Whilst joint injections are common place and recommended frequently by clinicians including physiotherapists, General Practitioners & Orthopaedic Consultants; the wait for joint injections on the NHS are very long.

At Duality Health we offer rapid access to joint injection and are happy to take referrals from patients or their clinician – no referral letter is necessary,but are appreciated.

Our joint injection prices are a fraction of the cost of private consultant procedures, whilst being effective and safe. Our GPs have been successfully injecting joints in the NHS for decades.

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Thumb

Metacarpal Phalangeal Joint injection: most commonly injected for osteoarthritis pain at the base of the thumb

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Trigger Finger

Usually impacting the thumb, ring or little finger: If the tendon becomes swollen and inflamed it can “catch” in the tunnel it runs through (the tendon sheath). This can make it difficult to move the affected finger or thumb and can result in a clicking sensation. A steroid injection is one method of treating this condition – anti-inflammatories such as ibuprofen, rest or splinting can also help.

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Carpal Tunnel Syndrome

Often a self limiting condition or one that improves with the use of a splint, anti-inflammatories or avoidance of triggers; sometimes the carpal tunnel benefits from steroid injection if resistant to other methods. Unfortunately some patients go on to require surgery and release of the carpal tunnel, a steroid injection can aid relief in the interim

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De Quervain’s Tenosynovitis

A painful condition affecting the tendons on the thumb side of your wrist. If you have de Quervain’s tenosynovitis, it will probably hurt when you turn your wrist, grasp anything or make a fist. This is usually a repetitive strain injury – so avoiding the trigger often facilitates improvement. A steroid injection can be most helpful in this condition.

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Tennis or Golfer’s Elbow

Although strictly speaking a tendinopathy (rather than a tendon ‘itis’) patients anecdotally do report good results from steroid injections for this condition. In our opinion, the evidence is poor and the use of a decent tennis/golfers compression strap or avoidance of triggers a better starting point. For those who have exhausted all their options we will consider a steroid injection as a last resort.

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Shoulder Injection

The shoulder is a complex joint and commonly can have pathology amenable to steroid injection in a number of areas. Shoulders are complex, and it is best practice that before steroid injection of this joint occurs that the joint is cleared of any rotator cuff tears by ultrasound or MRI before injecting any new issue. Ultrasound scans are available without referral via Mourne Scan Clinic, Newry. The injection of a recurrent issue previously scanned is less of an issue.

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Hip Bursitis

The injection of a hip bursitis is an effective modality for this painful condition and well tolerated by patients.

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Knee Injections

Effective for the management of inflamed/swollen joints whether due to inflammatory rheumatological disease or a flare of osteoarthritis. Knee injections are well tolerated but can offer variable relief dependent upon the underlying pathological processes.

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Morton’s Neuroma

A steroid injection near the neuroma may trigger a reduction in swelling of the nerve and pain.

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Plantar Fasciitis

Whilst historically dubious about the benefits of steroid injections of the plantar fascia we have anecdotally had good results from patients with this procedure. Generally an option of last resort, most plantar fasciitis will resolve with good self-care and adequate footwear. We strongly recommend impact dissipating ‘gel heel inserts’ or insoles.