We are Back, Muscle and Joint Specialists. We accept all patients, self paying and insured.

Steroid Injections

Steroid (corticosteroid) injections are given to provide pain relief and reduce inflammation in the joints and soft tissues of the body. Cortisone is used which is a powerful anti-inflammatory medicine that works to break the cycle of pain and swelling in the joint.  Once pain is reduced a graduated return to normal exercise can be supervised by one of our physiotherapists.

Steroid (corticosteroid) injections are given to provide pain relief and reduce inflammation in the joints and soft tissues of the body. Cortisone is used which is a powerful anti-inflammatory medicine that works to break the cycle of pain and swelling in the joint.  Once pain is reduced a graduated return to normal exercise can be supervised by one of our physiotherapists.

Conditions treated with Steroid Injections

Steroid injections are effective in treatment of inflammatory conditions such as osteoarthritis (wear and tear, arthritis), rheumatoid arthritis and sudden painful attacks caused by gout. Sports injuries, ankle sprains, Achilles tendonitis, knee ligament sprains and bursitis can all be treated by steroid injections.

It is most important to have an accurate diagnosis of the injury or condition and our clinicians are experts in diagnosis.  They will examine you thoroughly and the doctors may use x-ray or ultrasound to assist the diagnosis. If necessary, you will be referred for an MRI or to a surgeon if surgery is indicated.

Costochondritis

Costochondritis is the medical term for inflammation of the cartilage that connects the ribs to the chest (sternum). Inflammation is the body’s natura...

Patellar Tendinopathy

The patellar tendon is located just below the kneecap. It connects the kneecap or patella to the tibia (shin bone). The quadriceps tendon inserts into...

Quadriceps Tendinopathy

The quadriceps tendon attaches your quadriceps muscles to your kneecap (patella). It works to straighten your knee and helps you walk, jump, and climb...

Iliotibial band pain syndrome

Iliotibial band (ITB) pain syndrome generally presents as a pain on the outside aspect of the knee that gradually increases over a few days to weeks. ...

Ankle Sprain

Most ankle sprains involve injuries to the three ligaments on the outside of your ankle. Ligaments are tough bands of tissue that stabilize joints and...

Meniscus Tear

A meniscus tear is a rupture of the cartilage within the knee joint. The meniscus is the most commonly injured structure in the knee and usually occur...

Discogenic Low Back Pain

Discogenic back pain is caused by one or more of the intervertebral discs. It accounts for 39% of chronic low back pain. The intervertebral discs have...

Degenerative Disc Disease

Disc degeneration is one of the most common cause of back pain. Disc degeneration involves a structural, functional, mechanical, nutritional and chemi...

Wrist Sprain

A wrist sprain is when the strong ligaments that support the wrist get over stretched, over used or forcibly stretched or bent such as in a fall to th...

Trigger Finger

This is a condition that affects one or more of the tendons in the hand, making it difficult to bend the affected finger or thumb. If the tendon becom...

Thumb Sprain

A thumb sprain is when the ligaments that support the joint of the thumb become overstretched or tear due to traumatic injury such as a fall or sudden...

Thoracic Back Pain

The thoracic spine connects with the cervical spine above and the lumbar spine at the base of the spine and is attached to the rib cage. Thoracic back...

Tennis Elbow

This is similar to golfer’s elbow.  However, tennis elbow causes pain around the lateral epicondyle (the outside of the elbow).  It causes pain where ...

Tendon Injury

Tendons are tough fibres that connect the muscles to the bone near the joints.  Most tendon injuries occur near the joints. Tiny tears in the tendons ...

Swollen Knee

Swelling of the knee occurs when excess fluid accumulates in or around the knee. This is known in medical terms as an effusion.  Some people refer to ...

Slipped Disc

This is also called a prolapsed disc, herniated disc or disc protrusion. A disc is made up of a softer centre, and a tough fibrous external ring. In s...

SLAP Lesion

A SLAP tear or SLAP lesion is an injury to the glenoid labrum. This is a cartilage structure that surrounds the ‘socket’ of the shoulder. SLAP means, ...

Shin Splints

Shin splints is the term for lower leg pain occurring below the knee, either on the front of the leg or the inside of the leg. This pain often plagues...

Sciatica

Sciatica is pain that radiates from the lower back, through the buttocks and down the back of the leg – following the course of the sciatic nerve. It ...

Sacroiliac Joint Pain / SI Joint Pain

The sacroiliac joints connect the sacrum (the wedge-shaped bone at the bottom of the spine) to the iliac bones (the two bones that make up the pelvis)...

Rotator Cuff Injury

The rotator cuff is a group of tendons connecting the four muscles of the upper shoulder to the upper arm. They run under the acromion where they are ...

Pubic Pain / SPD

Symphysis Pubis Dysfunction is a group of symptoms that cause pain in the pelvic area. It usually occurs after pregnancy and in the front or the back ...

Post Hip Replacement Pain

Hip replacements are amongst the most successful orthopaedic surgical procedures for arthritic hips, but not everyone is pain free after the procedure...

Plantar Fasciitis

This is one of the most common causes of heel pain. It is a disorder of the connective tissue (plantar fascia) which supports the arch of the foot. It...

Pelvic Girdle Pain

Pelvic girdle pain (PGP) is the term now being used by the medical community to describe what was previously known as symphysis pubis dysfunction (SPD...

