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  • Meralgia paresthetica Injections in South London | Insight Msk

    À propos de nous What is a Meralgia Paresthetica ? Meralgia Paresthetica is a condition that affects a nerve at the front of your hip (the lateral femoral cutaneous nerve), causing pain, numbness, and tingling sensations in the outer thigh. ​ What causes a Meralgia Paresthetica ? Meralgia Paresthetica can be due to tight clothing, being overweight, pregnancy or injury. ​ How a Meralgia Paresthetica is diagnosed ? ​ The diagnosis is primarily base on your symptoms and clinical presentation. An ultrasound can can detect specific changes on the nerve to confirm the diagnosis. If you think you may be experiencing symptoms of Meralgia Paresthetica, book an appointment with our expert clinician, Maxence Legout , for an accurate diagnosis and appropriate management. Our South London Clinic We also provide home visits 7 min from Brixton Underground Station 24 min from Pimlico via Victoria Line 21 min from Oxford Circus 26 min from King's Cross St Pancras ​ South London Clinic Details Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. ​ There are no long wait times and we offer same day appointment. Book Appointment Now

  • Coccyx Pain Cortisone Injections in South London | Insight Msk

    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 South London clinic 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 . Our South London Clinic We also provide home visits 7 min from Brixton Underground Station 24 min from Pimlico via Victoria Line 21 min from Oxford Circus 26 min from King's Cross St Pancras ​ South London Clinic Details Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. ​ There are no long wait times and you can normally have your injection treatment within 3-4 days of first making contact. Book Appointment Now

  • Ganglion cysts aspiration & injections in South London | Insight Msk

    À propos de nous Ganglion Cyst aspiration & Injection at our clinic We are a leading Musculoskeletal clinic offering non-surgical management of ganglion cysts. Aspiration and injections can bring significant relief from cysts pain and bring you much-needed respite from your condition. ​ We offer private aspirations & injections at our South London clinic 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 a ganglion cyst? A ganglion cyst is a non-cancerous, jelly-like fluid-filled lump or sac that typically forms near joints or tendons, most commonly in the wrist or hand. However, ganglion cysts can also occur in other areas, such as the ankle or foot. These cysts are generally harmless and are usually firm and round, with a smooth or slightly lumpy surface. They may vary in size, and their size can change over time. Ganglion cysts are often painless, but they can cause discomfort if they press on a nearby nerve. In some cases, the cysts may interfere with joint movement. If the cyst is located near the surface of the skin, it may be visible and felt as a palpable lump. The exact cause of ganglion cysts is not well understood. They may develop as a result of trauma or repetitive stress to a joint, leading to the leakage of synovial fluid and the formation of the cyst ​ In order to ensure that an aspiration and/or injection 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 the best 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 you manage ganglion cysts? In many case, ganglion cysts do not require treatment, especially if they are not causing significant pain or functional limitations. Medical research suggests that approximately 50% of ganglion cysts resolve spontaneously. Our patients typically seek treatment because the pain has an impact on their daily life, or for cosmetic reasons. If treatment is desired, our options may include aspiration (drawing out the fluid with a needle) or corticosteroid injections , or surgical removal. However, recurrence is possible in half of the cases. ​ Aspirations and corticosteroid injection can provide relief from pain associated with ganglion cysts This can make it more comfortable for individuals to engage in daily activities and recreational exercises. ​ 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 ganglion cysts can also lead to inactivity which can cause further problems, 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 aspiration procedures cost? Our aspiration procedures start at just £190 including initial telephone consultation, diagnostic ultrasound, ultrasound-guided aspiration, written report with care plan and exercise prescription if appropriate. See our fees Do I need to have my ganglion cyst investigated? While ganglion cysts are generally benign, any lump or swelling should be evaluated by a healthcare professional to confirm the diagnosis and rule out other potential causes of the lump. If a ganglion cyst is causing pain or functional limitations, or if the patient is concerned about its appearance, they should seek medical advice for appropriate management. ​ At your virtual consultation and first appointment your clinician will carry out a diagnostic ultrasound to confirm the diagnosis, exclude a sinister pathology and explain to you the available treatments. 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 ganglion cysts? Other treatments for ganglion cyst may includes splinting or surgical management in case of failure to improve with aspiration & injection. Medical research suggests that surgery for ganglion cysts has a lower recurrence rate but a higher rate of complication with longer recovery period and do not provide better pain relief. You can read more information on ganglion cysts here . ​ If you are suffering from a ganglion cyst, 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 . Our South London Clinic We also provide home visits 7 min from Brixton Underground Station 24 min from Pimlico via Victoria Line 21 min from Oxford Circus 26 min from King's Cross St Pancras ​ South London Clinic Details Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. ​ There are no long wait times and we can offer same day appointments. Book Appointment Now

  • Sacroiliitis Cortisone Injections in South London | Insight Msk

    À propos de nous Sacroiliac joint pain cortisone injections at our clinic 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 South London clinic 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 . Our South London Clinic We also provide home visits 7 min from Brixton Underground Station 24 min from Pimlico via Victoria Line 21 min from Oxford Circus 26 min from King's Cross St Pancras ​ South London Clinic Details Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. ​ There are no long wait times and you can normally have your injection treatment within 3-4 days of first making contact. Book Appointment Now

