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À propos de nous Cortisone Injections in 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 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 also offer home visits in the South London area. We can see you Monday - Friday from 8am - 8pm and Saturdays from 9am - 12pm Our fees start at just £150 for a diagnostic ultrasound consultation and £240 for cortisone injections (including the diagnostic consultation). For a full list of fees please see our fees page . Our South London clinic is easily accessible on public transport, just a 2 minute walk from Brixton underground station. Many buses also stop within a couple of minutes walk, including the P4, P5, 2, 3, 35, 59, 109, 118, 133, 159, 196, 250, 333, 355, 415 and 432. For transport information use the Transport for London Journey Planner . We have made the booking process as simple as possible. Simply visit our book appointment page to select a convenient time for a free initial consultation, and we will see you then to book your in-person appointment. To contact us, please drop us an email from our contact page and we will be in touch as soon as possible.

À propos de nous Hyaluronic Acid Injections at our clinic We are a leading musculoskeletal clinic offering diagnostic ultrasound and ultrasound guided procedures such as hyaluronic acid injections for musculoskeletal pathologies. We perform all procedures as part of a comprehensive and global management of your condition. We offer our services at our 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 Hyaluronic Acid? Hyaluronic acid is a naturally occurring substance found in the human body and present in various tissues and fluids, with high concentrations found in skin, eyes, and synovial fluid within joints. In joints and tendons, hyaluronic acid ensures normal, painless movement due to its lubricating and shock absorbing properties. It is also responsible for the nutrition of the cartilage. The production of hyaluronic acid in the body can decrease with age, and this reduction is associated with changes in joint health. Hyaluronic acid injections have been proven safe and effective for chronic moderate osteoarthritis and tendon disorders. We typically recommend these injections for knees and hip osteoarthritis or patellar, Achilles and posterior tibial tendinopathy. We use Ostenil Plus and Ostenil Tendon. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say What can be treated with ultrasound guided cortisone injections? Hyaluronic acid injections, also called viscosupplementation, is injected as a gel. Extensive medical research suggests that ultrasound guidance is more effective and decrease the risk of complications. The conditions that we treat include osteoarthritis especially for knee pain and tendon injuries like tendonitis or tenosynovitis of the Long Head of Biceps or posterior tibial tendon. How do Hyaluronic acid injections work ? Mechanism of action and effects on joints and tendons is multiple but here are some general considerations: Joint Lubrication by supplementing the natural hyaluronic acid in the joint and potentially reducing friction and pain during joint movement. Anti-Inflammatory Properties. Stimulation of Tissue Healing by promoting the cellular activities of fibroblasts. Tendon Health by promoting tendon gliding, reducing adhesion as well as improving tendon architectural organisation. How much do ultrasound Hyaluronic Acid injections cost? Our hyaluronic acid injections cost £320 including initial telephone consultation, diagnostic ultrasound, written report with care plan and exercise prescription if appropriate. See our fees How often do I need to have hyaluronic acid injections? The frequency of hyaluronic acid injections depends on various factors, including the specific medical condition being treated, individual response to the injections, and individual features. Typically, we perform a single injection per joint and two injection with one week in between for tendons. Prior to repeat an injection, we will consider the severity and chronicity of the condition, the location of the injection, and any potential side effects associated with repeated use. There is no risk of becoming addict to hyaluronic acid if you have repeated procedures. Hyaluronic acid injections can also be combined with co rticosteroid injections in some occasions. Why should I book my hyaluronic acid injection at Insight MSK? All our procedures and diagnostics are part of a comprehensive management of your condition in line with recent scientific evidence. All injections are ultrasound guided, which have been proven to be more effective and are all preceded by a thorough clinical examination. We do not only diagnose or "fix" problems but we strive to understand the context and causative factors which have led to your condition in order to prevent re-occurrence. These require several skills and the ability to deal with complex and multiple information which often need the expertise from different specialists and therefore multiple appointments, travel, fees... We offer all these services together to give you a prompt single point of contact to assess, diagnose and manage your condition thanks to our unique and vast experience in musculoskeletal medicine. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page, or book a free telephone or online consultation to speak to Max directly. Read More What are the contraindications and risks associated to Hyaluronic Acid injections? Hyaluronic acid injections are extremely safe and very rarely cause side effects. However, like with any medical intervention, there are risks of allergic reactions, infection, bruising, feeling of heat, redness, joint swelling, tachycardia, hypertension, hypotension, shortness of breath, nausea, itchiness or temporary increased pain after the procedure. Hyaluronic acid preparations used in our clinic have been obtained by biofermentation and contain no animal protein but Ostenil Tendon contains mannitol which helps to stabilise the hyaluronic acid. If you have known allergy to Ostenil components it's an absolute contraindication. Other contraindications includes patients under 18, pregnant and breastfeeding women. We also do not inject hyaluronic acid on patients with rheumatoid arthritis or ankylosing spondylitis due to the absence of clinical studies. For more information, the manufacturer leaflets are available here for Ostenil Tendons and here for Ostenil Plus. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . 10 New Cavendish St, London, W1G 8UL, England Our Central London clinic is based in The French Pharmacy in Marylebone. 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and you can normally have your injection treatment within 3-4 days of first making contact. Book Appointment Now

À propos de nous 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 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 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 £240 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. More information about pain can be found on our blog . At your virtual consultation and first appointment , your clinician will ask questions and assess you to diagnose your problem and explain to you the options available. This will help you to understand how you can use the respite from pain which a corticosteroid injection provides, to work directly on your problem and provide you with a personalized exercise plan to avoid reliance on injections in the future. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page , or book a free online or telephone consultation to speak to Max directly. Read More What other treatments are available for 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 . 10 New Cavendish St, London, W1G 8UL, England Our Central London clinic is based in The French Pharmacy in Marylebone. 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and you can normally have your injection treatment within 3-4 days of first making contact. Book Appointment Now

