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About Us Academic and Professional Excellence. Maxence Legout est un physiothérapeute consultant avec plus de 15 ans d'expérience dans les troubles musculo-squelettiques. Il se consacre avec passion à fournir un service individualisé, honnête, fondé sur des preuves et abordable pour aider les personnes à vivre sans douleur et à retrouver leur mobilité. ​ Max a grandi en France. Après un baccalauréat en sciences du sport et une maîtrise en physiothérapie où il a obtenu les meilleurs scores et la thèse de maîtrise la plus élevée, Max s'est beaucoup formé dans des universités internationales. Il est titulaire de diplômes universitaires de troisième cycle en médecine musculo-squelettique, en pratique clinique avancée et en échographie médicale. ​ Il a une expérience unique en travaillant dans le principal club de sport et de fitness d'Europe, dans les services de rééducation, d'orthopédie, d'urgence et de radiologie des hôpitaux universitaires du NHS. Cela fait de lui votre meilleur atout pour comprendre votre condition, diagnostiquer précisément et délivrer des traitements et des conseils ciblés. Max a une approche holistique et possède de solides compétences pour résoudre des problèmes de santé complexes. Il collabore également étroitement avec certains des meilleurs professionnels de la santé à Londres. Il est un clinicien senior du NHS de longue date et bien établi dans le sud de Londres, où il effectue plus de 2000 procédures guidées par échographie chaque année. Il a été le pionnier de l'utilisation de l'échographie pour les blessures musculo-squelettiques au service des urgences du King's College Hospital de Londres. ​ Max a également donné des conférences dans l'une des universités européennes les plus renommées et enseigne actuellement l'échographie aux médecins urgentistes. Il s'intéresse particulièrement aux conditions liées à l'âge pour les tendons et les articulations ainsi qu'à l'adaptation de la force à l'exercice. Max est entièrement enregistré auprès du Conseil des professions de la santé et des soins et de la Chartered Society of Physiotherapy. Il est autorisé à prescrire et à administrer des médicaments au Royaume-Uni. The Chartered Society of Physiotherapy is the professional, educational and trade union body for the UK’s 60,000 chartered physiotherapists, physiotherapy students and associates What our patients have to say: “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” ​ Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists 10 New Cavendish St, London, W1G 8UL, England ​ Our Central London clinic is based in The French Pharmacy in Marylebone. ​ ​ 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria ​ ​ ​ ​ ​ Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England ​ 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras ​ Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. ​ There are no long wait times and we offer same day appointment. Book Appointment Now

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 Central London and South London clinics and also offer home visits in the South London area. A free telephone consultation is available to understand whether injections will be helpful and appropriate in your particular case, and to ensure your injection will be safe and give you maximum benefit. ​ Booking is quick and easy, please see our book appointment page for more details. What causes Low Back Pain? Low back pain can have various causes, and it is a common condition that affects people of all ages. Some of the common causes of low back pain include: ​ ​ Disc pathologies affecting intervertebral discs (cushions between the vertebrae in the spine) such as natural aging process, often called Degenerative Disc Disease or herniated (bulging disc sometime called "slipped disc") occurring when the soft inner portion of the disc pushes through its outer layer, potentially irritating nearby nerves. causing pain numbness, or tingling in the lower back and legs such as in sciatica. Spinal Stenosis caused by the narrowing of the spinal canal, which can put pressure on spinal nerves. Osteoarthritis & degeneration of the facet joints in the spine can lead to inflammation and pain in the lower back. inflammatory arthritis such as ankylosing spondylitis that primarily affects the spine. Injuries such as fractures of the vertebras. Lifestyle Factors such as a lack of regular exercise, obesity or smoking can contribute to low back pain. It's important to note that many cases of low back pain resolve on their own or with conservative treatments such as rest, exercises and over-the-counter pain medications. However, persistent or severe pain, especially if accompanied by other symptoms, should be evaluated by a healthcare professional for a comprehensive diagnosis and appropriate management. ​ In order to ensure injection therapy is the right course of action in your particular case, we offer a free virtual consultation to get a quick picture of your health and the condition you are experiencing, and advise on whether steroid injections are a good course of action for you. At your appointment we will also carry out a full ultrasound-led diagnosis and assessment to ensure you are receiving the most appropriate treatment and best possible care. