Injection Therapy and How It Can Aid Physiotherapy Treatment

Injection therapy is a treatment option commonly used in conjunction with traditional physiotherapy. To provide relief for a number of conditions, injections are administered to intra- and extra-articular tissues, joint spaces, and painful soft tissue lesions.  At Resolve Physiotherapy, our treatments involve the use of steroids or hyaluronic acid injections, the choice depends on your presenting symptoms and condition.   The expert consultants we employ at Resolve Physiotherapy will always advise you accordingly.

This form of therapy can be used as part of a treatment programme for a range of complaints:

  • Inflammatory pain from a range of orthopaedic conditions, such as osteoarthritis and tendonitis.
  • Joint stiffness and reduced range of movement
  • Carpel tunnel syndrome
  • Bursitis

In most cases, injection therapy is not a standalone treatment, but can help relieve pain to allow your physiotherapist a ‘window of opportunity’ to treat the underlying problems of a complaint, aiding rehabilitation.  Whilst injection therapy can help to provide pain relief, this is rarely used as a first course of treatment, as the symptoms will likely return without physiotherapy exercises and treatments to help prevent further pain and problems.

injection therapy

Steroid injections

Some steroids occur naturally in the body, but man made steroids reduce inflammation in much the same way.  We can inject steroid mixtures into or around the inflamed joints to help reduce pain and ease restricted movement.  Some steroids are fast to have an effect, but for a short period of time, whereas others take longer to have an effect, but stay effective for much longer.

Steroid injections are often used for treating rheumatoid arthritis and some cases of severe osteoarthritis, gout and a range of other conditions that affect certain muscles, tendons and soft tissues.  Steroid injections help to reduce inflammation within a joint, help to provide pain relief and are often given to people during a strong flare up of symptoms that can prevent the normal function of the joints.

As steroid injections can help to ease pain and symptoms, they are most commonly used as part of a complete physiotherapy treatment package.  Whilst steroids are in effect, it is often easier for your physiotherapist to continue with other manual therapy and exercise treatments to help rehabilitate you and return the affected joint to normal function.

steroid injections

Hyaluronic acid injection therapy

Hyaluronic acid is a natural component of synovial fluid.  Hyaluronic injections are often used as part of a wider treatment package for degenerative joint conditions. Whilst steroid injections are commonly used to help reduce inflammation, hyaluronic injections are best suited to treating joints where the smooth surfaces have worn, but there is no significant inflammation.  This form of injection therapy is commonly used as part of a treatment programme for the knees, shoulders, elbows, thumbs or ankles.

The number of hyaluronic injections needed and the time in between injections will always depend on the individual being treated.  If injections are effective, they should usually start to work within a few days, with benefits that last for a number of months. Due to the large size of hyaluronic acid particles, they can stay in the joint for quite some time before they are absorbed into the blood stream.

One of the benefits of hyaluronic injection therapy is that there are very few side effects, other than the small risk of infection that is always present in any invasive procedure.

For further information on injection therapy, please call today on 0121 293 0237 or email us at

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