Injection Therapy

Injections can form an essential part of the treatment process. Although they can in some
cases work in isolation, they are more often useful as part of an overall management program
which may include mobility as well as strength and conditioning training.

Many joint and soft tissue conditions can be injected. Common injection sites and conditions
• Osteo arthritis of the knee, foot, ankle, hand, elbow, and shoulder
• Carpel tunnel
• Frozen shoulder
• Subacromial pain syndrome
• Trigger finger
• De Quervain’s
• Tenosynovitis
• Tennis and Golfers elbow

What is a steroid?
A steroid is a naturally occurring hormone which has anti-inflammatory properties. When
injected locally they produce a strong local anti-inflammatory effect. This results in pain
reduction, restoration of function and allows for a return to sport and therapeutic exercise.

What is hyaluronic acid (Ostenil)?
This is also a naturally occurring substance, it is present in the body wherever lubrication
between tissue is required, like in our joints. It acts as a shock absorber and lubricant in our
joints and other tissues. It helps to restore the natural balance between the breakdown and
production of sodium hyaluronate which ultimately results in decreased joint pain and
stiffness. Hyaluronic acid also has an effect on the way the body responds to injury by acting
as an anti-inflammatory helping to decrease swelling. There are no side effects to hyaluronic
acid so it can be a great choice for patients with medical considerations.

What is anaesthetic?
Anaesthetic is a Latin term meaning “loss of sensation”. It is controlled and temporary.
Anaesthetic may be used in conjunction with a steroid injection as a local pain relief, to numb
sensation to the procedure allowing the treatment to be carried out with reduced discomfort.
It has a secondary effect of acting as a transport mechanism allowing the steroid to be flushed
around the joint.

If you feel an injection may be appropriate for you then we advise you have an initial
assessment with Nigel Farrelly.
He will discuss your suitability for the intervention by completing an accurate diagnosis and reviewing your previous conservative management.
Injections may not be for everybody so a review of your medical history and medications will be discussed as well as going through the intended effects and potential side effects of the intervention and to make an individually tailored treatment plan.