Bromley Sports Injury Clinic

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.
​
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.
​
Which Joints Can Be Treated?
We provide ultrasound-guided Ostenil® injections for:
-
✅ Knee osteoarthritis
-
✅ Shoulder arthritis and degeneration
-
✅ Elbow arthritis
-
✅ Ankle arthritis
​
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)
​
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
​
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
​
What to Expect at Your Appointment
-
Initial assessment – including history, physical examination, and (if needed) ultrasound scan to confirm degenerative changes.
-
Blood testing (optional) – to identify metabolic contributors such as diabetes, cholesterol imbalance, or vitamin D deficiency.
-
Ultrasound-guided Ostenil® injection – performed in clinic, usually taking 20 minutes.
-
Recovery advice – you can return to light activity the same day; improvement often builds over several weeks.
​
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
​
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.
​
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.
​
​
​
​
References
-
NICE Osteoarthritis Guideline (NG226, 2022) – NICE
-
Bannuru RR et al. Comparative effectiveness of intra-articular injections. Ann Intern Med, 2015. – PubMed
-
RSNA Radiology (2025). Steroid vs HA injections and knee degeneration. – RSNA
-
Pereira D et al. Viscosupplementation meta-analysis. BMJ, 2022. – BMJ
-
Fransen M et al. Exercise for OA, Cochrane Review, 2015. – PubMed