  • Frozen Shoulder Cortisone Injections in South London | Insight Msk

    À propos de nous Frozen Shoulder (capsulitis) cortisone injections at our clinic We are a leading cortisone injection clinic offering steroid injections for frozen shoulder pain. Steroid injections can bring significant relief from musculoskeletal pain and bring you much-needed respite from your condition. ​ We offer private injections at our South London clinic 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 Frozen Shoulder ? Frozen shoulder, also known as adhesive capsulitis or simply capsulitis, is a condition characterized by pain, stiffness, and restricted range of motion in the shoulder joint. It typically develops gradually over time and can progress through distinct stages. Women after 40 are more often affected but the exact cause of frozen shoulder is not always clear, but certain factors may contribute, including inflammation, thickening, and tightening of the joint capsule (the bag surrounding the shoulder joint). It can starts after a trauma or surgery but certain conditions, such as hyperthyroidism, diabetes, cardiovascular disease, and prolonged immobility or smoking may increase the risk of developing frozen shoulder. ​ Individuals with frozen shoulder often experience pain deep in the shoulder which sometimes radiates down the arm, back or the neck and may be more pronounced at night. Stiffness is a hallmark of frozen shoulder. The shoulder gradually becomes more difficult to move, leading to a progressive loss of range of motion. The loss of shoulder mobility affects both active and passive movements. Activities such as reaching overhead, reaching behind the back, or even basic activities like combing hair or putting a bra may become challenging. ​ Frozen shoulder typically progresses through three stages: ​ Pain (Freezing) Stage: The initial stage is characterized by the gradual onset of pain, especially with movement. As pain increases, shoulder mobility starts to decline. Frozen Stage: Stiffness becomes more prominent, and range of motion continues to decrease. Pain may persist but often becomes less intense. Thawing Stage: During this stage, there is a gradual improvement in shoulder mobility. Range of motion begins to return, and pain subsides​​​ ​ In order to ensure injection therapy is the right course of action in your particular case, we offer a free virtual consultation to get a quick picture of your health and the condition you are experiencing, and advise on whether steroid injections are a good course of action for you. At your appointment we will also carry out a full ultrasound-led diagnosis and assessment to ensure you are receiving the most appropriate treatment and best possible care. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” ​ Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say How do cortisone injections help with Frozen Shoulder? For a long time, frozen shoulder was considered a self-limiting condition resolving spontaneously, however more recent medical research suggests that it is not often the case and that treatment is needed. Cortisone injections have powerful anti-inflammatory effects. When injected directly into the shoulder joint, they can help suppress inflammation in the synovial lining of the joint capsule. Inflammation is a key contributor to the pain and stiffness associated with frozen shoulder. By reducing inflammation, corticosteroids can provide relief from pain associated with frozen shoulder. This can make it more comfortable for individuals to engage in physical therapy and exercises aimed at improving shoulder mobility as inflammation and the formation of adhesions in the joint capsule contribute to the restricted range of motion in frozen shoulder. Corticosteroid injections can help reduce these inflammatory processes, allowing for improved joint mobility. ​ Pain is not to be underestimated and when it becomes bad it can become debilitating and lead to depression. A reduction in mobility due to frozen shoulder can also lead to inactivity which can cause further problems such as postural and health issues, leading to even further inactivity, known as the chronic pain cycle . It is crucial to seek help when you are in pain and not simply try to live with it, as when left unchecked pain can cause gradual deterioration of both mental and physical health. ​ All our treatments include a written report and guidance on moving forward with treating your problem following your injection, so that you can use the opportunity the injection gives to set yourself on a path to better health. We also include a personalised physiotherapy exercise plan wherever appropriate. ​ For more information about cortisone injections and frequently asked questions, see our cortisone injections page . 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 Frozen Shoulder? Cortisone injections are usually the best first line treatment for painful frozen shoulder and are usually effective in providing a quick pain relief. A common belief is that cortisone injections do not address the underlying causes of your pain but are there to only rapidly stop the symptoms. However your pain has a massive impact on your daily life and any relief, even temporary, can help significantly with your sleep, work or family activities, and as a result, improve your general wellbeing and mental health. Medical research suggests that 60% of frozen shoulders resolve after 36 months and fortunately, only 6% of patient with persisting symptoms have severe limitations. We expect that when the steroid effect start to fade away, your shoulder has improved and the pain won't return. ​Steroid injections are typically used as part of a comprehensive treatment plan for frozen shoulder. Physiotherapy, exercises, and other conservative measures are often recommended in conjunction with cortisone injections to promote long-term improvement. At your virtual consultation and first appointment our physiotherapist will carry out diagnostic work to fully understand your problem and explain to you the options available. They will help you to understand how you can use the respite from pain which a corticosteroid injection provides to work directly on your problem and provide you with a personalised exercise plan to avoid reliance on steroids in the future. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. ​ For more information please see our clinician page, or book a free online or telephone consultation to speak to Max directly. Read More What other treatments are available for frozen shoulder? Other treatments for frozen shoulder may include: ​ Pain relief measures, such as over-the-counter pain medications or prescription medications, may be recommended. Exercises such as resistance training and range-of-motion exercises prescribed by a physiotherapist can help improve shoulder mobility. Applying heat or ice to the shoulder may provide relief from pain and inflammation. Hydrodistension or hydro dilatation, which involves injecting sterile water into the joint capsule to try to stretch it. For severe or persisting symptoms, surgery (capsular release) might be recommended. We consider a global approach with the aim to improve the general health of patients with frozen shoulder to limit risk factors (such as smoking or diabetes) in order to prevent further re occurrence. More information on frozen shoulder are available here . ​ If you are suffering from frozen shoulder, a diagnosis from a medical professional is an essential first step in understanding your problem and 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 . 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 Our South London Clinic We also provide home visits 7 min from Brixton Underground Station 24 min from Pimlico via Victoria Line 21 min from Oxford Circus 26 min from King's Cross St Pancras ​ South London Clinic Details

