Joint Injections - Knees

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Specialist Knee Joint Injections in London

 

At Rejuvence Clinic, we provide diagnosis-led knee injection treatments for pain, swelling and reduced mobility. All injections are selected following careful clinical assessment and, where appropriate, ultrasound guidance, supporting safe symptom relief and structured rehabilitation.

Knee Joint Injections

Knee pain and swelling are common causes of reduced mobility and functional limitation. Symptoms may arise from joint degeneration, inflammation of the surrounding bursae, ligament injury, or accumulation of excess joint fluid (effusion).

While many knee conditions improve with physiotherapy, strengthening and activity modification, knee injections can play an important role in symptom management when pain or swelling persists.

 

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

Knee Conditions We Treat

Injection therapy may be considered for:

Corticosteroid (Steroid) Injections

Corticosteroid (Steroid) Injections

Corticosteroid injections are commonly used to manage inflammatory knee conditions. They work by reducing inflammatory activity within the joint or surrounding soft tissues, helping to relieve pain and swelling in the short to medium term.

In knee effusion, steroid injections may be used after aspiration to reduce ongoing inflammation. For patellar bursitis, steroid injections can help settle local inflammation when conservative measures such as rest and compression have not been sufficient. In knee osteoarthritis, steroid injections are frequently used to manage pain flares and improve mobility, particularly in patients who are not yet considering surgical options.

Steroid injections are used judiciously and are typically combined with physiotherapy and lifestyle modification rather than used as a long-term standalone treatment.

Summary – Steroid Injections
  • Reduce pain and inflammation
  • Commonly used in knee effusion and bursitis
  • Effective for short-term symptom control in knee arthritis
  • Best used alongside rehabilitation

Corticosteroid (Steroid) Injections

Corticosteroid injections are commonly used to manage inflammatory knee conditions. They work by reducing inflammatory activity within the joint or surrounding soft tissues, helping to relieve pain and swelling in the short to medium term.

 

In knee effusion, steroid injections may be used after aspiration to reduce ongoing inflammation. For patellar bursitis, steroid injections can help settle local inflammation when conservative measures such as rest and compression have not been sufficient. In knee osteoarthritis, steroid injections are frequently used to manage pain flares and improve mobility, particularly in patients who are not yet considering surgical options.

 

Steroid injections are used judiciously and are typically combined with physiotherapy and lifestyle modification rather than used as a long-term standalone treatment.

 

Summary – Steroid Injections

  • Reduce pain and inflammation
  • Commonly used in knee effusion and bursitis
  • Effective for short-term symptom control in knee arthritis
  •  Best used alongside rehabilitation

Hyaluronic Acid Injection (Ostenil Plus®)

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 disease.

In the knee, hyaluronic acid injections are widely used for knee osteoarthritis, with evidence suggesting improvements in pain and function in selected patients, particularly in mild to moderate disease. They may be considered where a non-steroidal option is preferred or where repeated steroid injections are not appropriate.

Hyaluronic acid injections are not routinely used for patellar bursitis or acute knee effusion unless degenerative joint changes are contributing to symptoms.

Summary – Hyaluronic Acid
  • Improves joint lubrication and shock absorption
  • Evidence-based option for knee osteoarthritis
  • Non-steroidal treatment
  • Variable response depending on disease stage

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 disease.


In the knee, hyaluronic acid injections are widely used for knee osteoarthritis, with evidence suggesting improvements in pain and function in selected patients, particularly in mild to moderate disease. They may be considered where a non-steroidal option is preferred or where repeated steroid injections are not appropriate.

Hyaluronic acid injections are not routinely used for patellar bursitis or acute knee effusion unless degenerative joint changes are contributing to symptoms.

