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Physiotherapist performing ultrasound guided injection

If you are living with persistent joint pain, it can prevent you from enjoying everyday activities such as walking, exercising or spending time with family.

When pain continues despite rest, physiotherapy treatment, or medication, injection therapy may provide effective pain relief.

At Relive Physiotherapy in Chester, we offer ultrasound-guided injection therapy s part of our specialist musculoskeletal treatment services, helping to reduce inflammation, relieve pain and improve joint movement.

Our experienced injection therapist provides several types of injections designed to treat joint pain and musculoskeletal conditions.

These include:

These treatments are commonly used for knee pain, shoulder pain, hip pain, and other joint-related conditions, offering an effective non-surgical treatment option.

Each treatment is carefully selected based on your condition and recovery goals.

Over the past 20+ years, in his role as an Injection Therapist and Expert Physiotherapist, Raj has helped thousands of people recover from long-term pain conditions, improve mobility and return to the activities they enjoy.

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What Is Injection Therapy?

Injection therapy is a medical treatment used to reduce pain, inflammation and stiffness in joints and soft tissues.

A specialised medication is injected directly into the affected area to target the source of pain.

For many people, injections can provide rapid pain relief and improved mobility, allowing them to return to normal activities.

Is Injection Therapy Right for You?

Injection therapy may be suitable for people who:

Have persistent joint pain or inflammation

Have not improved with physiotherapy alone

Want to reduce pain and improve mobility

Are looking for a non-surgical alternative to manage joint conditions

During your consultation, your physiotherapist will assess your condition and determine whether injection therapy is the right treatment option.

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Ultrasound guided injection therapy for joint pain

Why Ultrasound-Guided Injections Are More Accurate

All injections at Relive Physiotherapy are performed using ultrasound guidance.

Ultrasound allows the practitioner to see the internal structures of the joint in real time, ensuring that the injection is delivered precisely to the correct location.

This improves accuracy, safety and overall outcomes for joint pain treatment.

Accurate Diagnosis

Many conditions can present with similar symptoms, such as pain, stiffness, or swelling, but the underlying cause may be different. Because treatment options vary depending on the exact diagnosis, accuracy is essential. Using his clinical experience alongside ultrasound imaging, Raj can carefully assess the affected area in real time. This allows for a more precise understanding of the condition and helps ensure that the most appropriate treatment plan is recommended.

Confirming an Existing Diagnosis

If you have already received a diagnosis from another healthcare professional, ultrasound can be used to review and confirm the findings. This additional imaging helps ensure that the proposed injection treatment is still appropriate and that it targets the correct structure. This provides extra reassurance and supports safe, evidence-based decision-making.

Precise and Effective Injection Delivery

In many cases, the area that requires treatment is very small and highly specific. Without imaging guidance, it can be difficult to guarantee exact placement. Ultrasound allows the practitioner to visualise the joint, tendon, or soft tissue in real time, ensuring that the injection is delivered directly to the intended location. This level of precision helps maximise the effectiveness of the treatment and may improving effectiveness for pain relief and recovery.

Accessing Hard-to-Reach Areas

Some areas of the body are deeper within the tissue or surrounded by structures that make accurate injection more challenging without guidance. Ultrasound imaging allows the practitioner to see beneath the skin and monitor the needle’s position throughout the procedure. This ensures the injection reaches the correct depth and anatomical structure, even in more complex or difficult-to-access areas.

What Are the Benefits of Ultrasound-Guided Injection Therapy?

Is injection therapy for you? If you are struggling with persistent joint pain, inflammation or reduced mobility, ultrasound-guided injection therapy may be an effective treatment option.

Effective Pain Relief for Joint Pain

Persistent pain can affect every aspect of daily life, from work to exercise and simple everyday tasks. Ultrasound-guided injections deliver medication directly to the source of the problem, helping to reduce inflammation, swelling, stiffness, and joint pain. By targeting the affected structure accurately, injection therapy can provide significant pain relief and improved function.

Treatment for Osteoarthritis

Osteoarthritis is a common cause of joint pain and reduced mobility, particularly in the knees and hips. Ultrasound-guided injections, including hyaluronic acid treatments such as Durolane, can help lubricate the joint, reduce pain and improve movement. Many people notice improved mobility and find they are able to return to activities they had previously struggled with. You will see the difference as you will be able to do things you didn’t think you could!

Speeding up Recovery

Some soft tissue injuries, such as tendon or joint inflammation, can take time to heal and may limit your activity. Targeted injections can help reduce pain, decrease inflammation, and improve joint movement. When combined with physiotherapy, injection therapy can help speed up recovery and restore strength and mobility.

Combining Steroid and Hyaluronic Acid Injections

In some cases, a corticosteroid injection may provide effective short-term pain relief. When appropriate, this can be combined with a hyaluronic acid injection to help extend the benefits and improve joint function over a longer period. Your clinician will recommend the most suitable treatment based on your condition and goals.

