Private Ultrasound & Guided Procedures
State-of-the-art diagnostic imaging and interventional radiology in Hinchley Wood, Esher — led by our Consultant Radiologist.
Over 16s Only
This service is available to patients aged 16 and over. Interventional procedures (injections) are for patients aged 18+.
First Floor — No Lift
Our clinic is on the first floor without lift access. Patients must be able to climb one flight of stairs.
Referral Required for Injections
All interventional procedures (injections) require a referral letter from your GP, physiotherapist or specialist. Diagnostic scans can be self-referred.
Consultant Led Ultrasound Services
Our Consultant Radiologist Dr Madhvi Patel runs an ultrasound service from our Hinchley Wood clinic using our market-leading machine, delivering exceptional image quality.
Dr Patel and her experienced radiology colleagues offer diagnostic ultrasound scans and ultrasound-guided interventional procedures — from joint and soft tissue imaging to advanced therapies including steroid injections, PRP, Ostenil Plus, barbotage, hydrodilatation, dry needling, and Arthrosamid.
Whether self-referring for a diagnostic scan or attending with a referral for a guided procedure, our team provides expert care serving patients from Hinchley Wood, Esher, Cobham, Oxshott, Surbiton, Kingston, Hampton and Southwest London.
Our Services
Diagnostic imaging and interventional procedures, one location.
Diagnostic Ultrasounds
Expert imaging with market-leading clarity.
- Abdominal & Kidney, Ureter, Bladder
- Abdominal Aorta (AAA assessment)
- Hernia assessment
- Testes / Scrotum
- Joint ultrasound (per area)
- Soft tissue & tendon (per area)
Guided Joint & Soft Tissue Procedures
Precision-guided treatments for pain relief.
- Steroid injections (joint & soft tissue)
- Ostenil Plus (hyaluronic acid)
- PRP (platelet-rich plasma) injections
- Ganglion & Baker's Cyst aspirations
- Arthrosamid knee injections
Specialised Procedures
Advanced interventions for complex MSK conditions.
- Shoulder hydrodilatation (frozen shoulder)
- Shoulder barbotage (calcific tendinopathy)
- Tendon dry needling (chronic tendinopathy)
Procedure Guide
Preparation, risks and aftercare for each procedure.
Ultrasound Guided Steroid Injections
Precision-guided injections for inflammation and pain
What is a Steroid Injection?
The purpose of a steroid injection is to reduce inflammation and pain in the affected area. This enables you to use and exercise that body part to help aid the recovery process. Ultrasound guidance is used for accurate visualisation and to minimise risk.
How to Prepare
Please bring a list of all your medications — without this, we may not be able to carry out your procedure. You may eat and drink normally. We advise arranging someone to drive you home afterwards.
A steroid injection cannot be performed if: you have an active infection, feel unwell, are allergic to local anaesthetic or steroid, or are due to have surgery to that area soon. A minimum 3-month gap is required for repeat steroid injections.
Risks & Side Effects
Steroid injections are generally safe with ultrasound guidance used throughout. Performed aseptically with sterile equipment. Infection risk approximately 1 in 10,000.
- Minor bruising at injection site
- Tendon damage / rupture (rare)
- Damage to surrounding vessels or nerves
- Failure of the procedure or worsening of pain
- Facial flushing
- Small risk of skin depigmentation or dimpling
- Temporary increase in sugar levels (diabetics)
- Possible changes to menstrual cycle
Post-Procedure Care: The local anaesthetic lasts 6–8 hours. Rest the affected area for 48 hours and avoid strenuous activity for 7–10 days.
Ostenil Plus (Hyaluronic Acid) Injections
Joint lubrication therapy for osteoarthritis
What is Ostenil Plus?
Ostenil Plus is a solution containing hyaluronic acid — a naturally occurring substance and an important component of synovial fluid. It contributes to joint lubrication, has a shock-absorbent effect, and helps eliminate harmful cells that contribute to cartilage breakdown.
