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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. 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 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

Considering cortisone injections in London? Our FAQ will answer all your questions about the injection procedure, from diagnosis and contraindications through to treatment and aftercare. FAQ & What to Expect Booking my appointment My face to face consultation About Ultrasound and injections Payment After my appointment Is the first consultation free? Yes, We offer a free first consultation online that can be directly booked through our website. What if I do not have online access ? Not a problem! We can also offer free first consultation over the phone, just request a call back and we will schedule the telephone consultation on our clinic hours. How soon can I get an appointment? You can book a same day appointment. Do I need to be referred to you by a doctor? No, you do not need a medical referral to contact us. You can contact us directly. 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 a consultation

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

Private Arthrosamid injection in South London. Understand what is Arthrosamid and how it can help to manage your knee pain and arthritis. Free consultation. US Guided Arthrosamid Injections in South London Arthrosamid Injection at our clinic We are a leading musculoskeletal clinic offering diagnostic ultrasound and ultrasound guided procedures such as Arthrosamid injections for knee arthritis . We perform all procedures as part of a comprehensive and global management of your condition. We offer our services at our South London clinic. 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 Arthrosamid? Arthrosamid® is a 2.5% injectable polyacrylamide hydrogel (iPAAG), made of a non-biodegradable, water-rich gel that integrates with the knee’s synovial lining to reduce stiffness and pain. It’s supplied as six pre-filled 1 mL syringes (total 6 mL). This is an innovative treatment transforming knee osteoarthritis therapy. Unlike traditional treatments that need frequent repetition, this single injection provides long-lasting relief by creating a permanent scaffold within your knee joint. I have been performing ultrasound-guided knee injections for over 10 years, including thousands of procedures through my NHS consultant role. What sets Arthrosamid apart as a treatment option is its unique mechanism, rather than simply lubricating the joint like a hyaluronic acid injection, it becomes part of the joint lining, creating a cushioning scaffold that supports your knee every time you move. Arthrosamid hydrogel can offer long lasting pain relief maintained for 5 years after the injection in recent research (Bliddal, H., et al. 2025). More information are available here . Understanding Knee Osteoarthritis: Why Does It Happen? Before we discuss injection therapy and the different types of joint injections, let me explain what's happening in your knee. Osteoarthritis is a degenerative condition affecting the cartilage - that smooth, cushioning layer between your bones. Think of cartilage like the space between a door and its frame. When that space narrows, the door creaks and sticks. Similarly, when cartilage thins, your bones under the cartilage get closer together inducing stress and inflammation, leading to pain and restricted movement (not everyone with cartilage loss has pain). Several factors contribute to knee osteoarthritis (knee OA): Age-related changes (though they’re not inevitable) Repetitive activities or certain jobs Previous injuries Being overweight - not just from increased load, but also because fat cells produce inflammatory chemicals that damage cartilage Family history or genetic predisposition The key is understanding that whilst some factors like age and genetics can't be changed, many others can be addressed through lifestyle modifications, exercise, weight management, and targeted treatments like Arthrosamid. How Does Arthrosamid Work? Hydrogels like Arthrosamid® have been used safely in urogynecology for stress urinary incontinence for many years. It's also been successfully used in horses' knees over the last decade, being adapted for human knee injectable treatment. When I inject Arthrosamid into your knee joint, it doesn't provide immediate relief like a steroid injection. Instead, over the following months, it integrates with your joint capsule, the 'bag' surrounding your knee joint. This creates a permanent cushion-like scaffold that stabilizes the joint and limits compression when you walk or move. Think of it as putting scaffolding around a building to provide structural support. The gel merges with your joint capsule, preventing it from folding and compressing excessively during movement, which reduces pain and improves function. Relief often starts in weeks, builds over 1–3 months, and has been maintained in studies through at least 3 years, while 5-year effectiveness and 10-year safety have been presented in research