You may have heard of some amazing weight loss injections and wanted to find out more about them. Ozempic is the brand name for the drug semaglutide which has shown amazing results for weight loss. The other brand name in the UK is Wygovy.
Why calorie counting does not work
Why calorie counting does not work
The standard exercise myth is that you will lose weight if you eat less and exercise more. That is true to a certain extent especially if you are eating significantly more than your required calories to begin with. But overall it is recipe for failure. Let us see why calorie counting does not work.
1st Law of thermodynamics
The first law of thermodynamics goes something like this:
Perfectly logical so far. ‘Energy in’ is easy, that is the food and drink that you ingest. ‘Energy out’ is quite a different matter. We think of energy out as exercise; something that is within our control. However, 70% of the energy we use daily is actually our Basal Metabolic Rate (BMR) which is not in our control. The other 30% of the energy we use daily is a combination of passive energy use (walking, fidgeting, cleaning) and active energy use (exercise).
Therefore, most of our energy expenditure is not in our control and is the reason why burning a few hundred calories in the gym makes little difference to our weight. In addition, for the rest of the day your body then tries to conserve energy. Read on and you will discover why it makes even less difference than you think.
What decides our obesity risk?
The popular misconception is that fat people are fat because they are lazy and eat too much. In fact, free will or personal choice only accounts for a small percentage of our weight. The obesity risk is:
- Hereditary predisposition (genes): 75%
- Free will: 15%
- Home environment / parental influence: 10%
That means that our genes account for most of our obesity risk. Everybody has a particular body type that we inherited, but a hundred years ago most people were a normal weight. Sure, people would come in a range of sizes but they would mostly be in the normal weight range. Fast-forward to the modern day and again we have a range of sizes but now two-thirds of people are in the overweight and obese range. The genes have not changed in such a short period of time. The only thing that has changed is our environment, especially our food environment, chronic lack of sleep and increasing stress.
[wpcode id=”1865″]1st law of thermodynamics is true only for machines
Let us put the energy in and energy out equation to the test.
If we eat 100 kcal more than we need each day (1 banana, or a few plain biscuits, or half a chocolate bar), then after 1 year we would have consumed 365 x 100 = 36,500 kcal extra.
1 Kg of fat = 7,000 kcal
So, we would expect to gain 36,500 divided by 7000 = 5.2 Kg of fat over a 1 year period.
Does that make sense to you? Let me put it another way. If we continue to eat 100 kcal extra for 5 years, then we would gain 26 kg. That is 57.3 lb or 4 stone 1.3 lb. Believe me when I say that does not happen and here is why.
The Vermont Overfeeding Study 1971
Prison volunteers, with the promise of an early release, were overfed in this experiment to reach a 25% increase in their weight over a 3 month period. At the start of the experiment they were eating around 2,200 kcal daily.
The scientists calculated that they would need to feed the prisoners approximately 3,000 – 4,000 kcal daily to help them achieve the 25% weight increase. In fact it took 8,000 – 10,000 kcal per day! Even then, many of the prisoners never managed to achieve the target weight whilst eating such a massive calorie load.
All the subjects returned to their pre-study weigh within 3 months after returning to their previous eating pattern.
A clue to why it took so many calories to achieve the weight gain comes from the observation that the prisoners were hot to the touch. They were literally burning up as their bodies ramped up their Basal Metabolic Rate to try and burn the extra calories. Their metabolic engines were running hot!
The Minnesota Starvation Experiment 1944
Another experiment performed earlier in the last century tried to study how the human body would cope with starvation. The Minnesota Starvation Experiment was performed in conscientious objectors who volunteered to make themselves useful during the Second World War.
The study subjects were fed a calorie-restricted diet of 1,500 kcal daily for 24 weeks. During this time, they lost an average of 25% of their body weight. However, their Basal Metabolic Rate dropped by 50%. Their heartbeat and breathing became slow and they were cool to touch as they had developed low body temperature. They suffered from depression, anxiety, hypochondria, poor concentration, and low libido. Unsurprisingly, they were preoccupied by thinking about food and especially fantasised about high calorie foods. Why would anyone want to this to themselves, but this is what dieters around the world do to themselves every day.
Refeeding of the subjects caused rapid weight gain and overshoot; i.e. they weighed more afterwards than they did to begin with. They lost muscle mass during their weight loss phase but this was never regained. The weight they gained was almost entirely fat.
It is surprising that this study is not more widely publicised. Low calorie diets are harmful. We have known this for more than 70 years. Why are NHS dieticians and diet companies allowed to propagate this disproven method of weight loss?
The weight set point
The two studies above highlight the important principle that the human body is very good at regulating itself, i.e. homeostasis. For example, we do not need to think about regulating the amount of fluid in our bodies. Our thirst mechanism takes care of our fluid intake, and our kidneys remove any excess.
In the same way, our brain has a weight set point which it tries to maintain. This is regulated through our Basal Metabolic Rate. As soon as we start overeating, our BMR speeds up to get rid of the excess. That is why the Vermont study subjects were hot to the touch; their BMR was high. When we reduce our calorie intake to less than we need, then the opposite happens and our BMR immediately slows down to conserve energy. This is why the Minnesota study subjects started feeling cold.