The solution is injected into synovial joints to help restore the balance between breakdown and production of hyaluronic acid, improving joint function and reducing pain, stiffness and swelling.
What Can It Treat?
There is evidence showing efficacy for knee osteoarthritis, but it is also licensed for use in shoulder and hip osteoarthritis. You may not notice an immediate effect but will gradually experience improvement in pain and stiffness, which is likely to last several months. Ostenil Plus injections can be safely repeated when the effect wears off.
Do not have this injection if: you have an active infection at or near the injection site, are allergic to local anaesthetic, have an inflammatory joint disease, or are pregnant.
Risks & Side Effects
Ostenil Plus injections are relatively safe with no reported serious side effects and contain no animal proteins. Ultrasound guidance is used throughout.
- Minor bruising at injection site
- Pain and swelling post-procedure
- Tendon or nerve damage
- No response to treatment or worsening of symptoms
Post-Procedure Care: Rest the affected area for 48 hours. Arrange transport home as driving is not advised.
Platelet Rich Plasma (PRP) Injections
Your body's own healing power for joints, tendons & skin
What is PRP?
PRP stands for Platelet-Rich Plasma. Blood is taken from your arm, mixed with a special suspension and put through a centrifuge for approximately 10 minutes. The blood is separated into red blood cells, white blood cells and platelet-rich plasma. The PRP — rich in growth factors and proteins — is then injected into the joint or soft tissue needing treatment to promote healing, restore tissue integrity and reduce inflammation.
What Can PRP Treat?
PRP is used as an alternative treatment option for patients who have not responded to conservative management. We use PRP to treat:
- Skin rejuvenation — regenerative therapies
- Mild to moderate osteoarthritis
- Chronic tendinopathies: tennis elbow or golfer's elbow
Patients commonly have a course of 3 treatments. A 3-session course is available for £1,400.
Important: Avoid non-steroidal anti-inflammatory medications (e.g. ibuprofen, naproxen) for 5 days before PRP therapy as they can reduce effectiveness.
Do not have PRP if: you have an active infection, feel unwell, have active cancer, a bleeding or platelet disorder, are anaemic, pregnant, or on anti-platelet medications (e.g. aspirin, clopidogrel).
Risks & Side Effects
PRP is a safe, natural product. 10% of patients may experience a post-injection flare lasting 2–7 days.
- Small risk of infection (approximately 1 in 10,000)
- Worsening of symptoms
- No response to treatment
Post-Procedure Care: Avoid NSAIDs for one week post-procedure. Use paracetamol and ice packs for any flare. No heavy lifting for one week; avoid high-impact activity for two weeks. Continue rehabilitation as recommended by your physiotherapist.
Ultrasound Guided Barbotage
Treatment for calcific tendinopathy of the shoulder
What is Barbotage?
Barbotage is a procedure used to treat calcific tendinopathy. Under local anaesthetic, a needle breaks down the calcium deposits and aspirates them where possible. Steroid is then injected into the surrounding bursa to reduce pain and inflammation.
What is Calcific Tendinopathy?
Calcific tendinopathy occurs when calcium crystals are deposited within tendons, most commonly the shoulder rotator cuff tendons. It is attributed to chronic wear and tear and can cause significant inflammation and acute pain. Ultrasound is often the best modality for diagnosis, although large deposits can also be seen on X-ray.
Treatment Options
Conservative: Pain relief medication, shoulder exercises guided by a physiotherapist.
Interventional: Bursal steroid injections for pain relief. If the calcific deposits are focal and large enough, barbotage can be performed. The procedure may sometimes need to be repeated, and physiotherapy is usually beneficial afterwards.
Not recommended if: you are on an anticoagulant — this would need to be discussed with your referrer first.
Post-Procedure Care: Local anaesthetic lasts 4–6 hours. Rest the shoulder for 48 hours, avoid strenuous activity for 7–10 days. Arrange transport home.