more recently (Bliddal, H., et al. 2025). “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say Arthrosamid Knee Injection Post-Treatment Timeline: When You'll Feel the Difference Understanding the Arthrosamid timeline helps set realistic expectations: First 48 Hours: Complete rest as advised including driving. You may experience some tenderness or mild swelling around the injection site for 24h, it affects around 12% of patients - this is completely normal as your body begins responding to the treatment. Week 1 to 2: Rest period with possible mild swelling or stiffness. Most patients manage normal daily activities but should avoid strenuous exercise, heavy lifting, or prolonged standing. Weeks 3-4: Many patients notice decreased pain levels within just four weeks, allowing for improved mobility and quality of life. This is when you can gradually return to normal activities with greater confidence. Months 1-3: The hydrogel integrates with your joint tissues. Most patients begin experiencing significant pain relief and improved function during this period, with a gradual return to everyday activities with less discomfort. 3-12 months: Clinical studies show this is when maximum benefit is typically achieved, with improvements continuing throughout the first year. Years 2-4+: Sustained benefit period. Research demonstrates maintained pain relief and functional improvement for at least four years. Who is the Ideal Candidate for Arthrosamid? The best candidates for Arthrosamid injections are: Under 70 years old (success rates reported by the manufacturer drop from close to 80% to 62% after age 70) Mild to moderate osteoarthritis on imaging (Kellgren–Lawrence grade 2–3). Patients with healthy weight tend to respond better; outcomes are less predictable when BMI is over 30. No acute joint inflammation Previous imaging (X-ray or MRI) to confirm diagnosis I particularly recommend Arthrosamid for active individuals who want a long-term solution rather than repeated treatments, and those who are trying to delay or avoid knee surgery, such as knee arthroscopy or joint replacement surgery. Research Studies show sustained improvement for at least 3 years, with new data suggesting benefits may last up to 5 years or longer. There are anecdotical patients reporting benefits for seven to eight years. How Does Arthrosamid Compare to Other Injection Options? Can Arthrosamid Help Me Return to Running? Arthrosamid vs Steroid Injections : Unlike corticosteroid injections, which offer temporary relief by reducing inflammation and osteoarthritis pain, Arthrosamid works by improving the cushioning within the joint, addressing the underlying mechanical cause of pain and stiffness. A corticosteroid injection will typically last a few months, whilst Arthrosamid provides longer-lasting relief for years without the side effects often associated with repeated steroids, such as cartilage damage or infection risk. Arthrosamid vs Hyaluronic Acid: Hyaluronic acid injections aim to restore some of the lost “lubrication” in the joint. Around 60–70% of patients get temporary improvement, which can last 6–12 months, , and those who do often continue benefiting from repeated treatments. A recent head-to-head study showed Arthrosamid was at least as effective as hyaluronic acid at 52 weeks (Bliddal, H., et al. 2022). The key difference is that Arthrosamid integrates permanently into the joint lining, so structural support lasts for years rather than months. Arthrosamid vs PRP (Platelet-Rich Plasma): PRP injections use your own blood platelets to release growth factors in the joint to stop the inflammation. Some studies suggest this may help slow disease progression, but this requires multiple sessions, and costs can add up. Arthrosamid provides a more predictable and durable benefit with just one injection. The key advantage of Arthrosamid is that it's not just masking symptoms temporarily - it provides long-term mechanical support to your knee joint whilst the other treatments focus on short-term pain relief or attempting to slow disease progression. Final Key Message: Steroids = short-term inflammation control. Hyaluronic acid = joint lubrication, months of relief. PRP = biological approach needing repeated injections. Arthrosamid = one treatment, years of cushioning support. Absolutely, if you're fit and active, with knee pain as your only limitation, Arthrosamid can definitely help you return to running. I've had patients resume their favorite activities after successful treatment, by reducing pain and improving joint function. One particularly memorable success story was a patient who hadn't been able to visit her family in Australia due to knee pain making long-distance travel impossible. After her Arthrosamid injection, she emailed me from Australia, thrilled to finally be spending time with her grandkids again. These are the moments that remind me why I love this work. How much Arthrosamid injections cost? Our Arthrosamid Injection start from £2500 including initial telephone consultation, diagnostic ultrasound, written report with care