Search Results

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 Do I need to be referred to you by a doctor? No, you do not need a medical referral to contact us. You can contact us directly. What if I do not have online access ? Not a problem! We can also offer free first consultation over the phone, just request a call back and we will schedule the telephone consultation on our clinic hours. Is the first consultation free? Yes, We offer a free first consultation online that can be directly booked through our website. How soon can I get an appointment? You can book a same day appointment. Should I tell you if I scared of needles or of the procedure? That is absolutely fine, we are used to dealing my needle apprehension and phobia. Let us know about any needle phobia or intervention related anxiety as our care can be adapted. In general, it is important to discuss any concerns or questions you have about the procedure beforehand. We will provide you with information about what to expect, potential risks and benefits, and how to manage any discomfort during or after the procedure. What will you ask me during this consultation? During this consultation, we will collect some personal information (see our privacy policy), take your full medical history and assess if the service is appropriate for you. We will ask you specific questions to assist with the diagnosis, all of them are relevant to your current condition and will help us to get a precise idea of how to help. Will we cover every detail of a future procedure? Absolutely, if you are booked for a procedure, we will check for all possible contra indications and precautions or possible adverse reactions will be discussed. Can you answer all my questions during this consultation? Sure, we can answer any questions you might have. However, please note that no clinical recommendation or diagnosis can be given during this call. Do I need to pay for my face to face appointment? Yes, the full amount of the consultation fee is £150 and is due before your appointment. You will be sent an email to pay on a secured online payment platform. What should I bring to my face to face appointment? Please make sure you bring all recent relevant investigations or other consultants letters. You can also send them by email prior to the consultation. How do I book a face to face appointment? At the end of this initial consultation, you will be able to book your face to face appointment for physical assessment, ultrasound scan and procedures on the day of your choice in one of our clinics. Will I be explained my diagnosis and what to do next? You will be explained the diagnosis and offered a treatment plan. Should I wear any particular clothes for my face to face appointment ? Not particularly, but for your own comfort, you could wear comfortable clothes or bring something to get change if more convenient. What is a treatment plan? A treatment plan includes any ultrasound procedures. We might also prescribe exercises, suggest personal training, suggest physiotherapy or another specialist referral. How long is the face to face consultation? Each session can last up to 45 minutes. What sort of examination will you carry out? We will proceed to a thorough physical examination which might include palpation, neurological and/or orthopaedics tests. An ultrasound examination will be conducted to complete your assessment. Will I really feel heard and listened to? Absolutely, you will have our full dedication and attention. With Insight MSK, there is no rush, no judgement or generic management. Each person is unique and deserves a tailored commitment. What if I am scared of needles ? That is absolutely fine, we are used to dealing with needle apprehension and phobia. Patient anxiety and fear of needles can contribute to the perception of discomfort. Discussing concerns with the healthcare provider and employing relaxation techniques can help manage anxiety. While some individuals experience minimal pain, others may feel more discomfort. It's essential to communicate openly with your clinician about pain levels to ensure a comfortable and effective experience. Let us know about any needle phobia or intervention related anxiety as our care can be adapted. What are the contraindications to cortisone injections ? Like for any medical intervention, careful consideration of risks and benefits with your healthcare provider is crucial before opting for cortisone injections. Our absolute contraindications to cortisone injections are: ​ 1. Previous allergic reaction to corticosteroids or local anaesthetics (corticosteroids can be injected without local anaesthetic). 2. Ongoing fever, feeling unwell or currently taking antibiotics (you can receive the injection after your course of antibiotics). 4. Recent trauma or fracture. 5. Osteoporosis near the injection site. 6. Injection in an unstable joint (dislocating regularly). 7. Injection into a prosthetic joint (e.g., Total knee replacement). 8. Any surgery planned in the next 6 weeks (including dental) or joint replacement in the next 9 months. 9. If you have received a live vaccine within 2 weeks prior to the injection or due to have it within the 2 weeks following the procedure. Typical live vaccines include Live-attenuated Influenza (LAIV) vaccines (flu), some COVID vaccines, Measles, Mumps & Rubella (MMR), Polio, Smallpox, Chickenpox, Yellow Fever, Japanese encephalitis, Shingles, Rotavirus. 10. You already had 3 injections in the same site on the past 12 months, or last injection was less than 3 months ago for a load bearing joint (knee, hip, ankle...) or 1 month for any other body part. 11. Pregnancy. 12. Under 18. ​ Below is the list of precautions which need further attention prior to receive a corticosteroid injection: ​ 1. If you are currently receiving treatment for cancer, HIV, Hepatitis C or currently take Disease-Modifying Anti-Rheumatic Drug (DMARD), you need approval of your consultant prior to receive a corticosteroid injection. 