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Precision Injections, Guided by Ultrasound
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
- UPANDRUNNING is the preferred musculoskeletal service provider for a number of leading insurance providers including Cigna healthcare.
- All injections performed with ultrasound guidance → ensuring medication is placed exactly where it’s needed. Ultrasound guided injections are the gold standard with accuracy rates between 95-100%, according to leading research.
- UPANDRUNNING is recognised as a regional leader in sports and exercise medicine providing ethical and evidence-based treatments
- Procedures are safer, more effective, and less painful than blind techniques.
- Delivered by internationally trained specialists with advanced training in sports medicine, pain management, and interventional procedures.
- Injectables are often a good alternative to surgery for many back, neck, shoulder, and joint injuries and in some cases can provide reliable pain management which can also buy time and allow more efficient rehabilitation.
Our Specialists
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.
Procedures Offered
- Spinal Injections – nerve blocks, epidurals (theatre based), facet and sacroiliac joint injections, ligament injections, Radio frequency ablation
- Ultrasound-guided Joint Injections – steroids, PRP (alternative to stem cells), regenerative therapies, prolo therapy.
Hydrodilatation & Hyperdissection – advanced treatments for frozen shoulder and nerve entrapments
Who Can Benefit
- Patients with chronic back or neck pain
- Athletes with persistent joint pain
- People with shoulder, hip, or knee issues not improving with physiotherapy
Those seeking alternatives to surgery
JOINT INJECTIONS AVAILABLE AT UPANDRUNNING
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
CORTICOSTEROID (STEROID) INJECTIONS
WHAT ARE THEY
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.
HOW DO THEY
WORK
Steroids reduce
inflammation, which
is one of the main
causes of joint pain.
By lowering
inflammation, the
pain is reduced, and
mobility can
improve.
CONDITIONS IT CAN TREAT
✓ Osteoarthritis
✓ Rheumatoid arthritis
✓ Bursitis
✓ Tendonitis
BENEFITS
✓ Quick relief from pain and inflammation.
✓ Can be effective from weeks to
months, depending on the individual
✓ Helps improve function and mobility
HYALURONIC ACID INJECTIONS (VISCOSUPPLEMENTATION)
WHAT ARE THEY
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.
HOW DO THEY
WORK
By injecting
hyaluronic acid into
the joint, it helps
restore lubrication,
reduce pain, and
improve the joint's
ability to absorb
shocks.
CONDITIONS IT CAN TREAT
✓ 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
BENEFITS
✓ 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
PLATELET-RICH PLASMA (PRP) INJECTIONS
WHAT ARE THEY
PRP involves taking a sample of the patient’s blood, processing it to concentrate the platelets, and then injecting it back into the joint. Platelets contain growth factors that can promote tissue repair and reduce inflammation.
HOW DO THEY
WORK
The idea behind PRP
is that the
concentrated platelets
can speed up the
body's natural healing
process, potentially
helping to repair
damaged cartilage
and reduce
inflammation.
CONDITIONS IT CAN TREAT
✓ Mild to moderate osteoarthritis
✓ Tendon or ligament injuries
✓ Bursitis like greater trochanter pain syndrome (GTPS) [lateral hip pain] or shoulder bursitis
BENEFITS
✓ 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
WHAT ARE THEY
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.
HOW DO THEY
WORK
CONDITIONS IT CAN TREAT
BENEFITS
✓ 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 FOR JOINT AND NERVE PAIN
Hydrodistension and nerve hydrodissection are two innovative treatments that use ultrasound guidance to target pain from joint degeneration and nerve compression.
- Hydrodistension involves injecting a saline solution into a joint capsule, like the shoulder, to gently stretch it. This is often used for conditions like frozen shoulder (adhesive capsulitis), where the joint becomes stiff. By expanding the joint space, pain and stiffness are reduced, improving movement.
- Nerve hydrodissection is used for nerve compressions (like carpal tunnel syndrome). A saline or dextrose solution is injected around a compressed nerve to free it from surrounding tissues. This reduces pain and allows the nerve to function better.
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.
INNOVATIVE JOINT INJECTION THERAPIES
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
WHAT IS IT
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.
HOW DOES IT WORK
Exosomes act like messngers, delivering instructions to cells within the joint to help repair damaged tissues and reduce inflammation. Unlike stem cell therapy, which involves injecting actual cells, exosome therapy delivers the signals the body needs to heal itself.
CONDITIONS
✓ Early-stage osteoarthritis
✓ Joint injuries
✓ Tendon and ligament injuries
BENEFITS
✓ 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
POST-INJECTION ADVICE: GENERAL GUIDELINES
Stem cells are unique because they can develop into different types of tissues. Injections of
stem cells into joints could help repair damaged cartilage, reduce inflammation, and improve
joint function. Stem cell therapy is still being studied and is not widely available due to cost
and regulatory restrictions.
✓ 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.
FAQs
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.
