Targeted injections for joint, tendon and bursa pain, placed under real-time ultrasound guidance so the medicine reaches the intended structure. Carried out at our Marylebone clinic. From £250.
Injections are arranged rather than booked online, so we can confirm suitability, who will carry out the procedure and the cost with you first.
Which is appropriate depends on your diagnosis. A diagnostic scan comes first, so the decision is based on what the ultrasound actually shows.
A corticosteroid placed into an inflamed joint, tendon sheath or bursa to reduce inflammation and pain. Most useful when it creates a window to progress with rehabilitation. Relief typically lasts weeks to months.
Hyaluronic acid occurs naturally in joint fluid as a lubricant and shock absorber. In osteoarthritis its quality and concentration fall. Injecting it can reduce pain and improve function, usually given as a short course.
An unguided injection is placed using anatomical landmarks felt through the skin. With ultrasound, the clinician watches the needle on screen as it advances, so the medicine is delivered into the intended space rather than near it.
The evidence supports guidance improving the accuracy of needle placement compared with landmark technique. How much relief you get, and for how long, still varies between people — and is discussed with you beforehand rather than promised.
Osteoarthritis of the knee, hip, shoulder and the small joints of the hands and feet, and inflammatory arthritis such as rheumatoid arthritis.
Rotator cuff and Achilles tendinopathy, tennis and golfer's elbow, subacromial and trochanteric bursitis.
Carpal tunnel syndrome and other nerve entrapment, ganglion cysts, and ligament sprains and strains.
Start with a diagnostic MSK ultrasound to confirm what is causing the pain before deciding on treatment.
Ultrasound-guided injections are carried out by Robert Mast, Consultant Radiologist, or by an MSK radiologist when available.
Sonoworld provides the diagnostic ultrasound and the assessment. The injection itself is delivered by a partner service, at our Weymouth Street premises. Contact us and we will explain the process, who will carry out the procedure and the cost — from £250 — before anything is arranged.
Shoulder pain that worsens on lifting the arm is one of the more common reasons people are referred to us for a guided injection. Diagnostic ultrasound will often show inflammation in the subacromial bursa alongside changes in the rotator cuff tendons — findings that are difficult to separate on clinical examination alone.
Where an injection is appropriate, ultrasound guidance lets the clinician see the inflamed bursa directly and place the medicine into it, rather than relying on surface landmarks. Response varies: some people notice a change within days, others gain less benefit, and an injection is usually most useful alongside physiotherapy rather than on its own. Your clinician will discuss what is realistic for your situation before anything is agreed.
General practice patterns from our clinic, not an individual patient case.
Both routes are legitimate. The practical differences are usually about timing and continuity rather than the procedure itself.
Ultrasound-guided injections start from £250. The exact cost depends on the site and what is involved, and is confirmed with you before anything is arranged — there is no obligation.
We will confirm whether an injection is suitable, who will carry it out and the cost, before anything is arranged.
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