Cortisone (Steroid) injections

Please note: Ultrasound guided steroid injections are available but not for high risk patients during the covid pandemic. The reason being is that a cortisone injection can cause some short-term immune suppression, reportedly 1-3 weeks, and may leave you more susceptible to the affects of the covid virus. Please call Neil Liffen on 07917 01 67 60 to discuss further.

Cortisone injections may provide an effective anti-inflammatory pain-relieving treatment direct to the painful joint or soft tissue. These injections may be used as an 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 the normal range of movement.

PLEASE NOTE: Injections are performed by Neil Liffen only.

At ECP an 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 cortisone injection therapy are listed below.


  • Osteoarthritis shoulder
  • Impingement /bursitis
  • Adhesive capsulitis / frozen shoulder
  • Acromioclavicular joint sprain/ Osteoarthritis


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


  • Osteoarthritis of the joints of the wrist/hand/thumb
  • Trigger finger/thumb
  • Carpal Tunnel Syndrome
  • De Quervain’s


  • Trochanteric bursitis/gluteal tendinopathy – lateral hip pain
  • Hip joint


  • Osteoarthritis knee
  • Bursitis


  • 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. Theoretically, these injections may be 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 physically active particularly favour 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 Plus (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 effect, chronically swollen joints can be injected first with a 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

Consultation costs