  • Low back Pain Cortisone Injections in South London | Insight Msk

    À propos de nous Low Back Pain cortisone injections at our clinic We are a leading cortisone injection clinic offering steroid injections for certain type of low back pain. Steroid injections can bring significant relief from low back pain and bring you much-needed respite from your condition. ​ We offer private injections at our South London clinic and also offer home visits in the South London area. A free telephone consultation is available to understand whether injections will be helpful and appropriate in your particular case, and to ensure your injection will be safe and give you maximum benefit. ​ Booking is quick and easy, please see our book appointment page for more details. What causes Low Back Pain? Low back pain can have various causes, and it is a common condition that affects people of all ages. Some of the common causes of low back pain include: ​ ​ Disc pathologies affecting intervertebral discs (cushions between the vertebrae in the spine) such as natural aging process, often called Degenerative Disc Disease or herniated (bulging disc sometime called "slipped disc") occurring when the soft inner portion of the disc pushes through its outer layer, potentially irritating nearby nerves. causing pain numbness, or tingling in the lower back and legs such as in sciatica. Spinal Stenosis caused by the narrowing of the spinal canal, which can put pressure on spinal nerves. Osteoarthritis & degeneration of the facet joints in the spine can lead to inflammation and pain in the lower back. inflammatory arthritis such as ankylosing spondylitis that primarily affects the spine. Injuries such as fractures of the vertebras. Lifestyle Factors such as a lack of regular exercise, obesity or smoking can contribute to low back pain. It's important to note that many cases of low back pain resolve on their own or with conservative treatments such as rest, exercises and over-the-counter pain medications. However, persistent or severe pain, especially if accompanied by other symptoms, should be evaluated by a healthcare professional for a comprehensive diagnosis and appropriate management. ​ In order to ensure injection therapy is the right course of action in your particular case, we offer a free virtual consultation to get a quick picture of your health and the condition you are experiencing, and advise on whether steroid injections are a good course of action for you. At your appointment we will also carry out a full ultrasound-led diagnosis and assessment to ensure you are receiving the most appropriate treatment and best possible care. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” ​ Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say How do cortisone injections help with low back pain? In our clinic we offer injections for low back pain caused by osteoarthritis of the spinal joints (facet joints), sacroiliac joint or coccyx pathologies. An injection in the low back muscles (also known as trigger points injections) can also be helpful for acute or chronic back pain and sciatica . Cortisone injections can rapidly reduce pain, bringing much-needed relief and increased mobility. If you have found your work or other daily activities involving prolonged sitting, standing, sleeping, being hindered by your low back pain, a steroid injection can allow you the freedom to get back to work and normal life. ​ Pain is not to be underestimated and when it becomes bad it can become debilitating and lead to depression. Low back pain can also lead to inactivity which can cause further problems such as postural and health issues, leading to even further inactivity, known as the chronic pain cycle . It is crucial to seek help when you are in pain and not simply try to live with it, as when left unchecked pain can cause gradual deterioration of both mental and physical health. ​ The break from pain and other symptoms brought by steroid injections will also allow you to take other actions to proactively combat your problem. In particular, you will be able to follow a physiotherapist-prescribed exercise programme to deal with your condition at the root by building flexibility and strength in your back region. It is important you do any exercises your physiotherapist gives you to avoid your problem worsening in the future and potentially leading to more problems further down the line. ​ All our treatments include a written report and guidance on moving forward with treating your problem following your injection, so that you can use the opportunity the injection gives to set yourself on a path to better health. We also include a personalised physiotherapy exercise plan wherever appropriate. ​ For more information about cortisone injections and frequently asked questions, see our cortisone injections page . How much do cortisone injections cost? Our cortisone injections start at just £240 including initial telephone consultation, diagnostic ultrasound, ultrasound-guided injection, written report with care plan and exercise prescription if appropriate. See our fees Can you diagnose the cause of low back pain with an ultrasound scan ? Ultrasound imaging itself is not appropriate to diagnose the cause of low back pain and in most cases, no investigation at all is required to make a diagnosis and start a treatment. We use ultrasound guidance to perform spinal injections safely and effectively. ​ In all cases, a consultation with a medical professional is crucial in choosing the right course of treatment for your particular case. Are cortisone injections a long-term solution for low back pain? Corticosteroids have a short term effect (around 3 months) but a common belief is that cortisone injections do not address the underlying causes of your pain and will only stop the symptoms. ​ First of all, your pain has a massive impact on your daily life and any relief, even temporary, can help significantly with your sleep, work or family activities, and as a result, improve your general well being and mental health. Fortunately, simple pathologies, even when causing severe pain, tend to improve overtime and by the time the steroid has stopped working, we expect that your body has healed by itself and the pain won't return. ​ Secondly, the pain free period allowed by steroid injections (up to 3-6 months on average and sometime over 1 year) is a window that will be used to begin further treatment such as a prescribed exercise program or sessions of physiotherapy , in order to address other causative factors for your problems. ​ In some cases steroid injections can also be a permanent solution by stopping chronic inflammation or disrupting your pain signal. More information about pain can be found on our blog . At your virtual consultation and first appointment , your clinician will ask questions and assess you to diagnose your problem and explain to you the options available. This will help you to understand how you can use the respite from pain which a corticosteroid injection provides, to work directly on your problem and provide you with a personalized exercise plan to avoid reliance on injections in the future. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. ​ For more information please see our clinician page , or book a free online or telephone consultation to speak to Max directly. Read More What other treatments are available for low back pain pain? The treatment for low back pain depends on the underlying cause, the severity of the pain, and individual factors. In many cases, low back pain can be managed with conservative treatments. Here are some common approaches: ​ Short term relative rest and activity modification may be recommended for acute low back pain, but prolonged bed rest is generally discouraged and gradual return to normal activities limiting activities that worsen the pain is often recommended. Physiotherapy can help improve flexibility, strength, and enhance overall spine stability. Therapeutic exercises, stretches, and manual therapy techniques may be prescribed also for their effect on pain modulation. Medications over-the-counter such as paracetamol or ibuprofen can help manage pain and reduce inflammation. Muscle relaxants may be prescribed for short courses in some cases. In certain situations, stronger prescription medications may be considered. Heat and cold applied on the affected area can help alleviate pain. Heat is often used for muscle spasms. Lifestyle Modifications such as avoiding prolonged sitting and using ergonomic furniture and tools can help prevent or alleviate low back pain. Maintaining a healthy weight, stop smoking and incorporating regular exercise into daily life also contribute to overall spine health.​ Injections in different area of the spine such as epidural injections are sometimes used for more targeted pain relief. Cognitive-Behavioral Therapy (CBT) can be helpful for managing chronic low back pain by addressing psychological factors and promoting positive coping strategies. Braces and Supports may be recommended for some conditions such as sacroiliac disorders . Surgery might be necessary where conservative treatments are not effective and there is a specific structural problem (such as a non-resolving nerve compression). ​ If you are suffering from low back pain, a diagnosis from a medical professional is an essential first step in understanding your problem and deciding what is the right course of treatment for you. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . Our South London Clinic We also provide home visits 7 min from Brixton Underground Station 24 min from Pimlico via Victoria Line 21 min from Oxford Circus 26 min from King's Cross St Pancras ​ South London Clinic Details Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. ​ There are no long wait times and you can normally have your injection treatment within 3-4 days of first making contact. Book Appointment Now

