ELbow INJECTION
Milton Keynes Pain Clinic
Elbow Injections in Milton Keynes
Whether you need a steroid, cortisone, or hyaluronic acid injection, our specialists provide targeted treatments for elbow pain. Discover precise solutions designed for lasting relief.
Conditions we treat
Tennis elbow
Tennis elbow is caused by overuse of the forearm’s extensor muscles, where their tendons attach to the lateral epicondyle (outer elbow). Since these muscles control gripping, twisting, and carrying, wrist or hand movements can often trigger elbow pain.
Symptoms
- Pain that radiates into your forearm and wrist
- Difficulty doing common tasks such as turning a doorknob or holding a coffee cup
- Difficulty with gripping activities
- Increased pain when you use your wrist and hand for lifting objects, opening a jar, or gripping something tightly such as a knife and fork
- Stiffness in the elbow
- Weakness in the forearm, wrist, or hand
Treatments We Offer
Ultrasound-Guided Cortisone Injection for Tennis Elbow
This treatment uses real-time ultrasound to deliver corticosteroids directly to the inflamed tendons, reducing pain and swelling while protecting surrounding tissues for optimal results.
Decreasing Pain with Cortisone Injection
Cortisone is a strong anti-inflammatory that, when injected into the affected tendons, quickly reduces inflammation and pain. It offers significant short-term relief, helping manage acute tennis elbow symptoms.

Golfers elbow
Golfer’s elbow (medial epicondylitis) is tendon inflammation where the forearm connects to the elbow, causing pain in the elbow, wrist, and forearm. It’s often due to repeated bending, gripping, or twisting, and is common in weightlifters, racquet sport players, and manual workers—not just golfers. Diagnosis is straightforward, with ultrasound confirming any tendon tears and their severity.
Symptoms
- ache when holding, lifting, or transporting something.
- feeling of weakness when clenching a fist or grasping an object.
- difficulty performing simple chores like pouring kettles or opening and shutting jars.
- discomfort when doing repetitive jobs like screwing, drilling, and sawing.
- Pain when playing grip-intensive sports like tennis or golf
Treatments We Offer
Ultrasound-Guided Cortisone Injection for Golfer’s Elbow
Using real-time ultrasound, cortisone is precisely delivered to the inflamed tendons, reducing pain and swelling while improving elbow function. This targeted approach maximises treatment effectiveness.
Benefits of Ultrasound-Guided Cortisone Injections
Ultrasound guidance ensures precise delivery of medication to the exact source of pain, improving accuracy and effectiveness. This targeted approach reduces inflammation, relieves pain faster, and minimises risks to surrounding tissues. It also enhances safety, speeds up recovery, and often provides longer-lasting relief compared to blind injections.
Olecranon bursitis
Olecranon bursitis is inflammation of the fluid-filled sac at the tip of the elbow, which cushions and reduces friction between bones and surrounding tissues. It’s often caused by overuse, trauma, or infection, leading to swelling and discomfort that may develop suddenly or over time. Most cases improve with rest and simple treatments, with recovery taking about three to six weeks.
Symptoms
- Swelling:
Early swelling at the back of the elbow may be subtle due to loose skin. As the olecranon bursa stretches, pain worsens, especially with pressure or elbow movement. - Pain and Limited Motion:
Progressive swelling can restrict elbow joint movement, making daily tasks difficult. - Redness and Warmth:
An infected bursa causes the skin to become red, warm, and tender. Without treatment, the infection may spread or the bursa may rupture, releasing pus.
Treatments We Offer
Ultrasound-Guided Cortisone Injection for Olecranon Bursitis
With real-time imaging, cortisone is delivered directly into the inflamed bursa to reduce pain and swelling. This precise, minimally invasive treatment improves mobility and offers effective relief for stubborn symptoms.
Decreasing Pain with Ultrasound-Guided Cortisone Injections
- Mechanism of Action: Cortisone is a powerful anti-inflammatory medication. When injected into the bursa, it works by reducing inflammation, which is a primary cause of pain and swelling in olecranon bursitis. The ultrasound guidance ensures the medication is accurately placed for maximum effectiveness.