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” ​ Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say How do cortisone injections help with low back pain? In our clinic we offer injections for low back pain caused by osteoarthritis of the spinal joints (facet joints), sacroiliac joint or coccyx pathologies. An injection in the low back muscles (also known as trigger points injections) can also be helpful for acute or chronic back pain and sciatica . Cortisone injections can rapidly reduce pain, bringing much-needed relief and increased mobility. If you have found your work or other daily activities involving prolonged sitting, standing, sleeping, being hindered by your low back pain, a steroid injection can allow you the freedom to get back to work and normal life. ​ Pain is not to be underestimated and when it becomes bad it can become debilitating and lead to depression. Low back pain can also lead to inactivity which can cause further problems such as postural and health issues, leading to even further inactivity, known as the chronic pain cycle . It is crucial to seek help when you are in pain and not simply try to live with it, as when left unchecked pain can cause gradual deterioration of both mental and physical health. ​ The break from pain and other symptoms brought by steroid injections will also allow you to take other actions to proactively combat your problem. In particular, you will be able to follow a physiotherapist-prescribed exercise programme to deal with your condition at the root by building flexibility and strength in your back region. It is important you do any exercises your physiotherapist gives you to avoid your problem worsening in the future and potentially leading to more problems further down the line. ​ All our treatments include a written report and guidance on moving forward with treating your problem following your injection, so that you can use the opportunity the injection gives to set yourself on a path to better health. We also include a personalised physiotherapy exercise plan wherever appropriate. ​ For more information about cortisone injections and frequently asked questions, see our cortisone injections page . How much do cortisone injections cost? Our cortisone injections start at just £240 including initial telephone consultation, diagnostic ultrasound, ultrasound-guided injection, written report with care plan and exercise prescription if appropriate. See our fees Can you diagnose the cause of low back pain with an ultrasound scan ? Ultrasound imaging itself is not appropriate to diagnose the cause of low back pain and in most cases, no investigation at all is required to make a diagnosis and start a treatment. We use ultrasound guidance to perform spinal injections safely and effectively. ​ In all cases, a consultation with a medical professional is crucial in choosing the right course of treatment for your particular case. Are cortisone injections a long-term solution for low back pain? Corticosteroids have a short term effect (around 3 months) but a common belief is that cortisone injections do not address the underlying causes of your pain and will only stop the symptoms. ​ First of all, your pain has a massive impact on your daily life and any relief, even temporary, can help significantly with your sleep, work or family activities, and as a result, improve your general well being and mental health. Fortunately, simple pathologies, even when causing severe pain, tend to improve overtime and by the time the steroid has stopped working, we expect that your body has healed by itself and the pain won't return. ​ Secondly, the pain free period allowed by steroid injections (up to 3-6 months on average and sometime over 1 year) is a window that will be used to begin further treatment such as a prescribed exercise program or sessions of physiotherapy , in order to address other causative factors for your problems. ​ In some cases steroid injections can also be a permanent solution by stopping chronic inflammation or disrupting your pain signal. More information about pain can be found on our blog . At your virtual consultation and first appointment , your clinician will ask questions and assess you to diagnose your problem and explain to you the options available. This will help you to understand how you can use the respite from pain which a corticosteroid injection provides, to work directly on your problem and provide you with a personalized exercise plan to avoid reliance on injections in the future. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. ​ For more information please see our clinician page , or book a free online or telephone consultation to speak to Max directly. Read More What other treatments are available for low back pain pain? The treatment for low back pain depends on the underlying cause, the severity of the pain, and individual factors. In many cases, low back pain can be managed with conservative treatments. Here are some common approaches: ​ Short term relative rest and activity modification may be recommended for acute low back pain, but prolonged bed rest is generally discouraged and gradual return to normal activities limiting activities that worsen the pain is often recommended. Physiotherapy can help improve flexibility, strength, and enhance overall spine stability. Therapeutic exercises, stretches, and manual therapy techniques may be prescribed also for their effect on pain modulation. Medications over-the-counter such as paracetamol or ibuprofen can help manage pain and reduce inflammation. Muscle relaxants may be prescribed for short courses in some cases. In certain situations, stronger prescription medications may be considered. Heat and cold applied on the affected area can help alleviate pain. Heat is often used for muscle spasms. Lifestyle Modifications such as avoiding prolonged sitting and using ergonomic furniture and tools can help prevent or alleviate low back pain. Maintaining a healthy weight, stop smoking and incorporating regular exercise into daily life also contribute to overall spine health.