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Injection Therapy

Someone being given injection in shoulder
Injection Therapy for therapeutic purposes is within the scope of physiotherapy practice. It is a well-established treatment option for various musculoskeletal conditions. Injection therapy is used to treat primarily inflammatory pain from a range of orthopaedic and rheumatological conditions. Some of these conditions include frozen shoulder, subacromial pain, knee osteoarthritis, carpal tunnel syndrome, and trigger finger, among others.
 
Our injection therapy services are administered by experienced and qualified advanced practice physiotherapists clinicians who have undertaken injection therapy training that meets the CSP/HCPC standards and expectations. They then practice under Trust/NHS approved medicines frameworks. These professionals are skilled in identifying when best to effectively utilise Injection therapy in the overall management of conditions. Injection therapy is seldom used in isolation, as will be explained by your clinician, Injection therapy is often used in conjunction with rehabilitation and exercise, as part of the overall management.
 
This link below to the Chartered Society of Physiotherapists may be helpful:
Injection therapy for physiotherapists | The Chartered Society of Physiotherapy
 
Other resources attached below can provide information of the checks done prior to any injection (to ensure suitable and safe) and other resources for information that you require prior to injection and for post injection after-care.
 
The clinician will often carry out a safety screening questionnaire to ensure it is suitable at this time to do an injection. Information and conversion may include:
 
Contraindications/Precautions
  • Infection at any site (risk <0.001%)
  • Damage or broken skin
  • On anti-retroviral medication for HIV
  • Previous allergic reactions
  • Prosthetic joint
  • Local surgery procedures in next 6 months
  • Dental treatment planned in next 2 weeks
  • Anticoagulants
  • Vaccine in last 2 weeks
  • Diabetes (unstable)
  • Other steroid therapy
  • Pregnancy or breast feeding
  • Lymphoedema
  • Cardiology conditions (unstable)
  • Able to take appropriate rest

Warnings and advice given on:
  • Risk of no benefits
  • Infection risk
  • Bleeding
  • Post injection flare
  • Facial flushing
  • Blood sugars
  • Tissue and pigmentation changes
  • Anaphylaxis
  • Negative effect on tendons/nerve
  • Immunosuppression risk/COVID
  • Menstrual irregularity
  • Mood
  • Injection information provided
Last updated25 Apr 2025
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