plan and exercise prescription if appropriate. Finance is available, please reach out to discuss further. See our fees What are contraindications of Arthrosamid? According the manufacturer's recommendations we do not inject Arthrosamid in the following cases: Infection or skin condition inside or close to the injection site. Severe knee inflammation Previous injection of another non-absorbable injectable/implant Recent injection of hyaluronic acid. Patients with knee arthroplasty or any foreign material in the knee. Knee arthroscopy within less than 6 months . Patients with haemophilia or poorly controlled anticoagulant treatment . Patients under 18 years, pregnant or breastfeeding . Will Arthrosamid Interfere with Future Knee Replacement? This is a common concern, and I'm pleased to reassure you that Arthrosamid doesn't interfere with knee replacement surgery if you need it in the future. When I examine knees on ultrasound after Arthrosamid injection, the capsule appears slightly thickened, but during knee replacement surgery, surgeons cut the bone and insert implants, stitching the capsule around the new joint. The presence of integrated Arthrosamid doesn't complicate this process. What Are the Risks of Arthrosamid Injections? As with any medical procedure, there are risks, though they're minimal when proper precautions are taken: Allergic reactions are extremely rare and more likely from the local anaesthetic than the Arthrosamid itself. I monitor all patients after the injection and have emergency medications and training to handle any reactions. Infection is the main concern with any joint injection, particularly with a non-biodegradable substance. As per manufacturer’s guidance, I prescribe antibiotics following manufacturer guidelines (typically azithromycin and flucloxacillin or clindamycin if you have penicillin allergy) to be taken 1-2 hours before the procedure. For patients allergic to penicillin, alternative antibiotics are available. Post-procedure discomfort is usually minimal thanks to the long-acting local anesthetic, though some patients experience temporary stiffness. Overall, Arthrosamid has an excellent safety record, with long-term studies showing no evidence of later reaction or joint damage. The Treatment Process: What Happens When You Come to See Me First, we'll have a telephone consultation where I review your symptoms, previous treatments, and imaging. This usually takes 15-30 minutes, though occasionally longer for complex cases. For straightforward candidates, I can sometimes arrange direct booking with pre-completed forms. You'll need recent imaging (X-ray or MRI) before the procedure. This isn't just to confirm osteoarthritis - I can assess that clinically and with ultrasound on the day. The imaging helps exclude other conditions that might mimic arthritis symptoms and ensure we're not missing anything significant. On procedure day, I perform an ultrasound examination to check for acute inflammation, such as severe synovitis (a contraindication for Arthrosamid) or a large build-up of synovial fluid (which can be removed first) and plan the injection approach. The injection itself involves six syringes of Arthrosamid delivered through a single needle entry point, all under ultrasound guidance. Preparing for Your Arthrosamid Injection Food & drink: You can eat and drink as normal before the procedure, there’s no need to fast. Medication: Take the prescribed antibiotics 1–2 hours before your appointment. If antibiotics upset your stomach, taking them with food usually helps (flucloxacillin is best taken 30-60 min before food). Usual medicines: Continue your regular medications unless I’ve advised otherwise. Transport: You won’t be able to drive immediately afterwards, so please arrange for someone to take you home or use public transport/taxi. Clothing: Wear comfortable clothes that allow easy access to your knees. After Your Arthrosamid Injection: Recovery Guidelines Don't drive for 48 hours after the injection. You won't need crutches but arrange alternative transport home. For childcare responsibilities, it depends on your situation. If you're chasing multiple active children all day, arrange some help if possible. For normal childcare activities, you should manage fine with the rest restrictions I provide. You can take paracetamol or ibuprofen if needed and not contraindicated, though many patients find the long-acting local anaesthetic provides excellent initial comfort. Apply ice if there's swelling, and seek medical advice if you notice any signs of infection. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page, or book a free telephone or online consultation to speak to Max directly. Read More Why Choose Ultrasound Guidance for Your Arthrosamid Injection? This is absolutely crucial - Arthrosamid must be precisely placed within the joint capsule. Studies show that even experienced clinicians have between 10% to 25% chance of missing the joint when injecting without ultrasound guidance. With steroid injections, missing the target isn't catastrophic because the medication gets absorbed systemically. With hyaluronic acid, there's less effect if injected outside the joint, but it's still absorbed safely. However, Arthrosamid doesn't dissolve. If injected outside the joint, it remains there permanently, potentially forming a granuloma (inflammatory tissue) that might require surgical removal. The gel is thick and heavy, making it difficult to inject incorrectly, but ultrasound guidance provides absolute certainty of correct placement. Having performed thousands of knee injections throughout my career - both in private practice and my NHS consultant role - you can be confident that your injection will be accurately placed where it needs to be. Clinical Evidence and Success Rates: What Research Shows The effectiveness of Arthrosamid isn't just anecdotal - it's backed by robust clinical trials. Major studies demonstrate that patients maintain statistically significant pain reduction for three years after a single Arthrosamid injection, with over 62% of patients meeting the OMERACT-OARSI criteria for meaningful clinical improvement after one year. In the landmark IDA study, 49 participants received a single 6ml Arthrosamid injection, with 46 completing the full 52-week follow-up. The results showed a significant reduction in WOMAC pain scores of 17.7 points - well above the minimum clinically important difference that patients can actually feel. Success Rates by Age Group: Patients under 70 years: Nearly 80% success rate Patients over 70 years: 62% success rate These statistics align perfectly with my clinical experience. The research particularly emphasizes what I see in practice - younger, active patients with mild to moderate arthritis achieve the best outcomes. What Success Means: Success is measured using the WOMAC scale (Western Ontario and McMaster Universities Osteoarthritis Index), which assesses pain, stiffness, and physical function. Studies show sustained improvements across all three areas for at least three years. But more importantly, success means returning to activities that matter to you Comparing Costs: Long-term Value of Arthrosamid When considering Arthrosamid, cost comparison with alternative treatments reveals its long-term value: Single Arthrosamid Treatment vs Repeated Alternatives: Hyaluronic acid injections: Typically, £320 per injection, needed every 6-12 months Steroid injections: £260-300 per injection, usually lasting 3-4 months Arthrosamid: Higher upfront cost but lasting 5+ years Over a four-year period, repeated conventional injections often exceed Arthrosamid's cost whilst requiring multiple clinic visits and procedures. Understanding WOMAC Scores: How We Measure Success The WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) is the gold standard for measuring knee arthritis improvement. It's a 24-item questionnaire covering pain (5 questions), stiffness (2 questions), and physical function (17 questions). Before treatment, I ask all my Arthrosamid patients to complete the WOMAC questionnaire. This gives us a baseline score and helps predict treatment success. Research shows the average WOMAC pain score improvement with Arthrosamid is 17.7 points - a substantial change that patients definitely notice in their daily lives. The questionnaire asks about real-world activities like walking, climbing stairs, getting in and out of cars, and sleeping comfort. When patients see their scores improve months after treatment, it validates what they're feeling - genuine, measurable improvement in their quality of life. You can access the questionnaire here Can Arthrosamid Help Avoid Knee Replacement? Recent five-year study data shows that over half of Arthrosamid patients avoided knee replacement surgery whilst maintaining improved knee function. For many of my patients, this represents the primary goal - delaying or avoiding major surgery. Recent 5-year study data suggest that over half of patients treated with Arthrosamid had not needed knee replacement surgery during that time, while still maintaining meaningful improvements in pain and function. For many, this represents the primary goal — staying active and postponing major surgery for as long as possible. Knee replacement surgery is highly effective, but it does involve: 3–4 months of recovery and rehabilitation Potential surgical complications Lifespan limits of the implant (often 15–20 years) Significant lifestyle disruption during recovery Arthrosamid offers a minimally invasive alternative that, when successful, can postpone these concerns for years whilst maintaining an active lifestyle. Safety Profile: 20+ Years of Medical Use Arthrosamid uses injectable polyacrylamide hydrogel (iPAAG) technology that's been safely used in medical applications for over 20 years. Arthrosamid uses injectable polyacrylamide hydrogel (iPAAG), a material that has been safely used in medical treatments for more than two decades. It is the same hydrogel technology used in urology for stress urinary incontinence, which has built a large and reassuring safety record. Infection Prevention Protocol : I prescribe prophylactic