Insight MSK Privacy Policy The website www.insightmsk.co.uk and clinic are owned and operated by MLJ Healthcare Ltd. As required by law, our organisation is registered with the Information Commissioner’s Office and pay a yearly fee. Our contact details Name: MLJ Healthcare Ltd Address: 128 City Road London EC1V 2NX Contact form at: www.insightmsk.co.uk The type of personal information we collect We currently collect and process the following information: Name(s), Surname (s). Postal address(es). Date of Birth. Email(s). Phone number(s). Insurance number(s). How we get the personal information and why we have it Most of the personal information we process is provided to us directly by you for one of the following reasons: Booking appointments. Liaising with your GP regarding your care. Referring to Third parties (GPs, Consultants, other health professionals) for onward care. We also receive personal information indirectly, from the following sources in the following scenarios: From your GP, when referred to Insight MSK. From your Specialist, when referred to Insight MSK. A third party legally responsible referring a patient to Insight MSK. We may share this information when required by law. Under the UK General Data Protection Regulation (UK GDPR), the lawful bases we rely on for processing this information are: (a) Your consent. You are able to remove your consent at any time. You can do this by contacting MLJ Healthcare Ltd, 128 City Road, London, EC1V 2NX (b) We have a contractual obligation. (c) We have a legal obligation. (d) We have a vital interest. (e) We need it to perform a public task. (f) We have a legitimate interest. How we store your personal information Your personal information are securely stored within our electronic patient record software (Rehab Guru) which is GDPR compliant and uses UK-based data centers which are accredited with ISO27001 and 90001 certificates to ensure data is protected to the highest possible level. Rehab Guru’s privacy policy can be found here . We keep your patient record data for as long as necessary in line with legal and regulatory requirements or guidance from the date of last treatment for adult records in accordance with the Data Protection Act 2018 . We will then dispose your information by requesting erasure of your electronic record from . Information related to site traffic data and information about your computer will only be kept for as long as necessary in line with legal and regulatory requirements or guidance. We use a third party payment software platform called Stripe to take payment for service provided. Stripe’s Privacy Policy can be found here . Privacy Policy (stripe.com) Your data protection rights Under data protection law, you have rights including: Your right of access - You have the right to ask us for copies of your personal information. Your right to rectification - You have the right to ask us to rectify personal information you think is inaccurate. You also have the right to ask us to complete information you think is incomplete. Your right to erasure - You have the right to ask us to erase your personal information in certain circumstances. Your right to restriction of processing - You have the right to ask us to restrict the processing of your personal information in certain circumstances. Your right to object to processing - You have the the right to object to the processing of your personal information in certain circumstances. Your right to data portability - You have the right to ask that we transfer the personal information you gave us to another organisation, or to you, in certain circumstances. You are not required to pay any charge for exercising your rights. If you make a request, we have one month to respond to you. Please contact us at MLJ Healthcare Ltd, 128 City Road, London, EC1V 2NX, if you wish to make a request How to complain If you have any concerns about our use of your personal information, you can make a complaint to us at MLJ Healthcare Ltd, 128 City Road, London, EC1V 2NX You can also complain to the ICO if you are unhappy with how we have used your data. The ICO’s address: Information Commissioner’s Office Wycliffe House Water Lane Wilmslow Cheshire SK9 5AF Helpline number: 0303 123 1113 ICO website: https://www.ico.org.uk

À propos de nous 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. 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. Is the first consultation free? Yes, We offer a free first consultation online that can be directly booked through our website. How soon can I get an appointment? You can book a same day appointment. Should I tell you if I scared of needles or of the procedure? That is absolutely fine, we are used to dealing my needle apprehension and phobia. Let us know about any needle phobia or intervention related anxiety as our care can be adapted. In general, it is important to discuss any concerns or questions you have about the procedure beforehand. We will provide you with information about what to expect, potential risks and benefits, and how to manage any discomfort during or after the procedure. What will you ask me during this consultation? During this consultation, we will collect some personal information (see our privacy policy), take your full medical history and assess if the service is appropriate for you. We will ask you specific questions to assist with the diagnosis, all of them are relevant to your current condition and will help us to get a precise idea of how to help. Will we cover every detail of a future procedure? Absolutely, if you are booked for a procedure, we will check for all possible contra indications and precautions or possible adverse reactions will be discussed. Can you answer all my questions during this consultation? Sure, we can answer any questions you might have. However, please note that no clinical recommendation or diagnosis can be given during this call. Do I need to pay for my face to face appointment? Yes, the full amount of the consultation fee is £150 and is due before your appointment. You will be sent an email to pay on a secured online payment platform. What should I bring to my face to face appointment? Please make sure you bring all recent relevant investigations or other consultants letters. You can also send them by email prior to the consultation. How do I book a face to face appointment? At the end of this initial consultation, you will be able to book your face to face appointment for physical assessment, ultrasound scan and procedures on the day of your choice in one of our clinics. Will I be explained my diagnosis and what to do next? You will be explained the diagnosis and offered a treatment plan. Should I wear any particular clothes for my face to face appointment ? Not particularly, but for your own comfort, you could wear comfortable clothes or bring something to get change if more convenient. What is a treatment plan? A treatment plan includes any ultrasound procedures. We might also prescribe exercises, suggest personal training, suggest physiotherapy or another specialist referral. How long is the face to face consultation? Each session can last up to 45 minutes. What sort of examination will you carry out? We will proceed to a thorough physical examination which might include palpation, neurological and/or orthopaedics tests. An ultrasound examination will be conducted to complete your assessment. Will I really feel heard and listened to? Absolutely, you will have our full dedication and attention. With Insight MSK, there is no rush, no judgement or generic management. Each person is unique and deserves a tailored commitment. What if I am scared of needles ? That is absolutely fine, we are used to dealing with needle apprehension and phobia. Patient anxiety and fear of needles can contribute to the perception of discomfort. Discussing concerns with the healthcare provider and employing relaxation techniques can help manage anxiety. While some individuals experience minimal pain, others may feel more discomfort. It's essential to communicate openly with your clinician about pain levels to ensure a comfortable and effective experience. Let us know about any needle phobia or intervention related anxiety as our care can be adapted. What are the contraindications to cortisone injections ? Like for any medical intervention, careful consideration of risks and benefits with your healthcare provider is crucial before opting for cortisone injections. Our absolute contraindications to cortisone injections are: 1. Previous allergic reaction to corticosteroids or local anaesthetics (corticosteroids can be injected without local anaesthetic). 