Joint Injections - Ankle & Foot

      
   4.8470 reviews

Specialist Foot & Ankle Injections in London

At Rejuvence Clinic, we provide diagnosis-led foot and ankle injection treatments for pain, stiffness, instability and walking difficulty. All injections are selected following careful clinical assessment and, where appropriate, ultrasound guidance, supporting safe symptom relief and structured rehabilitation.

Foot & Ankle Joint Injections

Foot and ankle pain can significantly affect mobility, balance and quality of life. Symptoms may arise from inflammation of the plantar fascia, nerve irritation in the forefoot, ligament injury around the ankle, or degenerative changes within the joints of the ankle, midfoot or big toe.

While many conditions improve with footwear modification, orthotics and physiotherapy, injection therapy may be appropriate when symptoms persist or function is limited.

At Rejuvence Clinic, foot and ankle injections are offered as part of an evidence-based treatment plan tailored to the underlying diagnosis and individual patient needs.

Foot & Ankle Conditions We Treat

Injection therapy may be considered for:

Plantar Fasciitis

Morton’s Neuroma

Ankle Osteoarthritis

Arthritis of the foot and big toe (including first MTP joint)

Selected ankle ligament injuries

Corticosteroid (Steroid) Injections

Corticosteroid injections are commonly used to reduce inflammation and pain in selected foot and ankle conditions.
For plantar fasciitis, steroid injections may provide short-term pain relief when conservative measures such as stretching, orthotics and activity modification have not been sufficient. In Morton’s neuroma, steroid injections may help reduce inflammation around the affected nerve, improving symptoms in some patients.

In ankle, foot and big toe arthritis, steroid injections are frequently used to manage inflammatory flares and improve mobility, particularly in patients seeking non-surgical symptom control.

Steroid injections are used judiciously, with careful consideration of risks and benefits, and are typically combined with physiotherapy and footwear advice.

Summary – Steroid Injections

Reduce pain and inflammation
Used in plantar fasciitis and Morton’s neuroma
Effective for symptom flares in foot and ankle arthritis 
Short- to medium-term relief

Hyaluronic Acid Injection (Ostenil Plus®)

Hyaluronic acid injections aim to improve joint lubrication and reduce mechanical pain associated with cartilage wear. Ostenil Plus is a high-purity formulation used in degenerative joint conditions.

In the foot and ankle, hyaluronic acid injections may be considered for ankle osteoarthritis and selected cases of big toe arthritis, particularly when a non-steroidal option is preferred. Evidence suggests that some patients experience improvements in pain and function, although responses vary depending on disease severity.

Hyaluronic acid injections are not routinely used for plantar fasciitis or Morton’s neuroma, as these conditions primarily involve soft tissue or nerve pathology rather than joint degeneration.

Summary – Hyaluronic Acid

Improves joint lubrication and movement
Considered in ankle and big toe arthritis
Non-steroidal treatment option
Variable response depending on disease severity

Hydrodistension (Not Routinely Used for Foot & Ankle Conditions)

Hydrodistension is primarily used in frozen shoulder and is not routinely performed for foot or ankle conditions. It is not considered a standard treatment in this anatomical region.

Summary – Hydrodistension

Not routinely used for foot and ankle conditions
Diagnosis-led decision making
Alternative treatments preferred

Aspiration (Limited Role in Foot & Ankle Conditions)

Aspiration involves removal of excess fluid from a joint or bursa. In foot and ankle conditions, aspiration is less commonly required but may be considered in selected cases of joint effusion or suspected inflammatory processes.

Summary – Aspiration

Limited role in routine foot and ankle pain
Used selectively for diagnostic or inflammatory indications
Specialist assessment required

Ankle Ligament Injuries: Steroid and Regenerative Injection Options

Ankle ligament injuries, most commonly involving the lateral ligament complex (ATFL/CFL) or the syndesmotic ligaments (“high ankle sprains”), can lead to prolonged pain, swelling and recurrent instability. First-line management typically includes protection, progressive loading, proprioceptive rehabilitation and return-to-activity guidance.

Injection therapies may be considered selectively, depending on symptom drivers and response to rehabilitation.

Steroid Injections for Ankle Ligament Injuries

Steroid injections are not routinely used to promote ligament healing. Their role is limited to managing persistent inflammatory pain that restricts rehabilitation rather than repairing ligament fibres.

Published clinical literature includes:

Ongoing and registered placebo-controlled trials evaluating corticosteroid injections for syndesmotic ankle injuries, reflecting that this remains an investigated approach rather than standard care
Limited case-level and observational data describing ultrasound-guided peri-ligamentous steroid injections to assist short-term symptom control

Where considered, steroid injections are used cautiously and always alongside a structured rehabilitation plan.

Summary – Steroids for Ligament Injuries

Not a standard treatment for ligament healing
May be considered for short-term inflammatory pain
Evidence base remains limited and selective

Rehabilitation remains essential

Regenerative Medicine Options (ExoSmart™)

Autologous exosome-based injections (ExoSmart™) represent an emerging area of regenerative medicine, using biologically active extracellular vesicles derived from a patient’s own blood sample. Exosomes play a role in cellular signalling and modulation of inflammation.

Published research shows:

Preclinical and translational studies demonstrating improved biomechanical and healing markers in ligament and tendon models
Sports medicine reviews highlighting exosomes as a promising but still evolving therapy, with human clinical outcome data continuing to develop

For ankle ligament injuries, exosome-based treatment may be discussed in selected patients with persistent symptoms, following optimisation of standard care. Outcomes vary, and no guaranteed results are implied.

