KNEE and SHOULDER INJECTION THERAPY EXPLAINED

At Joint Solutions, we specialise in physiotherapy-led knee and shoulder injection therapy to help reduce pain, improve movement, and support long-term joint health. Every treatment begins with a thorough assessment, and the most suitable injection option is clearly explained, allowing you to make an informed and confident decision about your care.

Our approach focuses on safe, effective, and non-surgical joint pain treatment, tailored to your individual needs.

Knee Injection Therapy

Knee Injections for Osteoarthritis and Knee Pain

Knee injection therapy is commonly used to manage knee osteoarthritis and persistent knee pain that has not responded fully to physiotherapy or medication.

Injection Options for the Knee:

Hyaluronic Acid Knee Injections

Hyaluronic acid is a natural substance found within joint fluid. Hyaluronic acid knee injections help to lubricate the joint, reduce friction, and improve movement.

Benefits may include:

  • Reduced knee pain and stiffness

  • Improved walking and stair climbing

  • Gradual, longer-term symptom relief

  • Good tolerability with fewer side effects

These injections typically work over several weeks and are well suited for people seeking longer-lasting knee pain relief.

Corticosteroid Knee Injections

Corticosteroid injections deliver anti-inflammatory medication directly into the knee joint and are often used when inflammation and pain are more severe.

They can:

  • Reduce inflammation quickly

  • Provide faster pain relief

  • Improve short-term function

Because repeated corticosteroid use can affect joint tissues, these injections are used carefully and only when appropriate.

Combined Knee Injections (Hyaluronic Acid + Corticosteroid)

In some cases, a combined knee injection may be recommended. This combines a corticosteroid with hyaluronic acid in one injection.

This option can:

  • Provide rapid pain relief from inflammation

  • Support longer-term joint lubrication and comfort

  • Improve mobility while longer-lasting benefits develop

Shoulder Injection Therapy

Shoulder Injections for Pain and Restricted Movement

Shoulder injection therapy can be effective for managing shoulder pain, stiffness, and reduced movement caused by conditions such as osteoarthritis, bursitis, or rotator cuff-related shoulder pain.

Injection Options for the Shoulder:

Hyaluronic Acid Shoulder Injections

Hyaluronic acid injections may be used in some cases of shoulder osteoarthritis to improve joint lubrication and reduce discomfort.

They may help to:

  • Reduce shoulder stiffness

  • Improve ease of movement

  • Support longer-term joint health

Corticosteroid Shoulder Injections

Corticosteroid shoulder injections are commonly used to reduce inflammation and pain within or around the shoulder joint.

They may be recommended for:

  • Painful shoulder inflammation

  • Bursitis or subacromial pain

  • Significant movement restriction

Relief is often quicker, helping patients return to daily activities and sleep more comfortably.

Shoulder and Tendon-Related Injections

We also offer corticosteroid injections for chronic shoulder tendinopathy when pain persists despite physiotherapy and other conservative treatments.

These injections can:

  • Reduce inflammation around the tendon

  • Relieve pain and improve movement

  • Allow rehabilitation exercises to be performed more comfortably

To protect tendon health, corticosteroid injections are used judiciously and are always combined with a structured rehabilitation programme to support long-term recovery.

How We Choose the Right Injection for You

There is no single “best” injection for everyone. The most suitable option depends on:

  • Whether your symptoms affect the knee or shoulder

  • The underlying diagnosis

  • Severity and duration of symptoms

  • Previous treatments and response

  • Your lifestyle and activity goals

Your physiotherapist will guide you through all available options and help you choose the treatment that best suits your needs.

Physiotherapy-Led, Patient-Centred Care

All injections at Joint Solutions are delivered by experienced Chartered Physiotherapists and form part of a wider treatment plan focused on:

  • Reducing pain

  • Restoring movement and confidence

  • Supporting long-term joint health

  • Delaying or avoiding surgery where possible

Melanie Betts MSc, Grad Dip Phys, Dip Sports Phys, MCSP HCPC

Melanie is the founder of Joint Solutions, having nearly 40 years as an MSK physiotherapist and buisness owner, Melanie was aware there was need for a service to help patients bridge the gap between failing at conservative treatment such as standard physiotherapy and analgesia and the extreme of surgery. She recognised a need to provide a solution to patients where conservative measures are failing and they are not canditates for surgical interventions.

Melanie qualified as a chartered physiotherapist in 1989. She went on to gain her postgraduate Diploma in sports medicine in 1996 and an MSc in manipulative physiotherapy in 2001, she acheieved a first contact practioner qualification in 2021.

Melanie worked within the NHS framework after qualifying, then moved to the USA, working in Florida. On returning from the States in moved into private practice. She has experience as a qualified First Contact Practitioner in the NHS.

Throughout her career Melanie has been involved in various sports medicine roles, from RFC to international figure skating and many sports in between. Melanie was physio to the GB swim team from 1995-1999 and the governing body physiotherapist to the GB target shooting teams 2001-2010. These roles saw her attending the commonwealth Games in Manchester 2002, Melbourne 2006, and Glasgow 2012. She was also part of the team GB medical team for Athens 2004 and London 2012 Olympic games..

Melanie is an experienced lecturer, presenter and a clinical mentor for MSc students from around the country and overseas.

In her spare time, she is an accomplished triathlete, representing GB age group teams in all distances from Olympic to Long distance at European and World Championships.

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