Steroid (Corticosteroid) & Hyaluronic Acid (Ostenil Plus) injections



Corticosteroid injections

Corticosteroid injections can provide an effective anti-inflammatory pain relieving treatment direct to the painful joint or tissue and may be used as a adjunct to physiotherapy or in some conditions as a standalone treatment. At times this can completely relieve symptoms or provide a ‘window’ of pain relief allowing physiotherapy to be more effective. Normally, only one injection is required to gain sufficient pain relief and restore normal range of movement.
PLEASE NOTE: Injections are performed by Neil Liffen only.

At East Coast Physio a corticosteroid injection is performed under ultrasound guidance, to visually guide the needle tip to the precise location to ensure the accuracy of the medication to the affected and/or desired joint or soft tissue.

Common complaints that can be effectively treated with corticosteroid injection therapy are listed below.

SHOULDER
> Osteoarthritis shoulder
> Impingement /bursitis
> Adhesive capsulitis / frozen shoulder
> Acromioclavicular joint sprain/ Osteoarthritis

ELBOW
> Osteoarthritis
> Tennis elbow (lateral epicondylitis)
> Golfer’s elbow (medial epicondylitis)
> Bursitis

HAND & WRIST
> Osteoarthritis of the joints of the wrist/hand/thumb
> Trigger finger/thumb
> Carpal Tunnel Syndrome
> De Quervain’s

HIP
> Trochanteric bursitis/gluteal tendinopathy – lateral hip pain
> Hip joint

KNEE
> Osteoarthritis knee
> Bursitis

ANKLE & FOOT
> Ankle and subtalar joints
> Osteoarthritis of the joints of the talonavicular joint, mid and fore-foot joints
> Plantar faciitis/fasciopathy
> Bursitis
> Mortons neuroma

PLEASE NOTE: Injections not performed include Patella tendon, Achilles tendons, spinal injections or sacroiliac joints.

Patient information leaflet published by the Arthritis Research Campaign please click here (ARC Local Steroid Injections).


Hyaluronic acid injections

Hyaluronic acid injections are normally used for the treatment of osteoarthritis by reducing pain and improving the function of our joints and theoretically can applied to any joint, especially the knee joint. Research has shown hyaluronic acid injections reduce cartilage erosion and periarticular fibrosis and improve normal movement patterns, e.g. walking/running gait. Hyaluronic acid injections are licensed for use in any joint in the body (except the spine). Patients who are active particularly favor these injections as they work to nourish and lubricate joints mimicking the body’s natural synovial fluid, which generally becomes depleted and less viscous with age. From one course you can expect potential relief for 9-12 months. Ostenil (hyaluronic acid) is widely used in Sports Medicine, and is used by most UK premiership Football clubs, Rugby clubs, Cricket clubs and the British Olympic Association.

The injections can be used on a regular basis if required as they have no known side effects, and they are not known to be detrimental to the body’s tissues in any way. Because of its level of safety, hyaluronic acid is classed as a ‘medical device’ rather than a drug. For optimal affect, chronically swollen joints can be injected first with steroid to reduce inflammation and then injected with hyaluronic acid around 4 weeks later, reducing the need for repeated steroid injections. Complete Physio clinical specialist physiotherapists have worked with hyaluronic acid injections for many years and are thus able to give expert advice as to the usefulness for any particular patient presentation.

At ECP hyaluronic acid injection is performed under ultrasound guidance, to visually guide the needle tip to the precise location to ensure the accuracy and maximum effectiveness of the medication to the affected and/or desired joint or soft tissue.

PLEASE NOTE: Ostenil injections are not performed at all locations, therefore please contact ECP to discuss your requirements.

Ostenil Plus (Hyaluronic Acid) Patient Information Leaflets can be found here:
> Ostenil Range brochure.pdf
> Ostenil Plus Leaflet.pdf

More information on hyluronic acid injections can be found here:
TRB Chemedica Ostenil Plus
> ISAKOS
Shoulderdoc

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