Ultrasound Guided High Volume Injections for Achilles Tendonitis in South London
What is Insight MSK?
We are a leading musculoskeletal clinic offering diagnostic ultrasound and ultrasound guided procedures such as High Volume Injections for Achilles 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 this procedure 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 High Volume Injection ?
A High-Volume Injection is a treatment used for chronic tendon pain, particularly around the Achilles tendon, knee (patellar tendon), and sometimes the plantar fascia. It involves injecting a larger-than-usual volume of sterile fluid, usually a mix of saline (salt water), local anaesthetic, and sometimes a small amount of cortisone around the affected tendon.
This technique helps separate the tendon from surrounding irritated tissues, reducing pain by calming down nerves and blood vessels that may be contributing to the problem.
What our patients say
Do I need a High Volume Injection ?
You might benefit from a High-Volume Injection if:
-
You’ve had ongoing tendon pain for several months (like Achilles or patellar tendinopathy).
-
You’ve tried other treatments such as rest, physiotherapy, or shockwave therapy with limited success.
-
Your ultrasound scan shows signs of neovascularisation (new blood vessels and nerves growing into the painful area), which is often associated with chronic tendon pain.
Our team will carefully assess your condition and history to determine if this is the right treatment for you.
MEDICAL REVIEW - The medical information on this page has been reviewed for accuracy by Maxence Legout, MSc, Physiotherapist.
How are High Volume Injections performed ?
The procedure is quick, image-guided, and precise:
-
You'll be lying comfortably on the front or on the side while the clinician uses ultrasound guidance to identify the exact area around the painful tendon.
-
A fine needle is used to numb the region and then to inject the high-volume fluid safely and accurately.
-
The injection usually takes only a few minutes, and you’ll be able to walk out of the clinic shortly afterward.
-
A tailored rehab plan (usually involving specific exercises) is often recommended after the procedure for the best results.
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.
Why should I book my US guided High Volume 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.
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 ​