Injection Therapy

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At Solent Specialist Physiotherapy, injection therapy may be considered in selected cases as part of a broader management pathway.

Injections are not offered as a first-line treatment or as a standalone “quick fix”. They are used where clinically appropriate — often to reduce pain and inflammation, improve movement, and support a more effective rehabilitation programme.

The decision to proceed is always guided by diagnosis, symptoms, clinical findings, and individual goals.

When injection therapy may be helpful

Injection therapy may be considered when:

pain is limiting progress with rehabilitation
symptoms suggest inflammation is a key driver
symptoms are persistent or recurring despite appropriate care
a clearer next step is needed within a wider plan
function and quality of life are significantly affected

Not every condition is appropriate for injection therapy, and in many cases rehabilitation remains the main focus.

Types of injections

The most appropriate injection depends on the joint or tissue involved, the nature of symptoms, and the clinical picture. Your clinician will discuss options clearly so you can make an informed decision.

Steroid injections (corticosteroid)

Steroid injections are anti-inflammatory injections that may be used where inflammation is a significant contributor to pain.

They are commonly considered when pain is present at rest, at night, or where symptoms flare unpredictably and are not responding to conservative strategies.

Steroid injections may be used for a range of joint and soft tissue conditions where clinically appropriate.

Typical onset: within a few days
Typical duration: weeks to a few months (varies)

Hyaluronic acid injections (viscosupplementation)

Hyaluronic acid is a naturally occurring substance found in healthy joints. In some cases — particularly in osteoarthritis — hyaluronic acid injections may help improve lubrication and reduce stiffness, supporting smoother joint movement.

These injections are most commonly used for knee osteoarthritis, particularly where symptoms are more mechanical and load-related.

Typical onset: 1–4 weeks
Typical duration: up to 6–12 months (varies)

Dual-action injections (e.g. Cingal)

Dual-action injections combine a steroid with hyaluronic acid. They are used in selected cases where both rapid symptom reduction and longer-term joint support may be beneficial.

These injections are currently only licensed for the knee joint.

Typical onset: within days
Typical duration: up to 6 months (varies)

Which injection is right for you?

The best injection option depends on:

your diagnosis
the type of pain you are experiencing
whether inflammation is present
your activity levels and goals
previous response to treatment
individual risk factors and medical history

We take time to explain options clearly, including expected benefits, limitations, and what to do next if symptoms return.

A note on rehabilitation

Injection therapy is most effective when used as part of a structured plan — particularly where it enables better movement, more comfortable loading, and more consistent progress with rehabilitation.

In many cases, the injection is not the “treatment” — it is the support that allows the treatment plan to work.

Next steps

If you are considering injection therapy, the best starting point is a specialist assessment. This ensures the diagnosis is clear and that injection therapy is being used for the right reasons.

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Fees

Injection therapy is priced separately from physiotherapy appointments.
The most appropriate option will be discussed following assessment.

Steroid injection — £250
Durolane injection — £305
Cingal injection — £350