Ultrasound Scans & Joint injections

Ultrasound Guided Injections
- Harley Street

Ultrasound Guided Injections, Harley Street, London

Cooden Medical of Harley Street offers a wide range of ultrasound guided injections to help patients with joint pain and osteoarthritis, all under the expert care of a Consultant Radiologist.

An ultrasound scan sends high frequency sound waves into the body's tissue structures and as the sound waves bounce back the ultrasound machine is able to form an image giving your clinician a very clear image of the soft tissues in your body.

This enables the radiologist to diagnose any issues with greater accuracy. It also helps them to target injections for pain relief with a high degree of precision. Using diagnostic ultrasound scans can aid patient diagnosis and increase treatment efficacy.

The joints and soft tissues are complex anatomical structures. Often the area requiring an injection is just a few millimetres wide so an accurate ultrasound guided injection will prove much more effective with faster and longer lasting results than conventional injections.

This high degree of injection accuracy also significantly reduces the risk of complications.

Unlike a standard injection with an ultrasound guided injection the tip of the needle can be accurately positioned to provide pain relief in the exact location where it is required.

This can result in faster and more effective pain relief for patients and a better recovery than an injection that is given "blind".

There is a wide range of injections to help with soft tissue and joint pain you may be experiencing. Our doctors will be able to guide you on the most appropriate treatment for your condition.

Anti-inflammatory steroids such as cortisone are frequently given for pain relief in joints and with the accuracy of ultrasound guidance they can be quick and effective.

We are able to give steroid injections into most of the body's major joints to help with pain relief. Common sites for steroid injection are:

  • Knee
  • Ankle
  • Wrist
  • Shoulder
  • Elbow
  • Foot
  • Hip

Whilst most patients do not suffer side effects after a steroid injection some patients may experience a build-up of fluid, pain - which can be intense - and swelling after a steroid injection. This is sometimes known as a steroid flare.

Most patients manage this with paracetamol. If you are concerned about pain after your steroid injection please call us and we can advise you if you need to take additional measures.

Synvisc injections are given with the aid of ultrasound guidance for patients with osteoarthritis of the knees.

These injections are designed to supplement the fluid in your knee to cushion and lubricate the joint. This can give up to six months relief from the pain and associated symptoms of arthritis.

Ostenil joint injections offer pain relief for patients with osteoarthritis. Ostenil contains a substance called sodium hyaluronate which helps reduce pain and stiffness in the joints.

Ostenil can be injected into many different joints including the wrist, elbow, ankle, shoulder, knee, foot or hip.

Some patients may experience pain the in following 24-48 hours after an injection though generally this is less than from a conventional injection. The ultrasound itself will not cause you pain.

In some cases you may receive a local anaesthetic when you have your injection so the pain may worsen once this wears off. The needle can aggravate the injected area, so it is recommended you rest for a couple of days after you have your procedure.

We recommend you do not drive for the remainder of the day and arrange to have someone drive you to and from your procedure for your own peace of mind. Doctors recommend you rest for 24-48 hours after your injection.


  • Joint pain
  • Chronic Degenerative Joint Disease
  • Ligament and muscle injuries
  • Tendonitis, e.g. tennis elbow and golfer’s elbow
  • Early partial tendon tears
  • Injuries and instability throughout the body, including in the knee, shoulder, elbow, and other joints
  • Osteoarthritis
  • Carpal tunnel syndrome
  • Sprains and strains
  • Frozen Shoulder

treatment summary

Recommended Age Range

From 18

Treatments Required





A small amount of discomfort during the procedure although local anaesthetic can be used on the area to help with any pain.


You should expect some discomfort for between 3-7 days




Short-term meter parking is available in the streets surrounding Harley Street, with a maximum 4 hour stay. For longer-term car parking, there are parking stations in nearby Cavendish Square, Queen Anne Street, Weymouth Mews and Moxon Street.
If you are taking public transport the nearest tube stations are Regents Park (Bakerloo line), Great Portland Street (Circle, Hammersmith & City and Metropolitan lines) Baker Street (Jubilee, Bakerloo, Circle, Hammersmith & City and Metropolitan lines) and Bond Street (Central and Jubilee lines)