We treat Musculoskeletal conditions with our innovative ultrasound guided injections

At Whitehall Clinic, our Musculoskeletal service can be performed on:

  • Shoulders: Shoulder pain would be considered a very common but the cause of shoulder pain can be very complex. Some causes may resolve within weeks without any treatment or with simple medicine for pain relief.
  • Hips: Hip pain is one of the most common symptoms which may limit a person’s mobility and affect their quality of life, including vital sleep. Common causes of hip pain would include but not limited to degeneration, greater trochanteric pain syndrome or referred pain. Following consultation with professional experts, sinister causes of hip pain should be considered and excluded to avoid certain concerns, for example infection or avascular necrosis (interrupted blood supply to the bone).
  • Feet: Heel pain is a common presentation in many patients we review. It is usually isolated to the ball of the feet, at the site of plantar fascia insertion. The plantar fascia is a tissue which contributes to supporting the arch of the feet and can get inflamed at its insertion, resulting in a condition called plantar fasciitis. It is usually best treated with conservative measures (such as physiotherapy and appropriate footwear) but in selective severe and resistant cases, we can offer an ultrasound guided steroid injection to reduce the inflammation and facilitate physiotherapy with the aim of long term resolution.
  • Elbows: A common cause of elbow pain is tennis elbow, which is also known as lateral epicondylitis. Pain is usually isolated to the outer aspect of the elbow and is often caused by overuse strain. This may resolve on its own over time by stopping activities. Traditionally, those with this condition which has been resistant to conservative treatment, would receive steroid injections to this area but latest studies have now demonstrated better results with “dry needling”. Dry needling is an ultrasound guided procedure which utilises passage of needle into the tendon, which results in microtrauma to encourage an inflammatory response, with a view of long term resolution. It would be essential to stop anti-inflammatory treatments before and after this particular therapy. We can offer this treatment following an ultrasound assessment to confirm the diagnosis before proceeding with dry needling.

Meet our Musculoskeletal Consultant, Dr Andrew Koo

Consultant MSK/Prostate/Image-guided Interventions Radiologist
Newcastle Medical School
MBBS(merit)PgDipClinEdFRCR
British Society of Skeletal Radiology, British Society of Urogenital Radiology, Royal College of Radiologists.

Dr Koo is a Consultant Radiologist who has a uniquely combined specialist interest in both musculoskeletal and prostate imaging. He furthers his skill set by completing additional dedicated training in advanced image-guided diagnostic and therapeutic interventions.

During his training, Dr Koo fostered his musculoskeletal experience by concurrently working in Emergency Medicine at a tertiary trauma centre for over 7 years with additional prior sports medicine experience at Wimbledon/Virgin London Marathons/Great North Run.

Dr Koo travelled to national and international conferences to deliver talks, which recently gained a “Time to Shine Education Award” at Leeds Teaching Hospitals NHS Trust. He was also previously awarded a young European radiologist grant by European Congress of Radiology (ECR).

Why I practice at The Whitehall Clinic

“Shared vision of delivering unparalleled, patient-focussed and holistic care with the support of the latest imaging equipment technology, in order to provide excellent patient satisfaction”

Initial Consultation and Clinical Examination is £50

Procedures & Prices

MSK Image-guided Procedures £415

Shoulder injection

  • Acromioclavicular (AC) joint injection
  • Glenohumeral (GH) joint injection
  • Subacromial/subdeltoid (SASD) bursa injection for impingement
  • Hip injection

  • Hip joint injection for degeneration
  • Greater Trochanteric bursa injection for bursitis/Greater trochanteric pain syndrome
  • Foot injection

  • Plantar Fascia injection for plantar fasciitis
  • Hallux/Great toe MTPJ injection for degeneration or gout
  • Elbow

  • Dry-needling for tennis elbow/lateral epicondylitis
Complex MSK Image-guided Procedures £550
  • Shoulder Hydrodistension for frozen shoulder/adhesive capsulitis
  • Barbotage for calcific tendonitis/HADD
  • Hand injection
  • FAQs

    What is an image-guided procedure?

    – A dynamic assessment using ultrasound imaging with constant needle visualisation, which would allow a targeted injection/procedure at a designated location and limiting the risk of injuring adjacent structures. This may be particularly valuable in situations of variant anatomy.

    Will I get an MSK injection on my first consultation?

    – It is important to have the initial consultation and clinical examination with a view of establishing the cause of the symptoms, unless it is already known. The key reason is because there are a range of conditions with overlapping signs and symptoms which would be considered inappropriate for an MSK injection.

    Will I need an X-ray (radiograph) prior to a joint injection?

    – Yes we would usually request that an X-ray (radiograph) of the joint should be performed prior to consideration of a joint injection. This would allow full assessment of the joint and ensure that the proposed treatment suggested is appropriate with no contraindications.This may not be the case if this has already been performed recently.

    What is the advantage of an image guided procedure?

    – Traditionally, these procedures are performed “blind” and it would still seem to be the case in various clinics which is typically due to limitations of ability and equipment. With the option of a targeted image-guided procedure, it would allow higher degree of diagnostic and therapeutic certainty. The risk of injuring vessels and nerves will also be significantly decreased.

    Can I drive after the procedure?

    – We would suggest that you should not drive after the procedure as it would risk voiding your insurance if an accident were to occur.