The Ultrasound Guided Injection Clinic
With Senior Physiotherapist Rob Mast
Rob Mast can complete any of the following procedures:
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Ultrasound Diagnostic
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Ultrasound Guided Steroid Injection
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Ultrasound Guided Hyaluronic Acid Injection
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Ultrasound Guided Hydrodistension Injection
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Ultrasound Guided Barbotage Procedure
Read below for more information on each procedure and information on how to book each one.

The Ultrasound Guided Injection Physiotherapy Clinic
Held at our Ware Clinic.
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What to Expect
Our specialist clinic combines clinical assessment and ultrasound imaging to help identify the source of your pain and determine whether an injection is appropriate.
During your appointment, you will receive a thorough assessment and an ultrasound scan of the affected area. Where appropriate, the scan will guide the injection to the targeted area.
Following your appointment, a written report will be sent to you and your GP, with a follow-up call 7–10 days after your injection.
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Meet Your Clinician
The clinic is led by Rob Mast, a highly experienced physiotherapist who has performed thousands of ultrasound-guided injections across NHS and private practice over the past 20 years.
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Who Is It For?
Our specialist, physiotherapy-led clinic provides assessment and injection treatment for a range of musculoskeletal conditions. Explore the conditions listed alongside our available injection treatments to learn more.
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How to Book
You do not need a GP referral to access our clinic.
We welcome self-referrals, particularly for patients who have been advised that an injection may be appropriate but are facing long NHS waiting times.
A brief telephone triage will be arranged to ensure the service is suitable for your needs before booking.
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Ultrasound Guided Hyaluronic Acid Injection
How Does It Work?
Hyaluronic acid occurs naturally in the body and helps lubricate and cushion the joints, supporting smooth movement.
In conditions such as osteoarthritis, joint fluid can become less effective. Hyaluronic acid injections aim to improve joint lubrication and may help reduce pain and improve mobility.
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What Can It Help With?
Hyaluronic acid injections are primarily used to help manage osteoarthritis-related joint pain.
For more information about potential side effects, click here.
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Ostenil £300 | Durolane £350
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This injection is not available to book online - please contact for further information and to book in.
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07961 602735
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Ultrasound Diagnostics
What is Ultrasound Diagnostics?
Ultrasound uses sound waves to create images of the tissues beneath the skin, helping assess certain muscles, tendons, ligaments and joints. A thorough physiotherapy assessment is often sufficient to guide diagnosis, with ultrasound imaging particularly useful when supporting accurate, image-guided injections.
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How is it used?
Following a thorough clinical assessment, ultrasound imaging can help identify relevant tissue changes and guide injections towards the targeted area with greater accuracy.
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What conditions can it identify?
Ligament tears
Muscle tears
Bursitis
Osteoarthritis
Gluteal Tendinopathy
Golfers/ Tennis Elbow
Rotator Cuff Tears and Tendinopathy
Baker's cyst
Carpel Tunnel
Morton's Neuroma
Plantar Fasciitis
Femoral -Acetabular Impingement
... and many more
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£200
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Unfortunately we do not provide an ultrasound service for 'lumps & bumps', abdomen and hernias, pregnancy or imaging on the spine.
Ultrasound Guided Hydrodistension Injection
How Does It Work?
Hydrodistension involves injecting a combination of saline, corticosteroid and local anaesthetic into the shoulder joint. The fluid helps stretch the tightened joint capsule, which can improve movement and reduce stiffness.
The local anaesthetic may provide initial pain relief, while the corticosteroid can help reduce pain and inflammation over the following days.
Physiotherapy is strongly recommended from around 24 hours after the procedure, alongside prescribed stretching exercises, to help maintain improvements in movement and support recovery.
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What Can It Help With?
Hydrodistension is commonly used to help manage frozen shoulder (adhesive capsulitis) by reducing stiffness and improving shoulder range of movement.
An X-ray may be requested to rule out other causes of shoulder pain and stiffness, such as bony abnormalities. X-rays are often normal in frozen shoulder.
For more information about potential side effects, click here.
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£275
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This injection is not available to book online - please contact for further information and to book in.
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07961 602735
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Ultrasound Guided Steroid Injection
How does it work?
A corticosteroid injection delivers an anti-inflammatory medication directly to the area causing pain. It can help reduce pain, swelling and stiffness, making movement and rehabilitation easier.
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What can it help with?
Corticosteroid injections may be used for a range of conditions, including:
Bursitis
Osteoarthritis
Carpal tunnel syndrome
Morton’s neuroma
Persistent tendinopathies, including:
Tennis or golfer’s elbow
De Quervain’s tenosynovitis
Tibialis posterior tendinopathy
Rotator cuff-related pain
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How long does it last?
It can take 7–10 days to notice the full effect. How long the benefits last varies between individuals.
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At Byron & Atkinson Physiotherapy, we recommend using corticosteroid injections alongside rehabilitation. By reducing pain and inflammation, an injection can provide an opportunity to progress with targeted exercise and address the underlying problem, potentially reducing the need for repeat injections.
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£250
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This is available to book online!✎​
Please complete prior to appointment: Consent Form​
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To see more information including potential side effects click here.
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Ultrasound Guided Barbotage Procedure
How Does It Work?
Barbotage is a minimally invasive procedure used to treat calcium deposits within a tendon. Using ultrasound guidance, a needle is used to break up and, where possible, aspirate (remove) the calcium deposits. Local anaesthetic is used to help manage discomfort, and a corticosteroid may be administered to help reduce associated pain and inflammation.
The procedure can cause temporary discomfort, and recovery varies between individuals. It aims to reduce pain and improve movement over the longer term.
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What Can It Help With?
Barbotage is most commonly used to treat calcific tendinopathy of the shoulder, a condition in which calcium deposits develop within a tendon.
Symptoms can develop without a specific injury and may include a sudden onset of severe shoulder pain, restricted movement and difficulty sleeping.
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£325
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This injection is not available to book online - please contact for further information and to book in.
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07961 602735
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