Ultrasound Guided Injections at My MSK Clinic Manchester
Persistent knee pain from osteoarthritis can limit daily life and hold you back.
Ultrasound Guided Hyaluronic acid injections can provide pain relief without the need for surgery. Performed by a GMC registered doctor at a CQC registered clinic.
CQC Regulated Clinic
Ultrasound Guided Procedure
No GP Referral Required
Manchester and Burnley Clinic
INTRO
Introduction to Ultrasound Guided Injections
An Ultrasound Guided Injection is an increasingly popular technique in the field of musculoskeletal medicine and orthopaedics for administering joint injections.
It refers to injection performed under ultrasound image guidance which has revolutionised how clinicians are able to provide quality treatment and help patients recover from painful ailments.
It is a safer and more effective way of injecting Joints, muscles and tendons than traditional methods which used anatomical landmarks.
TERMINOLOGY
What are Ultrasound Guided Injections?
An ultrasound injection uses Ultrasound technology to locate the precise area where the injection may need to be administered.
The procedure involves applying sterile ultrasound gel to the area and then using an ultrasound probe to visualise the different tissues in the body so that the injection is more accurate and in the correct location. Prior to this technique it was common for practitioners to inject patients using their own knowledge of human anatomy.
However the increased accuracy with an Ultrasound Guided Injection means the procedure may also be more effective as the medication is being delivered to the correct area.
This reduces the patients’ need to visit the clinician again if treatment fails if needle placement was initially inaccurate. It helps the patient by leading to a quicker recovery.
HOW THEY WORK
How does an Ultrasound Work?
Modern day Medical Ultrasound incorporates advanced technology that only specialised hospitals and clinics have access to.
Ultrasound was first invented in 1956 by Engineer Tom Brown and Obstetrician Ian Donald in Glasgow.
The Ultrasound probe sends High Frequency Sound waves, that cannot be heard, into the body. These waves reflect off of soft tissues, tendons and muscles and echo back to the probe.
This transmits a signal which the Ultrasound translates into an image that can be displayed on the Screen.
EVIDENCE
Evidence and Success Rates of Ultrasound Guided Injections
In this section we will discuss the evidence supporting the use of ultrasound guidance for injections and what our success rates are at My MSK Clinic.
Why Ultrasound Guidance Matters
An injection only works if the medication reaches the right place. Ultrasound lets us see the needle, the joint and the surrounding structures in real time, so the treatment is delivered exactly where it needs to go rather than being estimated from surface landmarks. Studies consistently show guided injections are more accurate than blind ones (100% versus 72% accuracy at the hip, for example³), and better accuracy means a better chance the injection actually works.
Accuracy across the body
- Knee: a review of randomised trials covering 1,315 knees found ultrasound-guided injections more accurate than blind injections at every injection site studied¹
- Shoulder: 93.6% accuracy at the AC joint under ultrasound versus 68.2% blind; 92.5% versus 72.5% at the main shoulder joint; 86.7% versus 26.7% at the biceps tendon sheath²
- Hip: 100% accurate under ultrasound versus 72% blind, with blind accuracy dropping further in patients with a higher BMI or arthritis³
What that means for results
In a randomised trial of 148 painful joints, ultrasound guidance produced 43% less pain during the procedure itself, 59% lower pain scores at two weeks, and 26% more patients responding to treatment.⁴
The same study found ultrasound detected 200% more joint effusions and allowed 337% more fluid to be drained.⁴ This matters in conditions like knee arthritis with swelling, where careful aspiration often brings immediate relief alongside the injection.
Where guidance matters most
Improved accuracy is well established. Effects on longer-term pain and function are stronger at some sites than others, and both guided and unguided injections carry a low complication rate. Guidance counts most in procedures demanding precision, such as subacromial bursitis, where ultrasound helps with both diagnosis and treatment, and techniques like nerve or tendon hydrodissection, which cannot be performed reliably without seeing the structures involved.
At My MSK Clinic, every injection is performed under ultrasound guidance by a GMC-registered doctor. Accuracy is never left to chance.
