Call Us: 0161 818 6545 or 0161 972 0066
Email Us: info@s2physio.co.uk
Our Clinical lead runs injection service who has extensive experience in assessment and treatment of Orthopaedic and MSK related problems including injection therapy. He is currently working in NHS as Orthopaedic Physiotherapy Practitioner in Clinical Assessment and Treatment Service. He is also Independent Prescriber and prescribes medications in NHS. He can write to your GP requesting prescription for your condition.
Some steroids are normally produced in our body by Adrenal gland. These act to reduce inflammation and pain. The steroid injections act like natural steroids to reduce inflammation. These steroids are not the same as the steroids used by body builders to increase muscle size and strength.
Steroids are injected to target a precise area of pain and inflammation. These are often used in musculoskeletal and degenerative conditions such as Osteoarthritis and other soft tissue conditions. Commonly used steroids are Triamcinolone and hydrocortisone with brand names such as Kenalog and Depo-Medrone. In addition, a local anaesthetic known as Lidocaine is used.
Please consider the information below prior to injection
Patients with hypersensitivity to drugs especially LA (only steroid is injected in such cases), history of anaphylaxis, infection, osteomyelitis, fracture, recent trauma and patients on anti coagulants (INR needed)
Patients on antiviral, antibiotic and recent vaccination (within 4 weeks), poorly controlled diabetes (HbA1c testing needed), immunosuppressed, recent history of malignancy and or on active treatment, pregnancy and breast feeding patients would need assessment of their medical history before injection.
We accept all major insurances
The Corticosteroid injection aims to relieve pain and reduce inflammation and enable to improve function. These injections often used in conjunction with local anaesthetic called Lidocaine.
After thorough assessment, the skin over the area to be injected is cleaned with antiseptic wipes. A specific needle is gently inserted to the joint or soft tissue and solution is injected. This is performed by qualified healthcare professional.
You may notice increase in your pain immediately following injection, but this should resolve in 24-48 hours. This pain can be controlled easily pain medication such as Paracetamol.
The clinician will discuss side effects with you before the injection. Although they are rare but some side effects include,
Facial flushing for few hours
Small area of skin discolouration or fat loss
Flare up of symptoms initially for couple of hours
Changes in blood sugar level in patients with Diabetes
If the patient develops any chills or fever, hot and swollen joints, should contact the physiotherapist or doctor immediately.
You will also be asked to wait for atleast 20 min after the injection to ensure no allergic reactions.
Ostenil Plus is a solution containing hyaluronic acid specifically developed for the treatment of Osteoarthritis. It is injected to joints to decrease pain and improve function.
The physiotherapist may suggest you rest the area for 3 to 4 days. However, you can do normal activities and resume exercises after relative rest. In some cases, the patient is encouraged to start exercises when the joint is less painful.
If the injection involves local anaesthetic, the pain should lessen within few hours.
The effect depends on various factors and clinical condition. Some last long and some may not work at all. This depends on factors such as activities immediately after the injections such as playing tennis after receiving tennis elbow injection. This immediate resolution of symptoms could be due to local anaesthetic and steroids do take some time to start acting on the inflamed soft tissue or joint.
Ostenil Plus is extensively testing and has found it to be safe. The hyaluronic acid in Ostenil Plus is pure and is manufactured using a process called fermentations. It contains no animal proteins, which mans it is very unlikely to cause an allergic reaction. The addition of Mannitol (simple sugar derivative) to Ostenil Plus allows the hyaluronic acid to work for longer and more efficiently in the joint.
As with all injection, there is very small risk of infection and occasional post injection at the site for one or two days.
42 Riddings Road,
Timperley, Altrincham,
WA15 6BP
Monday 9am - 8pm
Tuesday 9am - 8pm
Wednesday 9am - 8pm
Thursday 9am - 8pm
Friday 9am - 8pm
Saturday 9am - 3pm
Sunday Closed