Just like any living organism, the survival instinct is powerful in human beings. Our bodies work hard to maintain homeostasis and try to overcome our efforts to cause imbalance. When we under-eat and lose weight this threatens our survival and our weight then rebounds afterwards. It then settles at a higher weight set point just in case we decide to starve ourselves again. During the weight loss and then weight regain, we lose muscle mass and gain fat. Our BMR, which relies on our muscle mass, then declines and we find it even harder to control our weight in the future.
The result of yo-yo dieting is a progressively higher weight set point and a body composition of more fat and less muscle that makes weight control difficult.
Hormones control our weight
Our weight is controlled, not by calories, but by the interaction of various hormones acting on the weight set point to maintain homeostasis. What disrupts this balance is the obesogenic environment that we live in. When body weight goes over a certain amount then we become insulin and leptin resistant and our brain becomes deaf to the signals that our hormones are trying to give it. We become permanently hungry despite our high intake of calories.
How to normalise weight
The calories in/calories out mantra has been going on so long that people cannot understand how they can possibly lose weight. Calorie restriction involves misery, going against our survival instinct and is unnatural. The best way to normalise weight is to target the weight set point.
That means:
- Stop counting calories; not only the ones we eat and drink, but also the calories we burn on the treadmill. Our bodies adjust our BMR immediately to conserve energy if we eat too little or exercise too much.
- Start thinking long term and not day-to-day. Any drastic cut in calories or over-exercising will be seen as a threat to your survival and will raise the weight set point for the future. The weight set point will take time to settle at a lower level, typically months or years depending on how much your weight is out of step with your optimal weight. You did not become overweight overnight and you will not reduce your weight overnight.
- Eat real food like people used to eat before the processed, high calorie, high sugar, high fat, high salt, and low fibre food revolution came around. Processed food disrupts your normal weight control mechanism. Your body has not evolved to deal with processed food in a healthy way yet.
- Sleep 8 hours per day. Lack of sleep increases insulin resistance, increases stress and raises your weight set point.
- Reduce stress. The stress hormone cortisol raises the weight set point.
- Your body is made to move. Tone your muscles with activities you enjoy (reduces cortisol and increases insulin sensitivity to reduce the weight set point). You do not need to run a marathon.
Some people may be at the point where their metabolism is completely dysfunctional and the will need the help of medication or weight-loss surgery to help them. That typically happens when the BMI goes over 30-35. Their bodies are telling them that they are always hungry despite getting more than adequate calories.
In all cases, it is best to seek the help of a clinician with an interest in obesity in order to get personalised advice and treatment.
Click here to read about weight loss injections
What do private steroid injections cost?
If you’re looking for fast relief from joint or tendon pain, private steroid injections (also called cortisone injections or steroid shots) are a safe and effective treatment. They’re commonly used for the knee, shoulder, hip, wrist, and other joints affected by arthritis or inflammation.
We offer expert-administered steroid injections at competitive prices performed by experienced doctors with full aftercare advice included.
What Is a Steroid (Cortisone) Injection?
A steroid injection delivers anti-inflammatory medicine (usually corticosteroid) directly into the joint or soft tissue. It quickly reduces swelling, stiffness and pain often providing weeks or months of relief.
- Targets inflammation directly at the source
- Relieves joint pain and improves movement
- Performed safely in a short clinic appointment
In medical terms, a “cortisone shot” and a “steroid injection” mean the same thing. They both contain corticosteroid medication to calm inflammation.
How Much Does a Private Steroid Injection Cost in the UK?
Prices for private cortisone injections vary across the country depending on the clinic and whether ultrasound guidance is included. On average, private steroid injection cost ranges between £150 and £350 per joint.
| Injection Type | Typical Use | Our Price |
|---|---|---|
| Steroid Injection (Knee, Shoulder, Hip) | Pain & inflammation relief | £175 |
| Carpal Tunnel Steroid Injection | Nerve compression relief | £175 |
| Frozen Shoulder Injection | Joint stiffness & pain | £175 |
| Hyaluronic Acid (“Gel Shot”) – Durolane | Joint lubrication & arthritis relief | £280 per knee |
*Prices correct at time of writing and include consultation & aftercare. Exact cost confirmed during booking.
Where Can I Get a Steroid Injection Privately?
You can book private steroid injections directly with our expert-led clinic. We provide:
- Appointments without NHS waiting lists
- Experienced doctors
- Safe, sterile clinical environment
- Personalised aftercare and rehabilitation advice
If you’ve been wondering “where can I get a cortisone shot?” or “where to get cortisone injection near me,” our private service offers rapid access in Wokingham, Berkshire and West Byfleet, Surrey.
What to Expect During Your Appointment
- Consultation & Assessment: We review your pain history and confirm suitability for injection.
- Injection Procedure: The area is cleaned; a small dose of steroid and local anaesthetic is injected with a fine needle.
- Aftercare Advice: You can usually walk out immediately; avoid strenuous exercise for 24-48 hours.
- Relief: Pain often improves within a few days and can last weeks to months.
Why Choose a Private Steroid Injection?
- Immediate access: No referral or waiting list
- Comprehensive care: Consultation, treatment and follow-up in one appointment
- Affordable pricing: Clear, upfront costs with no hidden fees
- Experienced Doctors: Trained in musculoskeletal and joint injections
Our patients often ask “how much is a steroid shot?” or “how much are steroid injections privately in the UK?” Our prices remain among the most competitive for clinician-led care.
Frequently Asked Questions
How much is a cortisone injection in the UK?
Usually between £180 and £300 depending on the joint and clinic.
