World-class spinal and musculoskeletal (MSK) injections, delivered by internationally trained specialists. Every procedure guided in real-time with ultrasound for accuracy, safety, and better outcomes
Why Choose Us
Our medical team brings together extensive international training across sports medicine, pain management, and interventional procedures. With advanced expertise in both spinal and joint injections, our doctors use the latest ultrasound technology to deliver precise, targeted treatments.
This unique combination of skills allows us to manage a wide range of conditions, from chronic back and neck pain to frozen shoulder, rotator cuff injuries, bursitis, tendonitis, and complex joint pathologies. By integrating innovative, non-surgical techniques with conservative pain management, our specialists help patients recover faster, reduce pain, and avoid unnecessary surgery.
Hydrodilatation & Hyperdissection – advanced treatments for frozen shoulder and nerve entrapments
Those seeking alternatives to surgery
CORTICOSTEROID (STEROID) INJECTIONS
HYALURONIC ACID INJECTIONS (VISCOSUPPLEMENTATION)
PLATELET-RICH PLASMA (PRP) INJECTIONS
PROLOTHERAPY
HYDRODISTENSION AND NERVE HYDRODISSECTION FOR JOINT AND NERVE PAIN
EXOSOME THERAPY
ARTHROSAMID INJECTIONS
Corticosteroids, often just called “steroids,” are anti- inflammatory medications that can be injected directly into a joint. Steroid injections have been used for decades to treat joint pain.
✓ Osteoarthritis
✓ Rheumatoid arthritis
✓ Bursitis
✓ Tendonitis
✓ Quick relief from pain and inflammation.
✓ Can be effective from weeks to
months, depending on the individual
✓ Helps improve function and mobility
Hyaluronic acid is a substance
naturally found in the synovial fluid of joints, which acts as a lubricant and shock absorber. In osteoarthritis, the levels of hyaluronic acid decrease, leading to joint stiffness and pain. Injections aim to replenish this fluid.
✓ Osteoarthritis, particularly in the
knee, ankle and hip
✓ Mild to moderate joint degeneration
✓ A newer form of Ostenil injection; can be used in tendinopathies like patellar,
shoulder or elbow
✓ A newer form of Ostenil injection can be used in tendinopathies
like patellar, shoulder or elbow tendinopathies
✓ Increases joint lubrication, improving mobility
✓ Long-lasting relief compared to steroid injections (effects can last
for several months)
✓ Can delay the need for surgery
in some cases
POST-INJECTION CARE
✓ Rest the joint for at least 48 hours
✓ Avoid standing for prolonged periods or heavy physical activity for a few days
✓ Apply ice to reduce any swelling or discomfort
LIMITATIONS
✓ May not work for severe arthritis
✓ Relief may take several weeks to become noticeable
✓ Mild to moderate osteoarthritis
✓ Tendon or ligament injuries
✓ Bursitis like greater trochanter pain syndrome (GTPS) [lateral hip pain] or shoulder bursitis
✓ Uses the patient’s own blood, reducing the risk of allergic reactions
✓ May promote tissue healing and regeneration
✓ Can reduce pain and improve function for several months
POST-INJECTION CARE
✓ Avoid heavy exercise for 1-2 weeks
✓ Take it easy on the joint for a few days, but regular light movement can be helpful
✓ Avoid icing or anti-inflammatory medications for at least 5 days. PRP works by a pro-
inflammatory effect to promote healing
LIMITATIONS
✓ Results can vary; not all patients respond equally
✓ Expensive compared to traditional injections – mostly not covered by insurance
✓ Multiple injections may be needed for maximum benefit
Prolotherapy involves injecting a sugar solution into the joint, which is thought to trigger the body’s healing response. The goal is to strengthen weakened joints and relieve pain by promoting tissue repair.
✓ Natural healing process
✓ Long-term improvement with multiple treatments
POST-INJECTION CARE
✓ Avoid heavy exercise for a few days
✓ Ice the joint for any soreness
Hydrodistension and nerve hydrodissection are two innovative treatments that use ultrasound guidance to target pain from joint degeneration and nerve compression.
BENEFITS
✓ Provides relief from pain and stiffness
✓ Minimally invasive
✓ Quick recovery
✓ Can improve mobility and nerve function
✓ Can delay or prevent the need for surgery
POST-INJECTION ADVICE
✓ Rest the treated area for 24-48 hours
✓ Gradually return to activities as pain decreases
✓ Avoid heavy lifting or strenuous activities for a few days
✓ Follow any physical therapy or stretching recommendations from your doctor
Both procedures are safe, effective, and guided by ultrasound to ensure precision.
In recent years, more advanced and cutting-edge therapies have emerged, promising more than just pain relief. Some of these aim to repair damaged tissues and provide longer-lasting benefits.
Exosome therapy is a newer form of
regenerative medicine that uses
exosomes—tiny particles released by stem cells—to communicate with cells and promote healing. Exosomes are packed with proteins, lipids, and genetic material that can stimulate tissue repair and reduce inflammation.
✓ Early-stage osteoarthritis
✓ Joint injuries
✓ Tendon and ligament injuries
✓ Non-invasive and does not require the injection of actual cells
✓ Can promote tissue regeneration
and reduce inflammation
✓ Potential for long-term relief from joint pain
✓ May delay or prevent the need for surgery
POST-INJECTION CARE
✓ Rest the joint for 24-48 hours
✓ Avoid intense physical activities for a week
✓ Gradually return to regular activities, as instructed by your doctor
LIMITATIONS
✓ Still relatively new, and long-term effectiveness is being studied
✓ Not widely available in all clinics
✓ Expensive compared to traditional therapies
✓ Rest the joint: After any injection, it’s important to give the joint time to recover. This often means avoiding strenuous activities for a few days or even weeks, depending on the type of injection.
✓ Ice the injection site: If you experience swelling, redness, or soreness at the injection site, applying ice can help reduce these symptoms. The only exception to that is PRP injections where a pro-inflammatory reaction is needed to aid with healing
✓ Gradual return to activities: Even if the injection helps reduce pain quickly, it’s important to ease back into physical activities. Jumping right back into high-impact sports or exercise could risk further injury.
✓ Follow-up appointments: Some treatments require multiple injections, or your doctor may want to assess how well the injection is working. Be sure to keep any follow-up appointments and communicate any changes in your symptoms.
What does “ultrasound-guided” mean?
It means your doctor can see inside the joint or spine in real time. This allows the injection to be placed with millimetre precision — no guesswork.
Why is this important?
Accuracy improves effectiveness, reduces complications, and speeds up recovery.
Are all injections done this way?
At UPANDRUNNING, yes. We only use ultrasound-guided injections for patient safety and results.
How do I know if I’m a candidate?
If you’ve had persistent pain, tried physiotherapy, or are considering surgery, our doctors can assess if injections are right for you.
What is the best option for me?
There are multiple options for injectables that may help treat your symptoms. We highly recommend that you discuss these with our experts to identify which would work best for your condition.
Is it covered on Insurance?
Cortisone, local anesthetic, nerve blocks, joint, tendon and trigger point injections are all covered on insurance/direct billing, policy dependent. PRP may be considered experimental, so we recommend you check with your insurance provider.
