A combined steroid and hyaluronic acid injection is sometimes used for joint pain where background osteoarthritis and inflammation are contributing to symptoms. At The London Ultrasound Clinic, this option is considered carefully after taking time to understand your symptoms and carrying out a hands-on clinical assessment supported by real time ultrasound imaging.
What is a Combined Injection?
This treatment involves injecting a small dose of corticosteroid and hyaluronic acid into the joint during the same appointment.
The steroid helps reduce inflammation and pain, which can be particularly helpful during a flare of symptoms. Hyaluronic acid works in a different way by supporting the joint environment and helping movement feel more comfortable over time. By combining the two, the aim is to settle pain while also supporting joint function, rather than focusing on short-term relief alone.
Who Might This Be Suitable For?
A combined injection may be considered if you have joint pain related to osteoarthritis, particularly where pain and stiffness are affecting daily activities. It can be helpful if symptoms have not settled with exercise, activity modification, or simple pain relief measures.
The decision is based on your symptoms, examination findings, activity levels, and what we see on ultrasound.
When Is It Not a Good Idea?
This treatment is not suitable for everyone. It may not be recommended if pain is coming from outside the joint, if there is active infection or skin irritation at the injection site, or if a steroid injection is not appropriate due to medical history or recent treatment. In some cases, a steroid alone or hyaluronic acid alone may be more suitable.
Why Ultrasound Guidance Matters
All combined injections at our clinic are performed using real time ultrasound guidance. This allows accurate placement of the medication within the joint and helps improve comfort, safety, and confidence in the treatment.
Final Thoughts
A combined steroid and hyaluronic acid injection in the right situation can be an effective option. Our role is to assess carefully, explain the options clearly, and help you decide what approach best fits your symptoms and goals.
References
- Bannuru RR et al. Intra articular corticosteroids and hyaluronic acid in osteoarthritis management. Arthritis Care and Research
- Concoff AL et al. Effects of corticosteroid and hyaluronic acid injections on pain and function in osteoarthritis. Clinical Medicine Insights Arthritis and Musculoskeletal Disorders
- McCabe PS et al. Ultrasound guided joint injections and clinical accuracy. Rheumatology