Are private steroid injections covered by insurance?
Some health insurers cover them - check with your provider before booking.
Do steroid injections hurt?
Most people describe mild pressure or discomfort for a few seconds. A local anaesthetic is used to minimise pain.
Can I have a hyaluronic acid gel injection instead of a steroid?
Yes, we offer Durolane gel shots for knee arthritis relief at £280 per knee.
Book Your Private Steroid Injection Today
Our clinic offers affordable private cortisone injections for joint pain relief, performed by experienced doctors in a safe clinical setting. Transparent pricing from £175 per joint with no hidden fees.
CALL NOW to Book a Private InjectionWhat Do Knee Gel Shots Cost?
Looking for long-lasting relief from knee arthritis without relying on painkillers? Knee gel injections, also known as hyaluronic acid injections or knee gel shots, can help lubricate and cushion the joint, easing pain and improving movement.
We use Durolane, a high-quality, single-injection gel that is backed by strong clinical evidence for its safety and effectiveness. Patients often notice smoother movement and less stiffness for months after treatment.
What Is Durolane?
Durolane is a premium hyaluronic acid gel injection designed to restore the natural lubrication inside your knee joint. It’s a single, long-lasting injection that replaces lost joint fluid and reduces friction between the bones. It's often described as “oil for the joint.”
- Proven to reduce pain and improve mobility in knee osteoarthritis
- Single injection - no need for multiple appointments
- Backed by scientific studies showing lasting benefit for up to 6-12 months
- Safe, well-tolerated, and performed in clinic within 20 minutes
Unlike steroid injections that target inflammation, Durolane helps physically cushion and protect your knee joint thereby improving comfort and movement.
How Much Do Knee Gel Injections Cost?
The knee gel injections cost can vary depending on where you go and which brand is used. In the UK, prices commonly range from £300 to £500 per knee.
At our clinic, we’re pleased to offer Durolane knee gel shots at one of the best prices available; £280 per knee (at the time of writing).
This includes your consultation the injection itself, and aftercare advice from a doctor.
| Treatment | Includes | Price |
|---|---|---|
| Durolane Knee Gel Injection | Consultation + single injection | £280 per knee |
*Prices accurate at the time of writing. Please confirm the latest cost when booking your appointment.
Why Choose Durolane Knee Gel Shots?
- Evidence-based: proven in clinical trials to reduce pain and improve joint function
- Long-lasting relief: many patients experience benefits for up to 6-12 months
- Non-surgical treatment: safe alternative to surgery or steroid injections
- Performed by experienced clinicians
- Quick recovery: you can walk out straight after your appointment
Durolane is one of the most researched and trusted brands of knee gel injections worldwide, with results that often speak for themselves.
What to Expect from the Procedure
- Assessment: your doctor will review your knee symptoms and confirm that a knee gel shot is suitable.
- Injection: the area is cleaned, a local anaesthetic is applied, and the Durolane gel is then carefully injected into the knee joint using a fine needle.
- Aftercare: you can walk immediately after the procedure; avoid intense activity for 48 hours.
- Relief: benefits usually build gradually over 1-2 weeks as the gel spreads through the joint.
Unlike steroids, which work by calming inflammation, knee gel shots restore natural lubrication helping your joint glide smoothly again.
How Long Do Knee Gel Injections Last?
Most people experience pain relief and easier movement for 6 to 12 months after a single Durolane injection. Some notice benefits lasting even longer when combined with regular exercise, joint-strengthening and weight management.
If symptoms return, repeat injections can be safely performed after a few months.
Book a Durolane Knee Gel Injection
We offer Durolane knee gel injections at one of the best prices in the UK - just £280 per knee at the time of writing. Get effective, evidence-based relief from knee arthritis and regain your mobility.
CALL NOW to Book a Knee Gel ShotCarpal Tunnel Steroid Injection
Do you wake up with numbness, tingling, or pain in your hands or fingers? You may have carpal tunnel syndrome - a common nerve compression condition affecting the wrist. A carpal tunnel steroid injection can relieve the pressure on the nerve and quickly reduce pain, tingling and discomfort.
We provide precise carpal tunnel injections - a simple, non-surgical way to treat symptoms and avoid or delay surgery.
What Is Carpal Tunnel Syndrome?
Carpal tunnel syndrome (CTS) occurs when the median nerve - which runs through a narrow tunnel in your wrist - becomes compressed or irritated. The pressure causes symptoms such as:
- Numbness or tingling in the thumb, index and middle fingers
- Weakness in grip or dropping objects
- Pain or burning sensation, especially at night
A carpal tunnel syndrome steroid injection targets this inflammation directly at the wrist to relieve pressure on the nerve.
How a Carpal Tunnel Injection Works
A carpal tunnel injection delivers a small amount of corticosteroid (steroid) medication into the carpal tunnel space in the wrist. This reduces swelling around the nerve, relieving pain and tingling.
- Reduces inflammation around the median nerve
- Decreases pain, tingling and numbness
- Improves grip strength and function
- Can help avoid or delay surgery
What to Expect During the Procedure
- Assessment: your doctor confirms the diagnosis of carpal tunnel syndrome and checks suitability for injection.
- Preparation: the wrist is cleaned and positioned comfortably.
- Injection: a fine needle delivers a small amount of steroid into the carpal tunnel.
- Aftercare: the hand may feel numb for a few hours; avoid heavy activity for the rest of the day.
