ultrasound-guided injection

Bothwell Medical Rooms and Core Physio Clinic is a highly specialised ultrasound-guided injection service allowing fast and easy access to injection therapy for a wide range of musculoskeletal conditions. We provide the highest quality of care at affordable treatment prices.

We have conveniently located clinics across Lanarkshire. All of our patients receive a thorough assessment and ultrasound scan. All of our injections are performed under ultrasound guidance to ensure they are safely and accurately delivered to the exact area of your pain.

With over 15 years of experience performing thousands of injections each year. We offer a comprehensive range of treatments for all upper limb and lower limb joints and a wide of commonly occurring conditions including shoulder pain, frozen shoulder, plantar fasciitis, de Quervain’s tenosynovitis, and carpal tunnel syndrome.

Our team of highly experienced musculoskeletal sonographers, as well as experts in advanced practice physiotherapy, have worked as clinical leads in a range of NHS and private settings. They are able to uniquely combine expert musculoskeletal assessment skills along with diagnostic ultrasound assessment to confirm the diagnosis of your condition and perform ultrasound-guided injections where appropriate.

Bothwell Medical Rooms Ultrasound centre

What is an Ultrasound-Guided Injection?


Many clients ask the question.  What is an ultrasound-guided injection? So here we shall try to provide an answer to ‘what it is’ and ‘why it is necessary. Ultrasound is sound waves at high frequencies, which are able to penetrate through the skin. Ultrasound-guided injections are well used in medicine as they are a harmless way of imaging deep into the body’s tissues. The image allows us to see very accurately all of the different tissues within the body. Ultrasound also helps prevent the patient from being exposed to radiation or any harmful side effects.

Around a million steroid injections are performed each year in the UK. Steroid injections have also been around for more than fifty years.

Taking corticosteroids orally (tablet formed) for a prolonged period of time, has been known to cause side effects. The principle behind delivering a steroid by injection is to reduce the body’s overall exposure to steroids and minimise the dose required to treat the patient’s symptoms.

What is an ultrasound-guided injection – Patient benefits

The principle for ultrasound-guided injection is that we can very accurately guide the injection directly to the target tissue. Maximising patient benefit and minimising required dose.

Research also shows the following benefits from ultrasound-guided injections:-

  • Reduced incidents of injury
  • Reduced overall side effects
  • Better patient comfort
  • Better patient satisfaction
  • Significantly more accurate injection with all injection procedures
  • Improved outcomes.

cortisone shot in knee

Nowadays more patients are wanting to have their injection performed under ultrasound guidance because of the above reasons.  They improve accuracy, they improve outcome and they reduce the risks of side effects and injury during the injection procedure.

At Bothwell Medical Rooms and Core Clinic, we always perform an initial check ultrasound scan of the region before giving the injection. This helps us to ensure that there are no reasons why we would not want to inject, that the diagnosis is accurate and that there are no significant structures, such as nerves or vessels, that would become injured whilst performing the injection. We are able to identify a safe and comfortable path for us to deliver the injection.

What is an ultrasound-guided injection – Accuracy

We are able to achieve excellent needle visualisation with ultrasound. Tracking the needle from the moment it enters the skin to the target tissue. We are also able to ensure the steroid is delivered accurately at the point at which we wish to deliver it. Also, increasingly now, we are using other forms of injection, such as hyaluronic acid, which needs to be delivered into joints or tendon sheaths with the utmost accuracy. Otherwise, it is unlikely to give any benefit. We would always strongly recommend that any hyaluronic acid injection be given under ultrasound guidance.

Also, we are increasingly using techniques, such as –

hydrodistension – where the joint capsule is stretched with a high volume of injection

barbotage – where calcification is aspirated or withdrawn from a tendon prior to injection.

High volume injections to reduce neovascularization (small vessels which have grown between fat pads and tendons when in painful tendinopathy)

Platelet Rich Plasma (PRP) – a small amount of blood is drawn from a patient’s vein, then refined blood with 3-5 times the normal concentration of platelets is injected into the patient’s joint or tendon – this is a safe and long-lasting treatment for a number of degenerative conditions

All of these procedures can only realistically be performed under ultrasound guidance.  We would never recommend that these injections would be performed under surface-marked assessment.

All of our expert clinicians, who perform ultrasound-guided injections, are dual-qualified. This ensures that they are able to accurately diagnose and rule out any potential issues from performing the injection. They are also independent prescribes, which means that they are able to fully screen patients for potential medicine interactions or contraindications prior to treatment.

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