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Ultrasound Guided Injections, Harley Street, London

Ultrasound Guided Steroid Injections

In our Harley Street clinic, 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

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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.

What Are Ultrasound Guided Injections?

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.

Why Is An Ultrasound Guided Injection More Effective Than A Non-guided injection?

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".

What Type of Ultrasound Guided Injections Do You Offer?

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.

Ultrasound Guided Steroid Injections

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

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 Injections

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.

Are ultrasound guided injections painful?

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.

Can you drive after an ultrasound guided injection?

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.


  • "True excellence, would not hesitate to recommend. Thank you team, you are all wonderful."
  • "Always felt welcomed, always felt well informed, always felt taken care of. Thank you Dr Faris & Shannen!"
  • “I received a very high standard of care from initial consultation to after treatment. All staff were unfailingly polite and courteous and I would recommend the clinic unreservedly.”
  • “I was very satisfied with the treatment and Dr. Mo Faris carried out the procedure in a very efficient and professional way. I wouldn't hesitate to have any further problem carried out at your clinic.”
  • “Excellent reception welcome and procedure on my legs was very quick and painless. Thank you all. I would definitely recommend The Cooden Medical Group.”
  • "The clinic made my whole procedure as comfortable and relaxing as possible. Would certainly recommend Dr Faris and his team to my friends and family."
  • "Very professional, friendly staff with a good range of treatments on offer to make me look and feel better."