We offers joint injection services delivered by highly trained and specialised physiotherapists who are dual trained both as physiotherapists and in the clinical use of Steroid (Cortisone) or kenalog 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. Common conditions we treat with injections if conservative management fails to improve symptoms.
- Frozen Shoulder
- Knee Inflamation
- Trigger Finger
- Tennis Elbow
- Arthritic joints
BENEFITS OF STEROID INJECTION
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.
HOW DO I BOOK?
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.
Your Care Pathway with us
- To book an appointment you can call our normal reception line, 0142084487, email direct to email@example.com or click the button given below.
- Complete MSK Examination and testing.
- Detailed MSK ultrasound scan.
- Discussion of your treatment plan; Treatment Plans can include i.e advanced treatmeants for ex. Cortisone Injection, Ostenil plus (Hyaluronic injection), Prolotherapy or Conservative management like physiotherapy, massage, acupuncture, shockwave therapy and laser therapy.
WHICH BODY PARTS ARE YOU ABLE TO INJECT?
Steroid injection like Kenalog 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.
Cortisone (Kenalog) Injections FAQ’S:
Below you will find some of the most commonly asked questions concerning steroid injections.
What are steroids?
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
What drugs are used?
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.
What should I do if I get pain?
Sometimes 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.
Do I still need to do my exercises?
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.
How many steroid injections am I allowed to have?
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.
How quickly does the injection take to work?
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.
How long will the effects of a Cortisone injection last?
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.
What side effects can an injections cause?
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.
- Pain and discomfort for a few days in the injected area
- Temporary bruising or collection of blood under the skin
- A flushed complexion
- An infection, causing redness swelling and pain
- Paler skin at the injected area
- Loss of fat at the injected area
- A rise in blood sugar (more likely for diabetes sufferers)
- Risk of tendon rupture
Can I go straight back to work?
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.
Can I drive straight after Cortisone 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.
Can I drink alcohol while on steroid injections?
Yes, there is no specific reason to avoid alcohol after receiving a steroid injection.
Do steroid injections affect pregnancy?
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.
Do steroid injections affect breastfeeding?
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.
Can I have other medications while on steroid injections?
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.
What should I do if I have diabetes?
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.