What is Knee Arthritis?

Osteoarthritis (OA) is the most common cause of arthritis and a major public health problem. It was first thought of as simply ‘wear and tear’ affecting cartilage within joints but more recent studies have shown it to be a bit more complex than this.  
Sufferers of Knee OA usually complain of pain on the inside of their knee which causes stiffness in the morning or after sitting long periods and pain on walking distances or running. X-Rays can be taken but are unnecessary to diagnose this condition.  
At Physioimpulse our team of expert therapists specialise in knee joint assessments and can identify the cause of your pain and provide a rehabilitation plan. Injections also help 'lubricate the joint and relieve pain making it easier to carry our your exercises and day to day tasks

Knee Arthritis Injection Therapy in Bath 

At Physioimpulse we provide knee injections in conjunction with Physiotherapy treatment to optimise recovery from injury and reduce pain in degenerative conditions such as Knee Osteoarthritis and meniscal tears.
Injections are performed by our Clinical Specialist Physiotherapist Matt Shepherd who has undertaken extensive Post Graduate training in order to carry out injections at our Bath injection Clinics. Matt has also undertaken training in Ultrasound Scanning to enable him to guide injections using an ultrasound machine if required. Alongside his work at Physioimpulse, Matt also carries out specialist  knee clinics at a local orthopaedic hospital with a number of top local surgeons giving him an excellent insight into optimal knee treatment. 

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01225 683007

Bath Knee Joint Injections 

Joint injections have traditionally used local anaesthetic and corticosteroid but taking into consideration their side effects, Matt now chooses to use Ostenil Plus hyaluronic injections which carry the same benefits of pain relief and improved mobility but with no known side effects. If you have benefitted from the anti-inflammatory effect of steroid injections in the past we can also offer Cingal injections which mixes a low dose of steroid with hyaluronic acid. Cingal is the perfect alternative to steroid injections with reduced side effects and increased duration of symptom relief.
If you are unsure which injection you wish to have you can either just book an appointment and Matt can guide you to the best option or enter you contact details below for a free call back. 
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Ostenil Plus Injections

Ostenil® is a treatment for the symptoms of osteoarthritis and other joint and tendon pain. It can be used in the knee, shoulder or in any of the other joints in the body that are classified as ‘synovial’.  It has similar benefits to corticosteroid injections but with less side effects.

How does it work?
Ostenil® is a solution containing hyaluronic acid (your joint's natural lubricator). It is injected into the space in the joint that contains synovial fluid and works by restoring the normal balance  of hyaluronic acid decreasing pain and stiffness and improving the other symptoms of osteoarthritis. It can also be used for Frozen shoulder and shoulder impingement, tennis elbow and other injuries to reduce pain and aid rehabilitation.

What can I expect if I decide to have an injection with Ostenil®?
Ostenil will be injected directly into the joint or area affected by pain. It may take a number of days to take effect but then symptoms can improve for up to 12 Months. Once the effects of the first  injection wears off, you can, if you choose, have another. 

Are there any side effects?
The hyaluronic acid in Ostenil® is very pure and is manufactured using a process called fermentation. It contains no animal proteins, which means that it is very unlikely to cause an allergic reaction. Ostenil® has been given to thousands of patients and has not been found to cause any serious side effects.

​Do you use ultrasound scanning to guide injections?
Yes! Injections can be carried out using bony landmarks and anatomic knowledge to locate the site to be injected or Ultrasound scanning can be used to visualise the area in real time. Matt has trained in Ultrasound guided injections as they have been shown to be more accurate than landmark guided injection thus ensuring optimal outcomes.

Ostenil £250 or 2 for £450

Cingal Injections

Cingal® is an advanced combination of a hyaluronic acid (HA) and a fast-acting corticosteroid injection, developed to target joint pain caused by osteoarthritis and other degenerative conditions.

How does it work?
​Hyaluronic acid acts as a lubricant and shock absorber, improving joint mobility and comfort.
Corticosteroids provide immediate anti-inflammatory relief, helping to reduce swelling and pain in the affected joint.
​This dual-action formula not only addresses your current symptoms but also promotes better joint health for the future.

Who Can Benefit from Cingal?
​Cingal is ideal for individuals experiencing:

• Chronic knee or joint pain from osteoarthritis
• Joint stiffness or reduced mobility
• Swelling and inflammation in the knee or other joints such as the shoulder, elbow, thumb or toe.

Whether you’re an athlete looking to stay active or someone struggling with everyday mobility, Cingal could be the solution you’ve been searching for.

What to Expect from the Procedure
​The injection process is quick, minimally invasive, and performed under ultrasound guidance to ensure accuracy and comfort. The injection is performed in-clinic and typically takes less than 30 minutes.

Post-Treatment Care
​You’ll receive advice on managing your activity levels post-injection. Many patients experience immediate relief, with long-term benefits developing over a few weeks.

cingal £300 or 2 for £550

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Our Knee Injection Specialist 

CSP:068038     HCPC: PH63547
Matt is our Clinical Specialist Bath Physiotherapist. He graduated from Huddersfield University in 2002 and worked for 2 years within local NHS Hospitals before specialising into sports and private practice. Working at a number of professional sports clubs, private clinics and hospitals has provided him with over 20 years of invaluable experience in treating a range of clients from elite athletes to the weekend golfer striving to recover from a knee operation.  Matt has also completed a Diploma in Injection Therapy which enables him to carry out pain relieving joint injections. If you have any questions regarding injections you can contact Matt at [email protected]

01225 683007

So glad I found Matt to help with my knees. I have arthritis in both knees after having a number of arthroscopies and was written off as needing knee replacements. Matt listened to all my concerns, was honest and gave me some great advice on rehab to carry out after the injections which gave me fantastic relief from my pain for 9 months.

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Our Bath Injection Clinics

​Bath Rec Pavilion, Bath Recreation Ground , Pulteney Mews, ​BA2 4DS

3 Miles Buildings, Bath, BA1 2QS

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Corticosteroid Injections

Local steroid injections can be a rapid and effective treatment for joint pain and inflammation, although unlike Ostenil Injections the improvement is usually temporary. They can be used alongside conventional physiotherapy treatment to help resolve musculoskeletal conditions. Research shows repeated Corticosteroid injections may have a detrimental effect on joint cartilage and tendons so at Physioimpulse we prefer to use Ostenil as it has no known side effects.  
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Corticosteroid is a prescription medication so although we can carry out these injections in clinic you would need to obtain the medication from your GP via a private prescription.