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Conditions That Injection Therapy Can Help Treat

Injection therapy can be effective for a range of conditions, including:

  • Tendonitis and tendinopathies
  • Joint inflammation and chronic pain
  • Loss of Mobility or Independence

Get in Touch with Us

If you are looking for effective joint pain treatment in Chester, contact Relive Physiotherapy today to speak with our injection therapy experts and explore your options for pain relief and recovery.

Headshot of Raj, injection therapy expert in Chester

About Raj

Raj Gandhi has over 16 years of experience in injection therapy, having previously worked within the NHS before his time at Relive Physiotherapy. He is fully qualified to perform ultrasound-guided injection therapy, using advanced imaging to ensure accurate diagnosis and precise treatment.

Raj loves to use ultrasound during consultations to show clients exactly what is happening within the joint or soft tissue. This helps clients better understand their condition and the treatment they are receiving.

He is passionate about helping people in Chester overcome joint pain and musculoskeletal injuries, guiding clients through every stage of the treatment process with clear communication and reassurance. It’s always his goal to make you feel as comfortable and as involved in your treatment as possible!

Raj is a full member of the Association of Chartered Physiotherapists in Orthopaedic Medicine and Injection Therapy (ACPOMIT) and the Chartered Society of Physiotherapists (CSP), and is fully registered with the Health and Care Professions Council (HCPC).

About Mohana

Mohana is an experienced Advanced Physiotherapy Practitioner and Medical Aesthetician who provides injection therapy treatments at Relive Physiotherapy. Using her extensive medical training, she performs injections with precision and care to help relieve joint pain and inflammation.

Her focus is always on helping clients feel comfortable, informed and confident throughout their treatment. Mohana takes the time to explain each step of the process, ensuring clients fully understand their condition and treatment options.

She is passionate about helping people improve both their physical wellbeing and quality of life, which is reflected in the positive outcomes many of her clients’ experience.

Mohana is a full member of the Association of Chartered Physiotherapists in Orthopaedic Medicine and Injection Therapy (ACPOMIT) and the Chartered Society of Physiotherapists (CSP) and is also registered with the Health and Care Professions Council (HCPC).

Headshot of Mohana, injection therapy expert in Chester

GOT A QUESTION?

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Contact our team to learn more about our treatment options.

The time it takes for an injection to work depends on the type of injection used. Some people notice improvement within a few days, while others may experience gradual relief over several weeks.

Most people experience only mild discomfort during the injection. Ultrasound guidance helps ensure the injection is delivered accurately and quickly.

The duration of relief varies depending on the condition being treated and the type of injection used. Some treatments may provide relief for several months or longer.

In some cases, injection therapy can help reduce pain and delay the need for surgery, particularly for conditions such as osteoarthritis.

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G o o g l e | Excellent

500+ Google Reviews

I can highly recommend the team at Relive Physiotherapy. I was in absolute agony with left knee pain just a few weeks ago. I phoned up on a Friday morning and Raj fitted me in that day. He went through all my options and I had the steroid injection on the same day. The results have been AMAZING which have also been helped by the brilliant physiotherapy by Shivani. I have also committed to doing all the exercises Shivani advises. I have also had the durolane injection in the right knee to help with pain and lubrication of the joint. Again AMAZING results. The whole team are just wonderful, friendly, welcoming, kind and compassionate. I feel seen and listened to which I really appreciate. I honestly thought that I would just be in pain and have reduced mobility until I had a knee replacement after a very long wait on the NHS. But now I feel like I can start to live again which I am so grateful for. Thank you to all at Relive Physiotherapy and a shout out to Raj and Shivani

Mandy Middletons

I have just finished a course of treatment with Raj at Relive. I had a variety of musculoskeletal-issues that had developed over time. Raj broke down the ingredients of the problem and went through a treatment regime which has sorted all my issues. Raj is highly knowledgable, experienced and totally patient focused. And his team come across as most welcoming and very well organised. I have no hesitation whatsoever in recommending Relive. I also extend a big thank you to Raj and his team for making my visits such a pleasurable experience and, above all, for such a successful outcome.

John D'Arcy

Today I visited Relive Physiotherapy and was treated by Raj. I had ultrasound guided cortisone injections in both shoulders to help with pain after a fall. The whole procedure was excellent. Raj explained everything very thoroughly, he initially showed me images of my shoulders on the scan and explained where the problem was and where he was going to inject. The injections were not particularly painful, and I thought the whole procedure was carried out very professionally.I live in Wales and the wait time for cortisone injections on the NHS are 6-9 months. I was able to arrange the injections with Raj within days. I can thoroughly recommend Relive Physiotherapy and the treatment I received from Raj today was first class. Many thanks.Judith France

Jay Clarke

From the moment i made the enquiry to the consultation through to the injection, Raj was absolutely amazing, he was very prompt getting back to me and made feel relaxed throughout the entire procedure, his knowledge is second to none and he took the time to examine and understand my issues without rushing …I highly recommend the services at relive physiotherapy clinic ,i will definitely be returning. A big thank you to Raj and his team.

