Services

Combined Ultrasound-Guided Steroid and Hyaluronic Acid Injection

This appointment combines expert hands-on assessment, real-time ultrasound imaging and a precisely guided injection using both corticosteroid and hyaluronic acid with local anaesthetic. It is designed for patients who want effective pain relief while also supporting longer-term joint comfort and movement.

At The London Ultrasound Clinic, this treatment is carefully selected for patients where reducing inflammation and improving joint mechanics together offers the best outcome. We use either Ostenil Plus or Durolane, depending on your joint, symptoms and activity level.

Not sure which option is right for you? Read our guide: Combined Ultrasound Guided Steroid and Hyaluronic Acid Injection

What the appointment includes

A discussion about your symptoms, lifestyle and goals.
A careful hands-on examination of the affected joint.
Real-time ultrasound at the point of care to confirm the diagnosis and guide treatment.
Ultrasound-guided injection using both steroid and hyaluronic acid with local anaesthetic for comfort and accuracy.
Clear explanation throughout the appointment.
A written report with aftercare advice and next steps.

What to expect

Your clinician will first assess and scan the joint to understand the source of pain, inflammation and movement restriction. The injection is then performed under ultrasound guidance, allowing both treatments to be placed accurately within the joint or surrounding structures. The local anaesthetic helps minimise discomfort during the procedure, while real-time ultrasound ensures precision and safety. Most patients tolerate the injection well. Your clinician will explain each step and answer any questions throughout the appointment.

How it helps

The steroid component helps settle inflammation and reduce pain, particularly during flare-ups. The hyaluronic acid supports lubrication, smoother joint movement and comfort over time. This combined approach is often helpful for patients with arthritis, persistent joint symptoms, or those who have not had lasting relief from a single treatment alone.

Common conditions treated with combined injections

Combined ultrasound-guided steroid and hyaluronic acid injections are commonly used for:

Suitability depends on your symptoms, the joint involved, and findings on examination and ultrasound. This is discussed clearly during your appointment.