The whole procedure takes only 10-15 minutes and requires no incision or stitches.
How Long Does a Carpal Tunnel Steroid Injection Last?
- Pain relief may start within a few days.
- Improvement often continues for 1-2 weeks.
- Relief can last from several weeks to several months, depending on how severe the nerve compression is.
Many people find the injection helps them sleep better and use their hand more comfortably within days.
Who Can Benefit from a Carpal Tunnel Injection?
This treatment is suitable if you have:
- Typical symptoms of carpal tunnel syndrome (pain, tingling, numbness)
- Symptoms worse at night or when gripping
- Early or moderate nerve compression (before severe muscle weakness)
- Previous benefit from injections or want to avoid surgery
Your doctor will assess your wrist and nerve symptoms to ensure an injection is the right option for you.
Aftercare and Recovery
- Rest your hand for 24 hours after the injection
- Avoid repetitive gripping or typing for a day or two
- Use an ice pack if you feel mild soreness
- You can resume normal activities gradually as comfort returns
Some patients feel temporary numbness from the anaesthetic or mild tingling known as a steroid flare, which usually settles within 24-48 hours.
Do Carpal Tunnel Injections Work?
Clinical studies show that carpal tunnel steroid injections can be very effective in reducing pain and swelling, especially in mild-to-moderate cases. Many patients notice:
- Better hand function
- Improved sleep quality
- Less need for night splints or tablets
In some cases, symptoms can return over time, and a repeat injection may be recommended if necessary.
Book a Carpal Tunnel Injection Today
We provide carpal tunnel steroid injections to help you quickly relieve pain and tingling in your hand. Our expert approach ensures accuracy, comfort and the best possible results.
CALL NOW to Book a Carpal Tunnel AppointmentShoulder Injection for Frozen Shoulder
If you’re struggling with stiffness and pain from a frozen shoulder that just won’t improve, a shoulder injection can help. This safe, targeted treatment reduces inflammation inside the joint making it easier and less painful to move your arm again.
We provide frozen shoulder injections using corticosteroid (steroid) medicine performed by an expert.
What Is Frozen Shoulder?
Frozen shoulder (also called adhesive capsulitis) presents with:
- Severe stiffness and restricted movement
- Constant or night-time pain
- Difficulty lifting your arm above shoulder height
It typically develops gradually and can last for many months if untreated. A frozen shoulder steroid injection can help speed up recovery and make physiotherapy more effective.
How Does a Frozen Shoulder Injection Help?
A shoulder injection for frozen shoulder delivers anti-inflammatory medicine directly into the joint. This:
- Reduces inflammation
- Decreases pain within a few days
- Improves range of motion so you can move your arm more freely
- Helps you sleep better by easing night pain
When combined with gentle stretching and physiotherapy, results are often faster and longer-lasting.
What Is in a Frozen Shoulder Steroid Injection?
We use a carefully measured dose of a corticosteroid (to calm inflammation) mixed with a small amount of local anaesthetic (to make the shoulder more comfortable straight away). The injection is performed with a very fine needle and usually takes less than 10 minutes.
Expert injection ensures that you get the best possible outcome.
What to Expect During and After the Procedure
- Assessment: your doctor confirms the diagnosis of frozen shoulder and explains the procedure.
- Injection: the shoulder area is cleaned and the steroid is injected into the joint
- Aftercare: you may feel mild numbness or warmth for a few hours; soreness can follow for 1-2 days.
- Relief: pain usually begins to settle within 3-5 days, and movement improves gradually over the next few weeks.
Most people can return to normal activity soon afterwards, though we recommend avoiding heavy lifting or gym work for up to 2 weeks.
How Long Does a Frozen Shoulder Injection Last?
- Pain relief often begins within a few days
- Improvement typically continues over 1-2 weeks
- Results can last from several weeks to a few months
The goal is to reduce inflammation enough to allow you to stretch, move and recover faster. Some people need a repeat injection if symptoms return later in the recovery process.
Aftercare and Recovery Tips
- Rest the shoulder for 24-48 hours
- Apply an ice pack for short periods if it aches
- Avoid strenuous lifting or overhead work initially
- Continue gentle shoulder exercises or physiotherapy once pain improves
Following these steps helps the frozen shoulder injection work more effectively and reduces the risk of stiffness returning.
Frequently Asked Questions
Does it hurt? You may feel a quick sting from the local anaesthetic, but most people find the injection very tolerable.
Can I drive afterwards? Yes, as long as you can move your arm comfortably and feel in control of the wheel.
Can I have more than one injection? If needed, a repeat frozen shoulder steroid injection can be given after several weeks, depending on progress.
Ready to Treat Your Frozen Shoulder?
We offer frozen shoulder injections using safe, effective corticosteroid medicine to relieve pain and restore movement. Book your private appointment today and start getting your shoulder moving again.
CALL NOW to Book a Frozen Shoulder InjectionShoulder Injection
Shoulder Injection for Pain Relief
If shoulder pain is stopping you from sleeping, working, or lifting your arm comfortably, a shoulder injection could help. Whether caused by arthritis, bursitis, frozen shoulder or a rotator cuff injury, a targeted steroid injection can calm inflammation and ease pain quickly.
Shoulder injections can provide good relief often within a few days. They are of often used to take the edge off the pain so that rehabilitation exercises can then be done to regain range of motion.
What Is a Shoulder Injection?