Andy Brocklebank (Brock)

I was suffering with an impinged shoulder. My wife had successful treatment with Raj, so I went to see Raj. I found Raj very friendly, attentive, professional and Raj put me at ease straight away. I always felt safe, even in these difficult times (Covid). I had 4-5 appointments and a steroid injection into the shoulder, I am now back having fun kayaking. I was initially worried about the steroid injection. Raj explained the process and risks to me, putting my mind at ease, I found the steroid injection completely pain free and felt a massive difference. Thank you Raj.

Lee Millar

I’ve had tendinitis in my right arm for a couple of years. Tried the usual self help on YouTube but nothing fixed it. I went to see Mohana who recommended a cortisone injection. That’s worked a treat. I’ve had a couple of physio sessions with Mohana since the jab and I’m now pain free. Just hope it stays that way. Thanks Mohana and the team at Relive Physiotherapy.

Paul Tanton

Mohana is lovely lady and have angel’s hands. She helped a lot . I was pain in my shoulder. I got injection from Raj and stopped pain.

Berenice Almeida

I had been struggling for several months with a problem with my right knee which was limiting my mobility. Walking any distance caused me to limp and walking upstairs difficult as was getting in an out of my MX5. I sort help from my sports physio which helped but did not solve my problem. I found Relive Physiopherapy local to me, booked an appointment with Mohana for a knee assessment and was recommended an injection in the knee. Within 5 days I am climbing stairs normally can get into and out of my car normally and my knee flexibilty is the same as my other knee. I wish I had found Relive months ago and avoided all the pain I have been put through. So my utmost thanks to Mohana at Relive. I have already recommended a friend with an ongoing knee issue to contact them. Happy days ! Colin.

Colin Smith

I wholeheartedly recommend Relive Physiotherapy. I have received excellent care and guidance from Raj who has been treating issues with both my knees for a couple of years. He has been very patient and explained the steps in treatment at every stage. The Durolane injection he recommended in my knee has given me much more flexibility and confidence. The whole team are lovely and friendly making you feel very welcome every time you visit. Thank you very much Raj and all the team.

Donna

Thanks Raj for your continued support with my knee over the past couple of years. I visited today for a Durolane injection in my left knee. Thanks for explaining how this will work as it is slightly different to the previous injection. Always a professional, I have no hesitation in recommending you to others.

Ian Dodd

Having suffered for several months with suspected Tendinopathy in the shoulder and, having had two cortisone injections, I then had a third to stretch the shoulder capsule followed by some sessions at Relive Physiotherapy in Chester to help regain my range. I’ve always felt welcomed by the Relive team and being able to park outside is a massive city centre bonus. My physio was Shivani who has a Masters Degree in Physiotherapy who I cannot recommend enough. Goodness she knows her stuff!!! Shivani was happy to explain what the programme was and why/how it would help and how I was progressing along the way. She also communicated directly with my insurer (Aviva/ HCML) to keep them updated with my progress and to apply for additional sessions for me as needed which made it super-easy. Shivani successfully managed to get the full range back in my shoulder, the limitations of which had greatly impacted me and, to be fair, it was no mean feat considering I’d not sought medical help for several months allowing my shoulder to get much worse. I’ve been massively impressed by Shivani. Sessions have now been paused awaiting my Ortho appointment - I may need some more sessions but, if I do, I know I’ll be in very safe hands with Shivani and Relive. Well done all and thank you!

Andrea Sands

Fantastic service pain free, waiting 12 months for NHS treatment and was told wait another 26 weeks for a cortisone injection in the foot. This is why I took a chance to try these amazing people. Thank you so much. Kevin

Kevin Thomas

Thank you to all at Relive Physiotherapy, whilst on holiday I needed an appointment for plantar fasciitis, I was able to be seen the following day. Mia manipulated my ankle joint that was only moving to 6 degrees instead of 16. This had never been mentioned in France where I live during the 3 months of shock therapy which didn't make any difference. I hobbled into the clinic and walked out. Two days later I was given a cortisone injection by the needle therapists who came to work early in order to help me as I am flying home later this week. I am already feeling a difference after just a few hours . Thank you for going above and beyond my expectations. I would absolutely recommend you in the future . Kind regards Carol Fardy

Carol Fardy

This is a really great Physio place and the treatment is top notch. I have seen a fair few of the team and everyone is so friendly. Iain on reception is fab too. There is a little book in reception where customers can leave comments and it’s literally bursting with positive comments and success stories. Well worth a read and a contribution if you ever go!

Robert Munday

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Interior of Relive Physiotherapy Chester Clinic