Private Cortisone Injections at our UK Clinics
Are you looking for private cortisone injections for pain relief? We have joint care clinics across the UK, where this service is offered by highly experienced clinicians. We use an ultrasound diagnostic scanner to pinpoint the area of pain, for a more accurate diagnosis and tailor-made treatment
A cortisone steroid injection offers pain relief from inflammatory signs, such as joint pain, soft tissue pain, swelling, and joint stiffness. The cortisone injection can help you to return to normal activities and hobbies or to commence physiotherapy.
Ultrasound Guided Steroid Injections allow the clinician to visualise the needle and needle tip in real-time as it enters the body. The clinician can navigate the needle to the treatment area accurately. This assures that the medication is accurately injected at the source of the site of the symptoms.
Before the procedure, all will be explained to you, including side effects, risks, and benefits. You will be given an opportunity to discuss any other questions or concerns you may have. If there are any changes in your health or circumstances you must inform the clinician, before the injection.
If you are experiencing painful joints, muscles, tendons or ligaments please get in touch for a diagnostic scan and treatment
"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"
Cortisone Steroid Injections Faqs
What is a Ultrasound Guided Steroid Injection?
An Ultrasound Guided Steroid Injections is also known as Corticosteroid injection or steroid injection. This is a strong anti-inflammatory medication 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 bodybuilders.
Why should I have a cortisone injection?
A corticosteroid injection can help to relieve inflammatory signs, such as pain, swelling, and stiffness. These may, in turn, help you to return to normal activities/hobbies OR helps you to carry out exercises to strengthen the muscles or improve cardio-respiratory fitness. If you struggle to carry out a prescribed rehab by a therapist because of pain, you should try steroid injection.
Why do I need a Cortisone Steroid Injection?
Ultrasound allows the clinician to visualize the needle and needle tip in a real-time as it enters the body and helps while navigating the needle to the desired location accurately. This ensures the steroid is accurately injected to the source of pain. Thus success rate is extremely high.
Despite good intentions, even in the most experienced hands, injections performed without an imaging guidance are not always accurate and in some cases ( ex: hip joint injection) technically not possible or safer. This can make you believe corticosteroid injections do not work for you.
In addition, Some of the ultrasound guided injections are less painful than blind injections. This is due to under ultrasound guidance we avoid touching the bone or passing the needle through tendons (unless unavoidable).
There are many different types of imaging guided injections. However, ultrasound has a few distinct advantages than other image guidances (ex: Fluroscopy or X-ray guidance), such as:
- No radiation.
- Quick and simple.
- Ultrasound is a real-time dynamic tool.
Ultrasound guided injections are also recommended when the traditional method (known as blind or anatomical guided injections) is failed to achieve the optimal outcome.
What are the risks of having a cortisone injection?
Majority of the patients do not experience an side effects / risk factors. Our pre injection screening helps to identify the potrntial risks
- Flushed face for few hours after the steroid injection. May last up to 48-72 hours.
- Steroid flare-up: Pain may be worse for a few days (up to 2 weeks) before feels better.
- Temporary bruising and/or bleeding, especially if you are on blood-thinning medications.
- A temporary rise in blood sugar levels, in diabetics.
- Fat atrophy: thinning of the fat at the site of injection.
- Change in the skin colour around the steroid injection site (depigmentation of skin).
- A transient feeling of fainting or dizziness.
- Light vaginal bleeding or irregular menstruation cycle. Usually corrects by 2 or 3 cycles.
- The injection may not work. Sometimes it can be a partial success or temporarily successful, where another injection may needs to be considered.
- Weakening/damage/ tear to the tendons and neurovascular bundle.
- Infection is very rare (about 1 in 10,000 ). If the injected area becomes swollen, painful and hot, or if you become generally unwell, contact your GP or Accident & Emergency (A&E) department, without a delay.
However, pre-injection screening, hand washing, and sterile techniques are employed to minimise the side effects.
When should I not consider the cortisone steroid injection?
- Infection either at the site of injection or elsewhere in the body.
- If you are currently on antibiotic therapy for an active infection. Prophylactic antibiotics can be safer to perform Steroid injection.
- If you are allergic to steroids /local anesthetic drugs.
- If you are on anticoagulant therapy and your INR is too high.
- If you are feeling unwell.
- Metal at the targeted area of injection. Ex: Joint replacement, metal plate.
- Having surgery soon to the area of injection.
Are there any other alternatives to Cortisone Steroid Injections?
- Pain medication.
- Avoid exposing the activities caused the injury.
- Hyaluronic Acid or Platelet Rich Plasma injections are an alternative to corticosteroid therapy. New and natural way of treating the condition.
- Surgery: speak to your GP or a specialist.
What happens during the procedure?
Injection site will be cleaned with an aseptic material to minimise the risk of injection, and gently introduced a tiny needle to give local anaesthesia under skin, before advancing to the target site under an ultrasound guidance. Plaster is applied (if not allergic to the plasters) to the injection site to keep the injection site clean. If you prefer you can watch the whole procedure on the Ultrasound screen and we can explain the procedure through out.
Will it hurt?
Discomfort from the needle insertion can be minimised by using the local anaesthesia.
What happens after the Injection?
If the local anesthesia is used you may be pain-free up to 2 hours, after that, you may start experiencing the pain until steroid starts working. During this period, you can continue with your regular pain medication prescribed to you by your doctor.
There is no guarantee that steroid works for everyone. If it works, Steroid may take any time between 2-3 days to 2 weeks. It is not possible to estimate how long the steroid injection is effective in controlling the symptoms, usually 3-5 months.
What happens after returning home?
Driving is not recommended for the rest of the day. Your motor insurance may not be valid for at least 3 hours following the injection. The first 2 days, avoid carrying out any activities that make the pain worse and gradually return to normal duties. 2 weeks of relative rest is recommended, especially when weight-bearing joints are injected.
If the injected area is swollen or painful, apply ice packs in a wrapped towel to the injection site for 10 minutes each time, twice or thrice a day.
Do I need a follow-up appointment?
You may have a follow-up appointment with your referrer. In some cases you may need another injection, if that is the case, you can talk to your referrer regarding this. More than 3 steroid injections in a year to the same area of the body are not recommended. If you were seen directly by us, we will arrange the follow-up appointment for you.
AREAS COVERED BY JOINT CARE CLINICS
We cover a wide area throughout the UK, either by home visit or clinics in the following areas: Rugby, Coventry, Warwick, Aylesbury, Milton Keynes, Leamington Spa, Stratford, Kenilworth, Whitnash, Atherstone, Bedworth, 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.