Osteoarthritis

Osteoarthritis is the most common form of arthritis. It occurs due to the breakdown of joint cartilage and the underlying bone. Osteoarthritis commonl...

Nerve Injury & Palsy

Nerve injury is a broad definition for types of nerve entrapment in the arm, leg, spine and face.  Nerves are fragile and can be damaged by stretching...

Neck Pain

Neck pain is very common. Most people will suffer from one or more episodes of neck pain during their lives. It often starts suddenly and gets better....

Metatarsalgia

This is a condition where the ball of the foot becomes painful and inflamed. You may feel like you are ‘walking on pebbles’ or have a vague ache or bu...

Low Back Pain

The lower back is a complex structure of bones, ligaments, muscles and tendons which all work together to provide the low back with support, strength ...

Ligament Injury

The ligaments hold the joints in a stable position and they can get stretched, torn or ruptured in an injury. The knee and ankle are particularly pron...

Knee Pain

Knee pain can be due to a number of causes. It may come on gradually from overuse or unaccustomed activity or be a sudden onset from a fall or sports ...

Jaw Pain / TMJ

The temporomandibular joints are two small joints either side of your jaw. The TMJs act like a sliding hinge connecting your jaw bone to your skull. T...

Hip Pain

The hip is a ball and socket joint and is very strong and stable. It is supported by a strong network of tendons, muscles and ligaments. Hip pain is a...

Groin Strain

A groin strain is an injury to the muscles on the inner side of the thigh, known as the adductor muscles. This type of injury can be very painful and ...

Golfer’s Elbow

This is similar to tennis elbow.  However, golfers elbow causes pain around the medial epicondyle (the inside of the elbow).  It causes pain where the...

Frozen Shoulder / Adhesive Capsulitis

Frozen shoulder syndrome, clinically known as adhesive capsulitis, is a painful and debilitating condition affecting up to 5% of the population. Adhes...

Foot Pain

The foot is made up of a complex network of bones, ligaments, muscles and tendons, designed to give you both stability and mobility. Therefore, there ...

Elbow Pain

The elbow is a complex joint, allowing both flexion and extension, as well as rotation of the forearm.  There are many muscles, ligaments and tendons ...

Carpal Tunnel Syndrome

Carpal tunnel syndrome occurs due to compression of the median nerve as it travels through the carpal tunnel at the wrist. This compression causes tin...

Bursitis

Bursitis refers to the inflammation of a bursa. A bursa is a fluid filled sac which is designed to reduce friction between bone and soft tissue struct...

Biceps Tendon Injury

The biceps tendons connect the muscles in the front part of your upper arm to the bones in your elbow and your shoulder. There are two biceps tendons ...

Arthritis

There are many different types of arthritis, with the  the two most common types being osteoarthritis (wear and tear) and rheumatoid arthritis. Osteoa...

Ankle Pain

The ankle is made up of many bones, ligaments, tendons and muscles designed to give you both mobility and stability. There are many different structur...

Achilles Tendonitis

The Achilles tendon is located at the back of your ankle and connects your two calf muscles to the bone in the heel of your foot. The tendon is made u...

AC Joint Sprain

This is the small joint between your collarbone (clavicle) and your shoulder blade (scapula)and is  known as the acromioclavicular joint. A sprain can...
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Treatment for acute and chronic sports injuries, arthritis, soft tissue injuries and exercise medicine consultations

Our Steroid Injections Clinicians

Consultant in Sport & Exercise Medicine
Pain Medicine Consultant
Musculoskeletal and Pain Medicine Consultant
Consultant Orthopaedic Surgeon & Musculoskeletal Medicine Specialist
Musculoskeletal and Pain Medicine Consultant
Musculoskeletal, Sport & Exercise Medicine Specialist
Musculoskeletal and Sports Medicine Doctor
Consultant in Sport, Exercise & Musculoskeletal Medicine
Pain Medicine Consultant
Consultant in Sport, Exercise & Musculoskeletal Medicine
Sport & Exercise Medicine Consultant
Sport and Exercise Medicine Consultant
Sport and Exercise Medicine Doctor Musculoskeletal Medicine Doctor
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Frequently asked questions about Steroid Injections

The cortisone injected only lasts in the body for around 2 weeks after which, occasionally the pain can return. This occurs when the underlying cause of the pain has not been addressed. At Blackberry Clinic we always address the underlying cause of the pain so that the pain is unlikely to return after an injection.

In the past, cortisone injections were done without anaesthetic in a doctor’s surgery without image guidance.

At Blackberry Clinic most of the injections include an anaesthetic to the skin and the cortisone is mixed with local anaesthetic which can result in an almost pain free injection.

In some parts of the body there are more sensory nerves and some discomfort is inevitable.

If repeatedly injected into the same place there have been reports of degradation of collagen and other soft tissues. The very fact that repeated injections were used in these case studies suggest that the injection was not working, in which case there should not be a need to repeat the injections. At Blackberry Clinic we limit the injections to a maximum of three in the same part of the body in a short period of time. Alternatives are PRP and prolotherapy or Ultrasound Shockwave Therapy depending on the diagnosis.

Most pain relief occurs during the first 2-4 weeks and you should contact the clinic for advice to see if you need a second injection for the best outcome after a couple of weeks. Once you are in less pain it is important that you book in to see one of our physios so they can monitor your progress and give you a graduated exercise programme to increase strength and mobility.

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