Summary – Regenerative Options

Emerging treatment area
Translational and early clinical evidence suggests potential benefit
Human outcome data still developing
Offered following detailed assessment and informed discussion

Your Foot & Ankle Injection Specialist

Mr Ameerudhin Ahamed

MBBS, MRCS, FRCS, PG Cert (MSK USGI) Consultant Trauma & Orthopaedic Surgeon Barts Health NHS Trust

Mr Ameerudhin Ahamed is a GMC-registered consultant orthopaedic surgeon with extensive experience in musculoskeletal medicine and ultrasound-guided injections. He qualified with an MBBS in 2000 and has held full GMC registration since 2007.

He completed advanced postgraduate training in Trauma and Orthopaedic Surgery across major London hospitals, including the Royal National Orthopaedic Hospital, Stanmore, and was awarded FRCS (Trauma & Orthopaedics) in 2016. He also holds a Postgraduate Certification in Musculoskeletal Ultrasound-Guided Injection.

At Rejuvence Clinic, Mr Ahamed provides specialist assessment and ultrasound-guided foot and ankle injections, integrating injection therapy into a broader care plan that may include physiotherapy, orthotics and rehabilitation.

Are foot and ankle injections painful?

Most patients experience brief discomfort. Ultrasound guidance can help improve accuracy and comfort.

How long do steroid injections last?

Relief may last weeks to months, particularly when combined with rehabilitation and footwear modification.

Can injections cure plantar fasciitis or ligament injuries?

Injections help manage symptoms but do not replace rehabilitation or address all underlying causes.

Do you use ultrasound guidance?

Yes. Ultrasound guidance is used where appropriate to improve accuracy and safety.

Will I still need orthotics or physiotherapy?

Often yes. Injections are usually part of a comprehensive treatment plan.

       
 Excellent4.8470 reviews
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   Sophia 
 12 September 2026
 
 
 Trustindex verifies that the original source of the review is Google. A massive thank you to Dr Ghani, Dr Mitha and Olga, who have looked after me for various cosmetic and hair procedure. I highly recommend this clinic to anyone looking for professional, knowledgeable and caring doctors and staff. The reception team are also absolutely lovely,  polite, welcoming and friendly.
  
 
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   Arpan Kumar 
 11 September 2026
 
 
 Trustindex verifies that the original source of the review is Google. The doctor and healthcare professional doing the surgery were lovely and made me feel comfortable throughout the procedure
  
 
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   Bisi Dauda 
 11 September 2026
 
 
 Trustindex verifies that the original source of the review is Google. What an incredible experience! The modern facilities at Rejuvence Clinic are state-of-the-art. The staff's professionalism and the personalized treatment I received were outstanding. Follow-up care was thorough, and the aftercare support was reassuring.
  
 
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   THY 
 11 September 2026
 
 
 Trustindex verifies that the original source of the review is Google. I can't thank Rejuvence enough for their brilliant service! My steroid injections eased my pain significantly. The team's professionalism and the state-of-the-art facilities were impressive. The follow-up care was just the cherry on top! 🌟
  
 
     Posted on Google  
   
   Jack Ho 
 10 September 2026
 
 
 Trustindex verifies that the original source of the review is Google. The nurses are very helpful and Dr Sam Ghani is thoughtful and understands my needs for scar removal.
  
 
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   Mahamed Hagar 
 10 September 2026
 
 
 Trustindex verifies that the original source of the review is Google. Rejuvence Clinic exceeded my expectations! The keloid removal was a breeze, and the staff's professionalism was top-notch. Follow-up care was attentive and reassuring. Truly a fantastic experience from start to finish! Dr Ghani and Paige thank you.
  
 
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   Tochi Madubuike 
 10 September 2026
 
 
 Trustindex verifies that the original source of the review is Google. Absolutely delighted with Rejuvence! The steroid injections were super effective, and the staff's professionalism was evident from start to finish. Their follow-up care was incredibly thorough. I can't recommend them enough for anyone in need!
  
 
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   Aziah Brown 
 8 September 2026
 
 
 Trustindex verifies that the original source of the review is Google. Amazing experience, all the staff are kind and helpful would recommend if need any cosmetic surgery done.
  
 
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   Daniel Brandão 
 6 September 2026
 
 
 Trustindex verifies that the original source of the review is Google. I saw Doctor Sam Ghani for my alopecia problem and he was amazing. The treatment was effective. All the staff is friendly, helpful and professional. Highly recommend.
  
 
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   Kurt King 
 3 September 2026
 
 
 Trustindex verifies that the original source of the review is Google. Dr Ghani was really informative and took the time to answer all of my questions and concerns. I left the clinic feeling like I actually understood my options and could make the right decision about what treatment to have. Really appreciated him taking the time to explain everything properly. I’ll definitely be back and would happily recommend him to anyone considering treatment.

Authored by:

Dr Samuel Ghani

MBBS BSc MRCSEd FRCEM MSc Aesthetic Medicine

GMC: 6103460

Clinically reviewed by:

Mr Ameerudhin Ahamed

MBBS, MRCS, FRCS, PG Cert (MSK USGI)

GMC: 6093057

References & Further Reading

1. NICE CKS. Plantar fasciitis: management. 2. NICE CKS. Morton’s neuroma: management. 3. Ball EM et al. Steroid injection for plantar fasciitis. Cochrane Database Syst Rev. 4. Munteanu SE et al. Non-surgical management of ankle osteoarthritis. Osteoarthritis and Cartilage. 5. Li Z et al. Extracellular vesicles in musculoskeletal tissue repair. Stem Cell Research & Therapy. 6. Discoveries Reports. Ultrasound-guided corticosteroid injection for ankle ligament injury.

Sports medicine reviews on exosomes and ligament healing.