Injection Therapy

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Ostenil® Injections

At Walsh Podiatry we use a range of injectables to help with soft tissue and joint pain.  Here we we use Ostenil Injections, however, sometimes others are used depending on the patient and the condition.

Ostenil ® injections are designed to provide long-term relief in Osteoarthritis (OA). They help decrease pain and stiffness and improve the other symptoms of OA and can be used in the knee, or in any of the other joints in the body that are classified as ‘synovial’.

Osteoarthritis is a degenerative condition affecting many joints of the body especially in the foot and also the knee. The cartilage surface becomes worn and the natural space between the bones becomes reduced. Ostenil ® work by a process called viscosupplementation and restores the natural balance of sodium hyaluronate within the joint to reduce pain and stiffness.

Anywhere between 1 to 3 injections may be required and the effect of the injections can last for many months. If the effect does wear off you can easily and safely have more with no worries about side effects.

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Injection Therapy

Anti-inflammatory Injections

We use anti-inflammatory injections to help settle inflammation down. These can be a great way to speed up the healing process and help you get back on your feet quickly.

Some common conditions treated with these injections include ;

  • Plantar fasciitis
  • Knee Arthritis
  • Gout
  • Ankle osteoarthritis
  • Osteoarthritis in ankle
  • Tarsal tunnel syndrome
  • Neuroma
We would always recommend a biomechanical assessment initially and then should we feel this is a good treatment for you we will recommend it and book you in.
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Steriod Injections

A steroid injection is a mixture of medicines from a collection called corticosteroids. Having a steroid injection has the ability to reduce swelling and stiffness as well as general pain in your foot and ankle. The steroid behaves similarly to the natural hormones in your body to prevent inflammation. It’s both a non-invasive and non-surgical form of treatment.
There are a couple of reasons to why you may need a steroid injection for the pain in your foot/ankle. It can be a massive help if other forms of treatment such as physical therapy or other medications haven’t managed to ease the pain. Some forms of treatment recommend steroids alongside other forms of treatment to benefit your recovery. A steroid injection will only be given after an assessment to confirm this is the best treatment for the condition. Usually this would mean a biomechanical assesment initially.

This procedure is very quick and simple. Once the Podiatrist has determined this is the best treatment for you the Steroid can be injected. Local anaesthetic can be used alongside the steroid injection. Depending on the area of your foot that the steroids need to target, you will be sat or lying down.

 

Some of the most common conditions that steroids are used for are:

 

  • Plantar fasciitis
  • Gout
  • Ankle osteoarthritis
  • Rheumatoid arthritis
  • Achilles tendinopathy
  • Osteoarthritis in ankle
  • Tarsal tunnel syndrome
  • Posterior tibial tendonitis
 

When receiving a steroid injection, you should typically feel pain relief within a couple of hours. The timing largely depends on the type of medication you have received. However, it can take up to 2-4 weeks to feel relief.

As a general rule it is considered that 3 times a year for a steroid to be injected into the same area is the maximum. There are risks of atrophy of the tissues and if into joints studdies suggest it can damage the joint. If multiple steroid injections are required then it may be worth looking at the cause of the issue again. Other treatments should be sought to reduce the inflammation in the area if possible also.

It is worth knowing that steroid injections are not for everyone, however for most people they are fine to have. We will always assess you as to your suitability and ask you questions like

 

  • Are you pregnant, breast feeding or trying to get pregnant
  • Had any other injections recently and what type, including vaccinations and local anaesthetics
  • Have any allergies
  • What medication you take, and do you take Warfarin or anticoagulents
  • Do you have any pre-exisiting health conditions
  • Are you being treated for an infection or do you have an infection currently
  • Other considerations, would be how good you circulation isor your general health and mobility and also what other treatments have you had for this condition?
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