2. Ongoing fever, feeling unwell or currently taking antibiotics (you can receive the injection after your course of antibiotics). 4. Recent trauma or fracture. 5. Osteoporosis near the injection site. 6. Injection in an unstable joint (dislocating regularly). 7. Injection into a prosthetic joint (e.g., Total knee replacement). 8. Any surgery planned in the next 6 weeks (including dental) or joint replacement in the next 9 months. 9. If you have received a live vaccine within 2 weeks prior to the injection or due to have it within the 2 weeks following the procedure. Typical live vaccines include Live-attenuated Influenza (LAIV) vaccines (flu), some COVID vaccines, Measles, Mumps & Rubella (MMR), Polio, Smallpox, Chickenpox, Yellow Fever, Japanese encephalitis, Shingles, Rotavirus. 10. You already had 3 injections in the same site on the past 12 months, or last injection was less than 3 months ago for a load bearing joint (knee, hip, ankle...) or 1 month for any other body part. 11. Pregnancy. 12. Under 18. Below is the list of precautions which need further attention prior to receive a corticosteroid injection: 1. If you are currently receiving treatment for cancer, HIV, Hepatitis C or currently take Disease-Modifying Anti-Rheumatic Drug (DMARD), you need approval of your consultant prior to receive a corticosteroid injection. 2. If you have glaucoma, your need approval from your optometrist prior to receive a corticosteroid injection. 3. If you are on anti-coagulants : Warfarin (Coumadin) : INR needs to be within patient’s therapeutic range and not greater than 3 within 48h prior to the procedure. You do not need to stop the warfarin. DOACs (Direct Oral Anticoagulants) such as Apixaban (Eliquis), Rivaroxaban (Xarelto), Edoxaban (Savaysa), Betrixaban (BevyxXa), Dabigatran (Pradaxa) do not need to be stopped. 3. If you are Diabetic and taking insulin, you need to have your HbA1c below 69mmol/mol (8,5%) within three months prior the injection. Corticosteroid injections can lead to transient hyperglycaemia and you will be advised to check your blood glucose level for up to a week after the injection. 4. If you have high blood pressure, you can experience a transient raise in blood pressure and you need to monitor it the 48h following the procedure. What are the risks associated with cortisone injections? Fortunately, serious side effects to corticosteroid injections are rare 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. If the injected area becomes extremely painful, hot, red, swollen or that you develop fever or feel unwell after the injection it might indicate the presence of an infection. You should immediately attend an urgent care centre or your local A&E department. 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) and you will be asked to wait up to 20 minutes in the waiting area. Will the ultrasound be painful ? No, ultrasound examinations are generally not painful but some positions might be temporarily uncomfortable. We encourage you to communicate any concerns with the healthcare provider to ensure a comfortable and informative experience. Will the injection/procedures be painful ? Injections can cause varying levels of discomfort. We use of a local anesthetic to minimize pain. When do I pay for the procedures? The fees for any additional procedures will be due at the end of the consultation (please see the page Services and fees for further details). Can I pay the fee of the consultation on the day of the face to face appointment? The fee for a face to face consultation is £150 and is to be paid in advance. How can I pay? We accept card or bank transfers. What happens after my appointment ? You can now follow your post-procedural recommendations and let the treatment work. What if you refer me to another service? Please note that a referral for private further imaging such as X-ray or MRI, prescription of medications (other than the one administered during the session) or a referral to another private specialist will induce extra costs charged by the provider independently from our service. Do I need to take a day or more days off? The need to take days off after a corticosteroid injection depends on several factors, including the reason for the injection, the specific area of the body involved, and individual responses to the treatment. In many cases, people are able to resume their normal activities relatively quickly after a corticosteroid injection. However, it's important to follow our expert's advice and not overexert the treated area. If you have concerns or experience unexpected symptoms after the injection, it's crucial to contact us for guidance. Will I get a written report of my consultation? Of course, a report will be sent to you as well as to any healthcare provider of your choice by secured email within 24h. Is there anything I will not be able to do after an injection ? The impact of corticosteroid injections on your activities can vary depending on several factors, including the specific condition being treated, the location of the injection, and individual responses to the medication. his is to allow the medication to take effect and to minimize stress on the treated area. You will be provided with specific post-injection instructions. This may include recommendations on rest, activity level, and any necessary follow-up appointments. Will you be available after my face to face appointment? Sure, we will stay available for you after the procedure if you have any questions. Will I feel anything after an injection ? After the procedure, some people may experience temporary soreness or discomfort, and we will recommend pain management strategies. 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

