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Joint Injections Bromley – Ultrasound-Guided Ostenil® Treatment

What are Ostenil® Joint Injections?

Ostenil® is a hyaluronic acid (HA) injection used to treat joint pain and stiffness caused by osteoarthritis and degenerative joint changes. Hyaluronic acid is a natural substance found in healthy joints, where it acts as a lubricant and shock absorber.

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In osteoarthritis, the concentration and quality of hyaluronic acid decreases, leading to friction, stiffness, and pain. Ostenil® restores lubrication within the joint, helping movement feel smoother and less painful.

At Bromley Sports Injury Clinic, all injections are performed under ultrasound guidance, ensuring accuracy and safety.

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Which Joints Can Be Treated?

We provide ultrasound-guided Ostenil® injections for:

  • ✅ Knee osteoarthritis

  • ✅ Shoulder arthritis and degeneration

  • ✅ Elbow arthritis

  • ✅ Ankle arthritis

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Benefits of Ostenil® Injections

  • Reduces stiffness and makes joint movement easier

  • Decreases pain from osteoarthritis and joint degeneration

  • Improves mobility for everyday activities

  • Delays progression of joint changes and may help avoid early surgery

  • Relief lasting up to 6–9 months for many patients

  • Safer than corticosteroid injections – recent studies suggest steroids may accelerate degeneration, while HA may help protect cartilage

(Refs: Bannuru et al., Ann Intern Med 2015; RSNA, 2025; Pereira et al., BMJ 2022)

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Ultrasound Guidance – Why it Matters

Unlike “blind” injections, all our joint injections are carried out with real-time ultrasound imaging. This ensures:

  • Precise placement of the injection

  • Better safety and reduced risk of complications

  • Improved treatment effectiveness

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Who is Suitable for Ostenil®?

Ostenil® injections may be suitable if you:

  • Have mild to moderate osteoarthritis in the knee, shoulder, elbow, or ankle

  • Experience stiffness and pain affecting daily life

  • Cannot tolerate or do not wish to take long-term painkillers

  • Want to delay or avoid surgery

  • Have tried exercise and lifestyle measures but still have symptoms

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What to Expect at Your Appointment

  1. Initial assessment – including history, physical examination, and (if needed) ultrasound scan to confirm degenerative changes.

  2. Blood testing (optional) – to identify metabolic contributors such as diabetes, cholesterol imbalance, or vitamin D deficiency.

  3. Ultrasound-guided Ostenil® injection – performed in clinic, usually taking 20 minutes.

  4. Recovery advice – you can return to light activity the same day; improvement often builds over several weeks.

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Why Choose Our Clinic for Joint Injections?

  • ✅ Ultrasound-guided injections for precision and safety

  • ✅ Evidence-based approach following NICE and international guidelines

  • ✅ Whole-body care – including rehab, nutrition, and blood testing

  • ✅ Specialist focus on osteoarthritis and degenerative joint disease

  • ✅ Same-week appointments with flexible times

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FAQs – Ostenil® Injections Bromley

Q: How long do Ostenil injections last?
Relief typically lasts 6–9 months, and repeat injections are possible if needed.

Q: Are there side effects?
Side effects are rare and usually minor (temporary swelling or discomfort at the injection site).

Q: How soon will I feel better?
Some patients notice improvement within weeks, while for others it may take 4–6 weeks for maximum benefit.

Q: Do you offer steroid injections?
No. We only provide hyaluronic acid injections, as steroids may accelerate joint degeneration.

Q: Can injections delay surgery?
Yes. Evidence suggests HA injections like Ostenil® may help delay the need for surgery in mild-to-moderate cases.

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Book Your Appointment Today

Don’t let joint pain hold you back. Book your ultrasound-guided Ostenil® joint injection in Bromley and start moving with confidence again.

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References

  1. NICE Osteoarthritis Guideline (NG226, 2022) – NICE

  2. Bannuru RR et al. Comparative effectiveness of intra-articular injections. Ann Intern Med, 2015. – PubMed

  3. RSNA Radiology (2025). Steroid vs HA injections and knee degeneration. – RSNA

  4. Pereira D et al. Viscosupplementation meta-analysis. BMJ, 2022. – BMJ

  5. Fransen M et al. Exercise for OA, Cochrane Review, 2015. – PubMed

Reviewed by: Geoff Gardener, Registered Osteopath (GOsC 8289) — Director, Bromley Sports Injury Clinic
Credentials: Osteopath · ECG Technician · Advanced DSE Assessor · Manual Handling Trainer · Phlebotomist
Regulatory information: CQC Provider — Colmore Health Limited (ID: 1-18387136912)
Last medically reviewed: 03 October 2025
Next review due: 03 April 2026
About Geoff · Editorial Policy · Report an issue

Clinical content is written and peer-reviewed by our clinicians. Care pathways may include musculoskeletal ultrasound, rehabilitation, blood tests, or onward referral where appropriate.

Bromley Sports Injury Clinic is a trading name of Colmore Health Limited, a company registered in England and Wales (Company No.10522958), registered with the Care Quality Commission (CQC) and the Information Commissioner's Office (ICO).

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