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Ultrasound-Guided Radiology

Ultrasound-Guided Steroid Injections

Precise, consultant-led joint and soft-tissue steroid injections performed under live ultrasound guidance at our private clinic in Hinchley Wood — serving patients across Esher, Cobham, Oxshott, Surbiton, Hampton, Surrey and South West London.

Consultant Radiologist Live Ultrasound Guidance Same-Week Appointments Adults 18+
Ultrasound-guided steroid injection at Hinchley Medical, Esher Surrey
CQC RegisteredPrivate specialist clinic

What is an Ultrasound-Guided Steroid Injection?

A steroid injection delivers a small dose of corticosteroid directly into an inflamed joint, tendon sheath, bursa or soft-tissue structure to reduce pain and swelling. The aim is to calm inflammation enough that you can return to movement, physiotherapy, and the activities you enjoy.

At Hinchley Medical, every injection is performed under live ultrasound guidance by a consultant radiologist. This allows the needle to be placed with millimetre accuracy — improving effectiveness, minimising risk, and avoiding nearby tendons, vessels and nerves.

  • Pinpoint accuracyReal-time imaging confirms the needle reaches the correct target.
  • Lower risk profileAseptic technique, sterile single-use equipment and ultrasound visualisation throughout.
  • Same-day procedureDiagnostic scan, clinical discussion, consent and injection in one appointment where appropriate.
  • Local to youConvenient access from Hinchley Wood, Esher, Cobham, Oxshott, Surbiton, Hampton and across Surrey.
~20 mins
Typical procedure time after consultation and consent — most patients are back on their feet the same day.
6–8 hrs
Approximate duration of the local anaesthetic, after which you may feel mild discomfort as it wears off.
3 months
Minimum interval between repeat steroid injections to the same site, in line with best practice.
What We Treat

Conditions Helped by Ultrasound-Guided Steroid Injections

Patients across Surrey and South West London are referred to us — or self-refer — for targeted relief from a wide range of musculoskeletal complaints. Common indications include:

Shoulder

Subacromial impingement, rotator cuff tendinopathy, frozen shoulder and AC joint pain.

Elbow

Tennis elbow (lateral epicondylitis) and golfer's elbow (medial epicondylitis).

Wrist & Hand

Carpal tunnel syndrome, De Quervain's tenosynovitis, trigger finger and thumb base arthritis.

Hip

Greater trochanteric pain syndrome, gluteal tendinopathy and hip joint osteoarthritis.

Knee

Osteoarthritis, pes anserine bursitis, iliotibial band syndrome and patellar tendinopathy.

Ankle & Foot

Plantar fasciitis, Achilles tendinopathy, Morton's neuroma and small joint osteoarthritis.

Bursitis

Inflammation of fluid-filled cushioning sacs around joints — including hip, shoulder and knee bursae.

Soft-Tissue Inflammation

Targeted relief for tendons, ligaments, joint capsules and inflamed soft-tissue structures.

Your Appointment

What to Expect, Step by Step

From the moment you arrive at our Hinchley Wood clinic, every stage of your appointment is led by an experienced consultant radiologist.

1

Clinical Discussion

Your consultant reviews your symptoms, history and current medications, then discusses the benefits and risks of the injection with you.

2

Diagnostic Scan

A focused ultrasound scan confirms the diagnosis and identifies the precise structure to be treated.

3

Informed Consent

Once you are happy to proceed, you'll be asked to sign a written consent form before the procedure begins.

4

The Injection

Performed under sterile, aseptic conditions with live ultrasound guidance — typically taking just a few minutes.

5

Aftercare Advice

You'll receive clear written guidance on rest, activity, and what to expect over the days that follow.

Patient Guidance

Before, During & After Your Procedure

Use the tabs below to read clear, practical guidance on preparing for your appointment, when an injection isn't appropriate, and how to look after yourself afterwards.

How to Prepare for Your Steroid Injection

A little planning ensures your appointment runs smoothly and safely. Please follow the simple guidance below before attending our Esher-area clinic.

  • Bring a full list of your medications — including supplements. Without this we may not be able to proceed.
  • Eat and drink normally on the day. There is no need to fast.
  • Do not drive afterwards. Following an ultrasound-guided procedure your motor insurance may not be valid — please arrange transport home.
  • Bring a friend or family member if possible, to accompany you and drive you home.
  • Wear loose, comfortable clothing that allows easy access to the area being injected.
  • Bring previous imaging or reports if you have any related to the area of pain.

When a Steroid Injection Is Not Recommended

Patient safety is our priority. We are unable to perform a steroid injection if any of the following apply — please let us know in advance if any are relevant.

  • You have an active infection — anywhere in the body, not just at the injection site.
  • You feel unwell on the day of your appointment.
  • You are allergic to local anaesthetic or steroid medication.
  • You have surgery planned on the area in the near future.
  • It is less than 3 months since your last steroid injection to the same area.
  • You are under 18 years old — this service is for adult patients only.

Before any procedure, the consultant will discuss benefits, risks and contraindications with you in detail. You will only be asked to sign the informed consent form once you are completely satisfied.

Post-Procedure Care & Recovery

The local anaesthetic typically lasts 6–8 hours. As it wears off, the treated area may feel sore — this is normal and usually settles within a day or two. Please follow the guidance below for the best outcome.

