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Musculoskeletal Injection Therapy

Luke Ferreira

LUKE FERREIRA.png

Luke Ferreira

MSc SEM I PgDip Advanced MSK Physiotherapy I PgCert Diagnostic MSK Ultrasound I

BSc(Hons) Physiotherapy I Cert MSK Injection Therapy

MCSP, SRP, MMACP & Independent Prescriber

MUSCULOSKELETAL INJECTION THERAPY

Luke is an advanced practice musculoskeletal specialist and HCPC registered independent prescriber, initially trained and qualified as a physiotherapist in 2003. Over the years, Luke has completed extensive additional training honing his skills in advanced assessment, management and diagnostics. ​

Luke currently works within the NHS in advanced practice roles as a musculoskeletal specialist, managing complex presentations, requesting imaging, injecting and liaising closely with GP and consultant specialists. Luke has extensive elite sports injury management experience having worked for Arsenal FC Academy, The Premier League, The Great British Wheelchair Basketball Association and The Australian Triathlon team. Luke spent several years working within the British military in a civilian musculoskeletal specialist capacity.

Qualifications:

  • BSc (Hons) Physiotherapy

  • Pg Dip Advanced Musculoskeletal Physiotherapy

  • MSc Sports and Exercise Medicine 

  • Cert Musculoskeletal Injection Therapy

  • Pg Cert Diagnostic Musculoskeletal Ultrasound (CASE Accredited)

  • Pg Cert Independent Prescribing (HCPC registered)

  • Ostenil approved clinician

Luke can provide:

  • Steroid and local anaesthetic injections for joint pain and inflammation associated with Osteoarthritis or Tendon related conditions. 

  • Hyaluronic acid injections for joint pain associated with Osteoarthritis. 

  • Diagnostic and surgical discussions around benefits risks and alternatives.

  • Advanced rehabilitative advice and second opinions.

  • Complex case management advice – end to end pathway management including optimisation of NHS service access.​

 

Hyaluronic Acid

Hyaluronic acid (HA) is a naturally occurring substance found in the synovial fluid of joints, where it acts as a lubricant and shock absorber. In healthy joints, HA binds to water, creating a gel-like substance that reduces friction between cartilage surfaces, allowing joints to move smoothly. This viscous (sticky) fluid also acts as a shock absorber, cushioning the joint during movement and impact.

In osteoarthritis OA, the production of HA decreases, which is thought to contribute to joint pain, stiffness, and reduced mobility. HA injections, known as visco-supplementation, are a clinical treatment option that can help alleviate these symptoms by replenishing the HA levels in the affected joints.

When injected into the joint, HA enhances lubrication, reduces friction, and improves the quality of synovial fluid, which can help reduce pain and improve joint function. It also interacts with nerve endings to reduce pain and promotes cartilage health.

HA injections are particularly beneficial for patients who do not respond well to oral painkillers/ other treatments and for those where steroid isn’t suitable. HA injections can work well as part of an exercise programme. When compared to steroid injection, HA has been shown to offer greater improvement to quality of life, and longer-lasting pain relief for up to 6 months +, with less side effects. Unlike steroid injections, HA does not usually delay potential surgery access, as no immune suppression (reduction of immune system response), and does not have any known interactions with pre-existing medical conditions or medications.

HA injections can represent a safe and effective treatment for joint pain including OA and cartilage degeneration.

Why not take a look at the patient information sheets on the website or book a review with Luke to explore further?

 

For more information on specific injections please follow links below:

BOOKING

 

Please discuss access/ referral with your treating Southwell Physiotherapy & Sports Injury Clinician or email Luke directly at f-health@outlook.com for more information about injection therapy. Alternatively email reception@southwellphysio.co.uk to directly book an initial assessment appointment.​

PRICING

INITIAL CONSULTATION

Telephone - £60

In Clinic - £110

In Clinic Assessment with Ultrasound Scan - £160

INJECTION FEES
inclusive of injection and telephone follow-up at 6-weeks:

  • Ultrasound guided injection: Steroid - £260

  • Ultrasound guided injection: Ostenil Plus 40mg/2ml - £350 

  • Ultrasound guided injection: Sinovial HL 64mg/2ml - £380 

  • Ultrasound guided injection: Cingal 88mg/4ml (combined steroid and HA) - £450

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