​ Injections in different area of the spine such as epidural injections are sometimes used for more targeted pain relief. Cognitive-Behavioral Therapy (CBT) can be helpful for managing chronic low back pain by addressing psychological factors and promoting positive coping strategies. Braces and Supports may be recommended for some conditions such as sacroiliac disorders . Surgery might be necessary where conservative treatments are not effective and there is a specific structural problem (such as a non-resolving nerve compression). ​ If you are suffering from low back pain, a diagnosis from a medical professional is an essential first step in understanding your problem and deciding what is the right course of treatment for you. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . 10 New Cavendish St, London, W1G 8UL, England ​ Our Central London clinic is based in The French Pharmacy in Marylebone. ​ ​ 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria ​ ​ ​ ​ ​ Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England ​ 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras ​ Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. ​ There are no long wait times and you can normally have your injection treatment within 3-4 days of first making contact. Book Appointment Now

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 Central London and South London clinics and also offer home visits in the South London area. A free telephone consultation is available to understand whether injections will be helpful and appropriate in your particular case, and your appointment also includes a diagnostic ultrasound consultation to ensure your injection will be safe and give you maximum benefit. ​ Booking is quick and easy, please see our book appointment page for more details. What is plantar fasciitis? Plantar fasciitis is a common condition characterized by disorders of the plantar fascia, a thick band of tissue that runs across the bottom of the foot, connecting the heel bone to the toes. Plantar fasciopathy or plantar fasciosis are preferable medical terms as there is not always an inflammation. Plantar fasciitis typically causes stabbing pain in the heel, especially during the first steps in the morning or after periods of rest. Plantar fasciitis is often associated with overuse, strain, or microtears in the plantar fascia, and it is a frequent cause of heel pain. Factors such as obesity, excessive standing, walking, running, or improper footwear can contribute to the development of plantar fasciitis. More information can be found here . ​ In order to ensure injection therapy is the right course of action in your particular case, we offer a free virtual consultation to get a quick picture of your health and the condition you are experiencing, and advise on whether steroid injections are a good course of action for you. At your appointment we will also carry out a full ultrasound-led diagnosis and assessment to ensure you are receiving the most appropriate treatment and best possible care. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” ​ Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say How do cortisone injections help with plantar fasciitis? Recent medical research suggests that cortisone injections combined with exercises is the best treatment option for plantar fasciitis. A cortisone injection can rapidly reduce pain, bringing much-needed relief and increased mobility. If you have found your work or other daily activities involving walking, running or anything being hindered by your pain, a steroid injection can allow you the freedom to get back to work and normal life. ​ Pain is not to be underestimated and when it becomes bad it can become debilitating and lead to depression. Pain can also lead to inactivity which can cause further problems such as postural and health issues, leading to even further inactivity, known as the chronic pain cycle . It is crucial to seek help when you are in pain and not simply try to live with it, as when left unchecked pain can cause gradual deterioration of both mental and physical health. ​ The break from pain and other symptoms brought by steroid injections will also allow you to take other actions to proactively combat your problem. In particular, you will be able to follow a physiotherapist-prescribed exercise programme to deal with your condition at the root by stimulating healing of the plantar fascia fibres. It is important you do any exercises your physiotherapist gives you to avoid your problem worsening in the future and potentially leading to more problems further down the line. ​ All our treatments include a written report and guidance on moving forward with treating your problem following your injection, so that you can use the opportunity the injection gives to set yourself on a path to better health. We also include a personalised physiotherapy exercise plan wherever appropriate. ​ For more information about cortisone injections and frequently asked questions, see our cortisone injections page . How much do cortisone injections cost? Our cortisone injections start at just £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 10 New Cavendish St, London, W1G 8UL, England ​ Our Central London clinic is based in The French Pharmacy in Marylebone. ​ ​ 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria ​ ​ ​ ​ ​ Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England ​ 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras ​ Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. ​ There are no long wait times and you can normally have your injection treatment within a few days of first making contact. Book Appointment Now

À propos de nous Arthrosamid Injection at our clinic We are a leading musculoskeletal clinic offering diagnostic ultrasound and ultrasound guided procedures such as Arthrosamid injections for knee arthritis . We perform all procedures as part of a comprehensive and global management of your condition. ​ We offer our services at our Central London and South London clinics and also offer home visits in the South London area. A free telephone consultation is available to understand whether an ultrasound scan will be helpful and appropriate in your particular case. ​ Booking is quick and easy, please see our book appointment page for more details. What is Arthrosamid? Arthrosamid is a new treatment for knee osteoarthritis based on a non-biodegradable gel (2.5% cross-linked polyacrylamide and 97.5% water) which is injected into the knee joint to provide cushion and reduces pain. Once inside the joint, the gel becomes an integrated part of the joint capsule (synovial tissue) and acts like a scaffold. Arthrosamid has been devellopped for the past 20 years and despite further research is currently ongoing, this seem to be currently the only long term alternative to delay surgery for knee osteoarthritis. More information are available here . “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” ​ Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say What can be treated with ultrasound guided Arthrosamid injections? Currently Arthrosamid is only offered for knee joints to treat symptoms of osteoarthritis. ​ How often do I need to have Arthrosamid injections done? Arhrosamid is intended to be injected only once and current evidence suggests that pain relief is maintained after 3 years, with anecdotical report of patients being pain free 8 years later. How much Arthrosamid injections cost? Our Arthrosamid Injection start from £2400 including initial telephone consultation, diagnostic ultrasound, written report with care plan and exercise prescription if appropriate. Finance is available, please reach out to discuss further. See our fees What are contraindications of Arthrosamid? According the manufacturer's recommendations we do not inject Arthrosamid in the following cases: ​ Infection or skin condition inside or close to the injection site. Severe knee inflammation Previous injection of another non-absorbable injectable/implant Recent injection of hyaluronic acid. Patients with knee arthroplasty or any foreign material in the knee. Knee arthroscopy within less than 6 months . Patients with haemophilia or poorly controlled anticoagulant treatment . Patients under 18 years, pregnant or breastfeeding . Why should I book my US guided Arthrosamid injection at Insight MSK? All our procedures and diagnostics are part of a comprehensive management of your condition in line with recent scientific evidence. All injections are ultrasound guided, which have been proven to be more effective and are all preceded by a thorough clinical examination. We do not only diagnose or "fix" problems but we strive to understand the context and causative factors which have led to your condition in order to prevent re-occurrence. These require several skills and the ability to deal with complex and multiple information which often need the expertise from different specialists and therefore multiple appointments, travel, fees... We offer all these services together to give you a prompt single point of contact to assess, diagnose and manage your condition thanks to our unique and vast experience in musculoskeletal medicine. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. ​ For more information please see our clinician page, or book a free telephone or online consultation to speak to Max directly. Read More What are possible side effects of Arthrosamid injections? Clinical trials have proven that Arthrosamid is safe and most common side effects reported are mild to moderate pain and or mild swelling injection in the following weeks. To prevent the risk of infection, prophylactic antibiotics must be also prescribed as recommended by the manufacturer. ​ We encourage you to communicate any concerns with us to ensure a comfortable and informative experience. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . 10 New Cavendish St, London, W1G 8UL, England ​ Our Central London clinic is based in The French Pharmacy in Marylebone. ​ ​ 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria ​ ​ ​ ​ ​ Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England ​ 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras ​ Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. ​ There are no long wait times and you can normally have your injection treatment within 3-4 days of first making contact. Book Appointment Now

