This article covers tendon injections in detail.

Injections for Tendons

Effective, ultrasound-guided treatments for chronic tendon pain and injuries.

From tennis elbow to Achilles tendinitis—restore your strength and mobility.

Book Now


Query

20-30min

Procedure Time

High

Success Rate

Guided

Recovery

100%

Image Guidance

Expert Care

Why Choose LSRI for Tendon Pain?

Specialized treatments for complex tendon injuries

Pinpoint Accuracy

Ultrasound ensures medication reaches the exact site of injury

Reduce Pain

Effective relief from chronic tendon pain and inflammation

Promote Healing

Stimulate natural tissue repair with regenerative options

Avoid Surgery

Minimally invasive alternative to surgical intervention

Your Treatment Journey

Simple 4-step process for your ultrasound scan

01

Diagnosis

Detailed ultrasound scan to assess tendon structure and extent of injury.

02

Plan

Selection of the most appropriate injection therapy for your specific tendon issue.

03

Treatment

Precision ultrasound-guided injection or procedure.

04

Rehab

Guided loading program to strengthen the tendon as it heals.

Conditions We Treat

Comprehensive care for tendon problems throughout the body

Achilles Tendinitis & Tendinopathy

Tennis Elbow (Lateral Epicondylitis)

Golfer’s Elbow (Medial Epicondylitis)

Rotator Cuff Tendinitis

Patellar Tendinitis (Jumper’s Knee)

De Quervain’s Tenosynovitis

Trigger Finger / Thumb

Gluteal Tendinopathy

Plantar Fasciitis

Treatment Options

.

Fast, accurate, and expert-led ultrasound imaging

PRP Therapy

Platelet-Rich Plasma uses your own growth factors to stimulate healing in chronic tendon injuries (tendinopathy).

Best For
Chronic Achilles tendinitis, tennis/golfer’s elbow, patellar tendinitis.

High Volume Injection

High volume saline injection separates the tendon from nerve endings, disrupting pain signals and stripping away new blood vessels.

Best For
Achilles tendinopathy, patellar tendinopathy.

High Volume Injection

High volume saline injection separates the tendon from nerve endings, disrupting pain signals and stripping away new blood vessels.

Best For
Achilles tendinopathy, patellar tendinopathy.

High Volume Injection

High volume saline injection separates the tendon from nerve endings, disrupting pain signals and stripping away new blood vessels.

Best For
Achilles tendinopathy, patellar tendinopathy.

Frequently Asked Questions

Expert answers to common questions about tendon injections
Why are tendon injections different from joint injections?

Why are tendon injections different from joint injections?

Tendons have a poor blood supply compared to muscles, making them slower to heal.
Injecting directly into a weight-bearing tendon with steroids can weaken it and increase rupture risk. Therefore, we use specialized techniques like PRP (to stimulate healing), high volume injections (to strip neovessels), or inject steroids only around the tendon sheath (tenosynovitis) rather than into the tendon substance itself.

What is a High Volume Injection (HVIGI)?

High Volume Image Guided Injection involves injecting a large volume of saline and local anesthetic (sometimes with a small amount of steroid) between the tendon and the underlying fat pad. This mechanically strips away the small new blood vessels and nerve endings that grow into a degenerated tendon, reducing pain and allowing rehabilitation.

Is Platelet-Rich Plasma (PRP) better for tendons?

For chronic tendon degeneration (tendinopathy), PRP is often superior to steroids because it stimulates long-term tissue repair rather than just temporarily masking pain. Steroids can inhibit healing in chronic cases. PRP is particularly effective for tennis elbow, Achilles tendinopathy, and patellar tendinitis.

How painful is the procedure?

Tendon injections can be more uncomfortable than joint injections due to the sensitivity of the inflamed tissue. We use generous local anesthesia to numb the area first. You may feel pressure or a stinging sensation. Afterward, the area may be sore for a few days as the healing process initiates.

Can I walk after an Achilles tendon injection?

Yes, you can bear weight, but we strongly recommend wearing a walking boot or heel lifts for a few days to offload the tendon, especially after PRP or high volume injections. You should act as if you have a bad sprain and avoid any running or jumping for several weeks.

How long does recovery take?

Tendon healing is slow. For steroid injections (sheath), relief is often quick (days). For PRP or regenerative treatments, pain may initially increase before improving over 4-6 weeks. Full structural healing and return to sport can take 3-6 months depending on the chronicity of the injury.

Do I need physiotherapy?

Absolutely. “Pills and needles don’t strengthen tendons—exercise does.” The injection opens a window of pain relief to allow you to perform loading exercises. Without progressive strengthening (rehabilitation), the tendon pain is likely to return. We work closely with physiotherapists to guide your recovery.

What is calcific tendinitis and can you treat it?

Calcific tendinitis involves calcium deposits forming within a tendon (often the rotator cuff), causing severe pain. We perform “barbotage” (lavage), where we use ultrasound guidance to puncture and suck out the calcium deposits with a needle while injecting saline. This provides rapid and significant relief for most patients.

Tendons have a poor blood supply compared to muscles, making them slower to heal. Injecting directly into a weight-bearing tendon with steroids can weaken it and increase rupture risk. Therefore, we use specialized techniques like PRP (to stimulate healing), high volume injections (to strip neovessels), or inject steroids only around the tendon sheath (tenosynovitis) rather than into the tendon substance itself.

High Volume Image Guided Injection involves injecting a large volume of saline and local anesthetic (sometimes with a small amount of steroid) between the tendon and the underlying fat pad. This mechanically strips away the small new blood vessels and nerve endings that grow into a degenerated tendon, reducing pain and allowing rehabilitation.

For chronic tendon degeneration (tendinopathy), PRP is often superior to steroids because it stimulates long-term tissue repair rather than just temporarily masking pain. Steroids can inhibit healing in chronic cases. PRP is particularly effective for tennis elbow, Achilles tendinopathy, and patellar tendinitis.Tendon injections can be more uncomfortable than joint injections due to the sensitivity of the inflamed tissue. We use generous local anesthesia to numb the area first. You may feel pressure or a stinging sensation. Afterward, the area may be sore for a few days as the healing process initiates.Yes, you can bear weight, but we strongly recommend wearing a walking boot or heel lifts for a few days to offload the tendon, especially after PRP or high volume injections.
You should act as if you have a bad sprain and avoid any running or jumping for several weeks.Tendon healing is slow. For steroid injections (sheath), relief is often quick (days). For PRP or regenerative treatments, pain may initially increase before improving over 4-6 weeks. Full structural healing and return to sport can take 3-6 months depending on the chronicity of the injury.Absolutely. “Pills and needles don’t strengthen tendons—exercise does.” The injection opens a window of pain relief to allow you to perform loading exercises. Without progressive strengthening (rehabilitation), the tendon pain is likely to return. We work closely with physiotherapists to guide your recovery.Calcific tendinitis involves calcium deposits forming within a tendon (often the rotator cuff), causing severe pain. We perform “barbotage” (lavage), where we use ultrasound guidance to puncture and suck out the calcium deposits with a needle while injecting saline. This provides rapid and significant relief for most patients.

• Start Your Journey Today

Heal Your Tendon Pain

Book a specialist consultation to find the right treatment for your injury.Experience fast, accurate diagnostic imaging and expert treatment from our specialist team.

Book Consultation


0203 633 5040