Injection Therapy

Steroid injections are types of anti-inflammatory medicines and they’re not the same as anabolic steroids used by body builders to increase their muscle size and strength. They are used to treat a wide range of conditions such as joint pain, arthritis and repetitive strain injuries. An alternatives treatment to steroid joint injections is also available in the form of hyaluronic acid (Ostenil).

A number of different steroids are available for injection. Common examples of steroid injections are: Hydrocortisone, Triamcinolone or Kenalog, Methylprednisolone or Depo-Medrone.

What can Injection therapy help with?

  • Reduces pain effectively
  • Enhances functional ability
  • Helps preserve joint structure and function by lowering inflammation
  • Generally well-tolerated with fewer serious side effects compared to other steroid medications
  • May decrease the necessity for oral steroids or higher doses of oral steroids, which often carry more side effects

What to expect?

injection therapy in digbeth sheldon

Your clinician will discuss with you the treatment before gaining your consent. The area to be treated will be exposed and cleaned before the injection is administered.

After the injection you will be asked to wait in the reception area for up to 30 minutes. You will then be asked to rest the injured area for two days and up two weeks, in certain cases.

What are Ostenil Injections and how they work?

What is a synovial joint?

A synovial joint is one that allows for movement, like the knee, hip or shoulder. Where the bones meet, their surfaces are covered with a layer of thick cartilage and a thin layer of fluid (synovial fluid) that separates and lubricates the two surfaces and protects the cartilage from wear and tear. The most important component of synovial fluid is hyaluronic acid, which allows the fluid to perform effectively.

How does Ostenil Plus work?

This medication is injected into the synovial fluid-filled space between the joints and works to restore the balance between hyaluronic acid breakdown and production. As a result of this effect, OSTENIL® PLUS can aid in the reduction of joint pain and stiffness.

OSTENIL® PLUS contains very pure hyaluronic acid that is produced through fermentation. It is unlikely to cause an allergic reaction because it contains no animal proteins, and the addition of mannitol (a sugar derivative) helps the hyaluronic acid work for longer and more efficiently in the joint.

Treatment with Ostenil Plus

A fully qualified clinician should inject OSTENIL® PLUS directly into the joint(s) affected by osteoarthritis. It’s unlikely that you’ll notice any benefits right away, but over the next few weeks, you should notice a gradual reduction in pain and stiffness, which should last for several months.

If your clinician thinks it’s safe, you can choose to have another injection when the effects of OSTENIL® PLUS start to wear off.

About our physiotherapists

All our physiotherapists are registered with and regulated by the HCPC (Health and Care Professions Council) and the CSP (Chartered Society of Physiotherapy). They are a highly experienced team, and many have developed advanced and extended scope qualifications in areas such as diagnostic ultrasound and injection therapy. They combine vast experience gained across all sectors – private, NHS, and many areas within professional/elite sport.

What next?

If you are suffering with pain or injury that’s stopping you do the things you enjoy or need to do, if you have niggles that are annoying you, or if you have some specific sporting/fitness challenges you want to prepare for, then we can help.

If you would like to book an appointment, or would like further information, please contact us on 0121 622 5317 or email

Private health insurance

Optimum Physio is recognised by all major private health insurers.

Depending on your insurer, you may need a GP referral before you can use your private health insurance with us. To make this process as speedy as possible, we have partnered with DocTap, who can provide same-day GP referrals to all secondary care services.  

Once you’ve got your referral (if necessary), you’ll normally be offered an appointment with one of our physiotherapists at your preferred location, within 24 hours.

Private self-fund

No need to get a GP referral if you’re paying for a physiotherapist yourself. To ensure we remain competitive, our prices are set regionally and can be found at the bottom of each clinic page.

Offers and discounts

You can also get 10% off when pre-purchasing blocks of 6 or more treatments online. We recommend you speak to a physiotherapist first to determine how many sessions you need.

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