Conditions treated Shoulder pain Frozen shoulder (capsulitis) , glenohumeral, acromioclavicular & sternoclavicular joint osteoarthritis , subacromial & sub coracoid bursitis, rotator cuff impingement & tendinopathies Knee pain Femorotibial & patellofemoral osteoarthritis , meniscal tears, prepatellar & infrapatellar bursitis, Hoffa’s fat pad impingement, quadriceps & patellar tendinopathy , iliotibial band (ITB) syndrome, Baker's cyst Elbow pain Tennis elbow & golfer’s elbow , triceps tendinopathy , olecranon bursitis, humeroradial & humeroulnar joint osteoarthritis , cubital tunnel syndrome Hip & Pelvic pain Coxofemoral osteoarthritis , iliopsoas bursitis, gluteus & hamstring tendinopathy , greater trochanteric pain syndrome & bursitis, low back pain , sacroiliitis , coccyx pain (coccygodynia) Hand & Wrist pain De Quervain tenosynovitis, Carpal Tunnel Syndrome , wrist joint & fingers osteoarthritis , trigger finger/thumb, ganglion cysts Foot & Ankle pain Ankle, foot and toes osteoarthritis , tibialis posterior, peroneal & extensors tendinopathy , intermetatarsal bursitis & Morton’s neuroma, plantar fasciopathy , ganglion cysts It all starts with pain... You might feel pain in different parts of your musculoskeletal system. We understand the impact of pain on all aspects of daily life. It all start from how you feel in your body and what activity you cannot do as easily as usual or maybe what is not possible anymore. Painful conditions can place a considerable burden on people. In most people, it can affect the perception of general health , it can be associated with depressive symptoms. Pain can have considerable social and economical impacts by interfering with one's ability to work and carry out usual activities. It can also affect interactions and relationships. What does my pain mean? Pain can occur for a variety of reasons, and its mechanisms are highly complexes. Pain also has different type of presentation and can be described with a variety of terms. Check our page blog to learn more about the functioning of physical pain as well as the British pain society website . It can be very difficult to understand the reason of a certain type of pain without a professional assessment. Various types of pain in the same body part can mean different things and have different origins. As demonstrated below, a variety of conditions can cause pain. These conditions involve joints, muscles, nerves and tendons and can be extremely debilitating and overwhelming. Should I wait for the pain to go away by itself? If you're experiencing pain, it's generally a good idea to consult with a healthcare professional for personalized advice. Pain can be a signal that something might be wrong, and it could be important to understand the underlying cause. In some cases, pain may be temporary and resolves on its own. Over the counter analgesia such as paracetamol can help for mild to moderate pain. Relative rest, ice, compression, and elevation (RICE) can also be helpful for minor injuries. However, persistent or severe pain may require medical attention. Ignoring or waiting too long to address certain types of pain could potentially lead to further complications. If you're unsure about what to do, contact us so we can evaluate your specific situation, provide a proper diagnosis, and recommend an appropriate course of action. How long should I wait if I am in pain before seeking treatment? The decision on when to seek advice for pain depends on various factors, including the severity and duration of the pain, as well as any accompanying symptoms. Ultimately, if you're unsure or concerned about your pain, it's better to consult with a healthcare professional sooner rather than later. Insight MSK can help determine the cause of the pain and recommend appropriate treatment options. Ignoring persistent or severe pain may lead to complications or delayed treatment of underlying issues. When do I need surgery? Surgery may be recommended for various conditions affecting the bones, joints, muscles, ligaments, tendons, and other parts of the musculoskeletal system. The decision to undergo surgery is typically based on the severity of the condition, the extent of symptoms, and the response to conservative treatments. It's important to note that surgery is often considered after other less invasive treatment options have been explored. Always seek the guidance of a qualified healthcare provider to determine the most appropriate course of action for your musculoskeletal condition. Should I still contact you if I am not sure what is happening? Absolutely. If you're uncertain about your condition, experiencing persistent symptoms, or have concerns about your health, it's always a good idea to contact a healthcare professional. It's important not to ignore symptoms or delay seeking medical advice, especially if you're unsure about what might be causing your discomfort. Early intervention and proper medical guidance can often lead to better outcomes and prevent potential complications. If your symptoms are severe or if you experience a medical emergency, don't hesitate to seek immediate medical attention and call 999. How can I know if you can help with my condition? Contacting us is always going to be helpful. The most important thing we do is help assess your symptoms, and offer guidance on the appropriate course of action whether or not it is with our service. You will never be left unsure of what to do next. We are with you every step of the way to recovery.See our What to expect page for more details on what happens at the initial consultation. 10 New Cavendish St, London, W1G 8UL, England Our Central London clinic is based in The French Pharmacy in Marylebone. 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and we offer same day appointment. Book Appointment Now What our patients have to say: “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists

À propos de nous Sacroiliac joint pain cortisone injections at our clinics We are a leading cortisone injection clinic offering steroid injections for sacroiliac joint pain, also known as sacroiliitis or sacroiliac joint dysfunction. Medical research suggests that up to 25% of low back pain are sacroiliac joint related. Steroid injections can bring significant relief from SIJ pain and bring you much-needed respite from your condition. We offer private injections at our Central London and South London clinics and also offer home visits in the South London area. A free telephone consultation is available to understand whether injections will be helpful and appropriate in your particular case and to ensure your injection will be safe and give you maximum benefit. Booking is quick and easy, please see our book appointment page for more details. What causes sacroiliac joint pain and what are the symptoms? The sacroiliac joint connects the sacrum, the triangular bone at the base of the spine, to the ilium, which is one of the large pelvic bones. The sacrum and ilium are connected by strong ligaments that stabilize the joint. The sacroiliac joint plays a crucial role in transferring the weight of the upper body to the pelvis and legs. Sacroiliac joint pain can result from various factors, and the precise cause may differ from person to person. Some common causes of sacroiliac pain include: Trauma to the sacroiliac joint, such as a fall or car accident, can cause damage to the ligaments or cartilage, leading to pain and dysfunction. Pregnancy secondary to the hormonal changes and increased mobility of joints can sometimes lead to sacroiliac joint pain. This condition is often referred to as pregnancy-related pelvic girdle pain. Osteoarthritis similar to those seen in other joints, cause by progressive cartilage degeneration can cause pain. Ligamentous Laxity in some individuals with joint hypermobility syndrome (such as Ehlers-Danlos syndromes) can contribute to instability and increased motion in the sacroiliac joint, leading to pain. Infection (in rare cases) affecting the sacroiliac joint can cause pain. Septic arthritis of the sacroiliac joint is a serious condition that requires prompt medical attention. Inflammatory related conditions including spondyloarthritis (such as ankylosing spondylitis), psoriatic arthritis, reactive arthritis, Inflammatory Bowel Disease (IBD) or other inflammatory disorders. can cause secondary SIJ pain and inflammation. Referred Pain from nearby structures, such as the lumbar spine or hip, can be referred to the sacroiliac joint, making it appear as though the pain is originating from the joint itself. Common symptoms of sacroiliac pain include: Pain and Stiffness in the lower back and buttocks . The pain may be felt on one or both sides. Reduced range of motion in the lower back and hips making activities such as bending, twisting, or lifting more challenging. Morning Stiffness where symptoms gradually improve with movement throughout the day. Pain Radiating to Legs and thighs in some cases mimicking sciatica. Tenderness with palpation over the sacroiliac joints. Systemic Symptoms such as fatigue, fever, and weight loss. In order to ensure injection therapy is the right course of action in your particular case, we offer a free virtual consultation to get a quick picture of your health and the condition you are experiencing, and advise on whether steroid injections are a good course of action for you. At your appointment we will also carry out a physical assessment to ensure you are receiving the most appropriate treatment and best possible care. