Conditions that Benefit

Cortisone injections administered under guidance for knee, shoulder, hip, heel, foot, ankle, wrist, thumb and back pain

The picture above shows how ultrasound is used to guide injections safely and accurately to the correct tissue.

Below are a few of the more common conditions that can benefit from accurate diagnosis and injection therapy.

If you don't recognise your condition on the list, it is simply because not everything is listed.

With over 20 years of diagnostic examination and guided injection experience, please contact Chris if you have any concerns as to whether you could benefit.

Osteoarthritis Knee

OA knees typically have inflammatory flare ups which can disturb sleep and affect walking.

Whilst the mechanical changes to the joint are degenerative and can be assisted with exercises for strength and alignment, the joint can also benefit from injections to decrease the high level of inflammation.

Note: The importance of accurate diagnosis is demonstrated in this article 'The error of chasing pain!'

Shoulder Impingement

Shoulder impingement is a common problem and often affects both the rotator cuff and the subacromial bursa.

With guided injections the bursa can be clearly identified and a corticosteroid can be safely injected without damaging the rotator cuff tendon.

Once the bursitis is suppressed then exercises and soft tissue manipulation can be administered to help prevent re-occurrence.

For more detail on shoulder pain and different pathology's please see the article 'What does shoulder pain look like'

Frozen Shoulder

Frozen shoulder typically starts without any injury. It can severely interrupt sleep and shoulder movement.

In the early stages of the condition a guided injection into the shoulder joint capsule can help ease symptoms.

The injection does not resolve the condition and movement will be restricted for many months, but injections certainly help make life more bearable.

For a complete guide on managing your frozen shoulder please visit our free library of exercises for specific conditions. Click Quickphys Frozen Shoulder exercises.

Plantar Fasciitis

Plantar Fasciitis, also known as heel pain, is a very debilitating condition.

The Plantar Aponeurosis is a connective tissue on the under surface of the foot that can become irritated and inflamed. Ultrasound examination can reveal a measurable enlargement of the tissue and then a guided injection can suppress the inflammation.

The injection is administered from the side of the foot to avoid further damage to the Plantar Fascia and the heel fat pad. This approach is strongly recommended.

Tennis Elbow

Tennis elbow is another common problem. It is an irritation of the forearm tendons at their site of attachment onto the outer edge of the elbow.

Whenever a grip action is performed the tendon will shout out their painful warning.

Guided injections following diagnosis reduce the inflammatory process and then compliance to modified movement and changes to normal activities can deliver a long term solution.

OA Thumb and Toes

Degenerative changes to the smaller well used joints in the body is common. The base of the thumb and the big toe are two joints that suffer a life time of use.

With degenerative changes the joints can become inflamed and painful. Guided injections can suppress the inflammation and make normal daily activities much more manageable.

Degenerative or Irritated Hips

The hip joint is a powerful joint that we often take for granted until it stops working or delivers a painful message.

Joints degeneration is common but first treatment does have to be a replacement joint. Guide injections can provide relief without the risk of surgery.

Other typical hip problems that respond well to injections are diagnosed as Trochanteric buritis / tendinopathy. Many fit people without degeneration suffer with these conditions.