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Physiotherapy Services - Ultrasound-Guided Injections

Ultrasound-Guided Injections

Ultrasound-Guided Injections at iPS Clinics in Bridgend, Cardiff, Carmarthen, Newport & Porthcawl

Ultrasound-guided injections are a precise and effective treatment used to deliver medication directly to the source of pain or inflammation. By using ultrasound imaging, our physiotherapists can guide the injection to the exact location, ensuring the medication is delivered accurately and with minimal discomfort. This technique is often used for treating conditions such as joint pain, tendonitis, bursitis, and arthritis, providing relief from chronic pain and inflammation.

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Important: At iPS, we only perform Ultrasound Guided Injections for peripheral joints and soft tissue injuries and conditions in upper and lower limbs (shoulders to fingers, hips to toes). We do not inject the neck, spine, lower back, sacroiliac joint to treat back pain or sciatica.

Initial Injection Assessment

Injection - Initial Consultation

Consultation Type: This booking option is appropriate for patients seeking an Ultrasound-Guided Injection to treat a musculoskeletal injury/condition. Suitability for an ultrasound-guided injection will be assessed and where appropriate provided during the initial consultation. Time: 45 minutes £105 Please Note: There is an additional fee if an injection is administered (see below).
Follow-Up Injection Consultation

Injection - Follow-Up Consultation

Consultation Type: This booking option is only appropriate for a patient who has previously had an Ultrasound-Guided Injection for the same injury/condition with our clinical specialist. £75 Time: 30 minutes Important: There is an additional fee if an injection is administered (see below).
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Gareth Tremain

Injection Therapist

Our MSK Clinical Specialist Physiotherapist - Gareth Tremain has extensive post-graduate qualifications, including Independent Prescribing, Musculoskeletal (MSK) Ultrasound-Guided Injections and MSK Diagnostic Ultrasound Scanning. He is able to expertly assess and treat a wide range of MSK injuries and conditions. If you are looking for an accurate diagnosis and advanced treatment options, look no further. He is one of only a few private physiotherapist in Wales to offer these services. Following his specialist assessment and treatment, he will also provide you with an exercise programme to maximise your recovery.

Injections
Injections
Fee
More Info
Booking
* Please book an Injection Consultation (Initial or Follow-Up as appropriate) if you are considering an ultrasound-guided injection to treat your injury / condition. We will only charge the consultation fee at the time of booking. Injections will only be administered if clinically appropriate. You will be required to pay the additional cost of any injection(s) administered during the consultation. Discounts are offered for multiple injections/aspirations in the same consultation.

*The injection fees, do not include the cost of consultation required to perform the injection(s)

Injection – Initial Consultation
£105.00*
Injection – Follow-Up Consultation
£75.00*
Cortisone / Steroid injection*
£220.00*
Ostenil Plus Injection*
£270.00*
Durolane Injection*
£320.00*
High Volume Tendon Stripping Injection
£270.00*
Hydrodilatation Injection
£270.00*
Standard PRP Injection *
£395.00*
PRP Max Injection *
£1395.00*
Physiotherapy Treatments - Ultrasound-Guided Injections

How Ultrasound-Guided Injections Work

Ultrasound-guided injections involve using real-time ultrasound imaging to accurately guide the needle into the target area, whether it be a joint, tendon, or muscle. This technique allows for the precise placement of medications, such as corticosteroids, hyaluronic acid, or platelet-rich plasma (PRP), which are used to reduce inflammation, relieve pain, and promote healing. The ultrasound imaging helps avoid any surrounding structures and ensures the medication is delivered directly to the problem area for optimal effectiveness.

Benefits of Ultrasound-Guided Injections

Why choose iPS?

When considering where to seek treatment, iPS stands out for several compelling reasons. Firstly, we offer expert treatment at affordable prices, ensuring high-quality care accessible to all. At iPS, convenience is paramount - during your initial visit, we can prescribe cortisone and administer injections under ultrasound guidance without the need for a GP referral. Additionally, we prioritise your time by frequently accommodating same-day appointments.

Our fees encompass a comprehensive clinical examination and diagnostic ultrasound scan conducted by MSK Clinical Specialist – Gareth Tremain, guaranteeing thorough assessment and personalised care. Furthermore, our commitment extends beyond the injection itself; we provide expert advice on post-injection rehabilitation as an inclusive part of our service, ensuring holistic recovery support for our patients.

When considering the lower fees of other providers using unguided/blind injections, please weigh up the cost savings against the level of service you will be receiving. Our clinical specialist has trained in ultrasound-guided injections for many years to ensure his injections are highly accurate, which ensures safety and increases chance of pain relief.

Costisone Injection Treatment
Costisone Injection Procedure

What Are The Advantages Of Ultrasound-Guided Injections?

Compared to the unguided injections offered by most GP Surgeries, there is a growing body of research that demonstrates why ultrasound-guided injections are the gold standard in injections. Due to the many benefits, we use Ultrasound Guidance for all of our injections.