  • Tendonitis Cortisone Injections in South London | Insight Msk

    À propos de nous Cortisone injections for tendonitis at our clinic We are a leading cortisone injection clinic offering steroid injections for pain from tendonitis, also known as tendinopathy or tendinosis in medical terms. Steroid injections can bring significant relief from your tendonitis pain and bring you much-needed respite from your condition. ​ We offer private injections at our South London clinic 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 tendonitis that are suitable for cortisone injections Tendonitis is a general term used to describe conditions that affect tendons, the thick, fibrous cords that connect muscles to bones. The term tendinopathy is preferable since tendonitis suggests an underlying inflammation which is not always present and tendinopathy encompasses a range of tendon disorders, including tendonitis and tendinosis. These conditions involve damage, degeneration, or inflammation of the tendons, typically due to overuse, injury, or aging. ​ Tendonitis : Inflammation of a tendon which often occurs as a result of repetitive stress, overuse, or acute injuries. Common symptoms include pain, swelling, and tenderness at the site of the affected tendon. The pain is usually aggravated by movement. Tendinosis : Non-inflammatory condition characterized by degeneration of the tendon tissue. It is often associated with chronic overuse and may result in microscopic tears in the tendon. Tendinosis may present with pain, stiffness, and reduced function. Unlike tendonitis, there is not always inflammation. ​ Calcific tendonitis : condition where calcium deposits form in a tendon, leading to inflammation, pain, and potential restriction of movement in the affected joint. It often occurs in the shoulder. ​ Tendinopathy can affect any tendon in the body, but it commonly occurs in the tendons of the shoulders, elbows, wrists, hips, knees, and ankles. ​ Causes and risk factors usually include repetitive stress or overuse, natural degeneration from age, incorrect or poor technique during physical activities, poor general health and conditioning, smoking or the presence of other condition such as diabetes, thyroid dysfunction or inflammatory diseases like rheumatoid 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 tendonitis? Cortisone injections can rapidly reduce pain, bringing much-needed relief and increased mobility. If you have found your work or other daily activities involving walking, running, gripping, or anything being hindered by your pain, a steroid injection can allow you the freedom to get back to work and normal life. ​ Pain is not to be underestimated and when it becomes bad it can become debilitating and lead to depression. Pain can also lead to inactivity which can cause further problems such as postural and health issues, leading to even further inactivity, known as the chronic pain cycle . It is crucial to seek help when you are in pain and not simply try to live with it, as when left unchecked pain can cause gradual deterioration of both mental and physical health. ​ The break from pain and other symptoms brought by steroid injections will also allow you to take other actions to proactively combat your problem. In particular, you will be able to follow a physiotherapist-prescribed exercise programme to deal with your condition at the root by stimulating healing of the tendon fibres. It is important you do any exercises your physiotherapist gives you to avoid your problem worsening in the future and potentially leading to more problems further down the line. ​ All our treatments include a written report and guidance on moving forward with treating your problem following your injection, so that you can use the opportunity the injection gives to set yourself on a path to better health. We also include a personalised physiotherapy exercise plan wherever appropriate. ​ For more information about cortisone injections and frequently asked questions, see our cortisone injections page . How much do cortisone injections cost? Our cortisone injections start at just £240 including initial telephone consultation, diagnostic ultrasound, ultrasound-guided injection, written report with care plan and exercise prescription if appropriate. See our fees What tendonitis do you typically treat with injections? Whilst there is no definitive list, tendons disorders that we often see as candidates for injection therapy include: ​ De Quervain tenosynovitis Peroneal tendinopathy Long head of biceps tenosynovitis Posterior Tibial Tendon Dysfunction Tennis elbow & golfer's elbow Rotator cuff tendinopathy Gluteal tendinopathy Plantar fasciitis ​ We offer corticosteroid or hyaluronic acid injection depending the type of condition and its location. 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 tendonitis? Corticosteroids have a short term effect (around 3 months) but a common belief is that cortisone injections do not address the underlying causes of your pain and will only stop the symptoms. ​ First of all, your pain has a massive impact on your daily life and any relief, even temporary, can help significantly with your sleep, work or family activities, and as a result, improve your general well being and mental health. Fortunately, simple pathologies, even when causing severe pain, tend to improve overtime and by the time the steroid has stopped working, we expect that your body has healed by itself and the pain won't return. ​ Secondly, the pain free period allowed by steroid injections (up to 3-6 months on average and sometime over 1 year) is a window that will be used to begin further treatment such as a prescribed exercise program or sessions of physiotherapy , in order to address other causative factors for your problems. ​ In some cases steroid injections can also be a permanent solution by stopping chronic inflammation or disrupting your pain signal. 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 tendonitis? After an acute injury, such as recent repetitive strain or overuse, usually rest, ice, activity modifications and painkilling treatments like over-the-counter medications or gels are often sufficient. Depending on the location, bracing or Supports can provide stability and reduce strain on the affected tendon. Giving the affected tendon some time to recover is often a key component of treatment and fortunately, most tendonitis will resolve naturally overtime. If symptoms do not settle after 6-12 weeks the following treatments can be alternative, complementary or subsequent to cortisone or hyaluronic acid injections . ​​ Physiotherapy and exercises is an important aspect of tendon rehabilitation as it modulates pain, helps strengthen muscles, improve flexibility, and promote healing with an exercise induced response in collagen turnover, blood flow, anti-inflammatory activity. Extracorporeal Shock Wave Therapy (ESWT) uses shock waves to stimulate healing in the affected tendon. Dry Needling or tendon fenestration is a procedure involving the creation of small openings in a tendon to promote healing. Barbotage for calcific tendonitis which involving the injection and aspiration of fluid into and out of a tendon to remove calcifications. Platelet-Rich Plasma (PRP) Therapy involves injecting a concentrated form of the patient's own blood platelets into the tendon to promote healing. There is currently limited evidence to supports its use in regard to costs. Surgery might be necessary for severe cases not responding to conservative management. More information can be found here . ​ The specific treatment approach depends on the type and severity of tendinopathy, and it's crucial for individuals experiencing symptoms to seek professional medical advice for an accurate diagnosis and appropriate management MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . Our South London Clinic We also provide home visits 7 min from Brixton Underground Station 24 min from Pimlico via Victoria Line 21 min from Oxford Circus 26 min from King's Cross St Pancras ​ South London Clinic Details Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. ​ There are no long wait times and you can normally have your injection treatment within a few days of first making contact. Book Appointment Now

