Xcel health uses cookies to ensure that you get the best experience from our website. To read more please see our cookies and privacy policies. Find out more.

Ostenil Joint Injection Therapy

To decrease pain and stiffness and improve the other symptoms of osteoarthritis.

Ostenil Joint Injection Therapy

Ostenil® Plus is a treatment for the symptoms of Osteoarthritis. It can be used in the knee, or in any other joints in the body that are classified as ‘synovial joint’. These are clinically proven to reduce the pain associated with Osteoarthritis

OSTENIL® TENDON was developed to treat painful tendinopathy. It also helps to restore restricted mobility in tendon disorders caused, for example, by overuse or inappropriate biomechanical stress. It is highly concentrated sodium hyaluronate (2%).

APPOINTMENTS BOOK NOW

Book by Phone

Or

How does Ostenil® Plus work?

Ostenil® Plus is a solution containing sodium hyaluronate. It is injected into the space in the joint that contains synovial fluid and works by restoring the normal balance between the breakdown and production of sodium hyaluronate. This procedure is known as 'viscosupplementation', and the effect of Ostenil® Plus means that it can decrease pain and stiffness and improve the other symptoms of osteoarthritis.

The sodium hyaluronate in Ostenil® Plus 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® Plus has been given to thousands of patients and has not been found to cause any serious side effects. The exact make-up of the sodium hyaluronate in Ostenil® Plus has been carefully chosen so that it is as effective as possible in treating osteoarthritis.

What can I expect if I decide to have treatment with OSTENIL® Plus?

If you decide to have treatment with OSTENIL® Plus, it will be injected directly into the joint affected by osteoarthritis. This will be done once a week for 3 weeks until you have had 3 injections. You will probably not notice any benefits immediately after the first injection, but you should gradually start to feel less pain and stiffness over the next few weeks. The improvement in your symptoms should last for several months, depending partly on the number of injections you have. You can expect the benefit from three injections to persist for up to 9 months. Once the effects of the first course of injections wear off, you can, if you choose, have another. After that, you can continue to have new courses of injections whenever necessary. http://www.arthritisresearchuk.org

OSTENIL® TENDON - for painful tendinopathy

OSTENIL® TENDON was developed to treat pain and restricted mobility in tendon disorders caused, for example, by overuse or inappropriate biomechanical stress. It is highly concentrated sodium hyaluronate (2%).

How does OSTENIL® TENDON work?

The lubricating characteristics of sodium hyaluronate increase tendon gliding and reduce agglutinations (stickiness). The tendon can work again as if well-oiled. Furthermore, sodium hyaluronate blocks pain receptors, hinders inflammatory mediators, and is a good transport medium for nutrients.

OSTENIL® TENDON ensures a harmonisation of the tendons and the surrounding structures, reduces pain and increases joint function.

How is OSTENIL® TENDON administered?

The treatment itself takes very little time. Your doctor will give you an injection into the area around the most damaged part of the affected tendon, usually employing some form of visual guidance equipment such as Ultra-Sound, which helps ensure the injection is placed correctly. In the case of tendons within a tendon sheath, Your Therapist will inject OSTENIL® TENDON into the tendon sheath itself. In either case, the lubricant will be distributed through natural movement along the entire tendon. A repeat injection, normally given a week after the first, may be required in more established and persistent tendon disease.

What can you expect from treatment with OSTENIL® TENDON?

In studies done in Germany the treatment scheme described above has proved to be effective and safe. In most cases, there is a quick and long-lasting improvement of joint function. Several tendons may be treated at the same time. If symptoms return the treatment can be repeated.

What you should know about private medical insurers?

Private medical insurers may sometimes give the impression that they will not reimburse OSTENIL® or OSTENIL® PLUS injections, and, as a result, you may be led to offer OSTENIL® injections only for self-funding patients.

However, the fact is that Bupa, Aviva, AXA-PPP and VitalityHealth will fund viscosupplementation if you use the correct specific code that the insurers require. Please have a look at this website: www.ccsd.org.uk. The "Clinical Coding & Schedule Development Group" provides the specific codes used by the four major insurers (BUPA, Aviva, AXA-PPP, and VitalityHealth) for injecting a viscosupplement into a joint with or without guidance.

The relevant codes for AXA-PPP, Aviva and VitalityHealth can be found by clicking the ‘procedural’ (green) tab and entering ‘Viscosupplement’ in the search box. The codes that come up are:

  • W9032 – Injection of viscosupplement into joint WITH image guidance
  • W9033 – Injections of viscosupplement into joints WITH image guidance (bilateral)
  • W9042 – Injection of viscosupplement into joint
  • W9043 - Injections of viscosupplement into joints (bilateral)

BUPA:

The code for BUPA is AA663, which has to be used in conjunction with W9030 (joint injection under guidance), or W9040 (joint injection without guidance). If you go to the individual insurers websites then you can also see how much they pay for using each of the codes and what restrictions there are.

