Guided injection service

Guided Injection

Ultrasound Guided Injection Service

Bristol Physio are able to offer an ultrasound guided injection service. All injections are done using ultrasound as guidance, this ensures the target tissue is identified and treated. 

We offer steroid injections, hyaluronic acid injections and hydrodilatation. Currently, these are performed by Tony Gill. Tony is the only Bristol Physiotherapist qualified as an ultrasonographer, prescriber and injection therapist combined.         


We offer steroid injections for joint and tendon problems with a focus on pain reduction and increased mobility. The body naturally produces many steroids, such as Cortisone, to reduce inflammation and promote healing. The injection gives a targeted dose into the affected area. Subsequently, the inflammation within the joint space, tendon or bursa takes 2 - 10 days to reduce after the direct injection. A single injection may be sufficient to alleviate your pain, however some chronic conditions can take multiple injections. Steroid injections are always used in conjunction with exercise rehabilitation. Once the pain has been alleviated, retraining and normalising movement & power is key to long term success.  Click here for published research on steroid injections.     


Additionally, we offer hydrodilatation injections (including large volume hydrodilatation) with reports of great success. Hydrodilatation is most often administered to treat 'frozen' shoulders. A mixture of sterile saline, local anaesthetic and steroid is injected into the shoulder to increase joint movement and to reduce pain. To read more on the published research on Hydrodilation success follow these articles.


Hyaluronic acid injections are also available. These medicated injections are most appropriate for conditions such as mild osteoarthritis or tendinopathies. For an introduction to the research behind the effectiveness of Hyaluronic Acid Injections click here.


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Prescriptions for the guided injections can only be made after an initial consultation with Tony, who will then decide if an injection is required and prescribe the appropriate medication. All injections are administered by Tony in a follow up session.

To book your initial assessment click here.