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

À propos de nous 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 Central London and South London clinics and also offer home visits in the South London area. A free telephone consultation is available to understand whether an ultrasound scan will be helpful and appropriate in your particular case. ​ Booking is quick and easy, please see our book appointment page for more details. What 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 . 10 New Cavendish St, London, W1G 8UL, England ​ Our Central London clinic is based in The French Pharmacy in Marylebone. ​ ​ 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria ​ ​ ​ ​ ​ Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England ​ 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras ​ Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy, t here are no long wait times and you can normally have your injection treatment soon of first making contact. Book Appointment Now

À propos de nous What is US guided dry needling? We are a leading musculoskeletal clinic offering diagnostic ultrasound and ultrasound guided procedures such as dry needling for tendonitis . We perform all procedures as part of a comprehensive and global management of your condition. ​ We offer our services at our Central London and South London clinics and also offer home visits in the South London area. A free telephone consultation is available to understand whether an ultrasound scan will be helpful and appropriate in your particular case. ​ Booking is quick and easy, please see our book appointment page for more details. What is tendon dry needling ? Dry needling for tendons, also called percutaneous tenotomy or fenestration, is performed on chronic tendon tendonitis which have not improved after at least 6 months of conservative management. During the procedure, we perform several small incisions with a small needle in the affected tendon under local anaesthesia and ultrasound guidance. These incisions can stimulate blood flow to the area and promote the body's natural healing response. The process also triggers an inflammatory reaction, which helps in the repair of the tendon. This is followed by an intensive rehabilitation period. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” ​ Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say How is Tendon dry needling performed ? In tendon dry needling, thin small needles similar to the ones used for injections, are inserted repetitively into the tendon after numbing the area with local anaesthetics. The exact mechanisms through which tenotomy works are not fully understood, but it is thought to involve several factors. The insertion of needles may stimulate the release of certain chemicals in the body that help reduce pain. Additionally, the needles may create small disruptions in the tissue, promoting a local healing response. How much Barbotage cost? Our Ultrasound Guided Barbotage procedure start from £300 including initial telephone consultation, diagnostic ultrasound, written report with care plan and exercise prescription if appropriate. See our fees Why should I book my US guided tendon fenestration at Insight MSK? All our procedures and diagnostics are part of a comprehensive management of your condition in line with recent scientific evidence. All injections are ultrasound guided, which have been proven to be more effective and are all preceded by a thorough clinical examination. We do not only diagnose or "fix" problems but we strive to understand the context and causative factors which have led to your condition in order to prevent re-occurrence. These require several skills and the ability to deal with complex and multiple information which often need the expertise from different specialists and therefore multiple appointments, travel, fees... We offer all these services together to give you a prompt single point of contact to assess, diagnose and manage your condition thanks to our unique and vast experience in musculoskeletal medicine. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. ​ For more information please see our clinician page, or book a free telephone or online consultation to speak to Max directly. Read More Do I need a tendon fenestration ? We typically recommend this treatment for non improving tennis or golfer's elbow as an alternative to surgical management . Recent research also suggest that it could help for lateral hip pain in case of gluteal tendon disorders . If you are unsure that it is the right treatment for you, please reach out and book a free virtual consultation . MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . 10 New Cavendish St, London, W1G 8UL, England ​ Our Central London clinic is based in The French Pharmacy in Marylebone. ​ ​ 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria ​ ​ ​ ​ ​ Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England ​ 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras ​ Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. ​ There are no long wait times and you can normally have your injection treatment within 3-4 days of first making contact. Book Appointment Now