antibiotics to be taken 1-2 hours before the procedure. This follows manufacturer guidelines and significantly reduces infection risk. Long-term Safety: Clinical studies show no evidence of the gel migrating or damaging the joint. Instead, Arthrosamid integrates with the joint lining to provide ongoing structural support. Research with follow-up to at least 3 years confirms a good safety profile, and newer studies are reporting reassuring results out to 5 years and beyond. Advanced Ultrasound Guidance: Precision Placement One of the critical differences between success and failure often comes down to precise injection technique. Using ultrasound guidance, I can visualize the exact needle placement within your knee joint space, ensuring the Arthrosamid reaches the correct location. During the procedure, you'll see the ultrasound screen showing your knee anatomy in real-time. This isn't just for show - it's essential for optimal outcomes. The gel must integrate with the synovial membrane (joint lining), and ultrasound guidance provides the accuracy needed. Why Choose Me for Your Arthrosamid Injection ? My unique background combines physiotherapy, sonography, and sports science specialization. I've worked with patients throughout their entire knee arthritis journey - from initial conservative treatment and weight management through to post-surgical rehabilitation. This comprehensive experience means I truly understand the full spectrum of knee arthritis management. More importantly, Arthrosamid is a technical procedure requiring precise injection technique. Having performed thousands of knee injections over my career, including my ongoing NHS consultant role, you can trust that your injection will be accurately placed for optimal results. Arthrosamid Injection Cost and Booking For current pricing and to book your consultation, please contact the clinic directly. The process typically involves a brief telephone assessment followed by the appointment procedure, usually achievable within a few days of first contact. No GP referral is required, and unfortunately, Arthrosamid isn't currently available through the NHS, making private treatment your only option for accessing this innovative therapy. Frequently Asked Questions How long does Arthrosamid last? Clinical studies show meaningful pain relief and improved function lasting at least 3 years, with newer follow-up data suggesting benefits may extend to 5 years or more. Some patients report relief beyond this, but long-term outcomes can vary. If the effects wear off, we can discuss further treatment options, which may include a second injection. What happens if I need a knee replacement later? Arthrosamid doesn't interfere with future knee replacement surgery. The integrated gel doesn't complicate the surgical procedure, and many patients successfully delay replacement by several years. Can I combine Arthrosamid with other treatments? No, Arthrosamid isn't combined with other injection treatments. However, it's part of comprehensive knee arthritis management including exercise, weight management, and lifestyle modifications. Is Arthrosamid suitable for severe arthritis? Arthrosamid works best for mild to moderate osteoarthritis (Kellgren-Lawrence grades 2-3) but can be used successfully for severe arthritis. What imaging do I need? Recent X-rays are usually sufficient, though MRI provides more detailed information. The imaging helps exclude other conditions and confirms the pattern of arthritis in your knee. How does Arthrosamid compare to PRP or stem cell therapy? Unlike PRP which might slow arthritis progression or stem cell treatments that aim to regenerate tissue, Arthrosamid provides mechanical support through permanent integration with joint tissues. It offers more predictable outcomes with a single treatment rather than multiple procedures. Currently there is limited evidence for the use of stem cell therapy. Can I have Arthrosamid in both knees? Yes, bilateral treatment is possible. I typically recommend treating one knee first to assess your individual response before proceeding with the second, though both knees can be treated if your consultant feels it's appropriate based on your condition. Will my insurance cover Arthrosamid? Currently, Arthrosamid isn't available through the NHS, making private treatment necessary. Some private insurance policies may provide coverage - check with your provider. Can Arthrosamid be used for other joints besides knees? Arthrosamid is exclusively used to treat osteoarthritis in the knee. We have other treatments options for other joints. How quickly can I return to normal activities? Arthrosamid treatment is minimally invasive, so most patients can return to normal activities within a couple of weeks. However, I recommend avoiding strenuous exercise or heavy lifting for the first week to allow the joint to settle and begin the integration process. Many patients notice decreased pain levels within just four weeks, allowing for improved mobility and a gradual return to everyday activities with greater confidence Why This Represents a Breakthrough in Knee Osteoarthritis Treatment? Arthrosamid is the only intra-articular 2.5% injectable polyacrylamide hydrogel treatment approved in Europe that permanently integrates with synovial tissue. This represents a genuine advancement beyond traditional temporary treatments. For the first time, we can offer patients with knee osteoarthritis a single treatment providing years of benefit, delivered as a straightforward outpatient procedure. This bridges the gap between short-term injection therapies and major surgical intervention. If you're struggling with knee osteoarthritis and want to explore whether Arthrosamid could help you return to the activities you love, I'd be happy to discuss your individual situation during a consultation. