Non-surgical pain management

Joint pain can affect the way you live, work and play. Surgery can help relieve osteoarthritis pain and restore movement- but surgery is not the only way to manage joint pain. The London Orthopaedic Clinic offers a wide range of non-surgical treatments to ease pain, reduce stiffness and improve mobility.

Non-surgical pain management has been a hot area for scientific research and innovation. The London Orthopaedic Clinic provides the very latest treatments, including biologic injections, novel injections to cushion and lubricate the joints, orthotics and physical therapies to treat pain without medication or surgery.

Pain assessment and diagnosis

The London Orthopaedic Clinic’s experienced consultant orthopaedic surgeons and pain management specialists provide comprehensive assessment, cutting-edge diagnostics and personalised treatment for musculoskeletal pain.

The specialists can work with your existing scans and X-rays or arrange for detailed investigations using a state-of-the-art radiology suite at the Mayo Clinic Healthcare in London's internationally renowned Harley Street medical district.

If you are unsure what therapy is suitable for your joint pain, they can give an accurate diagnosis and tailor a treatment programme for your needs.

Non-surgical pain treatments

Lifestyle advice

Physical pain treatments

Physiotherapy
The London Orthopaedic Clinic works with many specialist physiotherapy teams. They can provide expert guidance on ways to modify your activities to reduce stress on your joints, prescribe a tailored programme of exercises and use massage, ultrasound or laser to provide symptomatic relief. They can also prescribe supports, braces and splints as needed.

Shockwave therapy
A non-invasive therapy that uses high energy sound waves to treat chronic pain without injections, medication or surgery.The shockwaves stimulate your body's inflammatory response, increasing blood flow and accelerating your natural healing processes.

Medical pain treatments

Medications have been the mainstay of treatment for many people living with arthritis. Drugs come with side effects, so they have to be monitored, but they still play an important role as part of a comprehensive treatment plan to reduce musculoskeletal pain and improve your function. Medications include:

Topical anti-inflammatory gel.
Non-steroidal anti-inflammatory medications such as ibuprofen or naproxen. These effectively treat joint pain, but can irritate the stomach causing ulcers and bleeding.
Painkillers including paracetamol and opioid analgesics. Opioids can cause drowsiness and constipation and should be taken under close medical supervision.
Muscle relaxants can ease muscle spasms.
Certain antidepressants and antiepileptic medications can treat chronic pain and help with pain-related insomnia.

Injections for pain management

The London Orthopaedic Clinic provides a comprehensive range of the latest novel and biologic injections to treat joint pain and osteoarthritis.
The consultant orthopaedic surgeons and pain management specialists always perform joint injections under ultrasound guidance, ensuring precise placement, reduced complications and optimum results. Injectable treatments include:

Arthrosamid® injections
Injections of a non-degradable hydrogel to cushion and lubricate the knee joint. If you have knee osteoarthritis, Arthrosamid® provides safe, effective and sustained pain relief without surgery. A single Arthrosamid® injection can relieve the pain and stiffness of knee osteoarthritis for up to 2 years.
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nSTRIDE® injections
The next generation of platelet-rich plasma or PRP. nSTRIDE® is an autologous (meaning from your own body) protein solution therapy or APS. nSTRIDE® is an innovative biologic treatment for knee osteoarthritis. It harnesses your body’s natural healing powers to treat joint pain and help you regain mobility and function.
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ACP/PRP injections
Autologous-conditioned Plasma/Platelet Rich Plasma therapy is a biologic treatment for pain and swelling in your joints or soft tissue, in which a sample of your blood will be taken before being spun in a centrifuge to extract and concentrate the platelets and plasma prior to being injected into your damaged joint or inflamed tendon. ACP/PRP therapy uses your innate healing capabilities to treat osteoarthritis and tendinopathies to reduce pain.
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Viscosupplement injections
Injections of a naturally occurring substance called hyaluronic acid into a joint. The hyaluronic acid acts as a shock absorber and lubricant, helping the bones move more smoothly over each other. Hyaluronic acid injections like Ostenil® Plus can decrease the pain and stiffness of osteoarthritis.
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Steroid injections
Injections of local anaesthetic and anti-inflammatory steroid medication into the joint to treat inflammation and reduce pain.
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Why choose The London Orthopaedic Clinic for non-surgical pain treatment?

The London Orthopaedic Clinic provides high-quality orthopaedic and pain-management treatment tailored to your individual needs.

A multidisciplinary team of highly-skilled professionals, including radiologists, physiotherapists, podiatrists and occupational therapists offers comprehensive care. They support the orthopaedic surgeons and pain-management specialists to reduce your pain, improve movement and make a real difference to your quality of life.

We offer access to the latest novel injectable treatments not currently available on the NHS. All joint injections are guided by ultrasound to target treatment precisely and achieve the best results. There is a seamless transition between our team of experts to ensure each patient gets the best treatment for their needs.

The London Orthopaedic Clinic offers something unique: access to world-leading experts, high-tech diagnostics and the latest innovative treatments, together with the feeling of trust and safety of a small family practice.