Blog Summary: Gout is associated with significant episodes of pain, swelling and inflammation which affects your ability to work, rest and play. Gout is a manageable condition requiring lifestyle changes, diet modifications and daily medication. Gout sufferers experience occasional flare ups in pain and swelling and need fast, safe and effective treatment. Ultrasound guided injections is the gold standard method of delivering medication into joints and other soft tissues. It uses real-time ultrasound imaging to position a needle directly into the affected area. Complete Injections use ultras ..read more

Anatomy Diagnostic Ultrasound Injections Types of Injections What is a meniscal (cartilage) tear? A meniscal (cartilage) tear is a common knee condition that effects both men and women of all ages. It is common in those participating in impact sports such as running and particularly common in those that involve twisting such as football, tennis and squash. It causes localised pain, swelling and restriction in bending and/or straightening your knee. If the medial meniscus (located on the inside of the knee joint) is torn, you will experience pain on the inside of your knee. If the lateral m ..read more

As a general rule, we suggest that you rest for a minimum of 2 days after a steroid injection. After 2 days, we would suggest that you can gradually build up your activity levels. However, this advice does vary depending on what area is being injected. For example, if you have an injection around a tendon, we may advise you to avoid heavy impact and loading activities for two or three weeks. Approximately 25% of patients will get an increase in pain after the injection. This is a normal reaction to an injection and nothing to be concerned about. What factors may affect how long we suggest you ..read more

Anatomy Signs and symptoms Diagnosis Treatment Injections What is patellofemoral joint (PFJ) pain (pain behind the knee cap)? Patellofemoral joint (PFJ) pain cause pain at the front of the knee. The pain is often hard to pinpoint and feels deep in the joint or ‘behind the knee cap’. It is more common in females then males and is often aggravated by prolonged walking particularly downstairs and/or down hill’s, squatting, lunging and running. It can be worse after sitting still for a while and the pain is often associated with clicking. Patellofemoral joint pain can cause intermittent swelli ..read more

Anatomy Causes Symptoms Diagnosis Treatment Injections What is sacroiliac joint pain? The sacroiliac joint connects the lower back to the pelvis and is created by the ilium and the sacrum (2 bones which form part of the pelvis). There are two sacroiliac joints – one on the left and one on the right side. Sacroiliac joint pain effects both men and women of all ages but is most common in active females aged 20-40. It is also common in sports people, and pregnant women. The sacroiliac joint is also susceptible to inflammatory conditions such as Ankylosing Spondylitis (AS). When the sacroiliac ..read more

Anatomy Causes Signs and Symptoms Diagnosis Treatment Injections What is femoroacetabular hip impingement (FAI)? Femoroacetabular hip impingement (FAI) can occur for several reasons and often it is a combination of these that contribute to the diagnosis. FAI commonly occurs due to a variation in the bony anatomy and/or a labral tear of the hip joint. There are two types of anatomical variation which can lead to femoroacetabular hip impingement: A cam lesion – this is an excess of bone on the femoral head/neck A pincer lesion – this is an excess of bone on the acetabulum of the pelvis ..read more

Pain relieving injections, such as corticosteroid and hyaluronic acid, are considered a very safe and effective treatment for a range of musculoskeletal conditions. In recent years more of these injections are being performed under ultrasound guidance to further improve safety and treatment outcomes. This article looks at the rationale and the research evidence behind this change. Ultrasound uses high frequency sounds to create images of the tissues within the body. During injection procedures the needle can also be clearly visualised after it has entered the tissues of the body and therefore ..read more

Claire is a 35-year-old runner, living in London. After increasing her running distance when training for a marathon 3 months ago, Claire started to experience pain on the outside of her left knee. She had attended five treatment sessions with the physiotherapist and had been conscientious with the stretching and strengthening exercises she was given. Although the advice given to her by her physiotherapist had helped, she was still experiencing knee pain with running, especially on hills. Due to an up and coming race, Claire was eager to understand why she was experiencing her pain and to find ..read more

If you are unsure whether an injection is right for you, we are happy to organise a complimentary phone call with one of our clinicians – Click here to book now Steroid injections are commonly used to settle pain and inflammation from injured joints and soft tissues. The vast majority of patients who have a steroid injection respond very well with no post-injection issues. There are a few discussion points to consider if you plan to drive to and from your appointment on the day of your steroid injection; Post injection steroid flare After undertaking a steroid injection, you may experi ..read more

Anatomy Causes Symptoms Diagnosis Treatment Injections What is pes anserine tendinopathy? The pes anserinus is the combined insertion of the three hamstring tendons which attach to the inside of the leg, just below the knee joint. These tendons, that attach the muscles to the bone, are involved in any activities that involve bending the knee. Pes anserine tendinopathy is an overuse injury which is often aggravated with activities such as running, cycling or squatting. The pain can be quite sharp if the pes anserine bursa is involved as well as the tendon. The pain often eases with activity a ..read more