Ultrasound Guided Injections in Burgess Hill – West Sussex

Ultrasound Guided Injections

Flex Physiotherapy provides both diagnostic ultrasound scans and ultrasound-guided injections (USGIs) at our Burgess Hill clinic in West Sussex. We aim to offer a fast and hassle-free approach helping patients gain a clear diagnosis and alleviate pain with injections for numerous musculoskeletal conditions where indicated.

• Improved accuracy — Ultrasound provides detailed images of real-time anatomy with precise placement of needles.

• Improved safety — Having such precise visualisation of needles throughout the entire process improves overall safety. Ultrasound images are created using sound waves at a high frequency. They also do not use harmful ionizing radiation.

• Reduced procedural pain — USGIs are typically quicker and less painful when compared to the more traditional unguided approach. 

• You will be sent a patient information leaflet to read

• You will be sent a health questionnaire consent form to be completed prior to the procedure – this will be checked by the clinician before your appointment

• Specialist musculoskeletal assessment

• Full medical history and physical examination

• Ultrasound scan of the area prior to injection to assess suitability

• Ultrasound guided administration of the most appropriate medicine

• Full written report including assessment, scan findings and precise details of the procedure to be sent directly to you

• The appointment takes around 30 minutes. As precaution we will ask you to stay on clinic premises for approximately 20-30 minutes afterwards.

• All appointments will be with Matt Prout, Advanced Physiotherapist who is dual trained as a physiotherapist, independent prescriber and musculoskeletal sonographer.

• You will be booked in for a 15 minute telephone consultation roughly two weeks after your injection to assess your progress and discuss next steps as indicated.

Bringing extensive experience in Musculoskeletal ultrasound practice and teaching, Matt Prout leads the ultrasound service. He is an ultrasound clinical educator for Sports Medicine Ultrasound Group and various local NHS Trusts. As a qualified Independent Prescriber of medication, he can discuss the most appropriate medication, whilst offering a ‘one stop shop’ approach to care.

• Hip

      o Trochanteric bursitis

      o Femoroacetabular Impingement – FAI

      o Osteoarthritis

• Knee

      o Osteoarthritis

      o Patellofemoral Pain (Knee)

      o Meniscal Tear

• Foot/Ankle

      o Osteoarthritis

      o Plantar Fasciitis

      o Morton’s Neuroma

• Shoulder

      o Osteoarthritis

      o Impingement

      o Bursitis

      o Frozen shoulder

      o Calcific Tendonitis

      o Acromioclavicular Pain

• Elbow

      o Cubital Tunnel Syndrome

• Hand/Wrist

      o Osteoarthritis

      o De Quervains Tenosynovitis

      o Carpel tunnel syndrome

      o Trigger finger/Trigger Thumb

Steroid (corticosteroid) 

• Corticosteroids come in natural and man-made forms, used to treat pain and inflammation. It’s important to note that these are completely different from steroids used for muscle building.

• Different types of steroids exist, some fast-acting for short relief (a few days) and others slower but lasting months. Your therapist will advise on the best option for you.

Ostenil Plus 

• Ostenil Plus contains hyaluronic acid, a substance naturally found in your joints. It’s used to treat osteoarthritis, pain and stiffness in joints. Ostenil Plus helps restore the balance of hyaluronic acid in the joint, which can ease pain and improve joint function.


• Durolane contains hyaluronic acid, a substance naturally found in your joints It’s specifically designed to treat mild to moderate osteoarthritis. by replacing the natural hyaluronic acid that may be depleted in arthritic joints. This can lead to improved lubrication and potentially reduced pain and stiffness. . The cost of Durolane is higher than that of Ostenil Plus but the beneficial effects of Durolane products may be longer-lasting in some cases.

Hydro-dilatation (for frozen shoulder)

An ultrasound-guided hydro-dilatation injection for frozen shoulder, also called hydrodistension, can help you in two ways:

• Reduced pain and inflammation: The procedure stretches the tight tissues around your shoulder joint, which can disrupt pain signals and provide relief.

• Improved shoulder movement: The extra fluid in the joint helps loosen things up, allowing for better range of motion and flexibility.

• This minimally invasive procedure uses ultrasound imaging for precise placement, helping target the area effectively. It’s a good option for treating frozen shoulder and regaining mobility in your shoulder.

Barbotage (for calcific tendonitis) 

An ultrasound-guided barbotage injection for calcific tendonitis can help you tackle the calcium deposits in your shoulder tendons:

• Breaks down calcium deposits: By using a needle guided by ultrasound to access the calcium deposit and break it up.

• Reduces pain and inflammation: By breaking down the deposit, this can help ease pain and inflammation around the affected tendon.

• This minimally invasive procedure uses ultrasound for precise targeting, minimising risk and maximising effectiveness. It can be a valuable tool for managing pain and improving function in cases of calcific tendonitis.

For more information on pricing please see here.

Please Note:

The service is for patients 18 years or over.

We currently only take self-paying patients.

We do not assess or scan for lumps, bumps, or hernias.

• You can now book a FREE call back appointment at a time that suits you. We will ring you to discuss your condition and the plan.

