Alton Pain Clinic offers injection therapy service delivered by highly trained and specialised physiotherapists who are dual trained both as physiotherapists and in the clinical use of Steroid and Ostenil (Hyaluronic acid) Injections.
This is a highly specialised and innovative service designed to improve accessibility to pain relieving injections; facilitating the patient pathways, minimizing waiting times and maintaining first class level of care.
There is a significant amount of research which demonstrates that steroid injections give better levels of pain relief, give longer lasting effects than medication, and improve the function by reducing the inflammation. Corticosteroid injections, in general, are well tolerated by the body and do not cause the typical side-effects seen by taking oral steroids, or anabolic steroids.
To book for a steroid injection you can call our normal reception line, 0142084487 or email direct to firstname.lastname@example.org requesting an appointment for an injection. Please include your name, date of birth, your address and GP contact details. You will be sent a form to complete and forward back to us or bring along on the day which gives information about the injection. It also asks questions about past medical history and any reasons why we may need to seek advice from your GP before proceeding with the injections, i.e., IDDM or patients taking Warfarin, and allow us to raise the prescription for your injection. You will be seen, assessed and evaluated before receiving an injection. We may have to request X-rays of the joint before injection.
Steroid injection can be very effective for frozen shoulder, carpal tunnel syndrome, trigger finger, localised soft tissue inflammation or tenosynovitis, such as tennis elbow or tendon inflammation at the shoulder and subacromial or trochanteric bursitis. For osteoarthritis of the knee or any other joint in the body, Steroid or Ostenil (hyaluronic acid) injections prove to be very beneficial to help relieve pain and inflammation and improving function.
Steroid injection plus cost of steroid: total fee £150 per injection.
Ostenil injection plus cost of hyaluronic acid (Ostenil): total fee: £220 per injection. Discounted price of £375 for two ostenil injections.
If on the day the decision is made not to proceed with the injection, you will only be charged the normal initial assessment fee for the clinic in which you are seen.
Below you will find some of the most commonly asked questions concerning steroid injections.
Corticosteroids are manufactured versions of hormones naturally produced by the adrenal glands. When corticosteroids are injected into a joint or muscle they can help relieve inflammation in a nearby part of the body, which can then reduce any pain and stiffness
The most commonly used steroid drugs are known as hydrocortisone, methylprednisolone and triamcinolone. They have brand names too such as Depo-medrone and Kenalog. In addition, a local anaesthetic known as Lidocaine is used.
When steroids are given for the purpose of pain relief, they are often used in conjunction with a local anaesthetic called Lidocaine. This will provide immediate pain relief that lasts a few hours and also has diagnostic value.
You can receive injections to the joints (an intra-articular injection), the muscles (an intramuscular injection), the spine (an epidural injection) or the blood (an intravascular injection). Only a trained and qualified healthcare professional can perform these injections.
You may notice your joint pain increasing immediately following an injection, but this should abate within 48 hours. Often the pain can be easily controlled by using some ice wrapped in a towel around the affected area to reduce the pain. Often the pain will not be too bad as a local anaesthetic will be used.
Yes, you should still complete the exercises set by your physiotherapist after a recommended rest period of 1-2 weeks. Your physiotherapist may also encourage you to complete more intensive mobilisation and rehabilitation in the days after the injection treatment while the joint is less painful.
You usually need to wait at least 6 weeks between injections. Doctors normally recommend no more than two injections to hip, knee and ankle joints in the space of 12 months and no more than three injection per year in other parts of body.
Shorter acting soluble steroids usually begin to give relief within a few hours. Longer acting steroids may take around two weeks to become effective, but these types usually ease symptoms for a longer period.
It really depends on a number of factors. Some longer lasting, less soluble steroids can be effective for two months or longer. Sometimes improvement can be none at all. Factors include what else the patient may be doing to themselves, for example, if you have tennis elbow caused by playing tennis, and you have a steroid injection and then continue playing tennis or aggravating the problem you may get limited benefit. However, if you also make changes to your lifestyle, sports, do rehab exercises, and see a physiotherapist it is likely the effects of the steroid injection will last much longer.
This will depend on where the steroid is injected and what type of steroid you receive. Milder forms such as hydrocortisone tend to have weaker side effects than the stronger mixtures of methylprednisolone and triamcinolone.
It is advised to wait 30 minutes immediately after the injection at clinic reception before driving a vehicle. If you feel okay and aren’t in too much pain it is fine to return to work immediately. However, if your job involves heavy lifting, you should aim to reduce your workload for several days following injection.
Yes, as long as you aren’t in too much pain and feel you can safely control the vehicle. However, it is advised to bring someone with you on the day to drive you back home following your injection.
Yes, there is no specific reason to avoid alcohol after receiving a steroid injection.
Single steroid injections are not likely to affect fertility or pregnancy. However, if you are pregnant it is strongly advised that you seek a doctor’s advice before receiving a steroid injection. If in any doubt, do not have a steroid injection.
If an injection is given during breastfeeding, small amounts can pass into your breast milk. While this is unlikely to be harmful to your baby, you should still consult with a doctor before receiving a steroid injection. If in any doubt, do not have a steroid injection.
Yes. However, if you are taking a type of medication call an anticoagulant (a drug that things the blood), you are highly unlikely to be offered a steroid injection. This is because of the risk of bleeding into the joint. If you are taking an anticoagulant it is important that you inform your doctor before proceeding with a steroid injection.
You should carefully monitor your blood sugar levels for 48 hours following a steroid injection. This is because sugar levels often rise and you may need more insulin than usual.