 

Summary – Hyaluronic Acid

  • Improves joint lubrication and shock absorption
  • Evidence-based option for knee osteoarthritis
  • Non-steroidal treatment
  • Variable response depending on disease stage

Hydrodistension (Not Routinely Used for Knee Conditions)

Hydrodistension

Hydrodistension is primarily used in frozen shoulder and is not routinely performed for knee effusion, bursitis or knee arthritis. It is not considered a standard treatment for knee joint pathology.

Summary – Hydrodistension
  • Not routinely used for knee conditions
  • Alternative treatments preferred
  • Diagnosis-led decision making

Hydrodistension (Not Routinely Used for Knee Conditions)

Hydrodistension is primarily used in frozen shoulder and is not routinely performed for knee effusion, bursitis or knee arthritis. It is not considered a standard treatment for knee joint pathology.

 

Summary – Hydrodistension

  • Not routinely used for knee conditions
  • Alternative treatments preferred
  • * Diagnosis-led decision making

Aspiration (Knee Joint or Bursa Aspiration)

Joint Aspiration

Aspiration involves the removal of excess fluid from the knee joint or a swollen bursa. This can reduce pain caused by pressure and improve movement. Aspiration may also provide diagnostic information when inflammatory or infective causes are suspected.

In knee effusion, aspiration is commonly performed to relieve swelling and may be combined with injection therapy. In patellar bursitis, aspiration may be considered where swelling is significant or recurrent.

Summary – Joint Aspiration
  • Reduces pressure and swelling
  • Useful in knee effusion and bursitis
  • May assist diagnosis
  • Often combined with injection treatment

Aspiration (Knee Joint or Bursa Aspiration)

Aspiration involves the removal of excess fluid from the knee joint or a swollen bursa. This can reduce pain caused by pressure and improve movement. Aspiration may also provide diagnostic information when inflammatory or infective causes are suspected.

 

In knee effusion, aspiration is commonly performed to relieve swelling and may be combined with injection therapy. In patellar bursitis, aspiration may be considered where swelling is significant or recurrent.

 

Summary – Joint Aspiration

  • Reduces pressure and swelling
  • Useful in knee effusion and bursitis
  • May assist diagnosis
  • * Often combined with injection treatment

Regenerative Medicine and Knee Ligament Injuries (ExoSmart™)

Autologous Exosome Injection (ExoSmart™)

Autologous exosome-based injections (ExoSmart™) are an emerging area of regenerative medicine, using biologically active extracellular vesicles derived from a patient’s own blood sample. These vesicles are involved in cellular communication and inflammatory modulation.

Clinical interest includes sports-related knee ligament injuries, such as low-grade collateral ligament injuries and chronic ligament strain, where inflammation and delayed healing may limit recovery. Early laboratory and clinical studies suggest that exosome-based therapies may help modulate inflammation and support tissue repair processes, potentially improving pain and function in selected patients.

However, this remains an evolving area of medicine. While early results are encouraging, high-quality long-term clinical evidence is still developing. At Rejuvence Clinic, this option is offered only after careful assessment and informed discussion, and outcomes may vary.

Summary – Autologous Exosome Injection
  • Patient-derived regenerative treatment
  • Considered in selected sports-related knee ligament injuries
  • Emerging evidence suggests potential improvement in pain and function
  • Individualised patient selection with informed consent

Regenerative Medicine and Knee Ligament Injuries (ExoSmart™)

Autologous exosome-based injections (ExoSmart™) are an emerging area of regenerative medicine, using biologically active extracellular vesicles derived from a patient’s own blood sample. These vesicles are involved in cellular communication and inflammatory modulation.


Clinical interest includes sports-related knee ligament injuries, such as low-grade collateral ligament injuries and chronic ligament strain, where inflammation and delayed healing may limit recovery. Early laboratory and clinical studies suggest that exosome-based therapies may help modulate inflammation and support tissue repair processes, potentially improving pain and function in selected patients.

 

However, this remains an evolving area of medicine. While early results are encouraging, high-quality long-term clinical evidence is still developing. At Rejuvence Clinic, this option is offered only after careful assessment and informed discussion, and outcomes may vary.

