29 Weymouth Street, Marylebone, London, W1G 7DB 020 3633 4902

Ultrasound Guided injections


Painful joint and shoulder problems are very common, and one of the main reasons of impaired function and affect 1 in 3 adult patients.

Cortisone injections are common in the treatment of joint and shoulder related problems. These cortisone injections can be performed in two formats: in the blind form which is via anatomical landmarks to guide placement a needle or with ultrasound image guidance. Ultrasound (US) scanning is a safe, effective imaging tool to guide musculoskeletal injections into the intended anatomical area.

Musculoskeletal Ultrasound scans have become so common as technology has improved and now offers a better resolution to guide injections into joints and soft tissue. Using ultrasound has the unique advantage of being able to visualize soft tissues, bony landmarks, and the needle with real-time scanning, thereby allowing dynamic visualization.

Studies have shown that adults with joint and shoulder pain who underwent image-guided ultrasound injections had statistically significantly greater improvement in shoulder pain and function at 6 weeks after injection.



What is included in the consultation? 


Why should I have an injection under ultrasound guidance?

There is overwhelming evidence that ultrasound-guided steroid injections are much more accurate than unguided steroid injections. As needle placement can be monitored under ultrasound guidance it reduces the risk of trauma to structures which improve the injection safety significantly.

Ultrasound-guided injections are delivered by highly experienced and qualified musculoskeletal sonographers with extensive expertise in delivering ultrasound guided injections both in the clinical- as well as the Radiological setting. They have extensive clinical expertise as specialist Extended Scope Physiotherapists and have many years of experience in managing complex musculoskeletal conditions.

You will receive an expert clinical assessment followed by a diagnostic ultrasound scan to determine whether injection therapy is the correct treatment for you. This will help to evaluate the source of your pain symptoms and to identify the correct area to inject.

If injection therapy is not thought to be appropriate for you will be given a full explanation of the assessment findings including advice regarding appropriate management. In that case, you will only be charged a fee for the ultrasound scan but not for the injection.

Injections can be provided for the following areas:

  • Hand/wrist, elbow, shoulder, hip, knee, ankle, foot.

Common conditions for which injection therapy is used:

  • Hand/wrist: Carpal Tunnel Syndrome, Trigger finger, tenosynovitis of the flexor tendons.  De Quervain's tenosynovitis, radio-carpal osteoarthritis, 1st carpometacarpal joint osteoarthritis  (1st CMC joint osteoarthritis), Osteoarthritis of the Meta-Carpo-Phalangeal joints (MCP joints), Osteoarthritis of the Proximal Inter-phalangeal joints (PIP joints), Osteoarthritis of the distal interphalangeal joints (DIP joints).
  • Elbow: Tennis elbow, Golfers elbow, Olecranon bursitis, Elbow osteoarthritis,
  • Shoulder: Sub-acromial-subdeltoid bursitis, acromioclavicular osteoarthritis, Sterno-clavicular osteoarthritis, Frozen shoulder, Gleno-humeral joint osteoarthritis, 
  • Foot/Ankle: Ankle osteoarthritis (Talo-crural-joint osteoarthritis), Subtalar joint osteoarthritis, mid-tarsal joint osteoarthritis, Meta-Tarso-phalangeal osteoarthritis, Morton’s Neuroma, Plantar fasciitis, retro-calcaneal bursitis.
  • Knee: Osteoarthritis knee, Bakers cyst knee, Prepatellar bursitis, Infra-patellar bursitis.
  • Hip: Osteoarthritis hip, Trochanteric bursitis




Please note areas in red are usually sites of referred pain from the spine and therefore are generally NOT sites that are APPROPRIATE for CORTISONE INJECTION THERAPY 



Important: Injections are provided only for the upper – and lower extremities (i.e: arms and legs). We do not provide injections for spinal conditions

Shoulder pain or hip pain felt in the locations highlighted in red are often areas of referred pain from the spine, therefore the source of symptoms is usually the spine itself and an injection in the shoulder or hip would not target the right structure and would be unlikely to be of any benefit.


How to book?

If you are interested in injection therapy please contact our clinic so we can email/send you a patient information leaflet explaining the procedure including possible risks and side effects. It is important that you aware of these before having the injection so that you can make a well-informed decision. You will be sent a form to complete your medical history to email back to us or to take with you to your appointment. This is to establish whether we would need any further advice from your GP before administering an injection.

Injections are not given to any person of 16 years of age or younger. We cannot, unfortunately, provide injections for professional football players for reasons of insurance.


