The treatment of your pain or injury may involve an injection. We do not currently administer injections at the Back and Body Clinic but we have worked for many years with injecting specialist doctors and know exactly when they are appropriate. We will recommend the right consultant, specialist doctor or extended scope physiotherapist to you if an injection is required.
Cortisone is not a pain-relieving medication, but rather works by minimizing the body’s reaction to inflammation. When the inflammation is lessened, the pain is also. By injecting the medicine directly into the inflamed area,such as a wrist or shoulder joint,high concentrations of cortisone can be administered with minimal side effects.
Hyaluronic acid injection is used to treat knee pain caused by osteoarthritis. It works by acting like a lubricant and shock absorber in the joints and helps the joints to work properly. A typical course of treatment is one injection a week for three to five weeks. It is sometimes tried in other joints as well.
Tendinopathy can cause pain, weakness and stiffness. The most common tendons affected are in the elbow. This injection is used because blood contains growth factors and other substances which promote a healing response. Blood is taken from the patient’s arm. The blood is mixed with local anaesthetic and the mix is then injected into the area around the damaged tendon.
Plasma Rich Protein
Because they get very little blood, injured tendons heal notoriously slowly. PRP is a concentration of platelet cells taken from your blood, and these platelets attract healing growth factors that may help in the healing process. A centrifuge separates the cells in blood into three main components: red blood cells, white blood cells and platelets. The platelets are then selectively withdrawn and injected
This is a procedure used to treat painful areas of muscle that contain knots. They often form when muscles do not relax. The trigger point knots can often be felt under the skin and are tender to touch. Trigger points may irritate the nerves around them and cause referred pain, or pain that is felt in another part of the body. The injection contains a local anaesthetic and often cortisone.
BSometimes ligaments can be overstretched, or even torn and not control the joint adequately. This ‘instability’ may put abnormal stresses on the joints and lead to recurrent pain. Prolotherapy involves the injection of a dextrose based substance directly onto the ligament. The ligament reacts to the dextrose and make new ‘scar tissue’ fibres thickening and strengthening the ligament and increasing stability.