Do insurers only fund knee injections?

Sometimes an insurer may say that they will only cover the cost of a visco supplement injected into the knee and not any other joint. However, on the codes schedule it does not specify that the related codes are only for the knee. This means injections into other joints, i.e. hip, shoulder, ankle, etc, should also be covered by the insurers. However, the insurers will have their own specific policy regarding applicable clinical circumstances and products to be used.

Xcel Health Injury Prevention Tips & Tricks

Wear the right equipment for sports injury prevention

Having the proper equipment, such as footwear, is also important to avoiding sports injuries. Shoes that have adequate support and fit properly are a must, as is having the correct shoes for each activity. This can aid in prevention of several conditions, such as heel spurs, sprained ankles, and shin splints.

Don’t push yourself too hard, too fast

Having the proper equipment, such as footwear, is also important to avoiding sports injuries. Shoes that have adequate support and fit properly are a must, as is having the correct shoes for each activity. This can aid in prevention of several conditions, such as heel spurs, sprained ankles, and shin splints.

Wear the right equipment for sports injury prevention

Having the proper equipment, such as footwear, is also important to avoiding sports injuries. Shoes that have adequate support and fit properly are a must, as is having the correct shoes for each activity. This can aid in prevention of several conditions, such as heel spurs, sprained ankles, and shin splints.

Don’t push yourself too hard, too fast

Having the proper equipment, such as footwear, is also important to avoiding sports injuries. Shoes that have adequate support and fit properly are a must, as is having the correct shoes for each activity. This can aid in prevention of several conditions, such as heel spurs, sprained ankles, and shin splints.

Know your pain

FAQ's

General

We advise that you arrive 5-10 minutes early for your first appointment to allow time to complete registration documents. Your therapist will then greet you from reception and take you through to the consultation room where you will be asked your reason for attending, the nature and history of your condition and any details that may be relevant to your assessment or treatment. The therapist will then do a detailed assessment on you to arrive at a diagnosis. Once a diagnosis has been made, the therapist will explain the findings and outline a treatment plan. If there is time, treatment will be given as part of your first session.

We generally advise that you wear comfortable, loose fitting clothing. We also suggest that you wear/bring shorts for hip, knee or back problems. You may be asked to remove one or more items of clothing to enable the therapist to assess your condition. Any clients wishing to bring a chaperone are more than welcome.

The follow up sessions generally last for 30 minutes. During the follow up session, we discuss the progress with you and alter the management plan if needed, after discussing with you various options of treatment available.

Everyone is different and responds differently to treatment. In the majority of cases, we would expect to see symptoms eased after the first session but in other cases it may take a few sessions to really notice a difference. It is important to note that on some occasions, your symptoms may become temporarily aggravated following a session. This is a normal reaction, particular if your injury is quite acute. It is nothing to be worried about but is important to feedback to your therapist so treatment can be adjusted in subsequent sessions.

Reach Us

We have 5 allocated parking spaces including one disabled car parking space. The disabled car park space is right in front of the entrance to the clinic building. Our Clinic benefit from visitor car parking spaces around the estate.

Should you wish to cancel your appointment, we ask that you give us at least 24 hours’ notice so that we can offer the slot to someone else. For late cancellations, we reserve the rights to charge you for the full cost of the appointment.

We are able to bill your insurance provider directly but the contract for payment is held with the individual client. Should the insurance company refuse to pay; the client will be asked to settle the account in full. In order for us to bill your insurance provider, we simply need the name of the policy holder, your membership or policy number and authorisation code. We also need to know details of excess and treatment limitations prior to starting your course of treatment. We are recognised by all major medical insurers. Please ask us for a full list. If we are not recognised by your insurer, we may be able to apply for recognition so please ask.

Payment & Policy

We currently accept cheques, cash and debit or credit card payments (we do not accept american express). We can also take payments over the phone and will shortly be introducing web payments so you can pay as you book to make it even more convenient for you.

If for any reason you are unhappy with the service you have received, please do not hesitate to email us at admin@xcelhealth.co.uk Our practice manager will get back to you within 2 working days. We take all complaints very seriously and use the feedback to improve our service for all clients.

5/5 Overall Satisfaction Rating

60+

Satisfied Customer Reviews

5.0 5 Star Reviews