Success Rate at My MSK Clinic
80%
of frozen shoulder patients reported improvement
We followed up 110 patients treated at My MSK Clinic with ultrasound-guided injections for frozen shoulder. 80% of the patinets reported a positive improvement and a reduction in their pain.
Frozen shoulder is painful and slow to settle, and the injection has to reach the right space to do its job. Every shoulder injection at My MSK Clinic is performed under ultrasound guidance by a GMC-registered doctor, and we follow up our patients to see how they actually get on.
These results come from a telephone survey carried out in October 2025 of 110 patients treated between January and July 2025. Individual results vary, and we will tell you honestly at your consultation whether an injection is likely to help in your case.
CONDITIONS
Painful Conditions We Treat with Ultrasound Guided Injections
TYPES
Types of Ultrasound Injection Offered at My MSK Clinic
MOST POPULAR
Cortisone Injection
Ultrasound-guided cortisone injections deliver a corticosteroid directly into an inflamed joint, tendon sheath or bursa to reduce pain and inflammation. Using real-time ultrasound guidance means the medication is placed precisely where it is needed, improving accuracy compared with landmark-guided injections. Cortisone is commonly used for conditions such as frozen shoulder, tennis elbow, trigger finger and osteoarthritis, with many patients noticing relief within days. All injections are performed by a GMC-registered doctor at our Manchester and Burnley clinics.
New
Arthrosamid
Arthrosamid is an innovative hydrogel injection for knee osteoarthritis, designed to cushion the joint and provide long-lasting pain relief from a single treatment. Unlike cortisone or hyaluronic acid, the non-degradable gel integrates into the joint lining rather than being absorbed, which is why its effects can last for years rather than weeks or months in many patients. It is administered under ultrasound guidance and is particularly suited to patients looking to delay or avoid knee replacement surgery. Our doctors are experienced Arthrosamid providers at both our Manchester and Burnley clinics.
PRP - Platelet Rich Plasma
PRP therapy uses a concentrated sample of your own blood platelets, injected under ultrasound guidance to support the body’s natural healing response. It is a popular option for tendon injuries, early osteoarthritis and sports injuries, particularly for patients who prefer a treatment without steroids. Because PRP is derived from your own blood, the risk of an allergic reaction is very low. Before an injection the doctor will examine the injured or painful area to determine of PRP is a suitable option. If it is the injection can be done at the same time.
Hyaluronic Acid Injection
Hyaluronic acid injections replenish the natural lubricating fluid found in healthy joints, helping to cushion the joint and reduce pain from osteoarthritis. Delivered under ultrasound guidance for maximum accuracy, they are most commonly used for knee, hip and shoulder arthritis, and can be a suitable alternative for patients who cannot have, or prefer to avoid, steroid injections. A single injection can provide symptom relief lasting several months (in our experience they usually last around 6 – 12 months), depending on the product and the joint treated.
COST
How Much Does an Ultrasound Guided Injection Cost in Manchester?
From
£290
Per Injection
The Cost of ultrasound guided injections vary across the UK. At My MSK Clinic we believe in a transparent pricing system. We offer multiple different types of ultrasound guided Injections at our clinics. These consist of Cortisone, PRP, Hyaluronic Acid Injections and also joints injections as well as back injections.
Our prices vary depending on the type of injection, however Cortisone Injections for joints are priced at £290 per injection. All injections at My MSK Clinic are performed under ultrasound guidance.
For more information on how much a specific injection costs please visit our pricing page →
If you are considering an Ultrasound Guided Injection, book a consult with us at My MSK Injection Clinic Manchester. The Doctor will perform a thorough examination and suggest whether a Hyaluronic Acid Injection is suitable for you. No GP Referral required.
What's Included in the Cost?
✔ Consultation with Dr Akhtar
✔ Ultrasound Scan and examination
✔ Local Anaesthetic to ensure Comfort throughout the Procedure
✔ Any on-the-day Medications
✔ The Ultrasound Guided Injection
WHY MYMSK
Why Choose My MSK Clinic for your Ultrasound Guided Injection?