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . 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

Private cortisone injections for carpal tunnel syndrome pain in South London. Understand what types of carpal tunnel syndrome are treatable and how cortisone injections can help. Free consultation. Cortisone Injections for Carpal Tunnel Syndrome in South London Cortisone injections for Carpal Tunnel Syndrome at our clinic We are a leading cortisone injection clinic offering steroid injections for pain from carpal tunnel syndrome. Steroid injections can bring significant relief from your condition and bring you much-needed respite from your condition. We offer private injections at our 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 carpal tunnel syndrome? Carpal tunnel syndrome is a condition characterized by pain, numbness, tingling, and weakness in the hand and fingers. These symptoms result from compression of the median nerve due to swelling or inflammation of the tendons as it passes through the carpal tunnel, a narrow passage way in the wrist formed by bones and ligaments. Various factors, such as repetitive hand movements, prolonged use of vibrating tools, certain medical conditions (e.g., rheumatoid arthritis, diabetes), and pregnancy, can contribute to its development. Typical features of carpal tunnel syndrome include: Numbness or tingling in the thumb, index finger, middle finger, and inner part of the ring finger. Weakness or difficulty gripping objects. Discomfort or pain in the hand and wrist, which may radiate up the forearm Aggravated symptoms during activities that involve prolonged or repetitive use of the hands, such as typing, using a mouse, or holding a phone Night symptoms leading to disrupted sleep. Diagnosis typically involves a medical history review, physical examination, and, in some cases, ultrasound imaging and nerve conduction studies. More information can be found here . In order to ensure injection therapy is the right course of action in your particular case, we offer a free virtual consultation to get a quick picture of your health and the condition you are experiencing, and advise on whether steroid injections are a good course of action for you. At your appointment we will also carry out a full ultrasound-led diagnosis and assessment to ensure you are receiving the most appropriate treatment and best possible care. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say How do cortisone injections help with carpal tunnel syndrome? Recent medical research suggests that Ultrasound guided cortisone injections are effective and superior to non-guided injection for carpal tunnel syndrome. A cortisone injection can rapidly reduce pain, bringing much-needed relief and increased mobility. If you have found your sleep, work or other daily activities being hindered by your pain, a steroid injection can allow you the freedom to get back to work and normal life. Pain is not to be underestimated and when it becomes bad it can become debilitating and lead to depression. Pain can also lead to inactivity which can cause further problems such as postural and health issues, leading to even further inactivity, known as the chronic pain cycle . It is crucial to seek help when you are in pain and not simply try to live with it, as when left unchecked pain can cause gradual deterioration of both mental and physical health. All our treatments include a written report and guidance on moving forward with treating your problem following your injection, so that you can use the opportunity the injection gives to set yourself on a path to better health. We also include a personalised physiotherapy exercise plan wherever appropriate. For more information about cortisone injections and frequently asked questions, see our cortisone injections page . How much do cortisone injections cost? Our cortisone injections start at just £260 including initial telephone consultation, diagnostic ultrasound, ultrasound-guided injection, written report with care plan and exercise prescription if appropriate. See our fees Are cortisone injections a long-term solution for carpal tunnel syndrome? Corticosteroids have a short term effect (around 3 months) but a common belief is that cortisone injections do not address the underlying causes of your pain and will only