Joint Injection By Ultrasound Guides
Dr. Peyman Bakhshayesh
Consultant Foot & Ankle Surgeon | Regenerative Medicine Specialist | Medico-Legal Expert
Dr. Bakhshayesh specialises in harnessing the body’s natural healing potential to support recovery and, where possible, reduce the need for major surgery.
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Platelet-Rich Plasma (PRP) Therapy – Enhances the healing of tendons, ligaments, cartilage, and joints affected by arthritis or sports injuries.
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Bone Marrow Aspirate Concentrate (BMAC) – Utilises stem cell–rich bone marrow to accelerate bone healing and repair degenerative conditions.
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Advanced Biological Therapies – Personalised treatment options for patients with chronic pain, joint degeneration, or soft-tissue injuries.
These innovative therapies are particularly effective for patients seeking non-surgical or minimally invasive solutions to restore function, relieve pain, and improve mobility.
Foot & Ankle Regeneration
As a leading Consultant Foot & Ankle Surgeon, Dr. Bakhshayesh integrates regenerative therapies into orthopaedic care for conditions such as:
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Early arthritis of the ankle and foot joints
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Chronic tendon injuries (Achilles, peroneal, posterior tibial tendon)
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Sports-related ligament injuries
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Delayed bone healing or non-union fractures
3. Medico-Legal Expertise
Dr. Bakhshayesh provides independent, impartial medico-legal services to solicitors, insurers, and courts:
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Expert Witness Reports for trauma, orthopaedic, and foot & ankle injuries
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Medical Negligence Opinions with clear, evidence-based assessment
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Personal Injury Claims Support, including causation and prognosis reports
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Court Testimony delivered with authority and clarity
With decades of international experience and more than 40 peer-reviewed publications (including in Nature), Dr. Bakhshayesh offers medico-legal insight that is both clinically robust and legally reliable.
What is Joint Injection and Benefits ?
Ultrasound guided injections are safe and simple. They effectively reduce pain and inflammation to your affected area, in a minimally invasive way. It is preferred to taking medication everyday, by local injection drug act immediately, require smaller dose and minimise side effects
Ultrasound helps examine the "inner '' joint and get precise location of the insertion point. It guarantees an accuracy of a procedure and eliminates risk and complications. You can get in at the NHS, but you may be put on a long waiting list, while with us it will be done with no delay.
What is the inject's products into joints?
- Steroids ( to reduce inflammation aa in arthritis)
- Hyaluronic acid ( to improve stiffness and mobility)
- PRP ( to rejuvenate joints tissues , lubricate joint, postpone degeneration of a joint , restore its function as well as decrease pain there )
It should not have any pain for the first few hours. However, when the local anaesthetic wears off, your pain may return. Sometimes this initial pain can be a little worse than before the injection. This generally settles within 48 hours, you can take regular analgesics such as Paracetamol and Ibuprofen if required.
Most people notice an improvement in their symptoms within 2-3 weeks. The benefit can last for months or may be permanent.
Your referring Consultant will be able to discuss specific aftercare with you, as for each person and procedure this may differ.
Pre-procedure: - Doctor’s consultation/examination
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Ask about your medical history.
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Say whether you need blood tests, an X-ray and/or an MRI or CT scan so they can examine your joint in more detail.
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Check your blood pressure and blood sugar to make sure the hydrocortisone injection is suitable for you.
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Explain about the procedure, anaesthetic and any potential risks and complications and how they may affect you.
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Give you a chance to ask any questions you have about your treatment.
PROCEDURE: Performed in the appropriate environment and in sterile conditions
Done with US guidance and under local anaesthesia.
Does not require hospitalisation.
Normally: no down time, no side effects
Rare complications
· Allergic reaction to local anaesthetic or steroid
· Increase in blood sugar levels for diabetic patients.
· Steroid flare-up (increase in pain for a day or two)
· Changes in colour of the skin around the injection site or dimpling of the sk
· Vaginal bleeding or temporary change in menstrual cycle
Post procedure: Doctor’s follow up
Price:
Consultation 30 minutes £120 60 minutes £200
Steroid Injection one area £450 2 Area £790
Hyaluronic acid £535 2 Area £980
Hyaluronic Acid + PRP £750