  • Tennis & Golfer's Elbow Injections in South London | Insight Msk

    À propos de nous Cortisone injections for elbow pain in South London We are a leading musculoskeletal clinic offering injections for tennis elbow and golfer’s elbow. Our treatments can bring significant relief from musculoskeletal pain and bring you much-needed respite from your condition. ​ We offer private injections at our South London clinic 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 are tennis elbow and golfer’s elbow? Tennis and golfer’s elbow are common tendinopathies affecting tendons located on outer and inner sides of the elbow (epicondyles). They are commonly referred as epicondylitis or epicondylopathy. ​ Tennis elbow (lateral epicondylitis) This is the more common type of epicondylitis which involves tendons of the lateral (outer) epicondyle of the humerus, the bone of the upper arm that forms the elbow joint, and in particular the extensor carpi radialis brevis tendon . Despite its name, tennis elbow is not limited to tennis players; it can affect anyone who engages in activities that involve repetitive gripping, wrist extension or vibrating handheld tools. Overuse of the forearm muscles can cause stress of the the tendon attachment at the lateral epicondyle, causing pain and inflammation. Common symptoms include pain on the outer side of the elbow, weakness in the forearm, and difficulty with gripping. More information on tennis elbow can be found here . Golfer’s elbow (medial epicondylitis) Golfer's elbow is less common than tennis elbow but has a similar mechanism. It is caused by overuse of the muscles and tendons on the inner side of the forearm, leading to irritation and inflammation at the medial epicondyle. Activities such as golfing, throwing, and repetitive gripping can contribute to this condition. Symptoms include pain on the inner side of the elbow, weakness, and difficulty with certain hand and wrist movements. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” ​ Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say How injections can help with tennis elbow and golfer's elbow? Cortisone injections can rapidly reduce pain, bringing much-needed relief and increased mobility. If you have found your work or other daily activities involving gripping, throwing or anything being hindered by your pain, a steroid injection can allow you the freedom to get back to work and normal life. ​ Pain is not to be underestimated and when it becomes bad it can become debilitating and lead to depression. Elbow pain can also lead to inactivity which can cause further problems such as postural and health issues, leading to even further inactivity, known as the chronic pain cycle . It is crucial to seek help when you are in pain and not simply try to live with it, as when left unchecked pain can cause gradual deterioration of both mental and physical health. ​ The break from pain and other symptoms brought by steroid injections will also allow you to take other actions to proactively combat your problem. In particular, you will be able to follow a physiotherapist-prescribed exercise programme to deal with your condition at the root by stimulating healing of the tendon fibres. It is important you do any exercises your physiotherapist gives you to avoid your problem worsening in the future and potentially leading to more problems further down the line. ​ All our treatments include a written report and guidance on moving forward with treating your problem following your injection, so that you can use the opportunity the injection gives to set yourself on a path to better health. We also include a personalised physiotherapy exercise plan wherever appropriate. ​ For more information about cortisone injections and frequently asked questions, see our cortisone injections page . How much do cortisone injections cost? Our cortisone injections start at just £240 including initial telephone consultation, diagnostic ultrasound, ultrasound-guided injection, written report with care plan and exercise prescription if appropriate. See our fees Are there other conditions which can affect the elbow? It is a common misconception that all elbow pain is a tennis elbow or golfer’s elbow, but there are many other conditions which can affect the elbow and cause similar pain. These includes tendinopathy, bicipital or olecranon bursitis , osteoarthritis , cubital and radial nerve syndrome , strain and sprain and bone injuries such as fractures and dislocations. ​ A diagnosis from a medical professional is essential to understand what is causing your elbow pain. This ensures you can be provided with the correct treatment to address the pain and prevent worse issues moving forward. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. ​ For more information please see our clinician page , or book a free online or telephone consultation to speak to Max directly. Read More Are cortisone injections a long-term solution for elbow pain? Corticosteroids have a short term effect (around 3 months) but a common belief is that cortisone injections do not address the underlying causes of your pain and will only stop the symptoms. ​ First of all, your pain has a massive impact on your daily life and any relief, even temporary, can help significantly with your sleep, work or family activities, and as a result, improve your general well being and mental health. Fortunately, simple pathologies, even when causing severe pain, tend to improve overtime and by the time the steroid has stopped working, we expect that your body has healed by itself and the pain won't return. ​ Secondly, the pain free period allowed by steroid injections (up to 3-6 months on average and sometime over 1 year) is a window that will be used to begin further treatment such as a prescribed exercise program or sessions of physiotherapy , in order to address other causative factors for your problems. ​ 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. Are there other treatments for tennis elbow & golfer's elbow? After an acute injury, such as recent repetitive strain or overuse, usually rest, ice, activity modifications and painkilling treatments like over-the-counter medications or gels are often sufficient. Depending on the location, bracing or Supports can provide stability and reduce strain on the affected tendon. Giving the affected tendon some time to recover is often a key component of treatment and fortunately, most tendonitis will resolve naturally overtime. If symptoms do not settle after 6-12 weeks the following treatments can be alternative, complementary or subsequent to cortisone or hyaluronic acid injections . ​​ Physiotherapy and exercises is an important aspect of tendon rehabilitation as it modulates pain, helps strengthen muscles, improve flexibility, and promote healing with an exercise induced response in collagen turnover, blood flow, anti-inflammatory activity. Extracorporeal Shock Wave Therapy (ESWT) uses shock waves to stimulate healing in the affected tendon. Dry Needling or tendon fenestration is a procedure involving the creation of small openings in a tendon to promote healing. Barbotage for calcific tendonitis which involving the injection and aspiration of fluid into and out of a tendon to remove calcifications. Platelet-Rich Plasma (PRP) Therapy involves injecting a concentrated form of the patient's own blood platelets into the tendon to promote healing. There is currently limited evidence to supports its use in regard to high costs. Surgery might be necessary for severe cases not responding to conservative management. ​ The specific treatment approach depends on the type and severity of tendinopathy, and it's crucial for individuals experiencing symptoms to seek professional medical advice for an accurate diagnosis and appropriate management MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . Our South London Clinic We also provide home visits 7 min from Brixton Underground Station 24 min from Pimlico via Victoria Line 21 min from Oxford Circus 26 min from King's Cross St Pancras ​ South London Clinic Details Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. ​ There are no long wait times and you can normally have your injection treatment within 3-4 days of first making contact. Book Appointment Now

