Ultrasound-Guided Joint Injections

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If you are suffering from a painful musculoskeletal condition and your treatment plan includes corticosteroid injections (CSI), the private ultrasound-guided injections service offered by Midland Health can help improve the treatment outcomes and minimise the risks of the procedure. 

Our trained radiologists use ultrasound technology to accurately administer steroid injections to any musculoskeletal part of your body, including the shoulders, knees, hips and wrists. The procedure is used to treat painful or swollen joints, tendons and ligaments. It is a fast and efficient pain relief solution, speeding up the recovery process and helps you get back on your feet sooner.

As Midland Health houses GPs, diagnostics experts and specialist doctors under one roof, you will be able to get an accurate diagnosis and receive pain management treatment without having to wait. Our team can see you on short notice at our private clinic in Birmingham. Simply give us a call today to book an appointment.

What is an ultrasound-guided injection?

Ultrasound-guided injections use dynamic musculoskeletal ultrasound imaging to follow the movement of the needle inside your body and guide it to the correct location. This improves the accuracy of the procedure and makes it safer. 

Ultrasound machines use a transducer (small hand-held device) to send high-frequency sound waves to the affected area. Echoing sounds are transmitted back to the transducer which then sends them to a computer for processing. Based on the information, an image of the target area is visualised in real time. 

In the context of injections, the sound waves are directed towards the needle to display a dynamic image of the needle tip as it moves towards the target area.

Conditions we can treat with a US-guided injection

Midland Health’s ultrasound team uses ultrasound-guided injections to treat a number of different health conditions related to the musculoskeletal system. Some of the most common problems we can help with include (but are not limited to):

  • Osteoarthritis 
  • Tennis elbow
  • Frozen shoulder
  • Golfer’s elbow
  • Morton’s neuroma
  • Carpal tunnel syndrome
  • Shoulder bursitis & impingement
  • Greater trochanteric pain syndrome
  • Trigger Finger

To discuss using ultrasound-guided injections in your pain management plan, please book an appointment with your Midland Health GP. 

What does the procedure involve? 

An ultrasound-guided injection is a quick, minimally invasive procedure that takes about 15-30 minutes. As local anaesthetic is used, you will be awake during the procedure but you will feel no pain. 

You will be allowed to go home straight after the procedure.You will not be able to drive after the procedure for safety reasons, so you will have to make transport arrangements.

The local anaesthetic will be in effect for 4-6 hours so you may feel numbness in the treated area during that time. We advise you to rest for 24-48 hours after the procedure. You should benefit from the full effect of the steroids within 10 days. 

In rare cases, you may experience pain in the short term, following the image-guided injection. You can use over-the-counter pain relief to manage this but if you have any concerns, please get in touch with the Midland Health medical team for advice. 

Our Team

The ultrasound-guided injection diagnostic services at Midland Health are delivered by our Consultant Radiologist, Dr Steve Amerasekera. He has been a consultant MSK radiologist at Queen Elizabeth Hospital for almost a decade and is a member of the British Society of Skeletal Radiologists. 

Dr Amerasekera specialises in the use of ultrasound for musculoskeletal and emergency imaging. He is a graduate of the renowned Medical School in Cambridge. He holds a postgraduate certificate in Medical Education from Keele University and takes an active role in teaching and training future radiologists.


US Double Guided Joint/Tendon Injection


(30 min)

US Guided Joint/Tendon Injection


(30 min)

US Joint Aspiration


(30 min)

All ultrasound-guided injection services are performed by a Consultant MSK Radiologist. Each procedure takes approximately 30 minutes to complete.

Our Ultrasound Service is located on the first floor of our clinic. Please note that we do not have lift access to our first-floor clinic rooms, they are only accessible by stairs.


What are ultrasound-guided injections used for?

If you are suffering from a painful musculoskeletal condition, such as joint pain, arthritis, frozen shoulder, tennis elbow or Carpal tunnel syndrome, the ultrasound-guided injection service offered by Midland Health in Birmingham could be a good pain management solution. Speak to one of our doctors to discuss your options.

What are the benefits of an ultrasound-guided injection?

Ultrasound-guided injections are more accurate than traditional freehand techniques, safer and deliver better outcomes.

Who will perform the procedure?

Your ultrasound-guided injection treatment at Midland Health will be performed by one of our experienced consultant radiologists to ensure the procedure is done safely and successfully.

How long does it take?

The image-guided procedure takes approximately 15-30 minutes to complete.

Can I drive after the injection?

No. You will be given local anaesthetic as part of the procedure so even though you can go home the same day, you will not be allowed to drive yourself. You may want to ask a friend or a family member to pick you up or arrange another type of transportation, such as a taxi or an Uber.

When will I feel the results?

Steroids take a few days to take effect so please allow up to 10 days to experience the full benefits of the procedure.

Are there any side effects I should know about?

As a minimally invasive procedure, ultrasound-guided injections very rarely have side effects. On rare occasions, you may experience infection, bleeding, or an allergic reaction to the medicine used. Rarely there can be cosmetic effects at the skin surface by the site of injection.

We have translators available for your appointment.

Digital Prescription

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