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say How do cortisone injections help with sacroiliac pain? We typically perform corticosteroid injections sacroiliac pain related to degenerative conditions such as osteoarthritis or secondary to trauma, when the pain has not settled with simple analgesia and that a fracture has been ruled out. Cortisone injections can rapidly reduce pain, bringing much-needed relief and increased mobility. If you have found your work or other daily activities involving prolonged sitting, standing, walking uphill, or anything else causing sacroiliac pain, a steroid injection can allow you the freedom to get back to work and normal life. Pain is not to be underestimated and when it becomes bad it can become debilitating and lead to depression. Sacroiliac pain can also lead to inactivity which can cause further problems such as postural and health issues, leading to even further inactivity, known as the chronic pain cycle . It is crucial to seek help when you are in pain and not simply try to live with it, as when left unchecked pain can cause gradual deterioration of both mental and physical health. The break from pain and other symptoms brought by steroid injections will also allow you to take other actions to proactively combat your problem. In particular, you will be able to follow a physiotherapist-prescribed exercise programme to deal with your condition at the root by building flexibility and strength in the pelvic floor and lumbar region. It is important you do any exercises your physiotherapist gives you to avoid your problem worsening in the future and potentially leading to more problems further down the line. All our treatments include a written report and guidance on moving forward with treating your problem following your injection, so that you can use the opportunity the injection gives to set yourself on a path to better health. We also include a personalised physiotherapy exercise plan wherever appropriate. For more information about cortisone injections and frequently asked questions, see our cortisone injections page . How much do cortisone injections cost? Our cortisone injections start at just £240 including initial telephone consultation, diagnostic ultrasound, ultrasound-guided injection, written report with care plan and exercise prescription if appropriate. See our fees Do you diagnose sacroiliac pain with ultrasound? Ultrasound imaging itself is not appropriate to diagnose sacroiliac pain but it can be useful to perform a diagnostic ultrasound guided injection where a local anaesthetic is injected into the joint to confirm its role in pain. Diagnosing the exact cause of sacroiliac pain can be challenging, and we often use a combination of clinical evaluation, blood tests, X-rays and/or MRI, and to determine the underlying cause. Are cortisone injections a long-term solution for sacroiliac joint pain? Corticosteroids have a short term effect (around 3 months) but a common belief is that cortisone injections do not address the underlying causes of your pain and will only stop the symptoms. First of all, your pain has a massive impact on your daily life and any relief, even temporary, can help significantly with your sleep, work or family activities, and as a result, improve your general well being and mental health. Fortunately, simple pathologies, even when causing severe pain, tend to improve overtime and by the time the steroid has stopped working, we expect that your body has healed by itself and the pain won't return. Secondly, the pain free period allowed by steroid injections (up to 3-6 months on average and sometime over 1 year) is a window that will be used to begin further treatment such as a prescribed exercise program or sessions of physiotherapy , in order to address other causative factors for your problems. In some cases steroid injections can also be a permanent solution by stopping chronic inflammation or disrupting your pain signal. More information about pain can be found on our blog . At your virtual consultation and first appointment , your clinician will ask questions and assess you to diagnose your problem and explain to you the options available. This will help you to understand how you can use the respite from pain which a corticosteroid injection provides, to work directly on your problem and provide you with a personalized exercise plan to avoid reliance on injections in the future. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page , or book a free online or telephone consultation to speak to Max directly. Read More What other treatments are available for sacroiliac joint pain? After a minor injury or repetitive strain, usually rest, ice or heat and painkilling treatments like over-the-counter analgesic pills or gels are often sufficient. Pelvic belt can be useful for pregnancy related SIJ pain. For sever pain or when symptoms persist over 12 weeks and are not responding to cortisone injection, radiofrequency denervation or surgery might be recommended. More information on sacroiliac joint pain are available here . Rehabilitation with pelvic floor and low back exercises are all also important, and your physiotherapist will guide you on what activities you should do or should avoid at each stage of your recovery. If you are suffering from coccyx pain, a diagnosis from a medical professional is an essential first step in understanding your problem and understanding what is the right course of treatment for you. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . 10 New Cavendish St, London, W1G 8UL, England Our Central London clinic is based in The French Pharmacy in Marylebone. 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and you can normally have your injection treatment within 3-4 days of first making contact. Book Appointment Now

À propos de nous Cortisone Injections in our Central London Clinic We also provide home visits Our Central London clinic is based in The French Pharmacy in Marylebone. 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria The French Pharmacy 10 New Cavendish St, London, W1G 8UL, England Treatments Opening Hours Fees Public Transport Book Appointment Contact All our treatments are available in our South London clinic including diagnostic ultrasound , cortisone injections , hyaluronic acid injections , barbotage and dry needling . We also offer home visits in the South London area. We can see you Monday - Friday from 8am - 8pm and Saturdays from 9am - 12pm Our fees start at just £150 for a diagnostic ultrasound consultation and £240 for cortisone injections (including the diagnostic consultation). For a full list of fees please see our fees page . Our South London clinic is easily accessible on public transport, just a 2 minute walk from Brixton underground station. Many buses also stop within a couple of minutes walk, including the P4, P5, 2, 3, 35, 59, 109, 118, 133, 159, 196, 250, 333, 355, 415 and 432. For transport information use the Transport for London Journey Planner . We have made the booking process as simple as possible. Simply visit our book appointment page to select a convenient time for a free initial consultation, and we will see you then to book your in-person appointment. To contact us, please drop us an email from our contact page and we will be in touch as soon as possible.