  • Carpal Tunnel Syndrome Cortisone Injections in South London | Insight Msk

    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 South London clinic 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 . Our South London Clinic We also provide home visits 7 min from Brixton Underground Station 24 min from Pimlico via Victoria Line 21 min from Oxford Circus 26 min from King's Cross St Pancras ​ South London Clinic Details Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. ​ There are no long wait times and you can normally have your injection treatment within 3-4 days of first making contact. Book Appointment Now

  • Plantar Fasciitis Cortisone Injections in South London | Insight Msk

    À propos de nous Cortisone injections for plantar fasciitis at our clinic We are a leading cortisone injection clinic offering steroid injections for pain from plantar fasciitis, also known as plantar fasciopathy in medical terms. Steroid injections can bring significant relief from your plantar fasciitis pain and bring you much-needed respite from your condition. ​ We offer private injections at our South London clinic and also offer home visits in the South London area. A free telephone consultation is available to understand whether injections will be helpful and appropriate in your particular case, and your appointment also includes a diagnostic ultrasound consultation to ensure your injection will be safe and give you maximum benefit. ​ Booking is quick and easy, please see our book appointment page for more details. What is plantar fasciitis? Plantar fasciitis is a common condition characterized by disorders of the plantar fascia, a thick band of tissue that runs across the bottom of the foot, connecting the heel bone to the toes. Plantar fasciopathy or plantar fasciosis are preferable medical terms as there is not always an inflammation. Plantar fasciitis typically causes stabbing pain in the heel, especially during the first steps in the morning or after periods of rest. Plantar fasciitis is often associated with overuse, strain, or microtears in the plantar fascia, and it is a frequent cause of heel pain. Factors such as obesity, excessive standing, walking, running, or improper footwear can contribute to the development of plantar fasciitis. More information can be found here . ​ In order to ensure injection therapy is the right course of action in your particular case, we offer a free virtual consultation to get a quick picture of your health and the condition you are experiencing, and advise on whether steroid injections are a good course of action for you. At your appointment we will also carry out a full ultrasound-led diagnosis and assessment to ensure you are receiving the most appropriate treatment and best possible care. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” ​ Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say How do cortisone injections help with plantar fasciitis? Recent medical research suggests that cortisone injections combined with exercises is the best treatment option for plantar fasciitis. A cortisone injection can rapidly reduce pain, bringing much-needed relief and increased mobility. If you have found your work or other daily activities involving walking, running or anything being hindered by your pain, a steroid injection can allow you the freedom to get back to work and normal life. ​ Pain is not to be underestimated and when it becomes bad it can become debilitating and lead to depression. Pain can also lead to inactivity which can cause further problems such as postural and health issues, leading to even further inactivity, known as the chronic pain cycle . It is crucial to seek help when you are in pain and not simply try to live with it, as when left unchecked pain can cause gradual deterioration of both mental and physical health. ​ The break from pain and other symptoms brought by steroid injections will also allow you to take other actions to proactively combat your problem. In particular, you will be able to follow a physiotherapist-prescribed exercise programme to deal with your condition at the root by stimulating healing of the plantar fascia fibres. It is important you do any exercises your physiotherapist gives you to avoid your problem worsening in the future and potentially leading to more problems further down the line. ​ All our treatments include a written report and guidance on moving forward with treating your problem following your injection, so that you can use the opportunity the injection gives to set yourself on a path to better health. We also include a personalised physiotherapy exercise plan wherever appropriate. ​ For more information about cortisone injections and frequently asked questions, see our cortisone injections page . How much do cortisone injections cost? Our cortisone injections start at just £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 tendonitis? Corticosteroids have a short term effect (around 3 months) but a common belief is that cortisone injections do not address the underlying causes of your pain and will only stop the symptoms. ​ First of all, your pain has a massive impact on your daily life and any relief, even temporary, can help significantly with your sleep, work or family activities, and as a result, improve your general well being and mental health. Fortunately, simple pathologies, even when causing severe pain, tend to improve overtime and by the time the steroid has stopped working, we expect that your body has healed by itself and the pain won't return. ​ Secondly, the pain free period allowed by steroid injections (up to 3-6 months on average and sometime over 1 year) is a window that will be used to begin further treatment such as a prescribed exercise program or sessions of physiotherapy , in order to address other causative factors for your problems. ​ In some cases steroid injections can also be a permanent solution by stopping chronic inflammation or disrupting your pain signal. 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 plantar fasciitis? After an acute injury, such as recent repetitive strain or overuse, usually rest, ice, activity modifications and painkilling treatments like over-the-counter medications or gels are often sufficient. Fortunately, most plantar fasciitis will resolve naturally overtime. If symptoms do not settle after 6-12 weeks the following treatments can be alternative, complementary or subsequent to cortisone or hyaluronic acid injections . ​​ Physiotherapy and exercises is an important aspect of plantar fascia rehabilitation as it modulates pain, helps strengthen muscles, improve flexibility, and promote healing with an exercise induced response in collagen turnover, blood flow, anti-inflammatory activity. Night splints keeping the ankle in prolonged dorsiflexion. Orthotic Devices (custom or over-the-counter) such as shoe inserts or special footwear can provide additional support and help distribute pressure more evenly. Extracorporeal Shock Wave Therapy (ESWT) uses shock waves to stimulate healing in the affected plantar fascia. Barbotage for calcifications which involves the injection and aspiration of fluid into and out to remove calcific deposits. Platelet-Rich Plasma (PRP) Therapy involves injecting a concentrated form of the patient's own blood platelets into the plantar fascia to promote healing. There is currently limited evidence to supports its use in regard to costs. Surgery might be necessary for rare severe cases not responding to conservative management. ​ The specific treatment approach depends on the type and severity of plantar fasciitis, and it's crucial for individuals experiencing symptoms to seek professional medical advice for an accurate diagnosis and appropriate management MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. ​ There are no long wait times and you can normally have your injection treatment within a few days of first making contact. Book Appointment Now Our South London Clinic We also provide home visits 7 min from Brixton Underground Station 24 min from Pimlico via Victoria Line 21 min from Oxford Circus 26 min from King's Cross St Pancras ​ South London Clinic Details