A shoulder injection involves placing a small amount of medicine directly into or around the shoulder joint. Because the medicine goes straight to the area that’s inflamed, it can provide relief faster than tablets or gels.
We usually use a corticosteroid (steroid) combined with a small amount of local anaesthetic to help you feel comfortable immediately after the procedure.
Conditions That Respond Well to Shoulder Injections
- Frozen shoulder (adhesive capsulitis)
- Shoulder arthritis (osteoarthritis)
- Rotator cuff tendinitis / impingement
- Subacromial bursitis
- Post-injury inflammation
Each of these problems can cause inflammation and stiffness and a steroid injection in the shoulder helps reduce that inflammation so the shoulder can move more freely again.
Where Is the Shoulder Steroid Injection Site?
There are a few possible shoulder injection sites depending on the condition:
- Subacromial space: Most common site for shoulder impingement or bursitis - just below the shoulder tip
- Glenohumeral joint (True Shoulder Joint): For frozen shoulder or arthritis inside the joint
- Acromioclavicular (AC) joint: For pain on top of the shoulder
Expert diagnosis and targeting ensures the injection goes to the exact location that needs treatment, improving effectiveness.
How a Shoulder Steroid Injection Helps
- Reduces swelling and inflammation in the joint or bursa
- Decreases pain within a few days
- Improves range of motion
- Helps physiotherapy work more effectively
Many patients describe it as a “shot for shoulder pain” that allows them to move more freely and return to daily activities sooner.
What to Expect During the Procedure
- Assessment: your doctor will confirm the source of your shoulder pain and discuss options.
- Cleaning and preparation: the skin is cleaned and a fine needle is used.
- Injection: a small amount of steroid and anaesthetic is injected into the target area.
- Aftercare: you can usually drive home and return to light activity the same day.
The whole process takes around 20 minutes. Most people feel mild stiffness for a day or two, followed by noticeable pain relief.
How Long Does It Take to Work and How Long Does It Last?
- Pain relief may start within 2-5 days.
- Improvement often continues over the first week.
- Benefits can last from several weeks to a few months.
Some people combine their shoulder injection with physiotherapy to maintain movement and strengthen the joint helping results last longer.
Aftercare and Recovery
- Rest the shoulder for 24-48 hours after your injection.
- Avoid gym, heavy lifting or overhead work for 2 weeks.
- Apply an ice pack if you feel sore.
- Most people can return to normal activities quickly.
If you experience increased pain for a short time, this may be a steroid flare and should settle with rest and simple pain relief.
Ready to Relieve Your Shoulder Pain?
We offer shoulder steroid injections at our private GP clinic - safe, effective and tailored to your needs. Book an appointment to find out if a shoulder injection could help you move freely again.
CALL NOW to Book a Shoulder InjectionHow long does a shot of cortisone last?
Cortisone (steroid) injections are widely used to calm down painful or inflamed joints and tendons especially in the knee, shoulder, hip and spine. One of the first questions people ask is: “How long will it last?”
The honest answer is: it depends. For many people, a cortisone shot lasts a few weeks to a few months. Some people get longer relief, while others get only a short period of comfort and that usually depends on the joint, the condition, and how much you use it afterwards.
How Does a Cortisone Injection Work?
Cortisone is a powerful anti-inflammatory medicine. When it’s injected directly into an inflamed area, it:
- reduces swelling and irritation,
- reduces pain signals from the joint, and
- makes movement easier.
Because it’s placed into the painful area, it can work better than tablets for some patients.
Typical Timeline After a Cortisone Shot
- Day 0-1: You may feel numb or comfortable from the local anaesthetic. Sometimes the joint aches.
- Day 1-2: A small number of people get a cortisone flare; that's temporary increased pain.
- Day 2-5: The steroid starts to work and pain begins to improve.
- Week 1 onwards: You should feel the full benefit.
Duration: Relief may last from several weeks up to a few months.
What Affects How Long It Lasts?
These are the main things that decide how long a cortisone injection will help:
- The joint: knee and shoulder often do well; weight-bearing joints can wear off faster.
- The problem: mild-moderate arthritis usually responds longer than very advanced arthritis.
- Your activity level: heavy, repetitive or impact activities can shorten how long it lasts.
- Weight / load on the joint: higher load = more stress on the joint.
- Other treatments: if you combine the injection with strengthening, physio and weight loss, the benefit tends to last longer.
How Long Does It Last by Joint?
Knee (arthritis / inflammation)
Often improves within a few days and can last 6-12 weeks. Some patients get 3 months or more, especially if they offload the knee.
Shoulder (impingement, bursitis, frozen shoulder)
Can give very good relief for weeks to a few months. If the underlying cause (like posture or tendon overload) isn’t addressed, symptoms can return quicker.
Hip / trochanteric bursa
Relief may last weeks to months, but load and walking distance can shorten the effect.
Spine / nerve root / small joints
Varies a lot - sometimes only weeks, sometimes several months - depending on the reason for the injection.
What if My Pain Gets Worse First?
This is likely a cortisone flare. It happens when the steroid crystal irritates the joint briefly.
- Starts within 24-48 hours
- Feels achy, sometimes hot
- Settles with ice, rest and paracetamol/ibuprofen (if suitable)
- Usually gone in 1-3 days
If pain is still bad after a week, or the joint is very red or you have fever, you should contact the doctor who did the injection.
