Steroid injections are used to reduce inflammation and the pain associated with it. They have widespread use in the treatment of osteoarthritis but have limitations and recent evidence has resulted in clinicians using steroids more cautiously for certain conditions, i.e. tennis elbow/plantar fasciitis. Steroid injections can be helpful as a temporising measure to reduce pain in order to facilitate rehabilitation but can also effectively treat certain issues such as frozen shoulder (Adhesive capsulitis) and wrist tendon sheath inflammation (De Quervain’s Tenosynovitis).

Hyaluronic acid (HA) is a substance similar to synovial fluid, which occurs naturally in joints and acts to lubricate and protect against shock and stress. HA is commonly used for conditions such as knee and hip arthritis, in order to reduce pain, improve function and facilitate rehabilitation.

A High Volume Injection can be used to treat tendinitis/tendinopathy of the large lower limb tendons (Patellar and Achilles). The procedure involves infiltration of fluid into the interface between the tendon (Achilles or Patellar tendon) and the adjacent fat pad. This is thought to disrupt the ingrowth of blood vessels/nerves seen in tendinopathy and therefore have an effect on pain and local sensitivity.