Ultrasound Guided Injections in Burgess Hill – West Sussex

• 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

      • Trochanteric bursitis (outer hip pain)

      • Hip osteoarthritis

      • Femoroacetabular impingement (FAI)

      • Iliopsoas bursitis / hip flexor irritation

      • Hip joint synovitis (inflammation inside the joint)

 Knee

      • Knee osteoarthritis

      • Patellofemoral pain

      • Meniscal irritation or meniscal-related pain

      • Iliotibial band (ITB) irritation

      • Pes anserine bursitis (inner knee bursitis)

      • Baker’s cyst swelling

      • Ligament-related inflammation (MCL/LCL sprain irritation)

Foot/Ankle

      • Foot and ankle osteoarthritis

      • Plantar fasciitis / heel pain

      • Morton’s neuroma

      • Achilles tendinopathy

      • Retrocalcaneal bursitis (heel bursitis)

      • Peroneal tendinopathy

      • Tibialis posterior tendon pain

      • Ankle synovitis or post-sprain inflammation

Shoulder

      • Shoulder osteoarthritis

      • Shoulder impingement

      • Subacromial bursitis

      • Frozen shoulder (adhesive capsulitis)

      • Calcific tendonitis

      • ARotator cuff tendinopathy Pain

      • Acromioclavicular (AC) joint pain

      • Biceps tendon inflammation

Elbow

      • Tennis elbow (lateral epicondylitis)

      • Golfer’s elbow (medial epicondylitis)

      • Cubital tunnel syndrome

      • Olecranon bursitis (swelling over the elbow tip)

      • Triceps tendon irritation

Hand/Wrist

      • Hand and wrist osteoarthritis

      • De Quervain’s tenosynovitis

      • Carpal tunnel syndrome

      • Trigger finger or trigger thumb

      • Thumb base osteoarthritis (CMC joint OA)

      • Wrist tendinitis (flexor or extensor tendons)

      • Ganglion cyst irritation (if painful)

Steroid (corticosteroid) 

• Used to reduce inflammation and pain in joints, bursae and soft tissues (for example shoulder, hip, knee, ankle, elbow and small joints).
  
  
• Completely different from anabolic steroids used for muscle building.
  
  
• Some steroids act quickly but wear off after days or weeks, while others work more slowly and may last for several months.
  
  
• Commonly used for painful flare-ups, such as bursitis, joint synovitis or tendon irritation that is stopping you from moving or progressing with rehab.

Ostenil Plus (Hyaluronic Acid)

• Contains hyaluronic acid, a natural lubricant found in healthy joints.
  
  
• Used mainly for osteoarthritis in joints such as the knee, shoulder, hip or ankle.
  
  
• Helps restore lubrication and cushioning in the joint, which can reduce pain, stiffness and grinding sensations.
  
  
• A good option when patients want a non-steroid injection to help with joint wear and tear.

Durolane (Hyaluronic Acid)

• A single-dose hyaluronic acid injection designed to last longer than many standard HA products.
  
  
• Used for mild to moderate osteoarthritis to improve lubrication, shock absorption and overall comfort.
  
  
• Can be particularly helpful for weight-bearing joints where longer-lasting symptom relief is desired.
  
  
• Often considered when previous hyaluronic acid injections helped but did not last long enough.

Sinovial® (Hyaluronic Acid)

• Another high-quality hyaluronic acid injection for osteoarthritic or irritated joints.
  
  
• Helps reduce friction, ease stiffness and support smoother, more comfortable movement.
  
  
• Available in different viscosities so your clinician can choose the formulation most suited to your symptoms, joint and activity level.
  
  
• Often used for short-to-medium-term cushioning in joints affected by early or moderate wear and tear.

Arthrosamid® (Intra-articular Hydrogel Implant)

• A long-lasting hydrogel implant injection specifically for knee osteoarthritis.
  
  
• Integrates into the lining of the knee joint and provides ongoing cushioning and support from the inside.
  
  
• Unlike steroid or hyaluronic acid injections, Arthrosamid does not degrade, so the benefits can last for several years after a single treatment.
  
  
• Suitable for patients whose knee osteoarthritis is limiting daily life and who want to avoid or delay knee replacement surgery.

To learn more about Arthrosamid and whether it is right for you, visit our dedicated Arthrosamid page.

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: The procedure uses 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.