Injection Therapy

Cortisone Injection assessment for rotator cuff injury

Cortisone Injection

Ultrasound-Guided Steroid Injections are also called cortisone injections. They offer pain relief from inflammation around joints. 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 begin or start physiotherapy.

Beforehand, the procedure’s explained to you. Side effects, risks, and benefits discussed. You have an opportunity to discuss any other questions or concerns you may have. If there are any changes in your health. Or personal circumstances you must inform the clinician, before the injection.

Arthritis Injections – Cortisone Injection for Hip – Cortisone Injection Knee – Hip Bursitis Steroid Injection – Hyaluronic acid injection for knee arthritis

Cortisone Injection near me – Schedule your appointment today – Bothwell – Hamilton – Glasgow

Conditions treated by Cortisone Injection Therapy

Steroid (corticosteroid) or cortisone injections aim to provide joint pain relief. Also reducing inflammation in the joints and soft tissues of the body.
 
Cortisone is a powerful anti-inflammatory medicine. It works to break the cycle of pain and joint inflammation.
 
Once the pain subsides a graduated return to normal exercise commences. A local anesthetic is also used to help at the injection site.
 
Steroid/cortisone joint injections are effective in the treatment of inflammatory conditions. Including osteoarthritis. Knee osteoarthritis etc (wear and tear, arthritis). Rheumatoid arthritis and sudden painful attacks caused by gout.

Cost of a cortisone injection?    Cortisone Injection near me?

 
Sports injuries of joints and tendons. Ankle sprains. Achilles tendonitis. Knee ligament sprains. Also, hip bursitis can all improve with steroid injections.
 
It is most important to have an accurate diagnosis of the injury or condition. Our clinicians are experts in diagnosis. They will examine you and may use ultrasound to assist the diagnosis. Thus receiving the best effects of cortisone.
 
If necessary, onward referral for an MRI or to a surgeon if surgery indicated.

Knee Injections – Hydrocortisone Injection – Hip Injection – Corticosteroid Injection – Pain Relief Injection – Cortisone Shot

Frequently asked questions about Cortisone Injections

The cortisone injected only lasts in the body for around 2 weeks. after which, the pain may return. This occurs when the underlying cause of the pain has not identified. At Core Physio we always address the underlying cause of the pain. Thus the pain is unlikely to return after a cortisone injection.

At Core Physio, most of the injections include an anaesthetic. The cortisone with local anaesthetic which results in an almost pain-free injection.
 
In some parts of the body, there are more sensory nerves and some discomfort is inevitable.

If injected into the same place it reports of degradation of collagen and other soft tissues. The fact that repeated injections in these case studies would suggest failure. In which case, there should not be a need to repeat the injections. At Core Physio, we limit the injections to three in the same part of the body in a short period of time. Alternatives are PRP and prolotherapy or Shockwave Therapy depending on the diagnosis.

Most pain relief occurs during the first 2-4 weeks. You should contact the clinic for advice to see if you need a second injection. For the best outcome after a couple of weeks. Once you are in less pain it is important that you book in to see one of our physios. Here they can check your progress. And give you a graduated exercise programme to increase strength and mobility.

PRP – Platelet Rich Plasma Injections

Platelet rich plasma (PRP) derived from a blood sample. Blood from the patient is then spun in a centrifuge to separate the platelets which are drawn off. Platelets are small cells responsible for clotting and healing. They are full of ‘growth factors’ and ‘cytokines’ which boost healing. The platelet-rich plasma is then injected into the area that is causing your pain.

Conditions treated by PRP – Platelet Rich Plasma Injections

PRP injections used to treat osteoarthritis, especially of the knee and shoulder.  Osteoarthritis can cause pain, swelling and stiffness and is due to the wear and tear of the joints. PRP can be as effective as corticosteroid and a hyaluronic acid injection.   Once pain decreased an exercise programme provides rehabilitation further. This is to strengthen and mobilise and will enhance the effect.

tennis elbow treatment - ultrasound guided injection

Frequently asked questions about Joint Injections

You will have a thorough assessment to see if this treatment is appropriate and the treatment will be explained to you.  You may receive ultrasound equipment for guidance in placing the needle. The consultant will take a small amount of blood from a vein in your arm. The identified area will then be injected once the blood has been spun in the centrifuge to extract the platelet rich plasma.