À propos de nous How It Works Contact us by email and we will call you back. We can either directly arrange a face to face appointment or offer a first initial video/phone consultation. 1. Option for free initial Virtual/Phone Consultation ​ At your video/telephone consultation with our lead clinician, we will discuss your condition, answer any questions you have and ask about any contraindications to our treatments*. If you're ready to go ahead, we'll book you in for your treatment at a time that's convenient for you, either in-clinic or at a location of your choice. ​ 2. Treatment Session ​ Your treatment session with our expert clinician begins with a recap of your condition and brief medical history, before moving on to diagnostic ultrasound and examination to ensure the treatment is safe and appropriate for you. Once the diagnostic exam is complete your clinician will administer your injection, using the latest ultrasound guidance equipment to ensure the maximum possible benefit and safety. ​ Finally, your clinician will provide you with any follow-up advice, and a personalised exercise programme to keep you pain-free for as long as possible. ​ 3. Aftercare ​ We perform over 2000 steroid injections per year and are here to help. If you have any questions or concerns following your treatment, don't hesitate to contact us and we will do whatever we need to do to help you. * Please note that whilst we do our best to gauge your suitability for our treatments during a virtual consultation, it is not a substitute for the in-person examination and diagnostic ultrasound carried out at your appointments and should not be considered as a medical examination. It is possible we may find previously unknown contraindications for treatment when the full diagnostic examination is carried out. If in doubt, please speak to us or consult your GP. Contact us

À propos de nous Diagnostic Ultrasound Consultation Includes a full musculoskeletal assessment, ultrasound scan, written report with care plan & exercise prescription if appropriate £150 Ultrasound Guided Cortisone Injection Includes consultation & diagnostic ultrasound (£150), Ultrasound guided injection of corticosteroid, written report with care plan & exercise prescription if appropriate £240 Ultrasound Guided Hyaluronic Acid Injection Includes the consultation & diagnostic ultrasound (£150), Ultrasound guided injection of hyaluronic acid (Ostenil or Durolane), written report with care plan & exercise prescription if appropriate £320 Ultrasound Guided Arthrosamid Injection Includes the consultation, Ultrasound guided injection of Arthrosamid, written report with care plan & exercise prescription & one follow up consultation £2400 Ultrasound Guided Hydrodistension Includes the consultation & diagnostic ultrasound (£150), Ultrasound guided hydrodistension, written report with care plan & exercise prescription if appropriate £300 Ultrasound Guided Tendon Barbotage Includes the consultation & diagnostic ultrasound (£150), Ultrasound guided tendon barbotage, written report with care plan & exercise prescription if appropriate £300 Ultrasound Guided Tendon Dry Needling Includes consultation & diagnostic ultrasound (£150), Ultrasound guided tendon dry needling, written report with care plan & exercise prescription if appropriate £300 Ultrasound Guided Aspiration Includes consultation & diagnostic ultrasound (£150), Ultrasound guided aspiration, corticosteroid injection if appropriate (+£40), written report with care plan & exercise prescription if appropriate from £200 Please reach out to discuss further possible indication and contra-indications for each procedure. Let us know about any needle phobia or intervention related anxiety as our care can be adapted. Cancellation Policy Please provide at least 24 hours’ notice to cancel or reschedule an appointment. Cancellations, failing to attend or rescheduling made less than 24 hours prior to your booked appointment will incur a cancellation charge subject to the full fee of your booking. Cancellations or rebooking requests need to be made by email. 10 New Cavendish St, London, W1G 8UL, England ​ Our Central London clinic is based in The French Pharmacy in Marylebone. ​ ​ 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria ​ ​ ​ ​ ​ Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England ​ 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras ​ Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. ​ There are no long wait times and you can normally have your injection treatment within 3-4 days of first making contact. Book Appointment Now