Cost of Ultrasound Guided Injections

The fees for an ultrasound-guided steroid injection is £249 this also includes a diagnostic ultrasound scan and an expert clinical examination. The fee for a hyaluronic acid injection is £349.

If after assessment it is decided that injection therapy is not thought to be right for you will only be charged for the diagnostic ultrasound scan (£diagnostic scan fee) but you will not be charged the injection fee.


Important please read:

Please make sure that you have read the relevant patient information leaflet (available from on the relevant type of injection (steroid or Hyaluronic acid) to ensure that injection therapy is appropriate for you. Please fill out the completed form (available from with questions about your medical health and email or take with you to your appointment.

Medicines that can interfere with steroid injections:

Certain medications might interfere with steroids. When you are taking medications for conditions such as diabetes, cancer, or HIV please check with your specialist whether a steroid injection is appropriate. Blood-thinning medications such as warfarin may require a blood test and a temporary adjustment/change of your medication to make sure the blood is not too thin which might cause bleeding in the joint. If you are on blood-thinning medication such as warfarin you should consult your specialist first to obtain his/ her advice before having an injection.

Please include any information regarding your health and or medication that you are taking to your appointment.


Click here for ultrasound guided Hyaluronic Acid Injections.

Click here to see our clinical team.

 More information about our ultrasound-guided injection clinic.



  Steroid Injection: £249

  Hyaluronic acid injection is £349.


book ultrasound scan online















Private MSK steroid injections  in London


Sonoworld provides competitively priced private London ultrasound scans so that you can achieve early diagnosis without the long NHS waiting lists. 


We are able to offer you:

  • Same day ultrasound scan appointments.
  • Easy to use online scan booking service where you can choose the best time and day suitable to you.
  • Same time ultrasound scan report to take with you to your GP.
  • Convenient central London location (Regents Park and Great Portland Street tube stations)
  • Direct line to our Sonographers to answer any questions and not a call centre.
  • You can take control of your health with our competitively priced private ultrasound scan examinations.



Looking for a Private MSK steroid injection in London?


You are in the right place if you are looking for a private ultrasound scan in London. At Sonoworld Diagnostics, London we offer an extensive range of private ultrasound scans in a convenient central London location next to Harley Street.

We offer same day and out of hours private ultrasound scan appointments in days and times to suit your busy schedule.

Our consultant sonographers are very experienced in the field of medical ultrasound so you can rest assured that your health is in good hands. We use the latest ultrasound scan diagnostic equipment to increase diagnostic accuracy. Sonoworld Diagnostics has been providing ultrasound scan services to the NHS and private sector since 2012 and therefore is well established in the field of medical ultrasound.

At our ultrasound scan clinic in London, we are able to offer you ultrasound scans in a clean and comfortable environment without the wait associated with the ultrasound scans provided by the NHS.


Why choose us for your private MSK steroid injections in London?


Sonoworld Diagnostic Services is registered with the CQC and has been trusted by the NHS and private sector since 2012 to provide unparalleled diagnostic ultrasound scan services.  Our clients include healthcare professional such as GP’s and consultant radiologists. This is because our clients know that at Sonoworld will get the best ultrasound service with no compromise in diagnostic accuracy or the level of service.  


Who will perform my private MSK ultrasound scan?


Your ultrasound scan will be performed by one of our knowledgeable consultant sonographers. All our sonographers are qualified to UK and USA ultrasound standards so you can be assured that there is no compromise on the diagnostic accuracy of your ultrasound scan.


How much are the private MSK steroid injections in London?

The price you’ll pay for a private ultrasound scan will depend on the type of scan you want an appointment for. Our prices are competitive starting from as low as £99. There are no hidden extras and the price you see is the price you pay.


Book a private ultrasound scan appointment 

We offer evening and weekends appointments.  You can choose the most suitable time and day by visiting our online booking diary. If for any reason you can not find a suitable ultrasound scan appointment please contact us via e-mail or phone.



Real Reviews from Google

Shamima Parvin

5 out of 5 stars

I went in really nervous today as my husband couldn’t accompany me due to covid regulations, however once I got there the dr was very comforting and kind. She explained everything well and made...

Silvia Astefanei

5 out of 5 stars

Dr Daniela Stan impressed me through her empathy, kindness, understanding and reassurance she has provided. I was very stressed before and even during my ultrasound, but everything turned out fine and...

kyri sambridge

5 out of 5 stars

Amazing service. So happy with this Clinic, will definitely be using it again and will recommend to others. Thank you