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À propos de nous What is Osteoarthritis ? ​ Osteoarthritis (OA) is a common form of arthritis that primarily affects the joints. It is characterized by the gradual degeneration of the cartilage, the smooth and protective tissue that covers the ends of bones in a joint. As the cartilage wears away, bones may begin to rub against each other, leading to pain, swelling, and decreased joint mobility. For more resources on Osteoarthritis consult the reference website, Versus Arthritis . ​ What are the key features of osteoarthritis ? Key features of osteoarthritis include: Cartilage Degeneration : In a healthy joint, cartilage provides a smooth surface that allows bones to move freely and without friction. In osteoarthritis, the cartilage breaks down and loses its ability to cushion the bones. Bone Changes : Over time, the bones in the joint may undergo changes, such as the formation of bone spurs (osteophytes) in response to the stress caused by the loss of cartilage. Joint Inflammation : While osteoarthritis is not primarily an inflammatory condition like rheumatoid arthritis, inflammation may occur as a secondary response to cartilage damage. Symptoms : Common symptoms of osteoarthritis include joint pain, stiffness, and reduced range of motion. These symptoms often worsen with activity and improve with rest. Weight-bearing joints such as the knees, hips, and spine are commonly affected, but osteoarthritis can occur in any joint. ​ Which factors can contribute to the development of osteoarthritis ? ​ Several factors contribute to the development of osteoarthritis, including: Aging : The risk of osteoarthritis increases with age. Joint Overuse or Injury : Previous joint injuries or repetitive stress on a joint can contribute to the development of osteoarthritis. Genetics : There is a genetic component to osteoarthritis, and it may run in families. Obesity : Excess body weight can increase the risk of osteoarthritis, particularly in weight-bearing joints. What is the best treatment for osteoarthritis? Management of osteoarthritis involves a combination of lifestyle modifications, pain management, and, in some cases, surgical interventions. Treatment options include: Exercise: Low-impact exercises to improve joint flexibility and strengthen the muscles around the affected joint. Weight Management: Maintaining a healthy weight can reduce stress on weight-bearing joints. Medications: Pain relievers, anti-inflammatory medications, and in some cases, joint injections. Physical Therapy: Targeted exercises to improve joint function and reduce pain. Surgery: In severe cases, joint replacement surgery may be considered. It's important for individuals with symptoms of osteoarthritis to consult with a healthcare professional for an accurate diagnosis and appropriate management plan. ​ How can an ultrasound guided injection help? ​ Injections can be a part of the treatment plan for osteoarthritis (OA) and may be recommended to help manage pain and inflammation associated with the condition. Several types of injections are commonly used in the management of osteoarthritis, and they can provide varying degrees of relief. Here are some common types of injections we offer at Insight MSK : ​ Corticosteroid Injections : These injections deliver corticosteroid medications directly into the affected joint. Corticosteroids are powerful anti-inflammatory drugs that can help reduce inflammation and alleviate pain. The effects of corticosteroid injections are often temporary, providing relief for a few weeks to several months. These injections are commonly used for joints such as the knee, hip, or shoulder. Hyaluronic Acid Injections : Also known as viscosupplementation, hyaluronic acid injections involve injecting a gel-like substance into the joint to improve lubrication and cushioning. Hyaluronic acid is a component of the synovial fluid, which naturally lubricates the joints. This type of injection is often used in the knee and may provide relief for several months. ​ It's important to note that the choice of injection depends on factors such as the specific joint involved, the severity of symptoms, and the patient's overall health. Injections are often considered when other conservative measures, such as physical therapy and medications, have not provided sufficient relief. ​ While injections can be beneficial for managing osteoarthritis symptoms, they are not a cure for the underlying condition. Additionally, the decision to pursue injections should be made in consultation with a healthcare professional who can assess the individual's condition and recommend the most appropriate treatment plan. ​ Book an appointment with our expert Maxence Legout who is a specialist in the field and been seen now. Book a free consultation Request a call back

À propos de nous What is a Frozen shoulder ? Frozen shoulder, also known as adhesive 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. Key features of frozen shoulder include: Pain : Individuals with frozen shoulder often experience pain in the shoulder, which may be more pronounced at night. The pain is usually located deep in the shoulder joint. Stiffness : Stiffness is a hallmark of frozen shoulder. The shoulder gradually becomes more difficult to move, leading to a progressive loss of range of motion. Restricted 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 may become challenging. Stages : 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. What causes a Frozen shoulder ? The exact cause of frozen shoulder is not always clear, but certain factors may contribute, including inflammation, thickening, and tightening of the joint capsule surrounding the shoulder joint. Certain conditions, such as diabetes, cardiovascular disease, and prolonged immobility, may increase the risk of developing frozen shoulder. What is the best treatment for the Frozen shoulder ? Treatment for frozen shoulder may include: Pain Management : Pain relief measures, such as over-the-counter pain medications or prescription medications, may be recommended. Physical Therapy : Gentle stretching and range-of-motion exercises prescribed by a physical therapist can help improve shoulder mobility. Heat and Ice : Applying heat or ice to the shoulder may provide relief from pain and inflammation. Joint Distension : In some cases, a healthcare professional may use a procedure called joint distension, which involves injecting sterile water into the joint capsule to stretch it. Corticosteroid Injections : Injections of corticosteroids into the joint may be used to reduce inflammation. Home Exercises : Performing prescribed exercises at home as part of a regular routine. While the symptoms of frozen shoulder can be debilitating, the condition is usually self-limiting, and most individuals will regain shoulder function over time with appropriate treatment. In severe cases or when conservative measures are not effective, surgical intervention may be considered. If you suspect you have a frozen shoulder, consult with our specialist Maxence Legout for an accurate diagnosis and appropriate management. Book a free consultation Request a call back