2. If you have glaucoma, your need approval from your optometrist prior to receive a corticosteroid injection. 3. If you are on anti-coagulants : Warfarin (Coumadin) : INR needs to be within patient’s therapeutic range and not greater than 3 within 48h prior to the procedure. You do not need to stop the warfarin. DOACs (Direct Oral Anticoagulants) such as Apixaban (Eliquis), Rivaroxaban (Xarelto), Edoxaban (Savaysa), Betrixaban (BevyxXa), Dabigatran (Pradaxa) do not need to be stopped. 3. If you are Diabetic and taking insulin, you need to have your HbA1c below 69mmol/mol (8,5%) within three months prior the injection. Corticosteroid injections can lead to transient hyperglycaemia and you will be advised to check your blood glucose level for up to a week after the injection. 4. If you have high blood pressure, you can experience a transient raise in blood pressure and you need to monitor it the 48h following the procedure. What are the risks associated with cortisone injections? Fortunately, serious side effects to corticosteroid injections are rare but like any drug or medical intervention there are risks such as anaphylaxis (life-threatening allergic reaction, which is extremely rare in response to injected steroid or local anaesthetics), infection (1 out of 50 000 patients), but more likely to occur if you suffer from diabetes, rheumatoid arthritis, Chronic Kidney Disease, HIV or if you take intra venous drugs. If the injected area becomes extremely painful, hot, red, swollen or that you develop fever or feel unwell after the injection it might indicate the presence of an infection. You should immediately attend an urgent care centre or your local A&E department. ​ Less serious reaction can occur such as a temporary increased pain (20% of the cases), cosmetic changes to the skin including depigmentation or localized fat atrophy around the injection site, bruising around the injection site (more likely, if you are on blood thinning medications), tendon rupture, increased cartilage degeneration, numbness or tingling, abnormal vaginal bleeding, temporary facial flushing, mood disturbances or depression (if you or your family have a history of psychosis or bipolar disorders) and of course failure to work. ​ Your clinician is trained to recognise and deal with severe immediate reaction and we are equipped with the appropriate first aid equipment. To minimise risks of side effects we advise rest for 48h (including driving) and you will be asked to wait up to 20 minutes in the waiting area. ​ Will the ultrasound be painful ? No, ultrasound examinations are generally not painful but some positions might be temporarily uncomfortable. We encourage you to communicate any concerns with the healthcare provider to ensure a comfortable and informative experience. Will the injection/procedures be painful ? Injections can cause varying levels of discomfort. We use of a local anesthetic to minimize pain. When do I pay for the procedures? The fees for any additional procedures will be due at the end of the consultation (please see the page Services and fees for further details). Can I pay the fee of the consultation on the day of the face to face appointment? The fee for a face to face consultation is £150 and is to be paid in advance. How can I pay? We accept card or bank transfers. What happens after my appointment ? You can now follow your post-procedural recommendations and let the treatment work. What if you refer me to another service? Please note that a referral for private further imaging such as X-ray or MRI, prescription of medications (other than the one administered during the session) or a referral to another private specialist will induce extra costs charged by the provider independently from our service. Do I need to take a day or more days off? The need to take days off after a corticosteroid injection depends on several factors, including the reason for the injection, the specific area of the body involved, and individual responses to the treatment. In many cases, people are able to resume their normal activities relatively quickly after a corticosteroid injection. However, it's important to follow our expert's advice and not overexert the treated area. If you have concerns or experience unexpected symptoms after the injection, it's crucial to contact us for guidance. Will I get a written report of my consultation? Of course, a report will be sent to you as well as to any healthcare provider of your choice by secured email within 24h. Is there anything I will not be able to do after an injection ? The impact of corticosteroid injections on your activities can vary depending on several factors, including the specific condition being treated, the location of the injection, and individual responses to the medication. his is to allow the medication to take effect and to minimize stress on the treated area. You will be provided with specific post-injection instructions. This may include recommendations on rest, activity level, and any necessary follow-up appointments. Will you be available after my face to face appointment? Sure, we will stay available for you after the procedure if you have any questions. Will I feel anything after an injection ? After the procedure, some people may experience temporary soreness or discomfort, and we will recommend pain management strategies. 10 New Cavendish St, London, W1G 8UL, England ​ Our Central London clinic is based in The French Pharmacy in Marylebone. ​ ​ 3 min walk from Harley Street 8 min walk from Bond St tube 20 min from Victoria ​ ​ ​ ​ ​ Pilates Studio in Lambeth 88 Atlantic Road, London, SW9 8PX, England ​ 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras ​ Cortisone Injections at our Central London and South London Clinics We also provide home visits Book a consultation