Shoulder Hydrodilatation
Treatment for adhesive capsulitis (frozen shoulder)
What is Frozen Shoulder?
Frozen shoulder (adhesive capsulitis) is a common condition where the capsule surrounding the shoulder joint becomes thickened and inflamed, causing significant pain and stiffness. Primary frozen shoulder is idiopathic; secondary cases have been attributed to diabetes, previous trauma or cardiovascular disease. The natural course can take 12 to 42 months.
What Does Hydrodilatation Involve?
A needle applies local anaesthetic, usually to the back of the shoulder, followed by injection of a large volume of fluid into the joint to stretch the capsule and improve range of movement. A steroid injection can be given at the same time to reduce inflammation and pain. Physiotherapy is essential afterwards to aid recovery.
Treatment Pathway
Conservative: Pain relief medication, shoulder exercises guided by a physiotherapist.
Interventional: Steroid injections for pain relief. If stiffness persists, hydrodilatation can be offered.
Not recommended if: you are on an anticoagulant — this would need to be discussed with your referrer first.
Risks
Hydrodilatation is a safe procedure with ultrasound guidance used throughout. Infection risk is approximately 1 in 10,000. Other risks include minor bruising, damage to surrounding vessels or nerves, procedure failure, and steroid side effects (facial flushing, skin depigmentation, temporary increase in sugar levels for diabetics, possible menstrual cycle changes).
Post-Procedure Care: Local anaesthetic lasts 4–6 hours. Rest the shoulder for 48 hours with no heavy or overhead lifting. Arrange physiotherapy as soon as possible after the procedure.
Ultrasound Guided Tendon Dry Needling
Natural healing stimulation for chronic tendinopathy
What is Dry Needling?
Dry needling is an alternative treatment for chronic tendinopathy. Under ultrasound guidance, local anaesthetic is applied to the area, then a needle is repeatedly passed through the abnormal tendon. This encourages local bleeding, thought to stimulate fibroblasts — cells involved in natural healing. Benefits are usually felt in the following weeks. The procedure may sometimes need to be repeated, and physiotherapy is advised afterwards.
Not recommended if: you are on an anticoagulant — this would need to be discussed with your referrer first.
Risks
Dry needling is generally considered safe with ultrasound guidance used throughout. Infection risk is approximately 1 in 10,000.
- Temporary increase in pain (usually first 24–48 hours)
- Bruising at injection site
- Tendon damage / rupture
- Damage to surrounding vessels or nerves
- Failure of the procedure
Post-Procedure Care: Local anaesthetic lasts 4–6 hours. Rest the affected area for 48 hours, avoid strenuous activity for 7–10 days. Arrange transport home.
Arthrosamid® Knee Injections
Non-biodegradable hydrogel for knee osteoarthritis
What is Arthrosamid?
Arthrosamid® is a non-biodegradable polyacrylamide hydrogel used for symptomatic pain relief in knee osteoarthritis. It is injected into the knee joint and becomes embedded in the synovial membrane, slowing inflammatory processes. It restores viscosity within synovial fluid, increasing lubrication and cushioning to improve load sharing.
Clinical trials show a single Arthrosamid® treatment provides safe, long-lasting pain relief and improved quality of life — delaying the need for knee surgery.
How Long Do the Effects Last?
Patients can expect improved mobility and pain relief within 2–4 weeks, with continued improvement between 3–6 months. Data shows Arthrosamid® demonstrated statistically significant pain reduction at 3 years after treatment. As a non-biodegradable product that integrates with the synovial membrane, it offers longer-lasting relief compared to hyaluronic acid and PRP.
Do not have Arthrosamid if: you have an active infection, haemophilia or take anticoagulants, have had knee arthroscopy within 6 months, a recent hyaluronate injection, a foreign body in your knee, are pregnant or breastfeeding, have poorly controlled diabetes, an autoimmune condition, or are awaiting a major dental procedure.
