Injection Therapy
Injection Therapy
Injection therapy can help reduce pain and inflammation and make movement easier, particularly when symptoms are preventing progress with rehabilitation or everyday activities.
At Xcel Health, injections are used as part of an overall treatment plan and, where appropriate, alongside physiotherapy to support recovery and longer-term improvement. Injection therapy is not offered as a first option for everyone and is only recommended when clinically appropriate.
Who Provides the Injection?
All injections are carried out by a qualified physiotherapist who is an Independent Non-Medical Prescriber. This means they are trained, insured, and authorised to assess, prescribe, and administer joint and soft tissue injections.
You will always be assessed first to ensure injection therapy is suitable for your condition.
Conditions We Treat With Injection Therapy
Injection therapy may be considered for a range of joint, tendon, and nerve-related conditions where pain, stiffness, or inflammation is limiting movement or recovery.
Osteoarthritis
Rheumatoid arthritis
Joint inflammation and swelling
Reduced joint movement affecting daily activities
Frozen shoulder
Rotator cuff-related pain
Shoulder impingement
Ongoing shoulder pain affecting movement or sleep
Knee osteoarthritis
Persistent knee pain affecting walking or stairs
Pain around the kneecap (patella)
Tendon-related knee pain
Tennis elbow
Golfer’s elbow
Carpal tunnel syndrome
Wrist and forearm pain related to tendon or nerve irritation
Achilles tendinopathy
Plantar fasciitis
Heel pain affecting standing or walking
Tendinitis and tendinopathies
Persistent tendon pain not improving with rehabilitation
Bursitis
How Injection Therapy Can Benefit You?
Injection therapy may be considered if:
Pain is ongoing or worsening
Symptoms are limiting daily activities or sleep
Movement is restricted due to pain or stiffness
Pain is preventing progress with physiotherapy
Other treatments have not provided enough relief
Injection therapy is always considered alongside other treatment options and is not suitable for everyone.
Injection Treatments We Offer
Steroid Injections
Used to reduce inflammation, pain, and swelling in joints and surrounding tissues. This can help improve comfort and allow you to move more freely, particularly when pain is limiting rehabilitation.
Genicular Nerve Block
Used to help manage knee pain by targeting specific sensory nerves around the knee joint. Often considered for ongoing knee pain related to osteoarthritis.
Supraspinatus Nerve Block
Aimed at reducing shoulder pain where nerve-related symptoms are limiting movement or rehabilitation.
PRP (Platelet-Rich Plasma)
PRP uses a concentrated sample of your own blood to support the body’s natural healing process. It is often considered for tendon and soft tissue conditions. PRP is not a steroid.
Arthrosamid® Injection 
A treatment used mainly for knee osteoarthritis to help improve joint comfort and movement. This injection is provided by a clinician who is trained and insured to deliver Arthrosamid®.
Hydrodistension
Commonly used for frozen shoulders. This treatment helps reduce stiffness in the shoulder joint and improve movement and is usually followed by physiotherapy.
High-Volume Injections
Used for patella and Achilles tendon conditions where pain has not improved with other treatments.
Carpal Tunnel Syndrome - Hydrodistension
A technique used to reduce pressure around the median nerve to help relieve pain, tingling, and numbness in the hand and wrist.
Important Information
Injection therapy may need to be delayed if you have an infection or feel unwell. We do not inject directly into the spine, as this is a specialist medical procedure.
Your clinician will explain the treatment, answer any questions, and discuss what to expect before and after the injection.
After the Injection
You may be advised to rest the area for a short period before gradually returning to normal activities and continuing with your physiotherapy exercises. Follow-up appointments may be recommended to monitor progress and support recovery.
FAQs
Injection therapy is generally safe when delivered by a trained and qualified clinician. You will always be assessed beforehand, and the risks, benefits, and alternatives will be discussed with you before any treatment goes ahead.
Injections are not usually a standalone solution. They are most effective when used alongside physiotherapy to improve movement, strengthen the area, and support long-term recovery.
Not everyone needs an injection. Your clinician will assess your condition and advise whether injection therapy is appropriate or whether physiotherapy alone is the better option for you.
For more information, please complete the short form below
Know Your Pain
GOOGLE REVIEWS
"My Xcel Health experience at the Bexley clinic was amazing, my therapist Aashna was not just giving me treatment, but advice that I needed for a healthy recovery and lifestyle change. It has made my recovery easier and so more fun - I really enjoyed the sessions and the support I received from her during my therapy sessions!"
- Camile Paparelli, Oct 17th, 2025
"I've been receiving treatment from the lovely Palak for my tennis elbow. First class service. My symptoms have improved rapidly and I no longer have constant pain in my arm. From reception you are made to feel most welcome and looked after in a calming and professional environment. This is the second time I've received treatment through Excel and would highly recommend to anyone looking for physio."
- Fiona Brooks, Nov 20th, 2025
"Highly recommended!!! Great service , very professional . Mr Xavier was Easy to talk to and also was reassuring that I was in the right hands"
- Ben Tune, Nov 8th, 2025
"Physio I have received from Miss Manali Pandav over the last 6 weeks have been amazing she has really made a difference to my neck helped with movement and pain she’s been really kind & friendly been a pleasure supporting me on my journey of recovery i will miss my sessions.5 stars from me recommend Manali’s treatment she’s really confident & really good at her job."
- Sarah Jane Hughes, Oct 18th, 2025
"I’ve been attending physiotherapy sessions at Xcel Health for nearly five weeks, and I can’t recommend them enough. Jessica has been so welcoming, friendly, and supportive from the start. She makes me feel comfortable during every session, and I truly feel supported and motivated to get my health back in shape. I’d highly recommend Jessica and Xcel Health to anyone looking for professional and caring physiotherapy."
- Brooke Harman, Oct 23rd, 2025
"My physio Palak is excellent. Since starting I have strengthened my back through exercise and reduced my pain substantially. I always look forward to my sessions."
- Rachel Beckman, Nov 12th, 2025
"Tiffany is amazing. Extremely knowledgeable, supportive and understanding. Cannot recommend her highly enough for those seeking physio for pelvic floor issues"
- Claire Hollis, Nov 4th, 2025
"I had 6 sessions with Harsh over the past 2 months, receiving treatment for rehabilitating my fractured finger. Really appreciate his experience with treatment techniques. It hasb been effective and I can see notable improvement to my finger's range of motion. Thank you Harsh!"
- Nour Atef, Sep 2nd, 2025
"I have seen Xavier and Arushi at Xcel. They have been amazing. Explained everything so I would understand. They have been helping get my shoulder back to normal. It’s so much better than it has been for a long time. I continue to do the exercises I was given which help so much. Brilliant, kind and knowledgeable people."
- Donnamarie French, Oct 17th, 2025
"I have spent the past 8 sessions with Harsh. He is so friendly and made me feel very comfortable. Did an amazing job , I now no longer struggle with any kind of movement, every session was tailored to my needs and I noticed improvement from the first few sessions. Would recommend this clinic to anyone."
- Maddison Whitehead, Aug 26th, 2025