  • Cortisone Injections in South London | Insight Msk

    À propos de nous Cortisone Injections at our clinic We are a leading musculoskeletal clinic offering diagnostic ultrasound and ultrasound guided procedures such as cortisone injections or hyaluronic acid injections for musculoskeletal pathologies. We perform all procedures as part of a comprehensive and global management of your condition. ​ We offer our services at our South London clinic 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 are Cortisone Injections? Although “cortisone" is often used as a general term, it refers to a class of hormones called corticosteroids which are natural anti-inflammatory substances produced by the adrenal glands (above the kidneys). We do not actually inject cortisone as per say as it is short acting and less potent, but we use medications of the same family such as Triamcinolone Acetonide, Methylprednisolone or Dexamethasone which last longer and are more effective to manage inflammation, decrease pain, swelling and stiffness. We usually combine these injections with local anaesthetic drugs such as lidocaine , to reduce the discomfort of the injection and limit pain afterward. The main effects of corticosteroids injections are: ​ Anti-Inflammatory Effects where corticosteroids act by inhibiting the production and release of pro-inflammatory substances, such as cytokines and prostaglandins. This helps to reduce the inflammatory response at the site of injection. Suppression of the Immune Response meaning that corticosteroids can dampen an overactive immune response present in some pathologies, which contributes to inflammation and tissue damage. Reduction of Swelling (oedema) and accumulation of fluid in the affected tissues often caused by inflammation. Corticosteroids can help reduce this swelling by stabilizing cell membranes and decreasing the permeability of blood vessels, thereby limiting the leakage of fluids into the tissues. Pain reduction as a secondary effect by reducing inflammation, swelling, and immune response. ​ “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” ​ Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say What can be treated with ultrasound guided cortisone injections? Cortisone injections have be used for decades as they are easily available and effective to manage a wide range of musculoskeletal conditions. Extensive medical research suggests that ultrasound guidance is more effective and decrease the risk of complications. Some of the common conditions that we treat include: ​ Arthritis such as osteoarthritis . Tendon injuries like tendonitis or tendon tears. Nerve conditions and entrapment such as carpal tunnel syndrome , cubital tunnel syndrome or tarsal tunnel syndrome.​ Ganglion cysts . Bursitis commonly seen in shoulder, elbow, hip and knee pain .​ ​ How often do I need to have cortisone injections done? The frequency of corticosteroid injections will depends on various factors, including the specific medical condition being treated, previous response to the injections, and individual features. Prior to repeat an injection, we will also consider the severity and chronicity of the condition, the location of the injection, and any potential side effects associated with repeated use. ​ There is no risk of becoming addicted to corticosteroids if you have repeated procedures but there is some evidence that repeated injections may cause further joint degeneration (especially on the knee) or cause tendon damage . In some other conditions like trigger fingers, repeated injection are known to be safe . These side effects are more likely to occur if there are other risks factors (obesity, smoking...) and the need for repeated injection will be assessed on a case by case basis. If further injections are not recommended, we will discuss other alternatives such as hyaluronic acid or Arthrosamid® injections . How much do ultrasound guided cortisone injections cost? Our ultrasound guided injections start from £240 including initial telephone consultation, diagnostic ultrasound, written report with care plan and exercise prescription if appropriate. See our fees Are cortisone injections a long-term solution for my condition? Corticosteroids have a short term effect (around 3 months) but a common belief is that cortisone injections do not address the underlying causes of your pain and will only stop the symptoms. ​ First of all, your pain has a massive impact on your daily life and any relief, even temporary, can help significantly with your sleep, work or family activities, and as a result, improve your general well being and mental health. Fortunately, simple pathologies, even when causing severe pain, tend to improve overtime and by the time the steroid has stopped working, we expect that your body has healed by itself and the pain won't return. ​ Secondly, the pain free period allowed by steroid injections (up to 3-6 months on average and sometime over 1 year) is a window that will be used to begin further treatment such as a prescribed exercise program or sessions of physiotherapy , in order to address other causative factors for your problems. ​ In some cases steroid injections can also be a permanent solution by stopping chronic inflammation or disrupting your pain signal. 