£220.00
MSK Injection, Initial Assessment – One Joint
Ultrasound Guided Musculoskeletal (MSK) Injections are specialised image guided procedures offered to people who suffer from various musculoskeletal conditions including arthritis and sport related injuries.
Specialist Musculoskeletal Clinics
At London Private Ultrasound the injections are done by an experienced, highly skilled radiology consultant – qualified doctor on General Medical Council’s Specialist Register– who has national and international subspecialty fellowships in MSK imaging and is also a lead musculoskeletal radiologist in the NHS. Clinics are held at LPU on Sundays with many other MSK services available throughout the week and evenings. These clinics are recommended to those of you suffering MSK pain to the joints as a result of injury, arthritis, gout and build-up of calcium deposits such as that treated with a shoulder barbotage and other issues affecting the full range of movement of a joint. We provide consultation throughout and can advise on the best actions to relieve pain quickly and safely whatever the cause – please take a look at the list of navigational links by type on the MSK section of the menu.
Joint Pain Treatment
You would be offered a complete consultation and assessment of your condition by the consultant with a diagnostic ultrasound scan to confirm the diagnosis. Where appropriate and following a thorough consent process, an Ultrasound Guided Injection would be performed. This would be done using an aseptic technique with adherence to all infection prevention and control guidelines. The MSK radiologist’s expertise and accuracy in performing the procedure will ensure maximum comfort and efficacy which is especially reassuring for patients with prior unpleasant encounters with injections and fear of needles.
You will then be given the necessary aftercare advice and issued a complete report of your ultrasound findings and procedural details.
How to book your Appointment
These clinics are mostly available on Sundays – other MSK services are however, available throughout the week. Should you find limited or no availability showing on the calendar opposite – we would encourageyou to make use of the direct contact form below the FAQ section.
To book online select the date and time that suits you best – alternatively, please contact us with any questions via the chat, call or email links provided.
Book Online Musculoskeletal Injections-One joint
All your Questions Answered on your ultrasound diagnosis
More Information |
Below you will find a list of MSK conditions suited to Ultrasound Guided Injections. This is not an exhaustive list and any of your ultrasound guided injection needs could be accommodated in direct consultation with the MSK Radiologist. Please call us on 02071013377.
Conditions which can be treated by ultrasound guided injections in Upper Limbs: Hand & Wrist
Conditions which can be treated by ultrasound guided injections in Lower Limbs: Ankle & Foot
Conditions which can be treated by ultrasound guided injections in Upper Limbs: Hand & Wrist
Conditions which can be treated by ultrasound guided injections in Lower Limbs: Ankle & Foot
A) Corticosteroid injections
B) Aspiration of joint effusion, popliteal cyst (Baker’s cyst) and ganglionJoint aspiration means using a needle to remove fluid from a joint. Excess joint fluid (effusion) can increase stiffness and contribute to pain. Sometimes to improve the symptoms and efficacy of the steroid injection the radiologist would aspirate the joint prior to administering the steroid injection. The procedure would be considered as combined aspiration and steroid injection.
C) Platelet Rich Plasma (PRP) injections
With ultrasound guidance the radiologist who is specifically trained in this field will ensure the needle is placed in the precise location to be treated. It has been proven through research that ultrasound guided injections achieve better outcomes compared with injections without ultrasound guidance, so called blind injections. The results are typically longer lasting with better pain relief and anti-inflammatory response which lead to faster improvement in the function of the injected area. Increased accuracy during injection reduces the risk of adverse events such as trauma to local tissues or misplacement of needle and medication.
Ultrasound guided injections therefore improve the safety and efficacy of the injections. Many patients have found ultrasound guided injections done at London Private Ultrasound to be more comfortable than their previous experiences.
Long lasting results of injections typically depend on the reason for the treatment, your overall health and severity of original condition. When you complete your treatment, your pain and inflammation of the affected joint should decrease. The beneficial effect of steroid can last for days, weeks and sometimes several months.
Steroid injection +/- Aspiration
Risks are small and every precaution will be taken to ensure preventable risks are minimal.
Most recognised and serious risks of steroid injections are:
At London Private Ultrasound the injections are done by an experienced, highly skilled radiology consultant whose expertise and accuracy in performing the procedure will ensure maximum comfort and efficacy. All our patients have very well tolerated their injections and when required have had no hesitation to return to us for their repeat injections. This is especially reassuring for patients with prior unpleasant encounters with injections elsewhere and those with fear of needles (needle phobia). Please call us on 02071013377 if you have any questions or concerns.
You will need someone to drive you home after the examination. Driving is hazardous for around 6 hours after the injection because of the local anaesthetic.
After you have had a joint injection, you need to rest the affected area for 24 hours and avoid strenuous activity for several days.
For the first 4-6 hours after the injection the area injected will be numb. This is because of the local anaesthetic. It is important that you monitor and keep a record of any changes in your pain during this time. Resolved pain during this short period can indicate that the site injected was contributing to your symptoms (diagnostic value of the injection). This information will be useful the next time you see your consultant.
Once the local anaesthetic wears off in a minority of patients worsening of symptoms may occur (steroid flare up) which is temporary and self-limiting. You are welcome to take pain killers to help overcome the flare up.
You can expect to notice the effect of steroid between 2-5 days after the injection but the full benefit may not be felt until 6 weeks later.
After PRP therapy you may experience some discomfort and/or mild swelling. Tendon therapies will generally cause more soreness than intra-articular injections. We recommend taking a pain reliever such as Paracetamol or Codeine as needed and using an ice pack if there is any swelling. Please do not take any NSAIDs until after you have finished your series of injections. Only do minimal activity after the procedure and resume light activity after a week. You may return to work as soon as you feel able - usually within a few days after the procedure. If your job involves manual work, stay off work for about a week.
PRECAUTIONS:
To book your appointment for injections, you should book an initial assessment with our musculoskeletal intervention radiologist consultant, prior to your injection. The cost of this initial assessment will be a part of the total payment that should be paid for the injection.
Injections are not given to any person of age 16 or younger without a specialist referral.
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