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Patient Information Leaflets

Why am I having this injection?

Injections can be a good way of giving pain relief when the tissue is inflamed or suffering from wear and tear. It can be an option for treatment of moderate arthritis and painful tendons and offer relief of symptoms and may negate the need for further surgical intervention.

What Is In The Injection?

This would depend on the type of condition treated 

Some injections contains local anaesthetic and corticosteroid:

  • Corticosteroids have an anti-inflammatory effect but do not take the underlying cause away
  • Local anaesthetic is used to give a temporary numbing effect to make the procedure easier for you. The numbness may remain for up to six hours after the injection, to help with pain relief
  • Treatment with an injection as well in combination with other modalities such as orthotics and physical therapies to help offload and re-educate gait/strengthen muscles may afford relief from symptoms in certain conditions

Some injections contain Hyaluronic Acid

  • These would used to help alleviate pain from moderate arthritis that one can have in joints

Some injections use saline only

  • This would be used in the treatment n of some Achilles tendon pain after more simple physical interventions have been tried.

Some injections use PRP as an alternative to steroid. This can be useful particularly if other interventions have been tried or if the patient has allergies to medication

We use ultrasound guidance to help localise the area being injected


What should I do if I am taking blood thinning medication?

If you are on warfarin:

If your INR (International Normalised Ratio – a laboratory test measure of blood coagulation) level is always reliably about 2 then all you need to do is to get your INR level checked the day before the appointment with us and bring along your INR record so we can confirm your results. You may bleed a little longer and therefore need longer local pressure after the injection to help ensure that you do not bleed after the injection. If the INR is high you may need further investigations, or have your injection done elsewhere.

If you are taking any other blood thinning medication or Aspirin:

You must tell us about this at the primary consultation or at least 3 days prior to any treatment.


You must declare all medications that you are on and any that you may have had an allergic response to.

You must also tell us if  the following apply to you:

You are pregnant

You are epileptic

You are on antibiotics

You are immunosuppressed

You are being treated for infection


What should I expect following the injection?

It can take several days before any improvement is noticeable.  During this time you may experience an increase in pain in the injected area as the tissues can be irritated.  This should only last for 48 hours.

To give the injection the most successful chance of working we suggest that you rest the region that has been injected for 24 hours.

Look out for any obvious sign of infection in the injected region and if you suspect one, please contact your GP/ this clinic immediately. There can be redness developing / local discharge or a raised temperature.

Can I drive following the injection?

You are able to drive following your injection; however we ask that you to remain in the clinic for approximately 10 minutes following your injection to make sure you have no immediate side-effects before you leave. The final responsibility for driving would be yours. If you feel unsure about driving after an injection we recommend you come with someone who can drive you.

Under the General Data Protection Regulation and the Data Protection Act 2018 we are responsible for maintaining the confidentiality of any information we hold about you.