À propos de nous 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 Central London and South London Clinics and also offer home visits in the South London area. A free telephone consultation is available to understand whether injections will be helpful and appropriate in your particular case, and your appointment also includes a diagnostic ultrasound consultation to ensure your injection will be safe and give you maximum benefit. ​ Booking is quick and easy, please see our book appointment page for more details. What is Frozen Shoulder ? Frozen shoulder, also known as adhesive capsulitis or simply capsulitis, is a condition characterized by pain, stiffness, and restricted range of motion in the shoulder joint. It typically develops gradually over time and can progress through distinct stages. Women after 40 are more often affected but the exact cause of frozen shoulder is not always clear, but certain factors may contribute, including inflammation, thickening, and tightening of the joint capsule (the bag surrounding the shoulder joint). It can starts after a trauma or surgery but certain conditions, such as hyperthyroidism, diabetes, cardiovascular disease, and prolonged immobility or smoking may increase the risk of developing frozen shoulder. ​ Individuals with frozen shoulder often experience pain deep in the shoulder which sometimes radiates down the arm, back or the neck and may be more pronounced at night. Stiffness is a hallmark of frozen shoulder. The shoulder gradually becomes more difficult to move, leading to a progressive loss of range of motion. The loss of shoulder mobility affects both active and passive movements. Activities such as reaching overhead, reaching behind the back, or even basic activities like combing hair or putting a bra may become challenging. ​ Frozen shoulder typically progresses through three stages: ​ Pain (Freezing) Stage: The initial stage is characterized by the gradual onset of pain, especially with movement. As pain increases, shoulder mobility starts to decline. Frozen Stage: Stiffness becomes more prominent, and range of motion continues to decrease. Pain may persist but often becomes less intense. Thawing Stage: During this stage, there is a gradual improvement in shoulder mobility. Range of motion begins to return, and pain subsides​​​ ​ In order to ensure injection therapy is the right course of action in your particular case, we offer a free virtual consultation to get a quick picture of your health and the condition you are experiencing, and advise on whether steroid injections are a good course of action for you. At your appointment we will also carry out a full ultrasound-led diagnosis and assessment to ensure you are receiving the most appropriate treatment and best possible care. “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” ​ Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists What our patients say How do cortisone injections help with Frozen Shoulder? For a long time, frozen shoulder was considered a self-limiting condition resolving spontaneously, however more recent medical research suggests that it is not often the case and that treatment is needed. Cortisone injections have powerful anti-inflammatory effects. When injected directly into the shoulder joint, they can help suppress inflammation in the synovial lining of the joint capsule. Inflammation is a key contributor to the pain and stiffness associated with frozen shoulder. By reducing inflammation, corticosteroids can provide relief from pain associated with frozen shoulder. This can make it more comfortable for individuals to engage in physical therapy and exercises aimed at improving shoulder mobility as inflammation and the formation of adhesions in the joint capsule contribute to the restricted range of motion in frozen shoulder. Corticosteroid injections can help reduce these inflammatory processes, allowing for improved joint mobility. ​ Pain is not to be underestimated and when it becomes bad it can become debilitating and lead to depression. A reduction in mobility due to frozen shoulder can also lead to inactivity which can cause further problems such as postural and health issues, leading to even further inactivity, known as the chronic pain cycle . It is crucial to seek help when you are in pain and not simply try to live with it, as when left unchecked pain can cause gradual deterioration of both mental and physical health. ​ All our treatments include a written report and guidance on moving forward with treating your problem following your injection, so that you can use the opportunity the injection gives to set yourself on a path to better health. We also include a personalised physiotherapy exercise plan wherever appropriate. ​ For more information about cortisone injections and frequently asked questions, see our cortisone injections page . Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. ​ There are no long wait times and we can offer same day appointments. Book Appointment Now How much do cortisone injections cost? Our cortisone injections start at just £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 10 New Cavendish St, London, W1G 8UL, England ​ Our Central London clinic is based in The French Pharmacy in Marylebone. ​ ​ 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria ​ ​ ​ ​ ​ Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England ​ 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras ​ Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. ​ There are no long wait times and we can offer same day appointments. Book Appointment Now

