Alongside rehabilitation, we offer a number of targeted interventions — procedures that treat a specific source of pain or muscle overactivity directly. Where one is indicated, an intervention forms part of a broader management plan rather than a treatment in isolation.

Ultrasound-Guided Injections

Ultrasound guidance allows an injection to be placed precisely, using real-time imaging to direct the needle to the intended target — improving both the accuracy and the comfort of a procedure. We use ultrasound-guided injections for a range of purposes, including trigger-point injections to address painful, tight bands of muscle, and botulinum toxin injections to reduce muscle overactivity. The right injection, where one is indicated, forms part of a broader management plan rather than a treatment in isolation.

Trigger Point Injections

Trigger points are the tight, tender knots that can develop within a muscle, and they tend to do two things at once: ache where they sit, and refer pain to another part of the body altogether. A trigger point injection treats them directly. A small amount of local anaesthetic — sometimes with another agent — is placed into the trigger point to release the tight band, settle the local and referred pain, and make movement and rehabilitation easier. Where it helps, ultrasound guidance is used to position the needle precisely. As with our other interventions, a trigger point injection is most useful as one part of a wider management plan rather than a treatment on its own.

Botulinum Toxin Therapy

Botulinum toxin therapy is a well-established treatment in which small, carefully targeted injections reduce overactivity in specific muscles. In rehabilitation and pain medicine it has an important role in managing dystonia (such as cervical dystonia), spasticity following neurological conditions, and certain pain conditions where muscle overactivity is part of the problem. By calming the overactive muscle, the therapy can ease pain and spasm and make movement, posture, and care easier. Treatment is planned to your individual pattern of muscle involvement and is usually repeated periodically, as part of a wider plan.