À propos de nous What is Musculoskeletal Ultrasound? Musculoskeletal diagnostic ultrasound is an advanced imaging tool used by our clinicians to evaluate muscles, tendons, ligaments, and joints. It’s commonly used to diagnose a variety of musculoskeletal conditions due to its non-invasive nature, real-time imaging capabilities and ability to detect abnormalities without the need for radiation. Here at Insight , we provide musculoskeletal ultrasound , as well as dry needling and cortisone injections . If you’re experiencing pain, swelling, limited mobility or frequent pain in your muscles, an ultrasound can help identify the root cause of the issue and help guide and tweak your treatment plan to your individual needs. To find out more about how we can diagnose and alleviate your painful symptoms, contact us now or book an appointment using the quick and easy online booking system . Today, we will take a look at some of the most common conditions that can be detected by this diagnostic tool. Tendonitis and Tendinopathy One of the most common conditions that can be diagnosed by musculoskeletal ultrasound is tendonitis, which is the inflammation of a tendon. Tendons are thick cords that connect muscles to bones. These connective tissues can be susceptible to overuse or injury, becoming inflamed and potentially leading to pain and reduced movement. Tendinopathy refers to the degeneration or damage of the tendon tissue itself, often caused by repetitive strain or aging. Diagnostic ultrasound is highly effective in visualising tendon inflammation, tears, or thickening, especially in areas like the rotator cuff (shoulder), Achilles tendon (ankle), and the tendons around the elbow. Bursiti Bursitis is an inflammation of the bursae, which are small fluid-filled sacs that cushion and reduce friction between muscles and bones. When these bursae become irritated or inflamed, they can cause pain, most commonly around the shoulder, hip or knee. Ultrasound can effectively detect bursitis by visualising the increased fluid in the bursa and identifying areas of swelling or irritation. It can help clinicians confirm the diagnosis and monitor the condition over time to assess treatment effectiveness and tweak treatment if necessary. “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 Ligament Sprains and Tears Ligaments are the strong bands of tissue that connect bones to each other and provide added stability to the joints. A ligament sprain occurs when the ligament is overstretched or torn, often as a result of sudden trauma like a fall or twist, or perhaps due to overwork in a professional setting or at the gym. Our ultrasound can effectively detect ligament injuries such as sprains and tears by providing imaging of the soft tissue structures and highlighting areas of damage or weakness. The ability to assess ligaments in motion makes ultrasound especially useful for diagnosing injuries in the knee, ankle, and wrist. Muscle Strains Muscle strains, or pulled muscles can occur when muscle fibers are overstretched or torn. These injuries often result from sudden movements, overexertion or lifting heavy objects with improper form or technique. Musculoskeletal ultrasound allows for detailed imagery of muscle tissue, which can help identify tears, bruising and other damage to the muscles. It is particularly helpful in assessing the severity of strains and guiding rehabilitation by tracking healing progress. How much Barbotage cost? Our Ultrasound Guided Barbotage procedure start from £300 including initial telephone consultation, diagnostic ultrasound, written report with care plan and exercise prescription if appropriate. See our fees Arthritis and Joint Inflammation Ultrasound is increasingly used to diagnose various types of arthritis including rheumatoid arthritis, osteoarthritis and gout. In arthritis, inflammation of the joint lining (synovitis) can lead to pain, stiffness and swelling. Musculoskeletal ultrasound can detect early signs of joint inflammation and assess the extent of cartilage damage and bone erosion. Additionally, it can help to visualise fluid accumulation inside the joints, a common feature of inflammatory arthritis conditions. Carpal Tunnel Syndrome Carpal tunnel occurs when the median nerve, which is the nerve that runs through the wrist, becomes compressed. This can lead to numbness, tingling, pain in the hand and wrist and reduced movement. Our diagnostic ultrasound can effectively assess the median nerve's size and detect any abnormalities, such as swelling or compression in the carpal tunnel. Ultrasound can also be used to guide injections or other treatments for carpal tunnel. 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 Frozen Shoulder (Adhesive Capsulitis) Frozen shoulder is a condition characterized by stiffness and pain in the shoulder joint, which can severely limit range of motion. It is often characterised by inflammation and thickening of the shoulder capsule (the connective tissue surrounding the shoulder joint). Ultrasound can help diagnose frozen shoulder by revealing thickened tissue, fluid buildup and decreased joint mobility, aiding in both diagnosis and treatment planning. Here at Insight, our musculoskeletal diagnostic ultrasound is an essential tool for diagnosing a wide range of soft tissue injuries and conditions. From tendinitis and bursitis to muscle strains and ligament sprains, ultrasound offers a non-invasive, accurate and real-time view of your body’s internal structures. By utilising this diagnostic tool for early detection and in the accurate planning of treatment, musculoskeletal ultrasound enables clinicians to develop more effective and personalised treatment plans. If you're experiencing musculoskeletal pain or discomfort, contact us or book an appointment to find out more. Ultrasound may be the key to unlocking an accurate diagnosis and a faster, more effective recovery. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . 10 New Cavendish St, London, W1G 8UL, England Our Central London clinic is based in The French Pharmacy in Marylebone. 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our Central London and South London Clinics We also provide home visits

À propos de nous Cortisone injections for osteoarthritis at our clinic We are a leading cortisone injection clinic offering steroid injections for all osteoarthritis pain related conditions such as knee or hip. Steroid injections can bring significant relief from musculoskeletal 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 Osteoarthritis ? Osteoarthritis (OA) is a form of arthritis (joint inflammation) characterized by the gradual degeneration of the cartilage, the smooth and protective tissue that covers the ends of bones in a joint. Over time, the bones in the joint may undergo changes, such as the formation of bone spurs (osteophytes) in response to the stress caused by the loss of cartilage. While osteoarthritis is not primarily an inflammatory condition like rheumatoid arthritis, inflammation may occur as a secondary response to cartilage damage leading to joint pain, stiffness, and reduced range of motion. These symptoms often worsen with activity and improve with rest. Weight-bearing joints such as the knees, hips, and spine are commonly affected, but osteoarthritis can occur in any joint. Several factors contribute to the development of osteoarthritis, including: Aging: The risk of osteoarthritis increases with age. Joint Overuse or Injury: Previous joint injuries or repetitive stress on a joint can contribute to the development of osteoarthritis. Genetics: There is a genetic component to osteoarthritis, and it may run in families. Obesity: Excess body weight can increase the risk of osteoarthritis, particularly in weight-bearing joints. For more resources on Osteoarthritis consult the reference website, Versus Arthritis . 