Preparation
A referral from a suitably qualified specialist is required for all Arthrosamid® injections. Prophylactic antibiotics must be taken 1–6 hours before the injection (as advised by your referring doctor).
Risks & Side Effects
Arthrosamid® has been developed over 20 years with no reported serious side effects. Ultrasound guidance is used throughout.
- Pain and swelling at injection site
- Minor bruising
- Tendon or nerve damage
- No response to treatment or worsening of symptoms
Post-Procedure Care: Avoid strenuous activity for a few days. Arrange transport home.
Prices
Clear pricing for all scans and procedures.
Diagnostic Scans
| Scan Type | Price |
|---|---|
| Abdomen & KUB | £230 |
| Abdominal Aorta (AAA) | £210 |
| Hernias | £210 |
| Testes / Scrotum | £210 |
| Joint (per area)* | £230 |
| Soft Tissue / Tendons (per area)* | £230 |
| Other areas | POA |
Guided Procedures
| Procedure | Price |
|---|---|
| Steroid Injection (per area)2 sites: £550 (save £90) · 3 sites: £780 (save £180) | £320 |
| Aspiration (Ganglia / Baker's Cyst) | £350 |
| Tendon Dry Needling | £375 |
| Hydrodilatation (Frozen Shoulder) | £375 |
| Shoulder Barbotage | £375 |
| Ostenil Plus (per joint) | £400 |
| PRP Injection (per area)3-session course: £1,400 | £500 |
| Arthrosamid (Knee) | POA |
* Price quoted is for a single body part. Discounted bilateral packages are available — see below.
Value Packages
Save with bundled packages combining consultation, imaging and treatment.
Lumps & Bumps Package
Is your lump worrying you? Put your mind at ease with our personalised package.
- Private GP Consultation
- Ultrasound scan of your lump
- If aspiration required — discounted at additional £80
Bilateral Joint / Soft Tissue Scan
Pains in both knees, shoulders or other joints? Reduced price for two joints booked together.
- Ultrasound scan of both joints
- Steroid injection available for additional £60 per area (referral required)
- Discounted GP appointment for £40 to obtain referral if needed
Bilateral Guided Injection Package
Both joints scanned and injected with steroid by our consultant radiologist.
- Private GP Consultation
- Ultrasound scan & steroid injection — both sides
- Comprehensive management advice
Shoulder Pain Package
All-in-one package to diagnose and manage your shoulder condition.
- Private GP Consultation
- Ultrasound scan of your shoulder
- Add-on at reduced price: Steroid (£60), Ostenil (£125), Barbotage (£125), Hydrodilatation (£125)
- Comprehensive management plan
Hands & Feet Arthritis Injection
Scan and steroid injection for painful hand/foot joints.
- 1 Joint: £380
- 2 Joints: £610 (save £150)
- 3 Joints: £840 (save £200)
- Includes GP consultation, ultrasound & injection
Full Abdominal Assessment
Comprehensive assessment with extensive blood panel and ultrasound scan.
- Private GP Consultation
- Bloods: FBC, ESR, Iron, Renal, Liver, Bone Profile, LDH, CK, Glucose, Amylase, Lipase
- Abdominal ultrasound by consultant radiologist
- Comprehensive management plan
Referral Information
- You can self-refer for diagnostic scans. All guided injections require a referral from your GP, physiotherapist or specialist.
- If after consultation a guided injection is considered unnecessary, you will only be charged the diagnostic scan price.
- Please bring a list of your medications — without this, we may not be able to proceed.
- We advise all patients not to drive following a guided procedure.
Serving Surrey & Southwest London
Our ultrasound clinic is conveniently located in Hinchley Wood, Esher — easily accessible from across Surrey and Southwest London.
Woodside House, Station Approach, Hinchley Wood, Esher, Surrey KT10 0SR
Ready to Book?
Whether you need a diagnostic scan or guided procedure, our expert team is here to help.