Ultrasound Accuracy
All our injections are done under Ultrasound Guidance.
Same Day Option
Diagnosis and Injections usually done at same appointment
No Waiting List
You can Self Refer directly to MyMSK Clinic – No Referral required.
OUR CLINICS
Where do we offer Ultrasound Guided Injections?
We treat patients at two clinics in the North West. Easy to reach for Greater Manchester, Salford, Bury, Bolton, Oldham and the wider Lancashire area.
FAQs
Frequently Asked Questions
Below are some answers to some common questions regarding Ultrasound Guided Injections. If you have a different query please contact us.
What are the Benefits of an Ultrasound Guided Injection vs a traditional injection?
The maintained advantage of Ultrasound Guided Injection is of course the increased accuracy. A more accurate injection means quicker, more effective treatment. This can mean patients don’t have to keep going back to have costly treatments over and over again, and can obtain much needed pain relief more quickly.
Is the Injection painful?
The degree of pain varies from patient to patient and can also change depending on the type of treatment the patient has. At MyMSK Clinic we use local Anaesthetic to numb the area with tiny needles so that the procedure is as comfortable as possible.
How much does an Ultrasound Guided Injection Cost?
The cost of an Ultrasound Guided Injection varies in different locations across the UK and across different types of treatment.
At MyMSK Clinic the charges are on our pricing page and cost from £290.
Our prices are listed on our pricing page to ensure we are providing the best possible care at an affordable price.
You can make an appointment by calling 0333 772 9655 or by visiting our Booking Page.
References:
- Fang WH, Chen XT, Vangsness CT Jr. Ultrasound-guided knee injections are more accurate than blind injections: a systematic review of randomized controlled trials. Arthrosc Sports Med Rehabil. 2021;3(4):e1177–e1187. https://doi.org/10.1016/j.asmr.2021.01.028
- Aly AR, Rajasekaran S, Ashworth N. Ultrasound-guided shoulder girdle injections are more accurate and more effective than landmark-guided injections: a systematic review and meta-analysis. Br J Sports Med. 2015;49(16):1042–1049. https://doi.org/10.1136/bjsports-2014-093573
- Hoeber S, Aly AR, Ashworth N, Rajasekaran S. Ultrasound-guided hip joint injections are more accurate than landmark-guided injections: a systematic review and meta-analysis. Br J Sports Med. 2016;50(7):392–396. https://doi.org/10.1136/bjsports-2014-094570
- Sibbitt WL Jr, Peisajovich A, Michael AA, et al. Does sonographic needle guidance affect the clinical outcome of intraarticular injections? J Rheumatol. 2009;36(9):1892–1902. https://doi.org/10.3899/jrheum.090013
Considering an Ultrasound Guided Injection in Manchester?
Ultrasound-guided. No GP referral needed. 7 minutes from Manchester Piccadilly.
PAGE MEDICALLY REVIEWED BY DR AMIR AKHTAR IN AUGUST 2026
Dr Amir Akhtar
Our Reviews
The injection has helped me greatly and I would not hesitate to recommend Dr Akhtar for any treatments in his clinic.
Fantastic service.
I feel much more confident about the treatment plan we discussed. I can highly recommend his service.
Michael P.
I saw Dr Amir Akhtar for a painful recurrence of sesamoiditis / forefoot pain. He assessed the area carefully, used ultrasound to check what was going on, and only proceeded with injection once he was satisfied it was appropriate. I valued that he was clear, direct, and clinically grounded rather than just rushing through the appointment.
He also explained the wider mechanical picture well, including how compensation from other ankle problems may be contributing. The treatment was carried out there and then, and the whole process felt efficient and professional.
A helpful and thorough service. I would recommend them.
Overall, I would certainly recommend this clinic and clinician. It was excellent care. I am pleased to say that I am noticing some improvement in my knee following the injection and am now saving to have my other knee treated. I will definitely be returning to this clinic.