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. 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

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

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

À propos de nous PRP Injections at our Clinic We are a leading musculoskeletal clinic offering diagnostic ultrasound and ultrasound guided procedures such as Platelet Rich Plasma (PRP) Injections. We perform all procedures as part of a comprehensive and global management of your condition. ​ We offer this service exclusively at our Central London clinic in partnership with Dr Haytham Salem from Arthregen . A free telephone consultation is available to understand whether this treatment 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 Platelet Rich Plasma? Coming soon. ​ ​ “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 Platelet Rich Plasma injections are performed? Comin soom How much Platelet Rich Plasma injection cost? Our Ultrasound Guided PRP procedure start from £675 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 PRP injection with your clinic? Platelet Rich Plasma injections are offered in collaboration with Dr. Haytham Salem , former Orthopedics Surgeon, Sports & Exercise Medicine Consultant and English Premier League Doctor, who offers his expertise and in regenerative medicine. All procedures are then performed by Mr Maxence Legout who is expert in ultrasound guided injections. 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 PRP injections ? Coming Soon 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

All Posts Aucun post publié dans cette langue actuellement Dès que de nouveaux posts seront publiés, vous les verrez ici.

À propos de nous Barbotage Procedure at our clinic We are a leading musculoskeletal clinic offering diagnostic ultrasound and ultrasound guided procedures such as Barbotage for calcific tendonitis . We perform all procedures as part of a comprehensive and global management of your condition. ​ We offer our services at our South London clinic and also offer home visits in the South London area. A free telephone consultation is available to understand whether an ultrasound scan will be helpful and appropriate in your particular case. ​ Booking is quick and easy, please see our book appointment page for more details. What is a barbotage procedure? We use this procedure to treat resistant calcific tendinopathy , especially on the shoulder's tendons (rotator cuff). Calcific tendinopathy refers to the deposition of calcium into tendons leading to pain, inflammation, and reduced joint mobility. The goal of barbotage is to disrupt the calcific deposit, promote the absorption of calcium by the body, and alleviate symptoms such as pain and stiffness. Medical research suggests that this is the treatment of choice for calcific tendonitis with up to 70% success rate. 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 How is an ultrasound guided barbotage performed ? Tendon barbotage generally includes the following steps: ​ Identification of Calcium Deposits using ultrasound to identify the location and extent of calcium deposits within the affected tendon. A needle is then inserted into the area of the calcium deposit and carefully guided to ensure precision in reaching the targeted site within the tendon. Once the needle is in position, a mix of saline solution and local anaesthetic is injected into the tendon . The fluid serves multiple purposes, including numbing the area, breaking up the calcium deposits and creating space within the tendon. After the fluid injection, we use the same needle to aspirate the dislodged calcium deposits and the injected fluid. This process helps remove the debris from the tendon. Following tendon barbotage, patients are advised to rest prior to receive additional treatments , such as physiotherapy or anti-inflammatory medications, to aid in the healing process. 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 barbotage at Insight MSK? All our procedures and diagnostics are part of a comprehensive management of your condition in line with recent scientific evidence. All injections are ultrasound guided, which have been proven to be more effective and are all preceded by a thorough clinical examination. We do not only diagnose or "fix" problems but we strive to understand the context and causative factors which have led to your condition in order to prevent re-occurrence. These require several skills and the ability to deal with complex and multiple information which often need the expertise from different specialists and therefore multiple appointments, travel, fees... We offer all these services together to give you a prompt single point of contact to assess, diagnose and manage your condition thanks to our unique and vast experience in musculoskeletal medicine. Your clinician All our injection treatments are carried out by our experienced physiotherapist and injection clinician, Maxence Legout. Max has over 15 years experience and holds a senior position in the NHS, where he carries out over 2000 ultrasound-guided injection & procedures every year. ​ For more information please see our clinician page, or book a free telephone or online consultation to speak to Max directly. Read More Is an ultrasound guided barbotage procedure painful ? The level of pain experienced during an ultrasound guided barbotage can vary from person to person. Some individuals may find the procedure uncomfortable, while others may experience more significant pain. We use local anaesthesia to numb the area before performing the procedure, which can help minimize pain during the actual injection. After the procedure, patients may experience some soreness, but this is typically temporary. ​ We encourage you to communicate any concerns with us to ensure a comfortable and informative experience. MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist . 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

À propos de nous Tendon Fenestration (Dry Needling) ​Includes: ​ Thorough clinical assessment Diagnostic ultrasound Ultrasound guided tendon fenestration Written report Care plan & exercise prescription if indicated What is Tendon Fenestration ? Also called Percutaneous Tenotomy, fenestration is performed on chronic tendon disorders (tendinopathies) 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. ​ Do I need 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 . ​ How is Tendon Fenestration 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 muscle tissue, promoting a local healing response. ​ ​ Our South London Clinic We also provide home visits 2 min from Brixton Underground Station 8 min from Pimlico via Victoria Line 15 min from Oxford Circus 27 min from King's Cross St Pancras ​ 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