  • Rest the affected area for 48 hours. Avoid putting strain on the joint or tendon.
  • Avoid strenuous activity for 7–10 days. Light walking and gentle movement are fine.
  • Apply ice intermittently for the first 24 hours if the area feels uncomfortable.
  • Take simple painkillers such as paracetamol if needed, providing they are safe for you.
  • Resume physiotherapy gradually after the initial rest period — this helps maximise the benefit.
  • Seek urgent medical attention (your GP or A&E) if you develop unexpected pain, warmth, redness or fever — please mention you have recently had an injection.

The full effect of the steroid is usually felt within 1–2 weeks. Some patients notice improvement sooner; in others the benefit builds gradually.

Safety & Transparency

Risks & Side Effects

Ultrasound-guided steroid injections are considered a safe procedure. Real-time imaging guidance, sterile single-use equipment and aseptic technique together substantially reduce the chance of complications.

That said, no medical procedure is entirely without risk. Below is a transparent summary of the side effects and complications you should be aware of — your consultant will discuss any that are relevant to you in detail before you consent.

~1 in 10,000
The approximate risk of infection following an ultrasound-guided injection performed under sterile conditions.
A small bruise around the injection point is common and usually fades within a few days. Applying gentle pressure immediately after the procedure helps reduce this.
Repeated steroid injections into a tendon can weaken its structure. We use ultrasound guidance specifically to avoid the tendon itself and to space injections appropriately, with a minimum 3-month interval between repeats.
Real-time ultrasound guidance allows the consultant to see and avoid blood vessels and nerves near the target area, making this complication very uncommon.
Not every patient experiences full or lasting relief. The injection is one part of a wider treatment plan that often includes physiotherapy and lifestyle modification.
A small percentage of patients experience a short-lived increase in pain in the first 24–48 hours, before the steroid begins to take effect. Simple painkillers and rest usually settle this.
A warm, red flushing of the face and chest can occur for a few hours after the injection. It is harmless and resolves on its own.
A small risk of localised lightening of the skin or a small dimple in the underlying tissue. This is more visible in patients with darker skin tones and is generally permanent if it occurs.
Steroids can raise blood glucose levels for a few days. If you are diabetic, monitor your readings more closely than usual for the first week and adjust your management with your GP if needed.
Some patients notice a temporary alteration to their normal cycle — this typically settles back to normal over the following 1–2 cycles.
If you develop unexpected pain, warmth or redness around the area, or a fever, contact your GP or attend A&E immediately. Please tell them you have recently had a steroid injection — early treatment is essential.
Areas We Serve

Private Steroid Injections Across Surrey & South West London

Our clinic in Hinchley Wood is easily accessible from across the region, with on-site parking and direct rail links from London Waterloo.

Home Clinic

Hinchley Wood

Our base at Woodside House — minutes from Hinchley Wood station and the A3.

5 mins

Esher

Trusted choice for steroid injections in Esher, Claygate and the surrounding villages.

10 mins

Cobham

Convenient consultant-led ultrasound injections for Cobham, Stoke d'Abernon and Fairmile.

10 mins

Oxshott

A short drive from Oxshott village, with discreet private appointments and on-site parking.

15 mins

Surbiton

Easily reached from Surbiton, Berrylands and Tolworth — both by car and by train.

20 mins

Hampton

Serving patients from Hampton, Hampton Hill, Teddington and the wider Thames-side area.

South West London

Kingston, Wimbledon & Beyond

Patients regularly travel to us from Kingston upon Thames, Wimbledon, Richmond and surrounding South West London neighbourhoods.

Surrey-wide

Weybridge & Wider Surrey

Including Weybridge, Walton-on-Thames, Leatherhead, Epsom, Ashtead and surrounding Surrey towns.

Pricing

View Full Steroid Injection & Ultrasound Pricing

Transparent fees for every joint and soft-tissue injection are listed alongside our wider ultrasound packages on our main pricing page. No hidden costs, no referral required.

Frequently Asked

Common Questions About Steroid Injections

The local anaesthetic provides immediate but short-term relief lasting 6–8 hours. The steroid itself usually starts to work within a few days and reaches its full effect at 1–2 weeks. Some patients enjoy benefits for many months; in others the injection forms part of a longer rehabilitation plan.
No referral is required to book at Hinchley Medical — you can self-refer directly. If you do have a referral letter or recent imaging, please bring it with you to your appointment.
Most patients describe a brief stinging sensation when the local anaesthetic is administered, followed by mild pressure during the injection itself. Ultrasound guidance helps the consultant work efficiently and avoids unnecessary needle adjustments.
Please allow approximately 30–45 minutes in total. This includes your clinical discussion, ultrasound assessment, the injection itself and aftercare advice.
In some cases, yes — your consultant will discuss this with you. Steroid dose limits and the total number of sites per visit are carefully considered to ensure your safety.
A minimum 3-month gap is required between repeat steroid injections to the same site, in line with national best-practice guidance.
No. We strongly advise against driving following any ultrasound-guided procedure, as your motor insurance may not be valid. Please arrange for a friend or family member to drive you, or use a taxi or ride-share service.
No. Our ultrasound-guided injection service is available to adult patients aged 18 and over only.

Ready to Take the Next Step?

Book a consultant-led ultrasound-guided steroid injection at our private clinic in Hinchley Wood — convenient for Esher, Cobham, Oxshott, Surbiton, Hampton and across Surrey and South West London.

020 8398 1688 info@hinchleymedical.co.uk Mon–Fri 8:30am–6pm