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High Volume Tendon Injection

High Volume Tendon Injection (HVTI) is a specialised, non-surgical treatment used to manage chronic tendon conditions by targeting inflamed or thickened tendons. At RAD Clinics, we use advanced ultrasound-guided techniques to ensure precision and optimise patient comfort throughout the procedure. HVTI is designed to relieve pain, reduce inflammation, and promote healing by delivering a high volume of saline solution directly into the affected tendon.

Fees

£475

Duration

30 mins

Mode of Action of High Volume Tendon Injection

The principle behind High Volume Tendon Injection is to inject a large volume of fluid, typically a mixture of saline, corticosteroids, and local anaesthetic, into the space between the tendon and its surrounding sheath. This helps to break down adhesions, reduce inflammation, and encourage healing. The increased fluid volume also stimulates tissue remodelling by disrupting neovessels and accompanying nerves that are often responsible for persistent pain in chronic tendon injuries.

Procedure of High Volume Tendon Injection

At RAD Clinics, the HVTI procedure is carried out under sterile conditions, following these steps:

Preparation: The treatment area is sterilised, and local anaesthetic is applied to ensure patient comfort.
Needle Placement: A fine needle is inserted into the space around the tendon using ultrasound guidance to ensure accurate positioning.
Injection: A high volume of sterile saline solution, sometimes combined with corticosteroids, is slowly injected into the tendon sheath.
Post-Procedure Care: A dressing is applied, and patients are usually able to go home shortly after the procedure. A rehabilitation programme may be recommended to support recovery.

Ultrasound-Guided High Volume Tendon Injection

Ultrasound guidance is a key feature of HVTI at RAD Clinics. It allows the clinician to visualise the tendon and surrounding structures in real-time, ensuring that the fluid is delivered precisely to the affected area. This high level of accuracy reduces the risk of complications and enhances the effectiveness of the treatment.

Conditions Treated with High Volume Tendon Injection

Achilles Tendinopathy

Chronic pain and inflammation of the Achilles tendon.

Patellar Tendinopathy (Jumper’s Knee)

Pain and inflammation in the tendon connecting the kneecap to the shinbone.

Tennis Elbow (Lateral Epicondylitis)

Pain and irritation in the tendons of the elbow.

Rotator Cuff Tendinopathy

Chronic inflammation of the shoulder tendons.

Benefits of High Volume Tendon Injection

Minimally Invasive: HVTI is a non-surgical procedure, providing a less invasive option for patients with chronic tendon conditions.
Pain Relief: By disrupting painful neovessels and nerves, HVTI helps reduce tendon-related pain.
Improved Tendon Function: The procedure promotes tendon healing and can lead to an improvement in function and mobility.
Quick Recovery: HVTI involves minimal downtime, allowing patients to return to their daily activities soon after the procedure.
Precision with Ultrasound Guidance: Real-time ultrasound ensures accurate delivery of the injection, enhancing the success of the treatment.

Common Questions We Hear From Patients

What are high volume injections?

High-volume tendon injections deliver a large volume of fluid (usually saline) into tendon areas, breaking down scar tissue, promoting healing, and reducing inflammation. This technique improves blood flow and stimulates tendon regeneration.

Which injection site is recommended for giving large volume injections?

Large volume injections are typically administered at tendon sites like the Achilles, rotator cuff, or patellar tendon. The specific site depends on the tendon involved, ensuring precise placement for effective treatment and tissue healing.

What is the injection in the Achilles tendon?

Achilles tendon injections often involve high volume saline mixed with corticosteroids or PRP (platelet-rich plasma) to reduce inflammation, break down scar tissue, and promote healing in tendinopathy cases. The goal is to alleviate pain and improve tendon function.

What do high volume injections do?

High volume injections reduce pain, break down scar tissue, and improve tendon flexibility by promoting healing and increasing blood flow to the affected area. This technique helps restore function and reduces long-term symptoms in chronic tendon injuries.

Is high volume injection for Achilles tendinopathy good?

High volume injection for Achilles tendinopathy is a treatment option that aims to reduce pain and improve tendon function by injecting fluid around the affected tendon under ultrasound guidance. Evidence remains mixed, so clinicians should assess suitability alongside rehabilitation and other treatment options.

How long is recovery after a high volume injection?

Recovery after a high volume injection is usually short, with RAD Clinics stating that patients generally return to daily activities soon after treatment. A rehabilitation programme supports recovery, while return to higher-impact activities should follow your clinician's advice and progress.

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Exceptional professional service, highly recommended for quick, efficient, and friendly ultrasound scans and injections. Instant relief, thorough analysis, and personalized treatment at reasonable prices.

DISCLAIMER

PHYSIOTHERAPY

We accept some private insurance to cover our physiotherapy services. Please check with us prior to booking your appointment.

ULTRASOUND SCANS & MSK INJECTIONS

We do not accept insurance coverage for scans and injections. If you wish to reimburse your fees, then please kindly check with your insurance provider prior to booking as we cannot be held responsible for any non-payments.