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À propos de nous

Ultrasound guided dry needling for tendonitis

What is US guided dry needling?

We are a leading musculoskeletal clinic offering diagnostic ultrasound and ultrasound guided procedures such as dry needling for tendonitis. We perform all procedures as part of a comprehensive and global management of your condition.

We offer our services at our South London clinic and also offer home visits in the South London area. A free telephone consultation is available to understand whether an ultrasound scan will be helpful and appropriate in your particular case.

Booking is quick and easy, please see our book appointment page for more details.
 

What is tendon dry needling ?

Dry needling for tendons, also called percutaneous tenotomy or fenestration, is performed on chronic tendon tendonitis which have not improved after at least 6 months of conservative management. During the procedure, we perform several small incisions with a small needle in the affected tendon under local anaesthesia and ultrasound guidance. These incisions can stimulate blood flow to the area and promote the body's natural healing response. The process also triggers an inflammatory reaction, which helps in the repair of the tendon. This is followed by an intensive rehabilitation period.

“Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.”

Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists

What our patients say

How is Tendon dry needling performed ?

In tendon dry needling, thin small needles similar to the ones used for injections, are inserted repetitively into the tendon after numbing the area with local anaesthetics. The exact mechanisms through which tenotomy works are not fully understood, but it is thought to involve several factors. The insertion of needles may stimulate the release of certain chemicals in the body that help reduce pain. Additionally, the needles may create small disruptions in the tissue, promoting a local healing response.

How much Barbotage cost?

Our Ultrasound Guided Barbotage procedure start from £300 including initial telephone consultation, diagnostic ultrasound, written report with care plan and exercise prescription if appropriate. 

Why should I book my US guided tendon fenestration 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.
 

Do I need a tendon fenestration ?

We typically recommend this treatment for non improving tennis or golfer's elbow as an alternative to surgical management. Recent research also suggest that it could help for lateral hip pain in case of gluteal tendon disorders. If you are unsure that it is the right treatment for you, please reach out and book a free virtual consultation.

MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist.

Our South London Clinic

We also provide home visits

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 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.

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