She received ultrasound guided hydrodissection of the Baxter’s nerve, and since the treatment she has reported a really positive improvement. Her pain has reduced significantly, and she feels much better in herself, more comfortable driving and able to go out for walks again, which she hasn’t been able to do for quite some time.
The improvement has been remarkable and we’re very grateful. She has also noticed that she is now able to move her toe more easily, and the pain in her heel at night has reduced, helping her rest more comfortably.
Thank you for the care, support, and treatment it has made a real difference.
I definitely feel the injection has worked and I'm hoping it allows me to get some quality of life back.
Dr AKhtar has your best interests at heart at al time. Dr AKhtar was really thorough when. investigating my hip and knee.
It was so refreshing to meet Dr Akhtar,
I will recommend him to my family and friends should they need a specialist.
I booked my appointment online and got so much more than I expected on the day of my appointment.
The level of detail that things were explained to me in was fantastic but also done in such a way that it wasn’t overwhelming. I’m at the start of a journey to recovery but have so much confidence I am in great hands and off to the best possible start!!
The evening following my appointment I received some emails of; advice, follow up care, recommendations of the best splint to purchase, images taken from my scans and even a copy of my letter that is going to the GP!
What a fantastic service, one would have to wait weeks if not months for this kind of feedback on the NHS and the cost of everything was very reasonable too.
Thank you very much for everything , I really appreciate your time and approach towards my issue.
Thanks 😊
Dr Akhtar was everything you could hope for in a specialist: friendly, incredibly knowledgeable, and, most importantly, truly listened. He took the time to understand my pain and concerns, and for the first time since the accident, I genuinely felt hopeful. I’m only 48 hours post-injection, but already the difference in my outlook is huge.
A special thank you goes to Safi, who has been nothing short of exceptional. Safi has handled my endless emails with patience, kindness, and professionalism, and their support has made this whole process so much easier. They genuinely deserve recognition for outstanding customer care.
I was originally going to wait seven days before leaving a review, but honestly, this clinic has already proven itself. I would return here time and time again without hesitation, and I would recommend My MSK to absolutely anyone in need of expert, compassionate care.
Thank you to Dr Akhtar, Safi, and the entire team for giving me hope again. An effortless 5 stars. 🌟🌟🌟🌟🌟
Got an appointment really quickly and the consultation was in depth with a scan showing me the exact problem. Treatment options were given to me with associated costs along with exercises to support in the interim.
Dr Akhtar is really helpful and knowledgeable and I can’t thank him enough for his support which included a direct referral to hospital for other support.
Thank you
I had an amazing experience with this company.
Dr Akhtar was reliable, honest and operates with integrity.
I would highly recommend MYMSK Clinic.
Took my partner to see amir
Could not praise him highly enough
Partner was in pain for 5 days,hardly any sleep.after a few cortisone injections she was able to sleep.
Dr amir tells you the way it is
Did a full report for the gp recommending future action required
Then we got a phone call today of amir to see how my partner was doing.
Dr akhtar very professional in his work
From the very beginning, Dr. Akhtar showed exceptional professionalism, honesty and genuine care, taking the time to explain the procedure in detail and addressing all my concerns.
He explained any symptoms that may occur post injection and the time for it to become effective.
Thank you doctor!
I felt really at ease and was able to explain what was wrong with me in a relaxed atmosphere.
Can ‘t recommend enough
Also the building is so beautiful inside😊
He was very informative about what he was going to do and what was causing the issue.
He was very friendly and I will 100% be recommending his services to anyone that needs help.
I would highly recommend this clinic, very professional staff, with special commendation to Dr Akhtar. An experienced clinician in the field of MSK medicine, a credit to his profession!
However during the consultation Dr Aktar explain that the injection might not be the best course of action, he gave me some excellent advice and explained in detail what was wrong and how that was causing the painful symptoms.
I left feeling much more informed about my situation and after following his instructions my symptoms have improved massively.
I really appreciated the good advice and felt it was far more beneficial than other places who would have just taken my money for the injection and not really considered the actual root cause.
Would recommend to anyone!
certification
GMC Registered Doctor and CQC Regulated Clinic