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 osteoarthritis? Cortisone injections rapidly reduce swelling and pain, bringing much-needed relief and increased mobility. If you have found your work or other daily activities such as family or general activity 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. A reduction in mobility due to knee 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 physiotherapy-prescribed exercise programme to deal with your condition at the root by building flexibility and strength in the knee. It is important you do any exercises your physiotherapist gives you to avoid your problem worsening in the future and potentially leading to more problems further down the line. All our treatments include a written report and guidance on moving forward with treating your problem following your injection, so that you can use the opportunity the injection gives to set yourself on a path to better health. We also include a personalised physiotherapy exercise plan wherever appropriate. For more information about cortisone injections and frequently asked questions, see our cortisone injections page . How much do cortisone injections cost? Our cortisone injections start at just £240 including initial telephone consultation, diagnostic ultrasound, ultrasound-guided injection, written report with care plan and exercise prescription if appropriate. See our fees What joints with osteoarthritis do you typically treat with injections? Whilst there is no definitive list, joints that we often see as candidates for injection therapy include knee , hip, wrist and fingers (especially the base of the thumbs) or lumbar spine. In all cases, a consultation with a medical professional and sometime an ultrasound-led diagnosis is crucial in choosing the right course of treatment for your particular case. Are cortisone injections a long-term solution for osteoarthritis? Corticosteroids have a short term effect (around 3 months) but a common belief is that cortisone injections do not address the underlying causes of your pain and will only stop the symptoms. First of all, your pain has a massive impact on your daily life and any relief, even temporary, can help significantly with your sleep, work or family activities, and as a result, improve your general well being and mental health. Fortunately, simple pathologies, even when causing severe pain, tend to improve overtime and by the time the steroid has stopped working, we expect that your body has healed by itself and the pain won't return. Secondly, the pain free period allowed by steroid injections (up to 3-6 months on average and sometime over 1 year) is a window that will be used to begin further treatment such as a prescribed exercise program or sessions of physiotherapy , in order to address other causative factors for your problems. In some cases steroid injections can also be a permanent solution by stopping chronic inflammation or disrupting your pain signal. More information about pain can be found on our blog . At your virtual consultation and first appointment , your clinician will ask questions and assess you to diagnose your problem and explain to you the options available. This will help you to understand how you can use the respite from pain which a corticosteroid injection provides, to work directly on your problem and provide you with a personalized exercise plan to avoid reliance on injections in the future. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page, or book a free online or telephone consultation to speak to Max directly. Read More What other treatments are available for osteoarthritis? Management of osteoarthritis involves a combination of lifestyle modifications, pain management, and, in some cases, surgical interventions. For acute flare up episodes, relative rest, ice and painkilling treatments like over-the-counter analgesic pills or gels can be sufficient. Braces and supports can also be helpful adjuncts and maintaining a healthy weight can reduce stress on weight-bearing joints. Low-impact exercises are recommended to improve joint flexibility and strengthen the muscles around the affected joint are all also important as it modulates pain and promote healing with an exercise induced response in collagen turnover, blood flow and anti-inflammatory activity. Your physiotherapist will guide you on what activities you should do or should avoid at each stage of your recovery. If conservative management or steroid injection do not help, we also offer hyaluronic acid injections . For severe pain or when symptoms persist, surgical intervention such as joint replacement might be recommended. If you are suffering from osteoarthritis, a diagnosis from a medical professional is an essential first step in understanding your problem and decide what is the right course of treatment for you. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . 10 New Cavendish St, London, W1G 8UL, England Our Central London clinic is based in The French Pharmacy in Marylebone. 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and we can offer same day appointments. Book Appointment Now

À propos de nous Knee pain cortisone injections at our clinic We are a leading cortisone injection clinic offering steroid injections for knee pain, and related conditions such as Baker’s cyst and bursitis . Steroid injections can bring significant relief from musculoskeletal 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. Types of knee pain that are suitable for cortisone injection Cortisone injections are suitable for knee pain conditions related to inflammation and musculoskeletal pain. There is no hard-and-fast rule for which conditions are suitable, as various factors need to be taken into consideration such as the severity of the condition or pain, overall health, the particular diagnosis and any contraindications to treatment. 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 knee pain? Cortisone injections rapidly reduce swelling and pain, bringing much-needed relief and increased mobility. If you have found your work or other daily activities such as family or general activity being hindered by your knee 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. A reduction in mobility due to knee pain can also lead to inactivity which can cause further problems such as postural and health issues, leading to even further inactivity, known as the chronic pain cycle . It is crucial to seek help when you are in pain and not simply try to live with it, as when left unchecked pain can cause gradual deterioration of both mental and physical health. The break from pain and other symptoms brought by steroid injections will also allow you to take other actions to proactively combat your problem. In particular, you will be able to follow a physiotherapist-prescribed exercise programme to deal with your condition at the root by building flexibility and strength in the knee. It is important you do any exercises your physiotherapist gives you to avoid your problem worsening in the future and potentially leading to more problems further down the line. All our treatments include a written report and guidance on moving forward with treating your problem following your injection, so that you can use the opportunity the injection gives to set yourself on a path to better health. We also include a personalised physiotherapy exercise plan wherever appropriate. For more information about cortisone injections and frequently asked questions, see our cortisone injections page . How much do cortisone injections cost? Our cortisone injections start at just £240 including initial telephone consultation, diagnostic ultrasound, ultrasound-guided injection, written report with care plan and exercise prescription if appropriate. See our fees What knee pain conditions do you typically treat with injections? Whilst there is no definitive list, knee pain conditions that we often see as candidates for injection therapy include osteoarthritis , meniscal tear , bursitis , Baker’s cyst or ITB Syndrome . Other conditions such as ACL rupture or bone-related conditions are generally not treated with steroid injections. In all cases, a consultation with a medical professional and sometime an ultrasound-led diagnosis is crucial in choosing the right course of treatment for your particular case. Are cortisone injections a long-term solution for knee pain? Corticosteroids have a short term effect (around 3 months) but a common belief is that cortisone injections do not address the underlying causes of your pain and will only stop the symptoms. First of all, your pain has a massive impact on your daily life and any relief, even temporary, can help significantly with your sleep, work or family activities, and as a result, improve your general well being and mental health. Fortunately, simple pathologies, even when causing severe pain, tend to improve overtime and by the time the steroid has stopped working, we expect that your body has healed by itself and the pain won't return. Secondly, the pain free period allowed by steroid injections (up to 3-6 months on average and sometime over 1 year) is a window that will be used to begin further treatment such as a prescribed exercise program or sessions of physiotherapy , in order to address other causative factors for your problems. In some cases steroid injections can also be a permanent solution by stopping chronic inflammation or disrupting your pain signal. More information about pain can be found on our blog . At your virtual consultation and first appointment , your clinician will ask questions and assess you to diagnose your problem and explain to you the options available. This will help you to understand how you can use the respite from pain which a corticosteroid injection provides, to work directly on your problem and provide you with a personalized exercise plan to avoid reliance on injections in the future. