A cortisone injection is a very powerful anti-inflammatory steroid injection. It can be very effective in relieving pain, swelling and inflammation associated with a wide range of Musculoskeletal (MSK) Injuries / Conditions. It is a different form of steroid to the anabolic steroids used by body builders. It does not help build muscles or have the same side effects. Used appropriately, Cortisone Injections are a very safe treatment for many painful and debilitating conditions. Having occasional Cortisone Injections to treat painful joints and soft tissues causes far less side effects than taking regular oral anti-inflammatory tablets and strong painkillers.
Cortisone Injections have been used to treat Musculoskeletal (MSK) conditions and injuries for many years. The conditions that can be treated by Cortisone Injections is dependent on whether the clinician is qualified to perform Ultrasound-Guided Injections. An Ultrasound-Guided Cortisone Injection involves the use of an ultrasound scanning machine to visualise the injured/painful area and accurately guide the placement of a needle, through which the cortisone is injected. Studies consistently show that cortisone injection administered by specialists with ultrasound guidance are more accurate, safer and more effective than Unguided Cortisone Injections. Therefore, at iPS we recommend that Ultrasound-Guidance for most of our injection procedures. We will consider Unguided Injections (also known as ‘Blind’ or Anatomically-Guided injections) if requested by a patient, but can only proceed with an Unguided injection if we feel it is safe and appropriate for the patient. This is considered on an individual basis.
Frozen ShoulderMore Info
Arthritic KneesMore Info
Arthritic ThumbsMore Info
Wrist painMore Info
Shoulder / Rotator Cuff Tendonitis/BursitisMore Info
Acromioclavicular AC joint (shoulder) painMore Info
Tennis ElbowMore Info
Golfer's elbowMore Info
Trigger fingerMore Info
De Quervain's TenosynovitisMore Info
ITB friction syndrome / iliotibial band bursitisMore Info
Plantar FasciitisMore Info
Ankle arthritisMore Info
Bunion pain / arthritisMore Info
Carpal Tunnel syndrome
Pain associated with torn / degenerative knee cartilage
Trochanteric Bursitis / Lateral Hip Pain / Gluteus Medius Tendinopathy
Inflamed knee fat pad
*Please note: We do not perform Spinal Injections
Our injection specialist Gareth Tremain has undertaken extensive training and is qualified to perform a wide range of Ultrasound-Guided Cortisone Injections. Prior to administering an injection, Gareth will advise on what option is appropriate for your individual circumstances. Following the injection, you will be provided with expert advice on what exercises you should do complement the effect of the injection. If you wish to speak to Gareth prior to booking an appointment, please call our admin office on 03456 252 252 or requesting a call back.Request Call Back
Gareth has a wealth of knowledge and specialist skills. He has a degree in Sport & Exercise Science as well as a degree in physiotherapy. Gareth has completed extensive Masters Degree level training in injection therapy and is qualified to perform a wide range of Ultrasound- Guided joint and soft tissue injections – including Cortisone, PRP, Hyaluronic Acid and High Volume injections for Frozen Shoulder and Chronic Tendon Pain.View Profile
Cortisone is usually combined with local anaesthetic (LA) to make the injection more comfortable. As a result, the patient often experiences an immediate reduction in pain. The numbing effect of the local anaesthetic wears off after 2-3 hours.
It is extremely variable how long it takes for the cortisone to have its full effect – from a few hours to 3 weeks. Occasionally there is pain and stiffness in the injected joint/soft tissue for a few days following the injection. This is nothing to worry about and is known as 'post-injection flare'. If this occurs, it is best treated by applying ice to the painful area and taking analgesia.
Our Injection Specialist will only recommend proceeding with an Ultrasound-guided Cortisone Injection, if it is deemed appropriate for your injury/condition, based on his extensive experience and current research. However, it is very important for you to understand, that even though a Cortisone Injection is often highly effective in addressing pain and stiffness, it is not guaranteed to work.