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. Why should I book my ultrasound guided cortisone injection at Insight MSK? All our procedures and diagnostics are part of a comprehensive management of your condition in line with recent scientific evidence. All injections are ultrasound guided, which have been proven to be more effective and are all preceded by a thorough clinical examination. We do not only diagnose or "fix" problems but we strive to understand the context and causative factors which have led to your condition in order to prevent re-occurrence. These require several skills and the ability to deal with complex and multiple information which often need the expertise from different specialists and therefore multiple appointments, travel, fees... We offer all these services together to give you a prompt single point of contact to assess, diagnose and manage your condition thanks to our unique and vast experience in musculoskeletal medicine. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. ​ For more information please see our clinician page, or book a free telephone consultation to speak to Max directly. Read More What are possible side effects of cortisone injections? Fortunately, serious side effects to corticosteroid injections are rare and reactions are generally mild and short-lived. but like any drug or medical intervention there are risks such as anaphylaxis (life-threatening allergic reaction, which is extremely rare in response to injected steroid or local anaesthetics), infection (1 out of 50 000 patients), but more likely to occur if you suffer from diabetes, rheumatoid arthritis, Chronic Kidney Disease, HIV or if you take intra venous drugs. ​ Less serious reaction can occur such as a temporary increased pain (20% of the cases), cosmetic changes to the skin including depigmentation or localized fat atrophy around the injection site, bruising around the injection site (more likely, if you are on blood thinning medications), tendon rupture, increased cartilage degeneration, numbness or tingling, abnormal vaginal bleeding, temporary facial flushing, mood disturbances or depression (if you or your family have a history of psychosis or bipolar disorders) and of course failure to work. ​ Your clinician is trained to recognise and deal with severe immediate reaction and we are equipped with the appropriate first aid equipment. To minimise risks of side effects we advise rest for 48h (including driving for lower limb procedures) and you will be asked to wait up to 20 minutes in the waiting area. We encourage you to communicate any concerns with us to ensure a comfortable and informative experience. Can I have a cortisone injection while I am pregnant or breastfeeding? Cortisone injections during breastfeeding is safe. No side effects on breastfed infant has never been reported for any corticosteroids. The amount of drug passing through the breast milk is very small and will no cause any harm to your baby. However, reduced maternal milk production has been reported. More information can be accessed on the Breastfeeding Network or the Drugs & Lactation database (LactMed®). Of course we will always weigh benefits against potential risks, considering factors like the specific condition being treated, and the overall health of the mother and baby. As with any treatment, the lowest effective dose for the shortest duration is preferred. ​ Pregnant women are often subject to various musculoskeletal conditions which are commonly well managed with cortisone injections such as Carpal Tunnel Syndrome, De Quervain Tenosynovitis or sacroiliitis. Corticosteroids are known to cross the placenta with systemic administration such as oral or intravascular drugs. However there is little support that it increases any developmental defect on the baby. Despite non-systemic corticosteroids, which means drugs not reaching the entire body circulation such as cortisone injections inside a joint, are not considered absolute contraindication by recent medical research , we do not offer injections during pregnancy. If you are suffering from a MSK condition during your pregnancy, a diagnosis from a medical professional is an essential first step in understanding your problem and understanding what is the right course of treatment for you since effective alternative management can be offered. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . Our South London Clinic We also provide home visits 7 min from Brixton Underground Station 24 min from Pimlico via Victoria Line 21 min from Oxford Circus 26 min from King's Cross St Pancras ​ South London Clinic Details Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. ​ There are no long wait times and you can normally have your injection treatment within 3-4 days of first making contact. Book Appointment Now

  • Osteoarthritis Cortisone Injections in South London | Insight Msk

    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 South London clinic 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 . Our South London Clinic We also provide home visits 7 min from Brixton Underground Station 24 min from Pimlico via Victoria Line 21 min from Oxford Circus 26 min from King's Cross St Pancras ​ South London Clinic Details Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. ​ There are no long wait times and we can offer same day appointments. Book Appointment Now

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