Maxence Legout Your MSK expert clinician Maxence Legout est un physiothérapeute consultant avec plus de 15 ans d'expérience dans les troubles musculo-squelettiques. Il se consacre avec passion à fournir un service individualisé, honnête, fondé sur des preuves et abordable pour aider les personnes à vivre sans douleur et à retrouver leur mobilité. ​ Max a grandi en France. Après un baccalauréat en sciences du sport et une maîtrise en physiothérapie où il a obtenu les meilleurs scores et la thèse de maîtrise la plus élevée, Max s'est beaucoup formé dans des universités internationales. Il est titulaire de diplômes universitaires de troisième cycle en médecine musculo-squelettique, en pratique clinique avancée et en échographie médicale. ​ Il a une expérience unique en travaillant dans le principal club de sport et de fitness d'Europe, dans les services de rééducation, d'orthopédie, d'urgence et de radiologie des hôpitaux universitaires du NHS. Cela fait de lui votre meilleur atout pour comprendre votre condition, diagnostiquer précisément et délivrer des traitements et des conseils ciblés. Max a une approche holistique et possède de solides compétences pour résoudre des problèmes de santé complexes. Il collabore également étroitement avec certains des meilleurs professionnels de la santé à Londres. Il est un clinicien senior du NHS de longue date et bien établi dans le sud de Londres, où il effectue plus de 2000 procédures guidées par échographie chaque année. Il a été le pionnier de l'utilisation de l'échographie pour les blessures musculo-squelettiques au service des urgences du King's College Hospital de Londres. ​ Max a également donné des conférences dans l'une des universités européennes les plus renommées et enseigne actuellement l'échographie aux médecins urgentistes. Il s'intéresse particulièrement aux conditions liées à l'âge pour les tendons et les articulations ainsi qu'à l'adaptation de la force à l'exercice. Max est entièrement enregistré auprès du Conseil des professions de la santé et des soins et de la Chartered Society of Physiotherapy. Il est autorisé à prescrire et à administrer des médicaments au Royaume-Uni. His professional experience is broad and marked by innovation and forward thinking. He has worked in Europe’s leading sports & fitness clubs, in rehabilitation and orthopaedics services as well as in emergency and radiology departments in busy NHS university hospitals in London. He pioneered the use of ultrasound scan for musculoskeletal injuries in the Emergency Department at King’s College Hospital in London. Involved in teaching, Maxence has also been a visiting lecturer at the University of Louvain in Belgium and currently teaches the first and only MSK ultrasound course for emergency clinicians in the UK. He also teaches ultrasound guided injections to doctors in Belgium. Throughout his career, Maxence has built a solid professional network and collaborates closely with some of the best healthcare professionals in London. As an exercise specialist, Max has a holistic approach and possesses strong skills to apprehend complex health issues. Insight MSK represents the integration of the best skills, the integrity, the dedication and the strong network brought to you by Maxence Legout. The Chartered Society of Physiotherapy is the professional, educational and trade union body for the UK’s 60,000 chartered physiotherapists, physiotherapy students and associates What our patients have to say: “Max is a highly trained, responsive, competent, communicative, and caring practitioner and person. He has successfully treated me for the management of knee pain and other arthritic conditions over the last 5-6 years enabling me to live a physically active life. I really cannot recommend Max highly enough.” ​ Helena Davis, 55, Personal Assistant at Royal College of Psychiatrists 10 New Cavendish St, London, W1G 8UL, England ​ Our Central London clinic is based in The French Pharmacy in Marylebone. ​ ​ 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria ​ ​ ​ ​ ​ Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England ​ 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras ​ Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. ​ There are no long wait times and we offer same day appointment. Book Appointment Now

À propos de nous Do you offer home visits for diagnostic ultrasound and injections ? Unable to attend a clinic? Tight schedule ? We are the only clinic in London offering musculoskeletal ultrasound and guided injections at your home or any place of your convenience. We currently cover the following areas : ​ Brixton Peckham Camberwell Clapham Dulwich Forest Hill London Bridge Please reach out and book a free appointment to discuss. *Please note that a surcharge of £100 is applicable . 10 New Cavendish St, London, W1G 8UL, England ​ Our Central London clinic is based in The French Pharmacy in Marylebone. ​ ​ 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria ​ ​ ​ ​ ​ Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England ​ 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras ​ Cortisone Injections at our Central London and South London Clinics We also provide home visits Book an Appointment Booking an appointment is easy. Simply choose an available slot for a free phone consultation and we'll do the rest. ​ There are no long wait times and you can normally have your injection treatment within 3-4 days of first making contact. Book Appointment Now