stop the symptoms. First of all, your pain has a massive impact on your daily life and any relief, even temporary, can help significantly with your sleep, work or family activities, and as a result, improve your general well being and mental health. Fortunately, simple pathologies, even when causing severe pain, tend to improve overtime and by the time the steroid has stopped working, we expect that your body has healed by itself and the pain won't return. Secondly, the pain free period allowed by steroid injections (up to 3-6 months on average and sometime over 1 year) is a window that will be used to begin further treatment such as a prescribed exercise program or sessions of physiotherapy , in order to address other causative factors for your problems. In some cases steroid injections can also be a permanent solution by stopping chronic inflammation or disrupting your pain signal. At your virtual consultation and first appointment , your clinician will ask questions and assess you to diagnose your problem and explain to you the options available. This will help you to understand how you can use the respite from pain which a corticosteroid injection provides, to work directly on your problem and provide you with a personalized exercise plan to avoid reliance on injections in the future. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page , or book a free online or telephone consultation to speak to Max directly. Read More What other treatments are available for carpal tunnel syndrome? After an acute carpal tunnel syndrome caused by recent repetitive strain or overuse, usually rest, activity modifications and painkilling treatments like over-the-counter medications or gels are often sufficient and 30% of carpal tunnel syndromes will resolve naturally overtime. The following treatments can be alternative, complementary or subsequent to cortisone injections : Physiotherapy and exercises such as neural mobilization can help modulate pain, helps improve flexibility, and promote healing with an exercise induced response anti-inflammatory activity. Wrist Splints during activities or at night to keep the wrist in a neutral position. Surgery (Carpal Tunnel Release) may be considered to relieve pressure on the median nerve in cases where conservative measures are not effective. Extracorporeal Shock Wave Therapy (ESWT) has been suggested as an option in medical research . The specific treatment approach depends on the type and severity of carpal tunnel syndrome, and it's crucial for individuals experiencing symptoms to seek professional medical advice for an accurate diagnosis and appropriate management MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . 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

Ultrasound-guided cortisone injections in South London at Insight MSK for joints and tendon pain by senior NHS clinicians. Cortisone Injections in South London Book an appointment Private London Steroid Injections We are a leading London private injection clinic, dedicated to providing you with an expert professional service to fix musculoskeletal (MSK) pain fast. We use the latest ultrasound-guided technology and our lead clinician is an established senior NHS practitioner with extensive experience in top London hospitals. We provide a streamlined and personal service from consultation to aftercare, with an experienced clinician to discuss your treatment and answer your questions at every step of the way. Diagnostic Ultrasound £150 Learn More Cortisone Injections £260 Learn More Arthrosamid from £2500 Learn More Our Treatments & Fees “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists Our Simple Appointment Process We have done everything we can to make your appointment as effortless as possible. Simply get in touch using the button below. Our qualified clinicians will ensure injection therapy is the appropriate choice for you, and take time to discuss the treatment and answer any questions you have. If you're ready to go ahead our clinician will book you in there and then for your treatment, at a time that is convenient to you. Contact Us Shoulder pain Includes frozen shoulder , arthritis , rotator cuff impingement and tendinopathy Knee pain Includes patellofemoral and femorotibial arthritis , meniscal tears, bursitis, tendonitis , IT band syndrome, Baker's cyst Elbow pain Includes tennis elbow & golfer's elbow , biceps tendonitis, bursitis, osteoarthritis , cubital tunnel syndrome Hip & Back pain Includes hip & low back arthritis , bursitis, tendinopathy , greater trochanteric pain syndrome, meralgia paresthetica, sacroiliac pain , coccyx pain Hand & Wrist pain Includes De Quervain tenosynovitis, Carpal Tunnel Syndrome , hand and fingers arthritis , trigger finger/thumb, ganglion cysts Foot & Ankle pain Includes ankle, foot and toes arthritis , posterior tibial or peroneal tendonitis, bursitis, Morton’s neuroma, plantar fasciitis , ganglion cysts Not sure if we can help? Make Contact with our expert clinicians to discuss your condition and treatment. Cortisone Injections at our South London Clinic 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 Book Now Start your journey to a pain-free life today. Our experts are waiting to help you. Book Appointment Partners

