ULTRASOUND GUIDED corticoSTEROID/steroid INJECTIONS for faster pain relief ( joint pain relief / soft tissue pain relief)

Clinics in Coventry, Solihull, Milton Keynes, Rugby, Warwickshire, Birmingham, West Midlands, Leicester and Newcastle
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A corticosteroid injection offers pain relief from inflammatory signs, such as joint pain or soft tissue pain, swelling, and joint stiffness. These may, in turn, help you to return to normal activities/hobbies OR to commence physiotherapy.  

Ultrasound-guided injections allow the clinician to visualize the needle and needle tip in real time as it enters the body and navigate the needle to the treatment area accurately. This assures that the medication is accurately injected the source of symptoms site. 

Beforehand, procedure will be explained to you, Side effects, risks and benefits will be discussed. 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. 

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Musculoskeletal issues?

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

ultrasound Guided Corticosteroid injection faqs

What is a Corticosteroid/steroid injection?

Cortisone injection 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 corticosteroid 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 an ultrasound guided 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 ?

Majority of the patients do not experience an side effects / risk factors.  Our pre injection screening helps to identify the potrntial risks

Common :

  • 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.

Rare :

  • 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 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?
  • Rest.
  • Physiotherapy.
  • 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.

Beforehand, the procedure will be explained to you, Side effects, risks, and benefits will be discussed. 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. 

Written consent will be obtained from you.

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.


"I came to see Ram at his clinic regarding an ongoing issue with a tennis ball elbow injury. After carrying out an ultra scan he was able to carry out steroid injection. Very thorough and professional in explaining the root cause of the problem. Was able to give me an injection straight away and provide me with strict guidelines to follow after treatment. First class service and would highly recommend to anyone that requires pain management control."

Tennis Elbow Injury - Robbie Mehan


"Ram came to my home to deliver the treatment which was much appreciated. He was able to see me straight away, no waiting. We were able to look closely at the joint on ultrasound before he injected (hip) and see how it was looking. The injection was relatively pain-free (sharp scratch as it is done under local anaesthetic) and over fairly quickly. I have had an improvement in my mobility in the joint although I am still awaiting the full effect. I hope it will help me until the NHS are able to operate. Ram was very kind, very courteous and has kept in touch to check on my progress. Having sought other quotes for the same procedure he was very reasonable also. I would recommend him to anyone who has had this type of injection recommended to them by their Doctor.  Thank you, Ram, it was much appreciated.."

Hip Pain Treatment - Alison Augustus


"Excellent treatment for trochanteric bursa.
Ram explained the procedure for the steroid injection given. He answered all of my mother's questions and provided her with the documentation for aftercare.
The procedure itself was painless and performed to her complete satisfaction. I would have no hesitation in recommending Joint Care Clinics"

Trochanteric Bursa - Lisa Mackie


"Our experience with Ram has been very positive and we would happily recommend his services to anyone. Ram is a very polite and friendly professional who took the time to explain his work before undertaking a guided steroid injection into my Mother’s knee joint. After experiencing months of pain in her knee, Mum had a GP administered steroid injection but derived no benefit. After Ram’s guided steroid injection Mum reports no pain whatsoever and it has improved her mobility considerably. Thanks, Ram"

Knee pain treatment - Julie Melck


"Great Service & highly recommend Joint Care Clinics:
My Mother-In-law has chronic knee & ankle pain. She was on painkillers every day, the pills caused a lot of heartburn & didn't help much with the pain. Ramakrishna Rachaputi suggested & explained in detail about the possible treatments. My Mother-In-law received an ultrasound-guided Injection on her knee & ankle. After that, she started feeling a lot better and no need to take pain killers every day.
All thanks to Joint Care Clinics"

Knee and ankle pain treatment - Vara Prasad Manda


"Having been in severe pain for several months in desperation I rang the Joint Care Clinic. Rami visited me at home the next day and was very thorough with his assessment. I had a ultrasound-guided injection into my hip. 10 days on and the pain has almost gone. I would recommend Rami
to anyone suffering pain in their joints."

Hip pain treatment - michael john cambridge


"Great service. I am a L4 sports massage therapist and corrective exercise specialist - and I am thoroughly impressed with the competency and knowledge of Rama. I would recommend his great service to anyone who suffer from musculoskeletal problems."

James Tang Fitness


"I recently had an Ostenil plus injection from Ram. He was very knowledgeable and put my mind at ease about the injection. He explained the procedure really well. He used an ultrasound to find the area that needed the injection. I would highly recommend him and I will definitely have another ostenil injection. I had an Injection one year earlier and it has really helped and would have no hesitation in having another one."

Shirley Atkinson


"Rami, was very clear in describing the procedure of what might or not occur during and afterwards. Rami also helped to make the appointment very relaxed. I personally had a very good experience and wouldn't hesitate to return"

Terry Powton


"After experiencing bad arthritic knee pain I made an appointment with Ram for PRP injections, he was amazing, he explained everything clearly to me and reassured me as I am needle phobic, I would not hesitate to recommend this gentleman to anyone. Fantastic man ."

Knee pain treatment - JAN HATT


"I was suffering significant hip pain and the NHS muscular-skeletal unit were unable to diagnose the problem even though I had multiple scans including MRI. They were, therefore, unable to provide any treatment other than physiotherapy which didn't really help. At the first appointment with Ram, he was able via an ultrasound scan to diagnose Bursitis and give me a steroid injection. After a week or two, the pain was just about gone and my quality of life was significantly improved. I would highly recommend Ram."

hIP pain treatment - Jim McAlpine


"I have suffered problems with my left knee for several years now and have seen my local GP, Physio. , etc. and had various x-rays and treatment plans prescribed. Sadly, none of these have really helped and my knee has become progressively worse. Rami was excellent - taking a full background history to the problem followed by an exhaustive Ultrasound examination; fascinating to see ‘inside’ your knee in real-time! It is early days yet (just over one week) but , already I can start to feel an easing of the pain and a gradual ‘freeing-up’ of the joint. Overall I am very happy with the service and look forward to continuing improvement…"

James Walling


"Exceptional Service & highly recommend Joint Care Clinics:
My mum has chronic knee & ankle pain. She was on painkillers everyday, the pills caused a lot of heartburn & didn't help much with the pain. Ramakrishna Rachaputi suggested & explained in detail about the possible treatments. My mum received an ultrasound guided Injection on her knee & ankle. After that she started feeling a lot better and no need to take pain killers everyday. She did enjoy her holiday in UK.
All thanks to Joint Care Clinics"



We cover a wide area throughout Warwickshire and surrounds, either by home visit or clinics in the following areas: Rugby,  Coventry, Warwick, Solihull, 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 also 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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