Ultrasound-Guided · Oxford

Oxford Specialist Knee Clinic

Premium knee care in Oxford — ultrasound-guided steroid injections, hyaluronic acid (gel) injections, the hydrogel treatment Arthrosamid and dedicated rehabilitation. Every option is delivered using real-time ultrasound guidance for accurate placement following a clinical assessment.

  • Ultrasound Guided
  • Experienced MSK Clinicians
  • Fast Appointments
  • Oxford Clinic
Clinician performing an ultrasound assessment of a patient's knee at GB Clinics Oxford
Clinic
MSK focused
Ultrasound
Real-time imaging
Same-day
Outpatient
CQC-registered principles MSK Specialists Modern Equipment Botley, Oxford
Meet Your Clinician

Experienced musculoskeletal care, delivered personally.

Your assessment and treatment is led by Bob (Boobala Chandran Subramanian), an advanced physiotherapy practitioner, MSK diagnostic and interventional sonographer and clinical lead with more than two decades of experience in musculoskeletal care. Every appointment begins with a thorough discussion of your symptoms, clinical examination and diagnostic ultrasound where appropriate.

We take time to explain your findings, the available options and what treatment may involve — so you can make an informed decision about your care.

  • Postgraduate MSK physiotherapy — Keele University; MSK rehabilitation — Oxford Brookes University
  • MSK ultrasound certification — University of Essex; injection therapy — University of Southampton
  • Qualified non-medical prescriber — University of the Highlands and Islands
  • Practising MSK sonographer, University Hospitals Coventry and Warwickshire
Why GB Clinics

A considered approach to knee injection therapy

Every element of our service is designed around clinical accuracy, comfort and clarity.

Ultrasound-Guided Precision

Real-time imaging supports accurate placement of the injection.

Experienced MSK Clinicians

Comprehensive assessment and treatment.

Personalised Care

Treatment recommendations tailored to the individual.

Evidence-Based Practice

Care based on current clinical guidance.

Modern Equipment

High-resolution musculoskeletal ultrasound imaging.

Education

What is a hyaluronic acid injection?

Hyaluronic acid is a naturally occurring substance found in joint fluid that contributes to the lubrication and cushioning of the joint.

A hyaluronic acid (or "gel") injection — sometimes called viscosupplementation — aims to supplement this lubrication in people with knee osteoarthritis. For some patients, this may help with comfort and movement.

Suitability varies between individuals and is determined after a clinical assessment. Hyaluronic acid injections do not regenerate cartilage or cure arthritis.

Please note: the information on this page is for general education. It is not medical advice and is not a substitute for a clinical consultation.
Our Injections

Hyaluronic acid injection options

We offer a range of injection products, selected individually following clinical assessment.

Ostenil® Plus

A hyaluronic acid injection used in joints, including the knee, to supplement the joint's natural lubrication.

Our Recommendation

Biolevox® 120 mg

A high-dose formulation containing 120 mg of pure sodium hyaluronate — the option we most often recommend following assessment.

Durolane®

A hyaluronic acid injection delivered as a single treatment for knee osteoarthritis.

Cingal®

A single injection that combines a corticosteroid with hyaluronic acid.

Sinogel®

Hyaluronic acid combined with chondroitin sulphate.

The most appropriate injection — and the right time to have it — depends on your diagnosis, symptoms and imaging findings. All options are discussed with you during your consultation.

Hydrogel Injection

Arthrosamid® — a different kind of knee injection

Arthrosamid is a polyacrylamide hydrogel (PAAG) injection. Unlike hyaluronic acid products, it is not a supplement to joint fluid — it is a hydrogel that is designed to remain within the knee joint, where it cushions the space between the bone surfaces.

It is given as a single injection. As with any injection therapy, suitability is determined following a clinical assessment, and the potential benefits and risks will be discussed with you in full before any treatment.

  • Polyacrylamide hydrogel (PAAG) — not hyaluronic acid
  • Administered as a single injection
  • Delivered with ultrasound guidance
  • Suitability confirmed at consultation
Suitability

Who may benefit from a hyaluronic acid knee injection?

A clinical assessment is required to determine whether this treatment is appropriate for you.

1

Have symptomatic knee osteoarthritis

2

Continue to experience symptoms despite exercise or other conservative treatments

3

Are looking to explore non-surgical treatment options

4

Want an assessment to discuss available injection therapies

The clinician will determine whether a hyaluronic acid injection is appropriate following your consultation.

The Pathway

How it works

A clear, considered process from first consultation through to rehabilitation guidance.

  1. 01

    Assessment

    Discussion of your symptoms and history.

  2. 02

    Clinical Examination

    Hands-on examination of the knee.

  3. 03

    Ultrasound Scan

    Diagnostic imaging where appropriate.

  4. 04

    Ultrasound-Guided Injection

    Accurate placement under imaging.

  5. 05

    Recovery Advice

    Clear post-procedure instructions.

  6. 06

    Rehabilitation Guidance

    Personalised next-step support.

Potential Benefits

What treatment may offer

Outcomes vary between individuals. The clinician will discuss expectations with you during your assessment.

Supports joint lubrication

May improve comfort

May improve mobility

Non-surgical treatment option

Quick outpatient procedure

Minimal downtime

Treatment Options

Steroid vs hyaluronic acid vs Arthrosamid

Three different injection therapies, each with a different purpose.

Steroid Injection

Type
Corticosteroid — an anti-inflammatory medicine
Purpose
Designed primarily to reduce inflammation in selected conditions.
Treatment course
Often a single injection, depending on the condition.
Key considerations
Often considered where inflammation is a key feature.

Hyaluronic Acid Injection

Type
Hyaluronic acid (gel)
Purpose
Designed to supplement the joint's natural lubrication in knee osteoarthritis.
Treatment course
The course depends on the product chosen — discussed at consultation.
Key considerations
May be considered for selected patients following assessment.

Arthrosamid®

Type
Polyacrylamide hydrogel (PAAG) — not hyaluronic acid
Purpose
Designed to supplement cushioning within the joint.
Treatment course
Given as a single injection.
Key considerations
The hydrogel is designed to remain in the joint.

The most appropriate treatment depends on your diagnosis and clinical findings, and will be discussed with you during your consultation.

FAQs

Frequently asked questions

If your question isn't answered here, our team is happy to help.

What is hyaluronic acid?
Hyaluronic acid is a naturally occurring substance found in joint fluid that helps lubricate and cushion the joint.
Who is suitable?
Suitability is determined following a clinical assessment, which includes discussion of your symptoms, examination and, where appropriate, an ultrasound scan.
How long does the appointment take?
Most appointments allow time for a thorough assessment, discussion and, if appropriate, treatment on the same day. Your specific appointment length will be confirmed at booking.
How quickly might I notice improvement?
Responses vary between individuals. Some patients notice changes within a few weeks, while for others it may take longer. Your clinician will discuss what to expect.
How long may the effects last?
Duration of effect varies. Your clinician will discuss what current evidence suggests in relation to your specific situation.
Can I drive afterwards?
Many patients are able to drive after the procedure, but you should follow the specific guidance provided by your clinician on the day.
Are there possible risks or side effects?
As with any injection, there are potential risks and side effects. These will be discussed with you in full as part of the consent process before any treatment.
Get in touch

Book your consultation

Speak with our team or send an enquiry — we'll be in touch promptly.

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GB Clinics

Unit 14 Elms Parade
Botley, Oxford OX2 9LG

01865 317483

Appointments by booking — fast availability

Call Now · 01865 317483