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page, or book a free online or telephone consultation to speak to Max directly. Read More What other treatments are available for knee pain? After a minor injury, such as a low grade sprain, fall from a low height or recent overuse, relative rest, ice and painkilling treatments like over-the-counter analgesic pills or gels, is often sufficient. Braces and supports can also be helpful adjuncts to walk comfortably. Losing weight and rehabilitation with strengthening exercises are all also important for knee pain as it modulates pain, helps strengthen muscles, improve flexibility, and promote healing with an exercise induced response in collagen turnover, blood flow and anti-inflammatory activity. Your physiotherapist will guide you on what activities you should do or should avoid at each stage of your recovery. If conservative management or steroid injection do not help on the long term, we also offer Arthrosamid or hyaluronic acid injections . For severe pain or when symptoms persist, surgery might be recommended. More information are available here . If you are suffering from knee pain, a diagnosis from a medical professional is an essential first step in understanding your problem and deciding what is the right course of treatment for you. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . 10 New Cavendish St, London, W1G 8UL, England Our Central London clinic is based in The French Pharmacy in Marylebone. 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and you can normally have your injection treatment within a few days after making contact. Book Appointment Now

À propos de nous Coccyx pain cortisone injections at our clinic We are a leading cortisone injection clinic offering steroid injections for coccyx pain, also known as coccygodynia or coccydynia in medical terms. Steroid injections can bring significant relief from coccyx pain and bring you much-needed respite from your condition. We offer private injections at our Central London and South London clinics and also offer home visits in the South London area. A free telephone consultation is available to understand whether injections will be helpful and appropriate in your particular case, and to ensure your injection will be safe and give you maximum benefit. Booking is quick and easy, please see our book appointment page for more details. Types of Coccyx pain that are suitable for cortisone injection The coccyx is the small, triangular bone at the base of the spine, commonly referred to as the tailbone and can be a cause a low back pain . When it is painful, symptoms are often aggravated by sitting, standing, or any activity that puts pressure on the tailbone. Cortisone injections are appropriate treatments for coccyx pain and medical research has suggested that patients with coccygodynia for less than 6 months are more likely to improve. However there is no hard-and-fast rule for which conditions are suitable, as various factors need to be taken into consideration such as the severity of the condition or pain, overall health, the particular diagnosis and any contraindications to treatment. 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 coccyx pain? Cortisone injections can rapidly reduce pain, bringing much-needed relief and increased mobility. If you have found your work or other daily activities involving prolonged sitting, standing, or anything increasing the pressure on the pelvic floor being hindered by your coccyx 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. Coccyx pain can also lead to inactivity which can cause further problems such as postural and health issues, leading to even further inactivity, known as the chronic pain cycle . It is crucial to seek help when you are in pain and not simply try to live with it, as when left unchecked pain can cause gradual deterioration of both mental and physical health. The break from pain and other symptoms brought by steroid injections will also allow you to take other actions to proactively combat your problem. In particular, you will be able to follow a physiotherapist-prescribed exercise programme to deal with your condition at the root by building flexibility and strength in the pelvic floor. It is important you do any exercises your physiotherapist gives you to avoid your problem worsening in the future and potentially leading to more problems further down the line. All our treatments include a written report and guidance on moving forward with treating your problem following your injection, so that you can use the opportunity the injection gives to set yourself on a path to better health. We also include a personalised physiotherapy exercise plan wherever appropriate. For more information about cortisone injections and frequently asked questions, see our cortisone injections page . How much do cortisone injections cost? Our cortisone injections start at just £240 including initial telephone consultation, diagnostic ultrasound, ultrasound-guided injection, written report with care plan and exercise prescription if appropriate. See our fees What coccyx pain conditions do you typically treat with injections? Whilst there is no definitive list, coccyx pain conditions that we often see as candidates for injection therapy include: after an injury to the coccyx such as a fall or direct impact, prolonged sitting, especially on hard surfaces, activities that involve repetitive strain on the tailbone, such as cycling or rowing or after childbirth, sometime caused by trauma during delivery. These conditions are all often related to inflammation, whilst structural damage such as fractures or bone-related conditions are generally not treated with steroid injections. In all cases, a consultation with a medical professional is crucial in choosing the right course of treatment for your particular case. Are cortisone injections a long-term solution for coccyx pain? Corticosteroids have a short term effect (around 3 months) but a common belief is that cortisone injections do not address the underlying causes of your pain and will only stop the symptoms. First of all, your pain has a massive impact on your daily life and any relief, even temporary, can help significantly with your sleep, work or family activities, and as a result, improve your general well being and mental health. Fortunately, simple pathologies, even when causing severe pain, tend to improve overtime and by the time the steroid has stopped working, we expect that your body has healed by itself and the pain won't return. Secondly, the pain free period allowed by steroid injections (up to 3-6 months on average and sometime over 1 year) is a window that will be used to begin further treatment such as a prescribed exercise program or sessions of physiotherapy , in order to address other causative factors for your problems. In some cases steroid injections can also be a permanent solution by stopping chronic inflammation or disrupting your pain signal. More information about pain can be found on our blog . At your virtual consultation and first appointment , your clinician will ask questions and assess you to diagnose your problem and explain to you the options available. This will help you to understand how you can use the respite from pain which a corticosteroid injection provides, to work directly on your problem and provide you with a personalized exercise plan to avoid reliance on injections in the future. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. For more information please see our clinician page , or book a free online or telephone consultation to speak to Max directly. Read More What other treatments are available for coccyx pain? After a minor injury, such as a low grade impact or fall into your buttock from a low height, usually rest, ice and painkilling treatments like over-the-counter analgesic pills or gels are often sufficient. Cushions in U shape or circular such as donuts, are also helpful adjuncts to sit comfortably. For sever pain or when symptoms persist over 3 months and are not responding to cortisone injection, nerve blocks into the pelvic floor or surgery might be recommended. More information are available here . Rehabilitation with pelvic floor exercises are all also important, and your physiotherapist will guide you on what activities you should do or should avoid at each stage of your recovery. If you are suffering from coccyx pain, a diagnosis from a medical professional is an essential first step in understanding your problem and understanding what is the right course of treatment for you. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . 10 New Cavendish St, London, W1G 8UL, England Our Central London clinic is based in The French Pharmacy in Marylebone. 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. There are no long wait times and you can normally have your injection treatment within 3-4 days of first making contact. Book Appointment Now