 

Summary – Autologous Exosome Injection

  • Patient-derived regenerative treatment
  • Considered in selected sports-related knee ligament injuries
  • Emerging evidence suggests potential improvement in pain and function
  •  Individualised patient selection with informed consent

Your Knee 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 knee injections, integrating injection therapy into a broader care plan that may include physiotherapy, strengthening programmes and return-to-sport guidance.

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

Relief varies, but benefits may last weeks to months, particularly when combined with physiotherapy.

Injections help manage symptoms but do not reverse arthritis. They are used to improve function and quality of life.

Aspiration is commonly performed and generally safe when done by experienced clinicians, with risks discussed during consultation.

Research is ongoing. Early studies suggest potential benefit in selected cases, but outcomes vary and long-term evidence is still developing.

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Excellent503 reviews
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A. B. London
10 October 2026
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I was looking for a clinic offering Sciton BBL treatments in Canary Wharf, close to my workplace, when I came across Rejuvence Clinic. Their prices were much more affordable compared to other clinics in the City, so I decided to give them a try. I booked a treatment for vascular redness and rosacea, as the redness tends to flare up from time to time. My treatment was carried out by Kurt, who was incredibly thorough and attentive throughout. To my surprise, by the time I got home, I could already see a noticeable improvement! I’m really happy with my choice and would definitely recommend Kurt. The reception staff were also very friendly and welcoming, which made the whole experience even better!
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S H
9 October 2026
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I had a huge keloid scar removed here. The doctors are professional and polite, and the clinic is very clean and pleasant. I would highly recommend this clinic as the doctors are friendly and make you feel welcome.
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Aaron
8 October 2026
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Absolutely thrilled with Rejuvence! The steroid injections were highly effective, and the staff's professionalism was superb. Everything was personalized to my needs in a clean and welcoming environment. I couldn't ask for better!
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Julien Feild
3 October 2026
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I've been coming here for a year now the service is fabulous and in particular I'd like to highlight Olga who was absolutely a star when dealing with me and administering the PRP - Flawless!!!
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Prem Gurung
3 October 2026
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The treatment at Rejuvence was a life-changer. My hair is growing back wonderfully! The staff's professionalism was evident from start to finish, making the whole experience so reassuring. Absolutely recommend this clinic!
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Paula St Ange
3 October 2026
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My keloid removal went flawlessly and the results are phenomenal. The team was incredibly professional and made everything so easy. Can't recommend them enough for keloid treatment!
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jamker0
1 October 2026
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Been having my Keloid treated here at Rejuvence, the service from the administration to the doctors here have been amazing made me feel very comfortable and calm very happy with my results and definitely recommend , Dr Ghana , Paige Rita, & others for your skills upon what you do here thank you , Jmaine
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Ling Jiang
1 October 2026
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What a fantastic place! Rejuvence Clinic combines professionalism with outstanding follow-up care. The facilities are modern and well-equipped, making the whole experience seamless and stress-free. Can't praise them enough for their amazing service!
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Anna Villocino
29 September 2026
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Everyone is professional,this is my 4th session in this clinic and I'm glad with the progress so far 😍
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Jolyon Ng
26 September 2026
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Incredible experience at Rejuvence! The keloid removal was painless, and the results are beyond my expectations. The clinic is spotless, and the team is super professional. Their modern facilities are top-notch. Highly recommend!

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. Knee pain and swelling: assessment and management. 2. NICE CKS. Bursitis – prepatellar: management. 3. McAlindon TE et al. Intra-articular corticosteroid injections for knee osteoarthritis. JAMA. 4. Bannuru RR et al. Hyaluronic acid injections for knee osteoarthritis. Osteoarthritis and Cartilage. 5. Li Z et al. Extracellular vesicles and musculoskeletal tissue repair. Stem Cell Research & Therapy.

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