How Often Can You Have a Cortisone Injection?
Most guidelines and specialists suggest not having steroid injections too frequently in the same joint. A common rule is:
- Up to 3-4 times per year in the same joint, ideally spaced out
- Leave several weeks to months between injections
- If it only lasts a few days each time, we rethink the diagnosis or treatment
Your own medical history (e.g. diabetes, anticoagulants, infection risk) may mean we recommend less frequent injections.
How to Make the Pain Relief Last Longer
- Rest the joint for 24-48 hours after the injection
- Follow your physio / strengthening programme
- Lose a little weight if it’s a weight-bearing joint like the knee or hip
- Wear supportive footwear
- Avoid sudden spikes in activity
- Consider switching to hyaluronic acid (Durolane) if you want a non-steroid option for the knee
What If the Cortisone Shot Didn’t Last Long?
That can happen - especially in advanced arthritis or very active patients. It doesn’t always mean the injection was done badly. It may mean that:
- the arthritis is more severe,
- the joint is being overloaded, or
- you might do better with a different injection (e.g. Durolane / hyaluronic acid) or a different treatment.
This is why we usually reassess you if pain returns sooner than expected.
Thinking About a Cortisone Injection?
We offer private, same-week appointments for steroid injections for the knee, shoulder and other joints. We’ll explain how long it’s likely to last in your case — and whether a gel (hyaluronic acid) injection might last longer.
CALL NOW to Book a Joint InjectionKnee Shots for Arthritis
Living with knee arthritis can make walking, stairs, or even getting up from a chair painful and tiring. If tablets, exercise and physio haven’t given you enough relief, knee injections (sometimes called knee shots for arthritis) can help reduce pain and keep you active.
There are two main options: steroid knee injections and hyaluronic acid (Durolane) injections.
What Are Knee Injections?
Knee injections involve placing a small amount of medicine directly into the knee joint. Because the medicine goes straight to the source of the pain, it can work better than tablets and often with fewer side effects.
They are commonly used for:
- Osteoarthritis of the knee
- Wear-and-tear / degenerative knee pain
- Inflamed or swollen knees after activity
- Patients trying to delay or avoid surgery
Goal: reduce pain, improve movement, help you get back to daily life.
Types of Knee Injections We Offer
1. Steroid (Corticosteroid) Knee Injections
Steroid injections contain a powerful anti-inflammatory medicine. They are ideal if your knee is swollen, warm or very painful because of arthritis or a flare-up.
- Work quite quickly - often within a few days
- Reduce inflammation inside the joint
- Pain relief can last weeks to a few months
- Good for people with sudden increase in pain
2. Hyaluronic Acid / Durolane Injections
These are often called hyaluronic acid shots, viscosupplementation, or by brand name Durolane. They act like a lubricant and cushion for your knee.
- Durolane is usually a single injection
- Mimics natural joint fluid
- Makes movement smoother and less painful
- Often lasts longer than a steroid shot (6-12 months in some patients)
- Good if you want to avoid repeated steroids
Steroid vs. Durolane Knee Injections
Both options are effective - the right one for you depends on your symptoms, arthritis severity and how long you want the effect to last.
| Feature | Steroid Injection | Durolane Injection |
|---|---|---|
| Main Action | Reduces inflammation | Restores joint lubrication |
| Onset | Fast (within days) | Gradual (over weeks) |
| Duration | Weeks to months | 6-12 months |
| Best For | Flare-ups, swelling | Long-term cushioning |
| Contains | Corticosteroid | Hyaluronic acid (natural gel) |
Who Can Benefit from Knee Shots?
You may be a good candidate if:
- You have knee osteoarthritis diagnosed by a GP/consultant
- You have ongoing knee pain despite exercise and painkillers
- Your knee is stiff in the morning or after sitting
- You want to stay active or delay surgery
- You’ve had benefit from injections before and want a repeat
Injections can be helpful for both older adults and active younger patients with early wear-and-tear.
What Happens During the Appointment?
Your visit is usually 20-30 minutes:
- Assessment: We confirm that the knee pain is suitable for injection.
- Cleaning the skin: The area is cleaned to reduce infection risk.
- Local anaesthetic: Often used to make it more comfortable.
- Injection: The steroid or Durolane is placed directly into the joint, sometimes under ultrasound guidance.
- Aftercare advice: You can usually walk out shortly afterwards.
Most people go back to light activity the same day, but we usually suggest avoiding the gym or running for 24-48 hours.
Aftercare and Recovery
- Expect mild soreness for a day or two
- Use ice packs for 10-15 minutes if needed
- Keep the area clean and dry
- Avoid high-impact exercise for 1-2 days
- Continue weight management and strengthening to prolong the effect
If you get increasing redness, heat or significant swelling, contact us.
Ready to Get Relief from Knee Arthritis?
Book a private appointment for a steroid knee injection or a Durolane hyaluronic acid injection. We’ll assess your knee, explain the options, and help you choose the treatment that gives you the best chance of long-lasting pain relief.
CALL NOW to Book a Knee InjectionDo you need to rest after a cortisone injection?
Cortisone (steroid) injections are a proven way to ease pain and inflammation in joints such as the knee, shoulder or hip. One of the most common questions people ask is: “Do I need to rest afterwards?”
Short answer: yes, it’s best to take it easy for the first 24-48 hours so the medicine can settle and reduce the chance of a flare-up. You don’t need bed rest, but you should avoid heavy or high-impact activity.
