Private ultrasound diagnostic scans & guided corticosteroid injections for pain relief

Clinics throughout the UK in Coventry, Rugby, Leicester, Birmingham, Solihull, Leicester, Milton Keynes and Newcastle

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Welcome to Joint Care Clinics

Our highly experienced clinician’s aim is to support people suffering from musculoskeletal (Joints, muscles, tendons, and ligaments) problems, such as pain, swelling, stiffness & reduced function by providing fast access to our ‘One-stop service clinic’ to address your needs.

Our readily available Ultrasound (US) diagnostic scanner is used for a more accurate diagnosis and offers tailor-made treatment options for faster pain relief and improve function.

What is a ‘One stop Clinic’?

If needed & when suitable, the following steps can be carried out during the same initial consultation. Otherwise, traditionally you may need 2 or 3 hospital visits before being treated with an Ultrasound-guided injection.

1. Clinical Consultation

2. Ultrasound Diagnostic Scan

3. Pain relief Injection (Steroid / Platelet let Rich(PRP) plasma injection  / Hyaluronic Acid (HA)


The available treatment options

    Richard Kilty

    "My name is Richard Kilty, I am the current captain of the British athletics team. World 60m champion, double European 60m champion & European 4x100m relay record holder. I have been using Ram Rachaputi for many years now. I have used many of his different treatments for my performance, injuries & general training recovery. I have always had huge success after seeing ram. He is truly world class at what he does. I will continue to work with ram all the way throughout my career and will be forever grateful for his precise and incredible work"


    Richard Kilty

    Musculoskeletal issues?

    If you are experiencing painful joints, muscles, tendons or ligaments please get in touch for a diagnostic scan and or treatment

    Advantages of Ultrasound Scan (USS) and guided injections

    Ultrasound can Detects the presence of Active inflammation in inflammatory conditions, such as Rheumatoid arthritis, psoriatic arthritis. This is an unique feature exclusive for diagnostic Ultrasound scan.

    Ultrasound improves the accuracy of the injection, hence offers faster & better pain relief. Usually, you are referred for an 'Ultrasound guided injection', if landmark guided injections are failed to control your symptoms.

    Immediate provision of a diagnosis at a low cost. That means ultrasound helps in determining the potential source of pain.

    Ultrasound scan also helps to assess treatment response.

    Ultrasound scan is a readily available, non harmful, non invasive modality.


    Why Choose Us?

    Highly experienced, fully qualified, and compassionate professionals.  Over 20yrs of NHS experience.

    Are you a needle phobic? We have dealt with many similar patients successfully. The special technique we adapted through our clinical experience from many years is highly successful in dealing with the needle pain. Carried out more than 30000 ultrasound-guided injections and Several thousands of diagnostics scans so far.

    One Stop Pain Clinic : Musculoskeletal assessment, Diagnostic Ultrasound scan, and Ultrasound-guided injection can be carried out in the same appointment when appropriate.

    We manage a whole range of musculoskeletal problems, including those  who has not responded to physiotherapy/Acupuncture, unguided injections and other treatments.

    Early appointments & emergency appointments are available.  Home visits can be provided for those who can not make to the clinics.

    We offer a whole range of pain relief Injections: Corticosteroids /Steroids/Cortisone, Viscosupplementation (Hyaluronic Acid), trigger point injections, Frozen Shoulder (Hydrodilatation), Achilles tendon (High Volume injections), Calcific Tendon (Barbotage), SacroIliac Joint Injections, etc.

    Shoulder, Elbow, Wrist & Hand, Hip, Knee, Foot & Ankle, Lumbar spine, Sacro-iliac joint, coccyx and Trigger point injections.

    Advanced Procedures: Barbotage for calcific shoudler rotator cuff tendon, HVI for Achilles tendon & Sacro-iliac injection, coccyx pain & Lumbar facet joint pain

    Ultrasound guided injections for ankle pain Warwickshire
    Ultrasound guided injections for shoulder pain Warwickshire
    Ultrasound guided injections for wrist pain Warwickshire
    Ultrasound guided injections for back pain Warwickshire


    How long does an ultrasound guided injection take?

    This will vary dependant on the area and other factors, but an assessment, scan & ultrasound-guided injection will generally take around 60 minutes. Ultrasound guided injection alone is done in a few seconds. Injection alone is carried out in few seconds.

    Are ultrasound guided injections painful?