- Reduction of Inflammation: Inflammation is a key contributor to the pain and swelling experienced in olecranon bursitis. Cortisone injections reduce this inflammation, thereby alleviating pain and allowing for better movement and function of the elbow.
- Improved Mobility: By decreasing pain and inflammation, cortisone injections can significantly improve the range of motion in the elbow. This can make everyday activities easier and enhance overall quality of life.
- Enhanced Quality of Life: Effective pain management with cortisone injections can lead to significant improvements in your quality of life. Patients often experience reduced pain, improved function, and a greater ability to participate in their usual activities.
Distal biceps
This pain occurs where the biceps tendon attaches to the radius bone just below the elbow. It can result from injuries or conditions like partial or complete tears, tendinitis, or tendinosis. Identifying the cause is key to proper treatment and recovery.
Symptoms
- Pain in the Front of the Elbow: The primary symptom is pain at the front of the elbow, especially during activities that involve bending the elbow or rotating the forearm.
- Swelling and Bruising: Swelling and bruising may be present around the elbow, particularly after an acute injury.
- Weakness: Individuals may experience weakness in elbow flexion (bending the elbow) and forearm supination (turning the palm up). This weakness can be more pronounced in cases of complete tendon tears.
- Popping Sensation: A sudden “pop” or tearing sensation in the elbow may be felt at the time of injury, especially in the case of a complete tendon rupture.
- Visible Deformity: In the case of a complete rupture, the biceps muscle may retract toward the shoulder, creating a noticeable deformity, sometimes referred to as a “reverse Popeye” appearance.
Treatments We Offer
Ultrasound-Guided Cortisone Injection
Using real-time imaging, cortisone is accurately delivered to the inflamed distal biceps tendon, reducing pain and swelling while restoring mobility and function.
Pain Relief with Ultrasound-Guided Cortisone Injections
Cortisone, a potent anti-inflammatory, reduces swelling around the distal biceps tendon when delivered under ultrasound guidance. This targeted approach eases pain, restores tendon function, and improves arm strength and mobility—helping patients perform daily activities with greater ease and enhancing overall quality of life.
Benefits of Ultrasound-Guided Cortisone Injections
Ultrasound guidance allows precise delivery of medication to the affected area, maximising pain relief and reducing inflammation. This minimally invasive treatment offers quick recovery with fewer risks. Real-time imaging ensures accurate placement, protecting surrounding tissues and improving overall results.
Cubital Tunnel Syndrome
Cubital tunnel syndrome happens when the ulnar nerve inside the elbow becomes compressed or irritated, causing inflammation, swelling, and discomfort.
Symptoms
- Numbness and tingling in the ring and little fingers, especially when the elbow is bent, such as during driving or phone use.
- Weak grip and difficulty with finger coordination, like typing or playing an instrument, in more severe cases.
- Muscle wasting in the hand if the nerve is severely compressed for a long time, which cannot be reversed.
Treatments We Offer
Ultrasound-Guided Cortisone Injection for Cubital Tunnel Syndrome
Using real-time imaging, cortisone is delivered directly around the ulnar nerve to reduce inflammation and pain. This precise, minimally invasive treatment improves comfort and mobility without surgery.
Pain Reduction with Ultrasound-Guided Cortisone Injections
Cortisone reduces inflammation around the ulnar nerve, easing compression and relieving pain in Cubital Tunnel Syndrome. Delivered under ultrasound guidance, it improves nerve function, restores sensation and muscle control, and enhances daily comfort—leading to a better quality of life.
Treatments we offer
Targeted Ultrasound Guided Cortisone Injection (£275)
Cortisone injections reduce inflammation and pain in conditions like arthritis or joint injuries.
Hydrodilatation (£550)
Hydrodilatation involves injecting a high-volume saline solution with or without cortisone, into the shoulder joint to expand the joint capsule, providing relief for frozen shoulder.
Shoulder Barbotage (£550)
Shoulder Barbotage is a specialized procedure for treating calcific tendonitis. It involves breaking down and removing calcium deposits in the shoulder tendons.