Injection Clinic

Our Injection Clinic provides a consultant led service for injection therapy of a wide range of musculoskeletal conditions. Available injections include Corticosteroid, PRP and Ostenil.

Our consultants have extensive experience in providing assessment and treatment of musculoskeletal conditions in both the general public and elite level athletes.

What happens during the consultation?

One of our clinicians will go through an assessment with you to confirm the diagnosis of your issue and advise if an injection is appropriate, and if so which one.

A diagnostic ultrasound scan may be performed at this stage if required.

An injection will then be administered, and it will be explained to you what to expect over the coming weeks.

In most cases a course of physiotherapy will be recommended after your injection to make the most of the window of opportunity the injection will provides.

If during the consultation our clinician feels that an injection is not required for your condition then they will outline the most appropriate treatment approach for you.

Our Clinicians

Dr Sam Thistleton MBCHB, MRCP, DSEM, MFSEM, MCISMSPA

Dr Thistleton qualified from the University of Sheffield in 2012 and went on become a consultant in Sports and Exercise Medicine.

After gaining experience working in an acute hospital setting, he now specialises in Sports and Exercise Medicine.

He holds a role working for a Premier League football academy as well as the FA. He is on the National Sports Medicine Register and works as a Consultant Sports Medicine Doctor for Bupa.

His areas of expertise include musculoskeletal medicine and rehabilitation, as well as medical issues and symptoms relating to exercise participation such as concussion, cardiac screening, breathlessness and undue fatigue.

Treatable conditions

Hip

Trochanteric bursitis

‍Knee

Osteoarthritis
ITB syndrome
Meniscus damage
Patella femoral joint issues

Foot & Ankle

Ankle joint Osteoarthritis
Plantar fasciitis
Tenosynovitis
Morton’s neuroma

Shoulder

Shoulder impingement
Osteoarthritis
Frozen shoulder
Acromioclavicular joint
Rotator cuff injury

Elbow

Tennis elbow
Golfers elbow
Osteoarthritis

Wrist & Hand

Carpal tunnel syndrome
TFCC
Trigger finger
De Quervain’s tenosynovitis

Contraindications

There are certain factors that will prevent an injection being able to be administered, which include;

Pregnancy
Taking blood thinners
Previous allergic reaction to an injection
Uncontrolled diabetes
Having an active infection
Recently had any vaccinations

Our consultant will answer any of your questions related to the suitability of an injection during your consultation.

What should I expect after the injection?

In most cases you will start to feel a benefit from the injection within a couple of days.

In rare cases there can be some short-lasting side effects however our consultant will discuss what to look out for during your consultation.

It is likely that a follow up in person or telephone consultation will be recommended with the consultant for a physiotherapist to review how you are doing and to discuss further management steps.

Types of injection

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Corticosteroid

A corticosteroid injection helps to reduce pain and swelling in the body.

The steroid is injected into the painful joint or soft tissue and interacts with the tissue in that area to reduce the inflammatory response.

This will help to reduce pain and allow you to move much more easily.

PRP

PRP stands for Platelet Rich Plasma.

A PRP injection can help to kick start the body’s natural healing process and is useful in stubborn injuries that may not be recovering with more traditional rehabilitation methods.

The body first response after an acute soft tissue injury is to deliver platelet cells, a PRP injection can help to mimic this process.

The process involves taking a small amount of your own blood then placing it in a centrifuge which spins the blood at high speed, separating the platelets from other components in the blood. This platelet rich plasma in then injected into the affected joint or soft tissue.

Ostenil

An ostenil injection is most often used to treat osteoarthritic joints.

Most joints that suffer from osteoarthritis are synovial joints meaning they contain a substance called synovial fluid which acts as a lubricant and shock absorber.

An osteoarthritic joint is unable to produce synovial fluid as efficiently as a non osteoarthritic joint.

The main component of synovial fluid is hyaluronic acid. Ostenil contains a high concentration of hyaluronic acid meaning that when it is injected into a joint it has the effect of lubricating the joint and absorbing shock resulting in decreased pain and stiffness.