    Discomfort from the needle insertion can be minimised by using the local anaesthesia using a very fine small needle. Ram is an experienced and carried out more than 30,000 Ultrasound guided injections sofar. He routinely treats complex patients and patients with needle phobia, through the technique he developed through his experience.

    What is an ultrasound guided cortisone / Steroid / Corticosteroid injection?

    Cortisone injection is also known as Corticosteroid injection  or steroid injection. This is a strong anti-inflammatory medication is used for many of the inflammatory and arthritis conditions to control pain, swelling, stiffness and improve function. Corticosteroid injections are NOT the same used by body builders use. Corticosteroid injections do not cause weight gain.  To find out more please visit our ultrasound-guided steroid injections page from the 'Types of Guided injection' menu on the top.

    Always, consider having the Steroid injections under ultrasound guidance for accuracy. 

    What is an ultrasound guided hyaluronic acid (HA) injection?

    HA injection is also known as Gel injection or Lubricant injection. This viscosupplementation injection is a natural component of synovial fluid. This tends to increase joint fluid viscosity and restores the joint lubrication. Hence, acts as a shock absorber to control the joint /tendon symptoms. Limits the further damage to the joint and delays or avoids the need for the surgery. Aslo, helps to enjoy your daily activities or your preferred hobbies. To find out more please visit our  GUIDED ULTRASOUND HYALURONIC ACID INJECTIONS page from the 'Types of Guided injection' menu on the top.

    These injections are very popular, especially for knee joint pain. Any number of injections can be taken in a given period, due to minimal or no side effects from these injections. Usually a course of 3 Injections are preferred, though some may do well just with an injection per year 9 we have patients managing just with 1/year.

    What is an ultrasound guided PRP injection?

    Platelet Rich Plasma (PRP) injections are rich in growth factors ( helps in repairing the cell and its growth)  and prepared from the patient's own blood. Separated growth factors from the patients blood is injected back into the affected area of the same patient. Due to PRP's  ability to heal and even regenerate injured or aging tendons, ligaments and joints, providing some patients with an alternative to surgery. PRP therapy may reduce the required healing time for the injuries ( especially for sports injuries and early Arthritis ); otherwise athletes/ sports professionals may require longer periods of rest from their sports related activities.  To read more please visit our Ultrasound Guided PRP page.

     Always, consider having the PRP injections under ultrasound guidance for accuracy. 

    can i drive after an injection

    You will not be able to drive immediately after the procedure. Bring someone with you Or use other form of transport to return home. This is mainly due to your driving licence policy, rather injection efficacy. Majority of the motor insurance policies will not allow you to drive for 3-5 hours after the injection with Local Anesthesia.

    What should i expect after an injection?

    After the injection, you may feel pain-free for a couple of hours due to Local anaesthesia. However, pain returns after 2 hours, you may even feel more pain for a couple of days due to bruising pain. Usually, you should start feeling better from the third day onwards. Pain relief from the steroid injection may take 1 to 2 weeks.



    How to manage bruising pain?

    Discomfort from the needle insertion can be minimised by using an ice pack ( wrapped in a towel, to minimise the risk of frostbite from a direct skin contact) to the area of treatment. 3-4 times a day and 10-15 minutes at each time


    Will i always feel 100% pain free?

    We can accurately inject the treatment area. However, pain relief depends on several factors, such as severity of the problem, body response to the steroid injection, rest period following an injection,  rehabilitation and exposing to the risk factors.

    how many injections can i receive?

    corticosteroid Injections: 3 or 4 per treatment area/year.

    Hyaluronic Acid: no limit as long as you are benefiting.

    Platelet Rich Plasma (PRP) a course of 3, you can repeat as you like. 


    What conditions can be treated?

    Arthritis, Tendinopathies, Ligament, Muscle and Nerve related problems. We also offer trigger point injections for persistent pain ( usually a course of 2-5 are effective).

    How long the injection effect lasts?

    It is hard to determine without an assessment. It may be possible to estimate after assessing the patient. Usually, lasts up to 3 months. There are many patients who benefited for more than a year to 2 years.


    We cover a wide area throughout the UK, either by home visit or clinics in the following areas: Warwickshire including Rugby,  Coventry, Warwick.  Aylesbury,  Milton Keynes,  Leamington Spa, Stratford, Kenilworth,  Leicester and Nuneaton. We also have clinics throughout the West Midlands including Birmingham and Solihull. We have a clinic in Newcastle covering the North East.

    If you do not see your area listed please still get in touch as we may be able to refer you to another practitioner in your area.

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