• You can call us on 01444 715995 or email direct to info@flexphysiotherapy.co.uk requesting an appointment.

• A medical screening and consent form will be sent prior to your appointment. Further information regarding injection therapy will be provided. On some occasions we will need further information prior to your appointment. Examples may include if you are taking warfarin or other blood thinning agents. It may also be suggested X-Rays are taken prior to certain injections.


Unfortunately, they are not covered by Private Health Insurance.

Our Specialists


See why our patients
love us at Flex Physio!

Kelly Westlake
Physiotherapist Alex Kyriacou was very attentive, understanding and helpful, joining some important dots to work out what is likely to be contributing to my various arm pains and current immobilities. Having been sent away feeling hopeful, with a set of clear, manageable exercises, I feel informed enough to get started on a regime that will hopefully strengthen me to the point of full recovery. Highly recommending Flex Physio, therefore!
P Edwards
Alex at Flex Physiotherapy diagnosed and treated my hip, back and knee issues. He offered additional resources and options and answered my many questions.
The Pinkers
I saw Matt to help me with back pain. I really liked his holistic approach. Rather than telling me I couldn’t lift weights anymore, his approach was to recommend weight training tailored to help strengthen my core. Exercises like squats, which I didn’t think I could do, he suggested squat variations that I could do. Matt has a very friendly, calm approach. I recommend him.
sarah dudley
Title: Exceptional Care and Relief for Pelvic Pregnancy Pain! I recently had the pleasure of receiving treatment from Emma at Flex Physiotherapist for my pelvic pregnancy pain during my 38th week. I cannot express enough how grateful I am for her expertise and compassionate care throughout my entire experience. From the moment I walked into the clinic, I was greeted with a warm welcome and made to feel at ease. Emma's professional yet personable demeanor instantly put me at ease, and I knew I was in good hands. Her extensive knowledge and understanding of pregnancy-related issues were evident as she carefully listened to my concerns and assessed my condition. Emma's approach to my treatment was not only effective but also tailored to my specific needs. She took the time to explain the underlying causes of my pelvic pain, ensuring I had a clear understanding of what was happening in my body. Her ability to break down complex concepts into simple terms helped me feel empowered and actively involved in my own recovery. Throughout the therapy sessions, Emma demonstrated exceptional skill and expertise. Her gentle techniques, combined with her deep understanding of prenatal physiology, provided me with immense relief from my pelvic pain. She consistently monitored my progress, making adjustments to my treatment plan as needed to ensure optimal results. What truly sets Emma apart is her genuine care and concern for her patients. She went above and beyond to create a safe and comfortable environment, making sure I felt supported emotionally as well. Her kind and nurturing approach made each session a positive experience, and I always left feeling uplifted and encouraged. I cannot thank Emma enough for the incredible care she provided during my pregnancy journey. Thanks to her expertise and dedication, I experienced a significant reduction in pelvic pain, allowing me to enjoy the final weeks of my pregnancy with greater comfort and peace of mind. I wholeheartedly recommend Emma and Flex Physiotherapist to any expectant mother seeking relief from pelvic pregnancy pain or any other prenatal-related issues. You can trust that Emma will provide you with top-notch care, personalized attention, and remarkable results. Her passion for her work and commitment to her patients are truly commendable. Thank you, Emma, for going above and beyond in helping me through this challenging time. You are a true gem in your field, and I am forever grateful for the positive impact you had on my pregnancy journey.
Steph Hall
Very professional and managed to sort out my tennis elbow quickly. Brian
Sarah Finlay
Alex has been amazing! He showed a great deal of professionalism and interest in reducing my pain for the long term, took time with me to understand my condition, and developed a plan that really helped me become stronger! All the team at Flex Physiotherapy are dedicated professionals, and I can’t say enough great things about them. They not only helped me physically, but mentally too. I would 100% recommend them to anyone.
Philip de Ste Croix
Alex recommended a lightweight Ossur OA Ease brace to help offload the pressure in my arthritic right knee experienced when walking. It's been a great help and Alex was highly professional and sympathetic in both our consultations. I recommend highly.
antony constable
Alex is a lovely knowledgable and personable physio . He helped be avoid surgery with a torn meniscus. On site gym so helpful to be able to be shown and practice exercise s. 100 % recommend
Emish Fraser
My experience at Flex Physiotherapy was fantastic. Alex listened, explained and completely understood my shoulder pain. He provided exercises that have helped reduce my shoulder pain and gain a better range of motion. The after-care service was fantastic too. Nothing seemed too much trouble.
Elaine Toohig
Pleasant and convenient facility in Central Burgess Hill. Alex is a personable physiotherapist who really looked to understand the issue. I felt supported and the treatment was effective in improving my range of movement.

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Write Your Review

We’re so sorry to hear that you aren’t happy with our service. Your feedback is really important to us and we do all we can to make sure we are constantly improving.

Please leave your feedback for us below and we’ll get back to you to see what we can do to resolve any issues you may have.

Write Your Review

We’re so sorry to hear that you aren’t happy with our service. Your feedback is really important to us and we do all we can to make sure we are constantly improving.

Please leave your feedback for us below and we’ll get back to you to see what we can do to resolve any issues you may have.