What is osteoarthritis (OA)of the knee?

In very simple words, every day you put some stress on your knees by walking, squatting or exercising. This leads to micro damage to your knee and every night when you sleep, your body recovers the damage. In most individuals, your body keeps up with the micro-damage that you inflict on your body on daily basis. However, with the ageing process, the repair process of the body slows down and the collective microdamage over the years presents as osteoarthritis. This is the simplest way of understanding osteoarthritis.

Pain, stiffness, and crepitus (a grating sensation) are symptoms of osteoarthritis of the knee. As your arthritis progresses, it can lead to swelling and giving way (when the knee collapses). In order to manage osteoarthritis, you may wish to have physiotherapy and injections are used as an adjunct to manage your knee OA.

Corticosteroid injections

Osteoarthritis can make cause pain, stiffness and difficulty in your day-to-day routine activities. One of the most commonly used treatments for knee osteoarthritis is corticosteroid injections. Qualified clinicians administer corticosteroids directly into the knee joint to reduce knee pain and inflammation and these injections start working within a few hours.

They are widely used as anti-inflammatory agents. The activities of cortisol, a hormone produced by the adrenal glands naturally, are mimicked by corticosteroids. Steroid injections into joints are given with a safer dose of medication, therefore pain in that specific region can be managed. The corticosteroid is promptly transported to the areas of inflammation and gives the inflamed areas immediate relief. As it is given locally, therefore you can avoid negative effects associated with oral steroid medication or conventional oral anti-inflammatory drugs, thus making these injections both safer and more effective than oral medications.

After having a steroid injection, while some people feel relief almost right away, others continue to have symptoms for several days. Depending on the condition of the knee, the advantages could last anywhere from a few days to more than six months. The outcome depends on multiple factors including but not limited to the skills of the injecting clinicians, the dose of steroid used, the severity of your knee osteoarthritis, the rest which you take after having the injection and your overall health. Whilst you cannot change the severity of your knee osteoarthritis or your overall health quickly, however, you can choose your clinicians wisely to make sure that you get the best treatment. This is where our clinicians are very experienced and safe.

All that glitters is not gold…and we should mention this. There is no cure for arthritis and similarly, steroid injections cannot cure your arthritis but are good enough to reduce the inflammation in your arthritic joints. The other thing which you should consider is that up to three cortisone injections can be safely administered over a year and anything beyond this means that you may require further input from other specialists such as surgeons.

Hyaluronic acid (HA) injections

Hyaluronic acid, a substance that occurs naturally in the body, can now be synthesised as a visco-supplement and given to affected joints to treat pain and stiffness. HA injections are widely regarded as a safe treatment option for those with mild to severe degenerative osteoarthritis of the knee.

Many patients are being offered hyaluronic acid injections as a potential substitute for steroid injections since they may, in most cases, be less harmful to joint and soft tissues. Additionally, they can reduce pain for longer periods with fewer dosages. While some patients will benefit from just one HA injection, others may benefit from multiple injections. The benefits, like those of any injection, are only momentary and may continue for six to nine months. The best choice for you can be discussed with one of our knowledgeable clinicians after we assess your knee comprehensively.

CINGAL Injections

CINGAL injections, increasingly popular for treating knee osteoarthritis and other joint issues affecting cartilage health, combine hyaluronic acid and corticosteroids to provide immediate and sustained pain relief by lubricating joints and reducing inflammation. At Joint Injections, we emphasise non-surgical options to enhance patients’ quality of life. The procedure involves a single injection, with minor side effects such as temporary soreness or swelling, and most patients can resume normal activities shortly after. The benefits, which can last up to six months, are maximised when combined with physical therapy and lifestyle adjustments.

Let's start your journey with us:

  • Call us on 020 8870 8761 or email us at: to book your appointment.
  • If you will benefit from our services then the next steps would be:
  • Comprehensive Musculoskeletal examination and testing.
  • Ultrasound scan (if required) to have clarity about why you are in pain.
  • Same day Ultrasound Guided Cortisone Injection for pain relief or Hyaluronic injection (Gel) for arthritic joints.
  • Fixed fee structure so you can plan your expenses. £250 for Cortisone & £320 for Ostenil Plus