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. 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. Is an ultrasound painful? The ultrasound is usually pain-free but some positions might be temporarily uncomfortable. What is an ultrasound examination? This is a non-invasive and harmless examination thanks to the absence of ionising radiations. What kind of ultrasound guided procedures do you offer? We offer different types of ultrasound guided procedures. Click on the link to find out which ones. 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. 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. 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. Are cortisone injections only treating the symptoms and not the root of the problem? Answer to come What are the risks associated with cortisone injections? Corticosteroid injections are generally safe, but like any medical procedure, there are potential risks. Some of the risks include allergic reactions, infection, bleeding, nerve damage, and soft tissue damage. Additionally, repeated corticosteroid injections can weaken tendons and accelerate cartilage degeneration. Contrary to common belief, injectable corticosteroid medications do not cause addiction or weight gain. How often do I need to have injections done? The frequency of injections varies depending on the condition being treated and the type of injection being administered. At Insight Msk, our medical professionals will work with you to develop a personalized treatment plan that includes the recommended injection schedule. It is important to follow this schedule to ensure the best possible outcome for your treatment. If you have any concerns or questions about your injection schedule, please do not hesitate to contact our clinic. Book a free consultation Request a call back

À propos de nous Consultation & Diagnostic Ultrasound Includes a full MSK assessment, ultrasound scan, written report with care plan & exercise prescription if appropriate £150 Ultrasound Guided Cortisone Injection Includes the consultation & diagnostic ultrasound (£150), Ultrasound guided injection of corticosteroid and local anaesthetic, written report with care plan & exercise prescription if appropriate £240 Viscosupplementation (Hyaluronic Acid - Gel) Injection Includes consultation & diagnostic ultrasound (£150), ultrasound guided injection of hyaluronic acid, written report with care plan & exercise prescription £300 Ultrasound guided Barbotage & Shoulder Hydrodistension Includes consultation & diagnostic ultrasound (£150) calcific barbotage or shoulder hydrodistension procedure ​ £300 Consultation & Diagnostic ultrasound : Follow-up (FU) Ultrasound scan: Ultrasound Guided Corticosteroid Injection : FU Corticosteroid Injection within 6 months : US guided Aspiration (cyst/hematoma) US guided Tendon Fenestration (Dry Needling) Visco-supplementation (hyaluronic acid) : Barbotage: Hydrodistension: £150 £90 £240 £160 £160 £300 £300 £300 £300 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. Book a free consultation Request a call back Corticosteroid Injections Viscosupplementation / Hyaluronic Acid Injections 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 body. 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 anaesthetic drugs to reduce the discomfort of the injection and limit pain afterward. These are very safe and effective treatment which can be used for a high range of conditions. ​ Viscosupplementation / Hyaluronic Acid Injections Hyaluronic acid is one component of the fluid found into your joints (synovial fluid). They produce immediate lubrication and improve shock absorption into your joints. This treatment has been proven safe and effective for chronic moderate osteoarthritis. We typically recommend these injections for knees and hips. We use Ostenil® Plus. ​ Tendon Fenestration (Dry Needling) 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. We typically recommend this treatment for non improving tennis or golfer's elbow. ​ Shoulder hydrodistension/hydrodilatation This technique is used to treat capsulitis (frozen shoulder) when other treatments have failed. After numbing the shoulder with an anaesthetic agent, sterile saline is injected with a corticosteroid to attempt to stretch the joint and help to recover some mobility. ​ Tendon Barbotage We use this method to treat resistant calcific tendinopathy on the rotator cuff. After an ultrasound to identify the calcification, we inject an anaesthetic agents to numb the region. We then break the calcification with a needle under ultrasound guidance and we aspirate the calcium deposit when possible. Research suggests up to 70% success rate with this procedure. Barbotage and hydrodistension Book a free consultation Request a call back

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. 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. Is an ultrasound painful? The ultrasound is usually pain-free but some positions might be temporarily uncomfortable. What is an ultrasound examination? This is a non-invasive and harmless examination thanks to the absence of ionising radiations. What kind of ultrasound guided procedures do you offer? We offer different types of ultrasound guided procedures. Click on the link to find out which ones. 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. 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. 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. Are cortisone injections only treating the symptoms and not the root of the problem? Answer to come What are the risks associated with cortisone injections? Cortisone injections are generally safe, but like any medical procedure, there are potential risks. Some of the common risks include infection, bleeding, nerve damage, and soft tissue damage. Additionally, cortisone injections can weaken tendons and ligaments, increasing the risk of injury. It is important to discuss the risks and benefits of cortisone injections with your healthcare provider before undergoing the procedure. How often do I need to have injections done? The frequency of injections varies depending on the condition being treated and the type of injection being administered. At Insight Msk, our medical professionals will work with you to develop a personalized treatment plan that includes the recommended injection schedule. It is important to follow this schedule to ensure the best possible outcome for your treatment. If you have any concerns or questions about your injection schedule, please do not hesitate to contact our clinic.

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