Injection Therapies in Barnsley

Injection therapy is an effective treatment for suppressing and reducing inflammation in the body. It can provide excellent pain relief when other conservative measures have not been effective. Injection therapy can speed up the road to recovery and get you back to the pain free activities you enjoy.

We offer several options for joint and tendon injections here at Western House in Barnsley:

Corticosteroid is very strong anti-inflammatory agent that mimics the body’s own naturally occurring steroids produced in the adrenal glands. The adrenal glands are small, triangular shaped glands sat on top of both kidneys which produce hormones that help to regulate our immune system. When injected the synthetic (man-made) corticosteroid interrupts the body’s inflammatory cascade and can drastically reduce symptoms of pain and dysfunction. This allows our patients to engage in physiotherapy rehabilitation with our team here at Western House, which we always recommend post injection in order to get the very best outcomes.

Ostenil is another fantastic option for patients. Ostenil is a synthetic Hyaluronans (HA), HA naturally occurs in joints. It acts as a shock absorber and lubricant, as well as offering adequate nutrition to the cartilage. With joint degeneration, or “wear and tear”, the natural HA in the joint is reduced. The good news is we can now supplement this.

Ostenil injections work by re-establishing the normal equilibrium (or balance) between the breakdown and production of HA in the joint. It also covers the pain receptors and inflammatory cells in the joint. These properties mean that it can decrease pain and stiffness of the joint. It can also return the physiological elasticity to the joint fluid making the joint more easily movable and helping you return to the activities you enjoy. In simple terms its like a WD40 for your joints!

Both corticosteroid and Ostenil injection can be prepared together, or separately, and with a choice of local anaesthetic for a more comfortable experience. These choices are best made at your consultation with our advanced practice physiotherapist at Western House in Barnsley as he can guide you and help you pick the most appropriate intervention to help reduce your pain.

The first stage however is to establish an accurate diagnosis and this can be made during your initial clinical assessment. We do not require a referral from your GP prior to injection – if you have private healthcare then you may be able to claim some or all of the cost of the treatment but we would encourage you to check with your scheme in the first instance.

What conditions can injection therapy be considered for?

  • Plantar fasciitis
  • Hip pain caused by Trochanteric Bursitis
  • Shoulder pain caused by Subacromial pain syndrome or frozen shoulder
  • Joint degeneration / Osteoarthritis of the knees, ankles, toe joints, shoulder, elbow, wrist and finger joints
  • Pain caused by irritation to a tendon. Common tendon problems include Tennis elbow, Golfers elbow, thumb tendons (known as Dequervains). Pain can also be generated from tendons around the foot and ankle

How do I prepare for an injection?

Prior to your appointment our advanced practice physiotherapist will send via email a pre injection consultation form to gather important clinical information before attending Western House. This will help to indicate if you are an appropriate candidate for injection therapy. Once you have completed the form if there are any issues raised, he will directly contact you prior to the consultation.

Plan to wear comfortable clothing which allows easy access to the affected joint. Driving is not usually recommended immediately after an injection but it may be possible in some cases. Please ask your health professional for further advice. After an injection we would advise seven days of relative rest and light activity. At the two weeks post injection mark we would recommend recommencing physiotherapy rehabilitation with the team at Western House to optimise your function and recovery.

What happens after an injection?

Depending on the type of the injection it may take a few days or several weeks before you feel the full benefit of the injection. Our advanced practice physiotherapist also places emphasis on the need to address any underlying biomechanical or movement problems and residual muscle weakness which often occurs when a patient has been in pain for some time.

With degenerative changes a person may experience a flare up of symptoms. Along with their long-term exercise programme, an acute episode of joint inflammation and associated pain experience can be eased with injection therapy. The most injections we would advise are 3 into the same area or joint a year.

There is no problem with having an injection prior to your holiday or important life event. A wedding or birthday party can be much more enjoyable when your experience of pain has been reduced!

Injection therapy can be a life changing experience, reducing your pain and empowering you to be able to enjoy all those activities that you may be struggling with. For more information, or if you have any questions, please speak to your physiotherapist or contact us at Western House Consulting Rooms, Barnsley (01226) 730249

Our Advanced Practice Physiotherapist in Barnsley

Jovan Dragic

Advanced Practice Physiotherapist

Jovan qualified at Sheffield Hallam University in 2017 and worked as a rotational physiotherapist at Barnsley District General Hospital for the following year before becoming a specialist physiotherapist in Accident and Emergency. During the period he also worked at the Roundwood Health Clinic offering private Physiotherapy sessions.

In 2018, Jovan started his Msc (Masters) degree with the Queen Margaret University of Edinburgh and became a full member of the society of musculoskeletal medicine in 2019. At the end of 2019 he was offered an advanced position as a first contact physiotherapist in Sheffield.

He now works as an advanced practice physiotherapist in primary care where he undertakes musculo-skeletal (MSK) assessment diagnosis and tirage. As part of his role, he can request and interpret imaging and bloods for diagnostic purposes. Jovan has been a qualified injection therapist for two years and now an independent prescriber. The GPs that Jovan work alongside regularly refer complex patients to him for clinical assessment, opinion and often joint injection.

Jovan has worked with a wide range of patients from semi-professional athletes to the retired population whose goals may be different but equally important. At the heart of his core values as a Physiotherapist is assessing and giving accurate diagnosis so an appropriate management plan can be implemented, be that physiotherapy rehabilitation, injection therapy or orthopaedic opinion.

Jovan was previously a keen amateur athlete, although retired from competitive sport he still enjoys keeping fit and weight training. In his spare time he enjoys walking his miniature dachshund and relaxing in the sun.

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Opening Hours

Monday 10am - 7pm
Tuesday 9am - 4pm
Wednesday 1pm - 8pm
Thursday 9am - 7pm
Friday 9am - 4pm
Saturday 9am - 2pm
Other hours Ad hoc

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Western House in Barnsley     Our Location

Barnsley, UK

Western House Consulting Rooms is located in the heart of Barnsley close to the new Old Mill Lane college campus