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Ultrasound-guided steroid injections are delivered by an experienced extended scope physiotherapist who is also a qualified musculoskeletal sonographer and who has extensive expertise in delivering ultrasound guided injections
Your body makes hyaluronic acid. It's a natural part of the fluid that lubricates and has been shown to improve shock absorption in your joints and it keeps them working smoothly.
When you have osteoarthritis (OA), the hyaluronic acid in the affected joint becomes thinner. Hyaluronic acid injections add to your body's natural supply. They can reduce joint pain and improve nutrition to the joint surfaces. When effective the benefit can last for many months sometimes more than 6 months and the benefit in some cases can last for up to a year.
Health professionals can’t predict who will benefit from hyaluronic acid injections. But many doctors and qualified allied health professionals give hyaluronic acid injections to people with osteoarthritic joints who are active and want to continue to maintain an active lifestyle and whose symptoms have not responded to non-drug treatments such as exercise heat or ice, and who have not been getting better with painkillers such as Paracetamol, Ibuprofen, Naproxen or other non-steroidal anti-inflammatories.
Hyaluronic acid injections are often tried by people who can't take painkillers. It is also useful in for those who don’t want or can't have invasive surgery.
Studies show that hyaluronic acid injections may work better than painkillers for some people with OA. Other studies have shown they also may work as well as corticosteroid knee injections.
Hyaluronic acid injections seem to work better for some people than others. From my extensive experience in using hyaluronic acid injections for osteoarthritis joint conditions patients who have pain induced by loadbearing or activity tend to respond more favourably than those who have very high levels of pain even during rest (i.e non-mechanical pain). In the second group steroid injections (if appropriate) are more likely to lead to pain reduction.
You will be placed in a comfortable position. The skin is cleaned with antiseptic. A needle is positioned into the affected area whilst the procedure is monitored by means of ultrasound guidance. The hyaluronic acid is injected through the needle. A plaster will be placed over the site to keep it clean.
The injection is not particularly painful although due to the higher volume injected and the gel like consistency it can be slightly more uncomfortable than a steroid injection. The clinician is thoroughly trained in this procedure. Sometimes there could be several days of pain following the procedure.
Before your appointment you will receive an information leaflet on hyaluronic acid injections. Please read this carefully. Also please fill out and return the questionnaire we will provide on your general health so that we can be sure this treatment is right for you.
Painful joint and shoulder problems are very common, and one of the main reasons of impaired function and affect 1 in 3 adult patients.
Cortisone injections are common in treatment of joint and shoulder related problems. These cortisone injections can be performed in two formats: in blind form which is via anatomical landmarks to guide placement a needle or with ultrasound image guidance. Ultrasound (US) scanning is a safe, effective imaging tool to guide musculoskeletal injections into the intended anatomical area.
Musculoskeletal Ultrasound scans have become so common as technology has improved and now offers a better resolution to guide injections into joints and soft tissue. Using ultrasound has the unique advantage of being able to visualize soft tissues, bony landmarks, and the needle with real-time scanning, thereby allowing dynamic visualization.
Studies have shown that adults with joint and shoulder pain who underwent image-guided ultrasound injections had statistically significantly greater improvement in shoulder pain and function at 6 weeks after injection.
A corticosteroid (or ‘cortisone’) is an anti-inflammatory medicine, which can be injected directly into the tissues that are causing your pain symptoms. It is generally safer than being on long term steroid tablets which is more likely to lead to unwanted side effects. It is also safer than taking high dosages of non-steroidal anti-inflammatory tablets for longer periods of time. It acts directly in the area injected and is not the same as the steroids taken by bodybuilders or athletes.
The cortisone injection can help to relieve swelling, pain, and stiffness caused by inflammation. This may, in turn, help you to start your rehabilitation and return to normal activities sooner by ‘breaking the cycle’ of pain and inflammation. It can also be helpful to aid in the diagnosis of your condition if it is not clear which structures are responsible for your pain. You may also have a local anaesthetic injected at the same time, which allows for temporary pain relief.
Generall,y speaking ultrasound guided steroid injections are low risk. However there are a number of potential side-effects and risks that you should be aware of prior to the injection. Please refer to our patient information leaflet which explains the potential risks and side-effects associated with steroid injections.
You will be placed in a comfortable position. The skin is cleaned with antiseptic. A needle is positioned into the affected area whilst the procedure is monitored by means of ultrasound guidance. The steroid (plus possibly a local anaesthetic) is injected through the needle. A plaster will be placed over the site to keep it clean.
The injection is not particularly painful as the clinician is thoroughly trained in this procedure. Sometimes it can be sore for a few hours after the procedure.
We are able to offer you:
You are in the right place if you are looking for a private ultrasound scan in London. At Sonoworld Diagnostics, London we offer an extensive range of private ultrasound scans in a convenient central London location next to Harley Street.
We offer same day and out of hours private ultrasound scan appointments in days and times to suit your busy schedule.
Our consultant sonographers are very experienced in the field of medical ultrasound so you can rest assured that your health is in good hands. We use the latest ultrasound scan diagnostic equipment to increase diagnostic accuracy. Sonoworld Diagnostics has been providing ultrasound scan services to NHS and private sector since 2012 and therefore is well established in the field of medical ultrasound.
At our ultrasound scan clinic in London, we are able to offer you ultrasound scans in a clean and comfortable environment without the wait associated with the ultrasound scans provided by the NHS.
Sonoworld Diagnostic Services is registered with the CQC and has been trusted by the NHS and private sector since 2012 to provide unparalleled diagnostic ultrasound scan services. Our clients include healthcare professional such as GP’s and consultant radiologists. This is because our clients know that at Sonoworld will get the best ultrasound service with no compromise in diagnostic accuracy or the level of service.
Your ultrasound scan will be performed by one of our knowledgeable consultant sonographers. All our sonographers are qualified to UK and USA ultrasound standards so you can be assured that there is no compromise on the diagnostic accuracy of your ultrasound scan.
The cost of our ultrasound guided cortisone injections is transparent. The price you’ll pay is the price you see with no hidden extras. Our prices are competitive and our service is 2nd to none. Maybe you can find similar scan cheaper elsewhere but in this time and age, as you know, you get what you paid for. We do not advertise scans costing from £29 just for you to click the link and find out that the real cost is significantly higher as our competitors do.
We offer evening and weekends appointments. You can choose the most suitable time and day by visiting our online booking diary. If for any reason you can not find a suitable ultrasound scan appointment please contact us via e-mail or phone.
Ultrasound guided cortisone steroid injections are delivered by an experienced extended scope physiotherapist who is also a qualified musculoskeletal sonographer and who has extensive expertise in delivering ultrasound guided injections