ULTRASOUND GUIDED INJECTIONS

At the Putney Clinic of Physical Therapy, in addition to our MSK Diagnostics services, we also we offer Ultrasound Guided Injections. These injections are performed by MSK Sonographer and Physiotherapist Chris Pruvey at our clinic in Putney.

What are Ultrasound Guided Injections?

Ultrasound-guided injections use real-time imaging to guide a needle directly into the target area. This offers greater precision, comfort, and effectiveness than non-guided techniques. Modern ultrasound imaging is not only used in pregnancy, but also plays a vital role in diagnosing and treating musculoskeletal (MSK) conditions. It provides high-resolution views of muscles, tendons, ligaments, and joints. This helps guide accurate treatment.

The benefits of Ultrasound Guided Injections

Accurate Diagnosis: Combining clinical assessment with a full diagnostic ultrasound scan
Precise Injection: Real-time imaging ensures accurate needle placement
Improved Comfort: Enhanced use of local anaesthetic and reduced tissue trauma
Better Outcomes: Optimised delivery for faster and longer-lasting relief

Conditions suitable for Ultrasound Guided Injections

Common causes of musculoskeletal pain include:

Biomechanical dysfunctions (tightness/weakness)
Degenerative changes (arthritis, tendinopathy)
Soft tissue injuries (tears or inflammation)

Depending on the root cause, your clinician may recommend:

Steroid injections for inflammation-driven pain
Hyaluronic acid injections for joint degeneration or chronic conditions

Steroid injections for joint and tendon pain

Steroid injections are effective for reducing inflammation-related pain. At the Putney Clinic, these are guided by ultrasound for maximum accuracy and minimal discomfort. Among the common conditions treated are:

Frozen Shoulder
De Quervain’s Tenosynovitis
Trigger Finger/Thumb
Knee Arthritis Flares
Shoulder Impingement

Hyaluronic acid injections for degenerative joint pain

Hyaluronic acid (HA) is a naturally occurring lubricant found in joints and tendon sheaths. In cases of osteoarthritis or chronic tendon pain, HA injections can offer longer-term relief compared to steroids.

Ostenil injections

Ostenil® is a leading HA product range for MSK conditions. Multiple formulations are available at Putney Clinic for joint and tendon-related pain. For more information, visit the Ostenil website on: www.trbchemedica.co.uk.

Durolane Injections

Durolane® is a high molecular weight HA product designed for large joints such as the hip, knee, or shoulder. Its larger volume (3ml) may provide enhanced and longer-lasting effects. Read more about Durolane injections.

What to expect from an appointment

At the Putney Clinic, each appointment includes:

A comprehensive history and physical examination
Diagnostic ultrasound scanning
Tailored treatment plan, which may include rehabilitation or an ultrasound-guided injection

Expert-led diagnostic and injection services

Chris Pruvey is a highly qualified musculoskeletal physiotherapist with post-graduate Masters training in Sports & Exercise Medicine, Non-Medical Prescribing, and Diagnostic Musculoskeletal Ultrasound. He delivers ultrasound-guided injections and diagnostic scans both in NHS secondary care and privately at the Putney Clinic, working closely with GPs, physiotherapists, and consultants. You can learn more about Chris and his full range of services by visiting his Ultrasound Diagnostics and Guided Injections website at: www.chrispruveymsk.clinic.

Treatment fees

Visit our treatment prices page to consult the cost of Ultrasound Guided Injection fees.

How to book Ultrasound Guided Injections at the Putney Clinic

If you are already undergoing treatment, please discuss with your clinician. If you would like to book a Ultrasound Guided Injection with Chris at the Putney Clinic, book online or by calling us on 020 8789 3881.

Ultrasound Guided Injections