, simple pathologies, even when causing severe pain, tend to improve overtime and by the time the steroid has stopped working, we expect that your body has healed by itself and the pain won't return. Secondly, the pain free period allowed by steroid injections (up to 3-6 months on average and sometime over 1 year) is a window that will be used to begin further treatment such as a prescribed exercise program or sessions of physiotherapy , in order to address other causative factors for your problems. In some cases steroid injections can also be a permanent solution by stopping chronic inflammation or disrupting your pain signal. More information about pain can be found on our blog . At your virtual consultation and first appointment , your clinician will ask questions and assess you to diagnose your problem and explain to you the options available. This will help you to understand how you can use the respite from pain which a corticosteroid injection provides, to work directly on your problem and provide you with a personalized exercise plan to avoid reliance on injections in the future. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page , or book a free online or telephone consultation to speak to Max directly. Read More What other treatments are available for low back pain pain? The treatment for low back pain depends on the underlying cause, the severity of the pain, and individual factors. In many cases, low back pain can be managed with conservative treatments. Here are some common approaches: Short term relative rest and activity modification may be recommended for acute low back pain, but prolonged bed rest is generally discouraged and gradual return to normal activities limiting activities that worsen the pain is often recommended. Physiotherapy can help improve flexibility, strength, and enhance overall spine stability. Therapeutic exercises, stretches, and manual therapy techniques may be prescribed also for their effect on pain modulation. Medications over-the-counter such as paracetamol or ibuprofen can help manage pain and reduce inflammation. Muscle relaxants may be prescribed for short courses in some cases. In certain situations, stronger prescription medications may be considered. Heat and cold applied on the affected area can help alleviate pain. Heat is often used for muscle spasms. Lifestyle Modifications such as avoiding prolonged sitting and using ergonomic furniture and tools can help prevent or alleviate low back pain. Maintaining a healthy weight, stop smoking and incorporating regular exercise into daily life also contribute to overall spine health. Injections in different area of the spine such as epidural injections are sometimes used for more targeted pain relief. Cognitive-Behavioral Therapy (CBT) can be helpful for managing chronic low back pain by addressing psychological factors and promoting positive coping strategies. Braces and Supports may be recommended for some conditions such as sacroiliac disorders . Surgery might be necessary where conservative treatments are not effective and there is a specific structural problem (such as a non-resolving nerve compression). If you are suffering from low back pain, a diagnosis from a medical professional is an essential first step in understanding your problem and deciding what is the right course of treatment for you. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . 10 New Cavendish St, London, W1G 8UL, England Our Central London clinic is based in The French Pharmacy in Marylebone. 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and 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

Dry Needling in South London Tendon Fenestration (Dry Needling) ​Includes: ​ Thorough clinical assessment Diagnostic ultrasound Ultrasound guided tendon fenestration Written report Care plan & exercise prescription if indicated What is Tendon Fenestration ? Also called Percutaneous Tenotomy, fenestration is performed on chronic tendon disorders (tendinopathies) which have not improved after at least 6 months of conservative management. During the procedure, we perform several small incisions with a small needle in the affected tendon under local anaesthesia and ultrasound guidance. These incisions can stimulate blood flow to the area and promote the body's natural healing response. The process also triggers an inflammatory reaction, which helps in the repair of the tendon. This is followed by an intensive rehabilitation period. ​ Do I need Tendon Fenestration ? We typically recommend this treatment for non improving tennis or golfer's elbow as an alternative to surgical management . Recent research also suggest that it could help for lateral hip pain in case of gluteal tendon disorders . If you are unsure that it is the right treatment for you , please reach out and book a free virtual consultation . ​ How is Tendon Fenestration performed ? In tendon dry needling, thin small needles similar to the ones used for injections, are inserted repetitively into the tendon after numbing the area with local anaesthetics. The exact mechanisms through which tenotomy works are not fully understood, but it is thought to involve several factors. The insertion of needles may stimulate the release of certain chemicals in the body that help reduce pain. Additionally, the needles may create small disruptions in the muscle tissue, promoting a local healing response. ​ ​ Our South London Clinic We also provide home visits 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 ​ 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 we offer same day appointment. Book Appointment Now