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High Volume Achilles Tendon Injection London

Specialist Treatment for Persistent Achilles Tendon Pain

A high volume injection is a specialist ultrasound-guided procedure used for long-standing Achilles tendon pain that has not improved with rehabilitation alone. It is typically considered when symptoms persist despite a structured exercise programme and activity modification. At The London Ultrasound Clinic, this treatment is carefully selected for patients where reducing tendon irritation can support recovery and allow rehabilitation to progress more comfortably. The injection uses sterile saline and local anaesthetic, and steroid may be included to help settle inflammation if clinically appropriate.
What the appointment includes
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What to expect

The procedure is performed under real-time ultrasound guidance to ensure accuracy, comfort, and safe delivery of the injection. Most patients tolerate the procedure well, with local anaesthetic minimising discomfort during the injection. Your clinician will provide clear guidance on activity levels and rehabilitation following treatment.

Who is this suitable for?

This treatment is suitable for patients with ongoing mid-portion Achilles tendon pain that has not settled with exercise-based rehabilitation, particularly if pain is limiting walking, running, or sports participation. It is not usually used for acute injuries.

What results can I expect?

High volume injections aim to reduce pain and tendon irritation, allowing rehabilitation exercises to be progressed more comfortably. Improvement is often gradual, and the best results are seen when the injection is combined with an appropriate loading and exercise programme.

Learn more

For a full guide on how high volume injections work, what to expect, and how they can help with Achilles tendon pain and movement, read our article: High Volume Saline Injection for Mid-Portion Achilles Tendinopathy: What to Expect and How It Helps. 

Our aim is to provide clear answers, carefully selected treatment, and a calm, supportive experience, helping you move forward with greater comfort and confidence.

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