Frequently Asked Questions

Frequently Asked Questions

What is the benefit of using ultrasound for injections?

Ultrasound guidance allows for precise placement of the needle, ensuring that the medication is delivered exactly where it’s needed. This reduces the risk of complications and increases the effectiveness of the treatment by ensuring the injection reaches the target area directly.

Are ultrasound-guided injections painful?

Ultrasound-guided injections are generally well-tolerated. The use of real-time ultrasound allows our physiotherapists to make the procedure as comfortable as possible by guiding the needle accurately. Some discomfort may be felt during the injection, but it is typically minimal and short-lived.

How long does it take for ultrasound-guided injections to work?

While some patients experience immediate relief, it can take a few days to a couple of weeks for the full effects of the injection to be felt. The length of time before relief depends on the specific condition being treated and the individual’s response to the medication.

Do I Require a Referral?

You do not require a GP referral. In general, it will be possible for you to have an injection at your initial visit. If Gareth feels that your injury/condition or general medical condition requires you to speak to your GP or have further investigations prior to having an injection, he will advise you of this.

What is an Unguided Injection?

An 'Unguided Injection' is also known as 'landmark guided injection' or 'blind injection'. It involves palpating bones and soft tissues to guide needle insertion. This has obvious safety and accuracy limitations, so there are few circumstances when we would recommend this.

Can I Have More Than 1 Location Injected at the Same Consultation?

Yes - It is possible to have 2 or more Ultrasound-Guided injections at the same consultation. You will receive a discount on the cost of any additional injections during the intial assessment if required.

How Much does an Ultrasound-Guided Injection cost?

There is a cost for the consultation and a cost per injection. There are no hidden costs. We only take the cost of the consultation at time of booking. If you proceed with injection/s during your consultation, you are required to pay for the cost of the injection/s before leaving the clinic. Please See below for the cost of the assessment, injections and details of how to book Online.

What Conditions do iPS offer Ultrasound-Guided Injections for?

iPS offer an extensive range of Ultrasound-Guided Injections in the upper and lower limbs (Fingers, wrist, elbow, shoulder, hip, knee, ankle, foot, toes). We do not offer injections for spinal conditions.

*Please Note: We do not perform Spinal Injections.

Shoulder
Frozen Shoulder / Adhesive Capsulitis
Shoulder Arthritis
Acromioclavicular (AC) Joint Arthritis / Inflammation
Shoulder Bursitis
Subacromial / Subdeltoid Bursitis
Rotator Cuff Tendonitis/Tendinopathy
Rotator Cuff Calcification
Partial Tear of Rotator Cuff
Long Head of Biceps Tendonitis/Tendinopathy
Persistent pain following dislocation
Subacromial Impingement Syndrome
Elbow
Tennis Elbow 
Golfer's Elbow
Elbow Joint Arthritis
Elbow Bursitis
Ulnar Nerve Irritation / Cubital Tunnel Syndrome
Wrist
Wrist Joint Arthritis
Wrist Joint Inflammation
Carpal Tunnel Syndrome
De Quervain's Tenosynovitis (tendonitis on thumb-side of wrist)
Arthritis of small joints in wrist 
Wrist Tendonitis 
Thumb / Fingers
Trigger Finger/Thumb
Arthritis of Thumb Joints
Arthritis of Finger Joints
Finger Tendon Tenosynovitis 
Hip
Hip Joint Arthritis
Femoroacetabular Impingement 
Hip Impingement 
Labral Tear
Trochanteric Bursitis / Lateral Hip Pain
Gluteus Medius Tendinopathy / Tendonitis
Iliopsoas Bursitis
Hamstring muscle/tendon
Adductor muscle/tendon
Hip Flexor muscle/tendon
ITB syndrome
Ilio-Tibial Band Syndrome
Knee
Knee Arthritis
Pain associated with Torn Meniscus
Patellar Tendonitis / Tendinopathy (Runner's/Jumper's Knee)
Quadriceps Tendonitis / Tendinopathy
Excessive fluid in knee joint - Aspiration (draining of joint)
Knee bursitis 
Prepatellar Bursitis
Calf Muscle/tendon (gastrocnemius, soleus)
Retropatellar bursistis
Fat Pad inflammation 
Medial and lateral ligament injury
Gout
Pes Anserinus Bursitis / Tendonitis
ITB (Ilio-Tibial Band) Friction Syndrome
ITB (Ilio-Tibial Band) Bursitis
Ankle / Foot
Ankle Joint Arthritis
Arthritis of Small Joints in Ankle/Foot/Toes
Achilles Tendonitis / Tendinopathy
Plantarfasciitis
Big toe Joint Arthritis
Turf Toe
Morton's Neuroma
Metatarsalgia 
Retrocalcaneal bursitis
Ankle tendonitis / Tenosynovitis
Chronic Ligament Pain 
Gout 

Help & Support

Do you need more information about any of our treatments or services?

We want to ensure that all of our patients receive the information they need to make an informed decision about their treatment. If you have any questions or if you require assistance with anything, please let us know.

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