Anaesthetic is sometimes used so it is not an excessively painful procedure.  The clinician can administer extra pain relief if you do feel pain and will ask you throughout the procedure if you are ok and coping with the treatment.

On average our patients have 3 injections, depending on the severity of your condition

Most pain relief occurs in the first 4-6 weeks.  Do not hesitate to contact our team if you need advice after your procedure or help in rehabilitation programmes.

knee osteoarthritis injection for pain relief

Hyaluronic Acid Injections

These injections used are to decrease pain and stiffness. Also improve mobility for people suffering from osteoarthritis or arthritis. Arthritis (also known as ‘wear and tear’) in the joints.
 
The solution injected contains sodium hyaluronate. Its injected into the joint space where the synovial fluid is. The fluid acts as a lubricant. also reducing friction and improving the supply of oxygen and nutrients to the worn cartilage.

Conditions treated by Hyaluronic Acid Injections

Hyaluronic acid (HA) Injections are most effective in the treatment of osteoarthritis. HA is for joints especially the knee joint.  The drug works to restore a balance between the breakdown and production of sodium hyaluronate. This in the synovial fluid of the joint. Once pain and stiffness have decreased. A graduated exercise programme, supervised by one of our practitioners can start. It will result in improvement in mobility and strength.

Frequently asked questions about Hyaluronic Acid Injections

You will have a thorough assessment to see if this treatment is appropriate and the treatment will be explained to you.

Local anaesthetic can be used so it is not an excessively painful procedure.  The clinician can administer extra pain relief if you do feel pain and will ask you throughout the procedure if you are ok and coping with the treatment.

We routinely perform a course of three injections and the benefits of these can last for up to 9 months. You can have as many courses of injections as you require if you find that they alleviate your symptoms for a significant length of time.

You may not notice any benefits immediately after the first injection but you should start to feel less pain and stiffness over the next few weeks. The improvement should last for several months. Once you are in less pain it is important that you book in to see one of our physios so they can monitor your progress and give you a graduated exercise programme to increase strength and mobility.

Trigger Point Injections

Steroid/Cortisone injections with a long acting anaesthetic are given to provide pain relief (by blocking pain pathways) and reducing inflammation in soft tissues such as muscles and tendons. Cortisone is used which is a powerful anti-inflammatory medicine that works to break the cycle of pain and swelling in the affected part of the body.

The local anaesthetic can reduce the sensitisation of the nerve pathways which maintain some painful trigger points.  Once the pain is reduced a graduated return to normal exercise can be supervised by one of our physiotherapists.

Frozen shoulder treatment

What is a Trigger Point?

A trigger point is a sensitive area of the body, stimulation or irritation of which causes a specific effect in another part, especially a tender area in a muscle which causes generalized musculoskeletal pain when overstimulated.

Acupuncture and Dry Needling are also useful methods of treating painful trigger points along with manual therapy, stretching and soft tissue massage. If these techniques do not work for you the practitioner will refer you to one of the clinicians for a steroid/cortisone injection with a long acting local anaesthetic.

Frequently asked questions about Trigger Point Injections

You will have a thorough assessment to see if this treatment is appropriate and the treatment will be explained to you.  You may be taken to clinical room for ultrasound for guidance in placing the needle. The clinician will explain what is happening throughout the procedure.

Local anaesthetic is used so it is not an excessively painful procedure.  The clinician can administer extra pain relief if you do feel pain and will ask you throughout the procedure if you are ok and coping with the treatment.

If the trigger point pain does not improve after the first injection you could have another one but this will be determined at your follow up appointment. Further injections may be needed so long as there is significant but incomplete improvement.

Most pain relief occurs during the first 2-4 weeks and you should contact the clinic for advice to see if you need a second injection for the best outcome after a couple of weeks. Once you are in less pain it is important that you book in to see one of our physios so they can monitor your progress and give you a graduated exercise programme to increase strength and mobility.

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