Injection Therapy
Injection therapy can provide fast, effective relief from pain and inflammation, helping you move more comfortably and recover more efficiently. The service is provided at various clinics across Yorkshire and Greater Manchester.
Targeted corticosteroid or hyaluronic acid injections are offered for a range of musculoskeletal conditions, including:
Osteoarthritis of most joints excluding the spine and hip joint (Lateral hip injections are offered however per below).
Greater Trochanteric Pain Syndrome (Trochanteric Bursitis / Gluteal Tendinopathy)
Rotator cuff–related / subacromial Shoulder pain
Plantar fasciitis
De Quervain’s tenosynovitis
Adhesive capsulitis (frozen shoulder)
Hyaluronic Acid (Durolane)
Hyaluronic acid is a naturally occurring substance in the joints that helps lubricate and cushion them, allowing smooth, pain-free movement. Durolane is a high-quality, single-injection hyaluronic acid treatment designed to restore this natural joint lubrication, particularly in osteoarthritic joints.
By supplementing the joint’s own fluid, Durolane can help:
Reduce pain and stiffness
Improve mobility
Support joint function
Clinical evidence shows that hyaluronic acid injections like Durolane can provide significant relief for people with mild to moderate osteoarthritis, often lasting for several months. It is a well-studied, safe option for patients seeking non-surgical management of joint discomfort
Corticosteroids (Depomedrone)
Corticosteroid injections are powerful anti-inflammatory treatments used to relieve symptoms of various musculoskeletal conditions. Depomedrone is a commonly used corticosteroid that works by reducing inflammation at the source, helping you regain movement and comfort more quickly.
Evidence shows that corticosteroid injections can provide rapid, short-to-medium term relief, making them a valuable option for managing flare-ups and supporting rehabilitation.
Local Anaesthetic
For some injections, a small amount of local anaesthetic (such as lidocaine) may be mixed with the corticosteroid. This serves two main purposes:
Immediate relief: The anaesthetic works quickly to numb the area, so you feel less discomfort during and immediately after the injection.
Comfort and confirmation: A temporary reduction in pain can also help confirm that the injection has reached the correct area.
The effects of lidocaine are short-lived (typically a few hours), while the corticosteroid works over the following days to reduce inflammation more sustainably.
FAQs
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Most patients feel only a brief sting when the needle is inserted however a small number of people experience more significant pain. Local anaesthetic (lidocaine) is often used to minimize discomfort.
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Corticosteroids can take a few days to a week to reach full effect, while hyaluronic acid may improve mobility and reduce pain over several weeks.
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Most patients can resume regular activities, though you may be advised to avoid strenuous activity for 24–48 hours to allow the injection to settle
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While injections are generally safe, it’s important to be aware of potential side effects (more notably with corticosteroids). Most are mild and temporary.
Common / Mild Side Effects:
Temporary pain or discomfort at the injection site
Swelling or redness around the joint
Minor bruising
Short-term increase in joint pain (“flare”) for a day or two
Less Common / Rare Side Effects:
Infection at the injection site (very rare)
Allergic reaction to the medication
Skin thinning or lightening at the injection site (with repeated corticosteroid injections)
Tendon weakening or rupture (rare, mostly with repeated injections in the same tendon)
Temporary flare of blood sugar levels in patients with diabetes
Acceleration of degenerative changes; there is some evidence to suggest corticosteroids can accelerate cartilage degeneration in the long term however there is no proven correlation between increased pain and dysfunction in the long term.
Important Notes:
Corticosteroid injections may have systemic effects if used frequently.
Hyaluronic acid injections are generally very safe, with side effects mainly limited to temporary pain, swelling, or stiffness.
Your practitioner will review your medical history, current medications, and any allergies to minimize risk. Most patients experience relief without serious complications.
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While many patients experience significant pain relief and improved mobility, results can vary. Some people may have minimal or no benefit from the injection. Your practitioner will discuss your condition, likely outcomes, and alternative options to ensure the treatment plan is tailored to you.
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Currently, these injections are self-funded and cannot be claimed through private health insurance. A receipt can be provided if needed, but reimbursement is not available at this time.
Pricing
Corticosteroid Injection
£190
Hyaluronic Acid Injection
£280
Consultation only fee
£120
If an injection is not performed during your appointment, a standard consultation fee of £120 will apply. It may not be appropriate to perform an injection for several reasons. Examples include potential risks outweighing benefits, safety concerns and low likelihood of helping the presenting condition.
Even if no injection is given, a full assessment and diagnosis will be made, and your practitioner will discuss alternative treatment options, which may include:
Advice on rehabilitation exercises or physiotherapy.
Prescription of oral or topical medication if appropriate.
Lifestyle or activity modifications to manage your condition.
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