Why Rest Matters in the First 24-48 Hours
After a cortisone injection the medicine needs time to:
- Spread through the joint or bursa
- Calm inflammation
- Work without extra irritation from movement
If you do too much too soon, you can irritate the joint and delay relief.
What You Can Do Straight After the Injection
- ✅ OK: light walking, gentle movements, normal daily tasks
- 🚫 Avoid: gym, running, heavy lifting, kneeling or long walks for 24 hours
Can You Drive After a Cortisone Shot?
Most people can drive after a cortisone injection if they feel comfortable and can safely control the vehicle. Avoid driving if the injected leg feels weak or heavy, or if you received sedation.
Typical Rest Plan
Day 0 (Injection Day)
- Rest the joint
- Short walks only
- Apply ice for 10-15 minutes if sore
- No strenuous activity
Day 1-2
- Return to normal daily activity
- Avoid impact, running, squats or overhead work
Day 3 onwards
- Gradually return to exercise
- Start with low-impact options (cycling, swimming, light gym)
What Is a Cortisone Flare?
Occasionally, the joint feels more painful for 24-48 hours after injection.This is called a cortisone flare. It usually settles with rest, ice, and simple painkillers such as paracetamol or ibuprofen (if suitable).
If pain lasts more than a week, or the joint becomes hot, red, or swollen, contact your doctor.
Rest Advice by Joint
Knee Injection
Rest on the day and avoid stairs or long walks. Commonly used for arthritis or bursitis.
Shoulder Injection
Avoid overhead lifting or heavy pushing for 1-2 days, then resume light exercises.
Hip Injection
Take it easy on the day and avoid long walks. Gradually return to normal movement.
When to Call the Doctor
- The joint becomes very red, hot or swollen
- You feel feverish or unwell
- Pain worsens after 3-4 days rather than improving
- You cannot move or bear weight on the joint
Considering a Steroid or Gel Injection?
We offer private steroid injections and Durolane (hyaluronic acid) knee injections for arthritis and joint pain. Our GPs provide expert assessment, ultrasound guidance, and a personalised aftercare plan.
CALL NOW to Book a ConsultationSemaglutide FAQs
Semaglutide FAQs
Yes, both Ozempic and Wygovy are brand names of the same medicine, semaglutide. They are made by the same company Novo Nordisk. Ozempic is the brand that they originally produced for diabetes. It comes in strengths of 0.25mg. 0.5mg and 1mg. After they found out that it helped with weight loss, Novo Nordisk started to produce a brand targeted for weight loss called wygovy. It comes in the same strengths as Ozempic but also the higher strengths of 1.7mg and 2.4mg.
The STEP 1 study showed that around 2,000 patients treated with semaglutide lost about 15% of their weight over a period of 68 weeks (15.6 months).
Semaglutide works by delaying stomach emptying so that you feel fuller for longer. It promotes weight loss by suppressing your appetite and hunger, and reducing the amount you eat. It also gives you the ability to control your food intake better, and reduces cravings for fatty, energy-dense foods.
Semaglutide is given in a once-weekly injection. Each pen device lasts for 4 weeks.
Semaglutide is currently only available from an NHS GP for diabetes, although other drugs are more likely to be used for this purpose.
For weight loss, you will need to be referred by your GP to a tier 3 or 4 specialist weight management service if you meet the criteria: have at least one weight-related illness and a body mass index (BMI) of at least 35kg/m2 or between 30kg/m2 – 34.9kg/m2 who meet the defined criteria.
Semaglutide does come in tablet form by the name of Rybelsus. However, it is licensed for diabetes and not weight loss.
Novo Nordisk has done a study that shows that 50mg tablets give a similar weight loss to the injections. However, the maximum dose of tablets currently available is 14mg.
The cost of semaglutide varies depending on where you buy it. Currently, it is around £110-120 per injection pen that will last 4 weeks. The higher doses of Wygovy 1.7mg and 2.4mg may be up to 2-3 times that price.
Injections are taken once each week. Each injection pen lasts for 4 weeks.
Semaglutide tablets (Rybelsus) are taken daily. Each packet lasts for 30 days.
In the STEP 1 study, the most common side-effect was nausea. Out of around 2,000 patients, 3 of them were seriously ill with pancreatitis.
In practice, nausea is still common but generally mild and well tolerated. People can also get vomiting, become constipated or have loose stool. Recently, there have been reports of a small number of people in the US having bowel obstruction needing hospital care.
The is currently no evidence that semaglutide use causes any type of cancer, including thyroid cancer.
A Comprehensive Guide to Pregnancy Testing
Demystifying pregnancy testing
For many women and couples, a pregnancy test can be a turning point—a moment filled with a mix of excitement, hope, and anxiety. With a myriad of pregnancy tests available in the UK market, it’s crucial to understand how they work, their accuracy, and when to use them. This guide aims to demystify the pregnancy testing process, using some of the most frequently searched terms about the subject.
Types of pregnancy tests
1. Home Pregnancy Tests (HPTs) or Pregnancy Test Kits
These are the most common tests available and are designed to be used in the comfort of your own home. Do cheap pregnancy tests work? Yes, even budget-friendly tests can be accurate. It’s more about using the test correctly than the price. They are often sold in multiples of 2 or 3 as women may not rely on just one test, and want to do repeated tests on one occasion or over a period of time for confirmation.