This is dependent on the condition being treated. It is common to need regular injections to manage chronic conditions such as knee arthritis. For many conditions such as acute shoulder tendonitis, one injection will be enough to resolve the problem or reduce the pain to a manageable level, so that the patient is able to perform exercises to further reduce pain and disability. Our physio will advise you of the likelihood of you requiring a follow up injection at your appointment. It is common to try a second injection, even if the first provided no/limited relief or short-term relief. If there is minimal relief following the second injection, a third is unlikely to help and therefore our physiotherapist would advise against it and would discuss alternative treatment options.
Most doctors / physiotherapists use the rule of no more than 3 injections in the same area (e.g. Right shoulder) within one year. There is evidence that more frequent injections than this in the same area of the body causes damage to cartilage, tendons and ligaments, so should be avoided.
It is possible to have a Cortisone Injection in 2 or more locations in the same consultations.
There is no universal agreement regarding the minimum period between injections in the same area. If you have limited benefit from the first injection and are still in severe pain, it is appropriate to have a second injection within 4 weeks. For chronic conditions such as knee arthritis, you should try to limit your repeat injections to every 3-4 months.
Cortisone injections are widely used in the treatment of joint and soft tissue conditions. Used appropriately, they are safe and effective. Most people have a cortisone injection without any side effects.
Significant side effects to cortisone or local anaesthetic are extremely rare. There are certain conditions that would increase the risk of side effects, so we need you to provide a full list of your medical conditions and medications prior to proceeding with the injection. Our physiotherapists will consider your medical history before performing an injection. If it is not appropriate to offer you a cortisone injection, other treatment options will be discussed.
You will be monitored for 10 minutes following your injection to ensure you do not have a reaction to the cortisone or local anaesthetic. Please rest assured that our physiotherapists are highly trained at administering the injections and in dealing with any side serious side effects if they were to arise, which is extremely unlikely. We hope you understand that it is our legal obligation to advise you regarding anything that could possibly go wrong, however unlikely. Cortisone and local anaesthetic injections are a safe and effective treatment for many painful conditions.
Extensive research shows that Cortisone Injections are effective in providing rapid and significant pain relief in a wide variety of joint and soft tissue injuries. The pain relief experienced following a Cortisone Injection provides a window of opportunity for you to perform rehabilitation exercises to make the injured area stronger and more flexible.
There has been extensive research on the effectiveness of a range of injections on people with moderate to severe knee arthritis. The research consistently shows that Cortisone Injections are most effective in providing rapid and significant pain relief, but the duration of pain relief (commonly around 4 months for moderate to severe / Grade 3-4 Knee arthritis) is often shorter than other injection options.
If a patient with knee arthritis is not satisfied with the duration of pain relief provided by Cortisone Injections, they should consider trying the other Injections offered by iPS. Hyaluronic Acid Injections often provide 6-9 months pain relief, whereas a course of 3 PRP Injections can provide 12 months+ of pain relief.
The total cost of having a Cortisone Injection/s will depend on length of consultation required, whether Ultrasound-Guided or Unguided Injection is appropriate and how many injections you have within the consultation:
Ultrasound-Guided Cortisone Injection - £205*
Unguided Cortisone Injection - £130*
*Additional consultation fee of £67.50 or £45 will apply (depending on duration of consultation required).
*There is a discount is you have 2 or more Ultrasound-Guided Injections / procedures in same consultation.
* We recommend Ultrasound-Guided Cortisone Injections for most conditions.
You can book an Injection clinic Appointment via our online booking system (see link below). You will be required to pay the cost the consultation at time of booking. If you proceed with an injection, you will be required to pay the additional cost immediately following the appointment.
Alternatively, you can contact our admin office on 03456 252 252, Monday to Friday 8.30-5pm or email to request a call back.Request Call Back
Time: 45 Minutes
Cost: £67.50 (additional fees will apply if you proceed with injection)
Time: 30 Minutes
Cost: £45 (additional fees will apply if you proceed with injection)