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iPS has been providing physiotherapy services in South Wales for over 20 years. Our experienced team offers hands-on treatment, personalised rehabilitation plans, and straightforward advice, with support available throughout your recovery.
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iPS provide Hyaluronic Acid Injections in Cardiff, Carmarthen, Bridgend, Newport and Porthcawl. Ultrasound-guided Hyaluronic Acid (HA) injections are a safe, non-surgical treatment option for joint pain. These injections can help restore joint lubrication, reduce discomfort, and improve mobility—particularly in knee joints, though there is also evidence supporting their use in hip and ankle osteoarthritis. Our Hyaluronic Acid Injections are administered using ultrasound guidance, by our specialist physiotherapist Gareth Tremain. This ensures precision which has been shown to be essential for hyaluronic acid injections to be effective.
Appointment Information: 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.
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.
£105Time: 45 mins
Please Note: The cost of the injection is not included - Injection fees are below.
Cost of injection (Ostensil Plus): £270
Cost of injection (Durolane): £320
Appointment Information: 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.
£75Time: 30 mins
Please Note: The cost of the injection is not included - Injection fees are below.
Cost of injection (Ostensil Plus): £270
Cost of injection (Durolane): £320
We want to ensure you have all the information you need before booking your appointment. If you have any questions or would like help with booking, you can contact us on 03456 252 252 or email us at contact@theips.co.uk. Our team are happy to help.
Gareth is an experienced MSK Clinical Specialist Physiotherapist with advanced qualifications in independent prescribing, Ultrasound-guided injections and diagnostic ultrasound. You’ll receive not just expert treatment—but also a personalised rehab plan to maximise your results.
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What is a Hyaluronic Acid?
Hyaluronic acid is a naturally occurring substance found in the synovial fluid of healthy joints. It acts as a lubricant and shock absorber, allowing joints to move smoothly and comfortably. As joints degenerate—due to osteoarthritis, injury, or wear and tear—HA levels reduce, contributing to stiffness and pain. Injecting HA directly into the joint can help restore balance and function.
Our injections use synthetic forms of hyaluronic acid—laboratory-produced formulations that are highly purified and designed to closely replicate natural HA. These are biocompatible, stable, and provide therapeutic benefits both mechanically and biologically. Importantly, studies show that synthetic HA injections can stimulate the joint’s own production of natural hyaluronic acid, helping to promote longer-term joint health beyond the life of the injected molecules.
How Do Hyaluronic Acid Injections Work?
Hyaluronic Acid injections involve delivering a naturally occurring substance directly into a joint to improve lubrication and cushioning. Hyaluronic acid is a key component of synovial fluid, which helps joints move smoothly. By restoring this fluid, the injection reduces friction between joint surfaces, alleviates pain, and supports improved joint function. It may also have mild anti-inflammatory effects, helping to protect cartilage and slow joint degeneration.
What Are The Benefits of Hyaluronic Acid Injections?
What Conditions Are Treated With Hyaluronic Acid Injections?
Hyaluronic Acid injections are most commonly used to treat osteoarthritis, particularly in weight-bearing joints such as the knee. In osteoarthritis, the natural hyaluronic acid in the joint breaks down, leading to reduced lubrication, increased friction, and pain. Replenishing this substance helps restore joint mechanics and reduce symptoms, especially when other conservative treatments have not provided sufficient relief.
Is the Hyaluronic Acid Injection painful?
The procedure is generally well tolerated. You may feel mild discomfort during the injection, but local anaesthetic can be used to minimise this. Most patients find the process quick and manageable.
How long does it take to recover from the injection?
Recovery is typically quick, with most patients resuming normal activities within 24–48 hours. Some individuals notice improvement within a few days, although full benefits may take a few weeks to develop as the joint responds to the treatment.
Are there any side effects or risks associated with the procedure?
Side effects are usually mild and may include temporary swelling, stiffness, or discomfort at the injection site. Serious complications such as infection are rare. Our clinicians will assess your suitability and discuss any risks with you before treatment.
At iPS, we now offer a choice of two leading synthetic hyaluronic acid injection products. Both products are ultrasound-guided, ensuring precise delivery and minimal discomfort.
Both Durolane and Ostenil Plus are evidence-based, synthetic HA products, but there are some important differences:
We’ll guide you during your consultation to determine the most appropriate option based on the severity and stage of your joint condition, your previous treatment responses, budget and treatment goals and whether you prefer single or repeat injection strategies.
While hyaluronic acid is most commonly used for knee osteoarthritis, there is growing evidence to support its use in other joints when guided by ultrasound and applied to appropriate cases:
Occasionally used for:
These are more specialist applications and would follow detailed assessment.
We often recommend HA injections when patients are:
Other options like PRP or cortisone may be more suitable depending on individual goals and symptoms—we’ll guide you through all appropriate choices.
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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