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 Barbotage for calcific tendonitis in South London. Understand what is barbotage and how it can help to manage your pain from calcific tendonitis. Free consultation. US Guided Hydrodistension in South London for Frozen Shoulder What is a shoulder hydrodistension? We are a leading musculoskeletal clinic offering diagnostic ultrasound and ultrasound guided procedures such as hydrodistension for frozen shoulder . We perform all procedures as part of a comprehensive and global management of your condition. We offer our services at our Central London and South London clinics and also offer home visits in the South London area. A free telephone consultation is available to understand whether an ultrasound scan will be helpful and appropriate in your particular case. Booking is quick and easy, please see our book appointment page for more details. What is a shoulder hydrodistension? Hydrodistension, also called hydrodilatation, is a technique is used to treat capsulitis (frozen shoulder) when other treatments have failed. Frozen shoulder is characterized by pain and stiffness in the shoulder joint resulting in severe limited mobility. After numbing the shoulder with an anaesthetic agent, sterile saline is injected to attempt to stretch the joint and help to recover some mobility. Here's an overview of the expected benefits: Mechanical Stretching as the injected fluid creates pressure within the joint and distend the capsule. This stretching aims to break up adhesions that may have formed within the joint capsule, contributing to the restricted range of motion. Increased Joint Space temporarily with the fluid occupying the inside of the shoulder joint. This expansion can help improve shoulder mobility and reduce the sensation of tightness associated with frozen shoulder. Facilitating physiotherapy and exercises as the increased joint space created by the procedure can make it easier to move, which plays a crucial role in restoring normal shoulder function. Pain Relief following the associated injection of corticosteroid also contribute to pain relief for individuals with frozen shoulder. Recent medical research suggests that hydrodistension helps more in the short term mobility in comparison to steroid injection alone. However it is not clear if it helps in the long term. We typically recommend this procedure if more conservative management has failed and prior to consider surgical management. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say How an hydrodistension is performed? Here's an overview of how shoulder hydrodistension is typically performed: An ultrasound scan is first performed to exclude other pathologies and confirm where the injection will be performed. We first inject local anaesthetics around and inside the shoulder joint in order to minimize pain during the procedure. A sterile saline solution is injected slowly into the joint capsule to attempt to stretch the joint capsule. A corticosteroid injection is then performed at the end of the procedure. How much Hydrodistensions cost? Our Ultrasound Guided hydrodistension procedure start from £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 hydrodistension at Insight MSK? All our procedures and diagnostics are part of a comprehensive management of your condition in line with recent scientific evidence. All injections are ultrasound guided, which have been proven to be more effective and are all preceded by a thorough clinical examination. We do not only diagnose or "fix" problems but we strive to understand the context and causative factors which have led to your condition in order to prevent re-occurrence. These require several skills and the ability to deal with complex and multiple information which often need the expertise from different specialists and therefore multiple appointments, travel, fees... We offer all these services together to give you a prompt single point of contact to assess, diagnose and manage your condition thanks to our unique and vast experience in musculoskeletal medicine. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page, or book a free telephone or online consultation to speak to Max directly. Read More Is an ultrasound guided hydrodistension painful ? The level of pain experienced during an ultrasound guided hydrodistension can vary from person to person. Some individuals may find the procedure uncomfortable, while others may experience more significant pain. We use local anaesthesia to numb the area before performing the procedure, which can help minimize pain during the actual injection. After the procedure, patients may experience some soreness, but this is typically temporary. We encourage you to communicate any concerns with us to ensure a comfortable and informative experience. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . 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