Overview
About Local Injections for Tennis Elbow, Heel Pain, and Shoulder Pain
Many common orthopaedic complaints — lateral epicondylitis (tennis elbow), plantar fasciitis (heel pain), and subacromial impingement (shoulder pain) — are caused by localised inflammation in a tendon or soft tissue. A targeted local injection of corticosteroid or platelet-rich plasma (PRP) delivers medication directly to the inflamed site, reducing pain and swelling more effectively than oral treatment alone. The injection is performed as a quick outpatient procedure, often guided by ultrasound for accuracy, and is usually combined with a structured stretching and strengthening programme for lasting results.
Key Benefits
Medication delivered directly to the painful site for faster, stronger relief
Quick outpatient procedure completed in 10–15 minutes
Ultrasound guidance available for precise needle placement
Effective for tennis elbow, plantar fasciitis, and shoulder impingement alike
Combined with physiotherapy for longer-lasting results
Frequently Asked Questions
How long does pain relief take after a local injection?
Steroid injections typically provide relief within 3–7 days and last several weeks to months. PRP injections work more gradually, with improvement building over 4–6 weeks as the tissue heals.
Is the injection painful?
A local anaesthetic is mixed with the medication, so most patients feel only a brief pinch. Mild soreness at the injection site for a day or two afterward is common and settles quickly.
How many injections will I need?
Most conditions improve significantly with one to three injections spaced a few weeks apart. If pain returns repeatedly, further evaluation is done to rule out a structural tear needing other treatment.
Can I use my arm or walk normally right after the injection?
Yes, with some activity modification for 24–48 hours. Avoid heavy lifting or strenuous activity at the injected site for a couple of days to let the medication take effect.
Are there risks with repeated steroid injections?
Frequent steroid injections at the same site (more than 3–4 a year) can weaken tendons over time, so injections are spaced appropriately and combined with physiotherapy to reduce the need for repeat dosing.