Standard Stick Test: These are the most commonly recognised tests. You pee directly onto the stick, and after a few minutes, the result will be displayed, usually as lines, a plus/minus sign, or even words like “pregnant” or “not pregnant.”
Digital Tests: These provide results in words and often include a timer on the digital display, letting you know the test is working. They might be slightly more expensive than the stick test but can eliminate the guesswork of interpreting lines.
Test Strips: These are often more affordable and come without the plastic casing. You dip the strip into a collected urine sample.
2. Clinical Urine Test
This is performed at a doctor’s office or a clinic. It works similarly to HPTs, but the results might be considered more trustworthy, given that healthcare professionals read the test. However, most NHS general practitioners do not do these tests as they are similar to those that can be bought over-the-counter and patients are expected to do them.
3. Blood Pregnancy Tests
These are the most accurate and can detect pregnancy earlier than urine tests. They are done at a clinic or laboratory. There are two main types:
Qualitative hCG Blood Test: It checks to see if the hormone hCG is present. It provides a simple yes or no answer to whether you are pregnant.
Quantitative hCG Blood Test: This measures the exact amount of beta-hCG in the blood. It can detect even very low levels of beta-hCG, making it very accurate. Additionally, it can help track potential problems during pregnancy. A number of companies offer this type of pregnancy test online but this is a little misleading. You can pay for the test online but then have to visit the clinic or laboratory to do the test.
Things to Consider:
Timing: The accuracy of a pregnancy test largely depends on timing. Testing too early, even with an early detection test, can lead to false negatives. If in doubt, wait a few days and test again.
Sensitivity: Some tests are more sensitive than others. The packaging usually indicates the sensitivity level, with those detecting lower levels of hCG being more sensitive. Some early detection tests claim they can detect pregnancy a few days before a missed period. While they test for the same hormone, they might be sensitive enough to detect lower levels of hCG earlier in the pregnancy.
Expiration Date: Always check the expiration date. An expired test might not provide accurate results.
Follow Instructions: Each test might have slightly different instructions. For accurate results, always follow the manufacturer’s guidelines.
When to take a pregnancy test
The best time to take a urine pregnancy test is at least a week after your missed period. This will reduce the chances of the result being a false negative. If it is negative and you still suspect that you might be pregnant, then test again after a week. The best time of day to do a pregnancy urine test is first thing in the morning after waking as the urine is more concentrated.
A pregnancy blood test can detect pregnancy much earlier than a urine test and is more reliable. It is the best way to detect pregnancy within the first month.
Pregnancy blood test levels
Click here to use easy pregnancy due-date calculator
Understanding Urine Pregnancy Test Results:
Positive Pregnancy Test:
This indicates the presence of hCG suggesting pregnancy. Urine pregnancy tests used correctly have a very low false positive rate of 1% or less due to taking certain medications or a medical condition. Nevertheless, a positive result is highly reliable.
Negative Pregnancy Test:
No hCG was detected, implying no pregnancy. If you still suspect that you are pregnant then repeat the test after a week.
False negative pregnancy results have been found to be as high as 5% in some studies. This can be due to:
Testing too early: This is the most common reason for a false negative result. The earlier you do a home pregnancy test, the harder it is to detect hCG. That’s why it’s better to wait until you have missed a period.
Checking the result too early: Follow the instructions for your particular pregnancy test and only read it after the right amount of time has passed. Reading too early can give a false negative result.
Taking the test later in the day: For the most accurate results, take the test using the first urine passed in the morning on waking.
Faint Line on Pregnancy Test:
The dreaded faint line can still be positive. However, if the test is read too late then an evaporation line from the drying of the urine on the stick can be mistaken for a pregnancy test faint line. In this case, it is better for you to take another test.
Advantages of blood pregnancy tests
Beta-hCG blood pregnancy tests are not only accurate in confirming pregnancy but are instrumental in various health scenarios. These include:
Early Detection: Blood tests can detect hCG levels even before they’re high enough to be caught by urine tests. This means potential pregnancies can be identified sooner, allowing for early intervention and care.
Quantitative Insights: Unlike most urine tests that provide a simple positive or negative result, blood tests quantify the exact level of hCG. This specific measurement can be crucial for doctors to monitor the progress of the pregnancy and the effectiveness of the fertility treatment.
Monitoring Treatment Efficacy: In fertility treatments such as IVF or IUI, tracking the rise and fall of hCG levels can provide insights into the success of the procedure. It can also help in adjusting dosages or treatment methods if required.
Detecting Ectopic Pregnancies: Elevated hCG levels combined with other symptoms can hint at an ectopic pregnancy. Early detection via blood tests can save lives, as untreated ectopic pregnancies can be life-threatening.
Predicting Multiple Pregnancies: Extremely high hCG levels can sometimes indicate multiple pregnancies, like twins or triplets. This information can be vital for planning prenatal care.
Reduced Uncertainty: Unlike urine tests, which may sometimes display faint lines leading to confusion, blood tests offer clear, numerical results, reducing uncertainty and anxiety.
Consistency and Reliability: Blood tests for hCG are consistent and are less influenced by factors that can affect urine tests, such as the dilution of urine or the time of day.
In conclusion, while pregnancy tests available in the UK are generally reliable, it’s essential to use them correctly and understand their nuances. When in doubt, do repeated tests over a period of time, do a pregnancy blood test or consult with a healthcare professional.