Cortisone injections work by reducing local inflammation and the irritation of joints or tendons. Pain reduction is a secondary benefit.

We charge between $45-60 for a steroid injection depending on the types of medications used. MSP allows Physicians to charge for prescription medications used during the provision of services and the fee includes the cost of ordering and stocking the medication on site.

The risk of an adverse event from a local cortisone injection is low. Your physician will review the risks and benefits as part of the consent process prior to receiving an injection.

The most common side effects are 2-4 days of glucose intolerance (in people with diabetes), sleep disturbance the night after the injection or a transient pain flare 2-5 days after the injection.

A cortisone injection is commonly combined with local anesthetic. This means the area will feel numb for 4 to 8 hours. After the “freezing” of the local anesthetic wears off, patients may experience a temporary increase in pain. It is reasonable to use over the counter pain relievers for 24 to 48 hours after the injection for local pain.

Cortisone injections typically take up to 7 days to reduce pain levels by more than 30%.

If, after 5 days, you are still experiencing worsening pain, a red, hot swollen joint or tissue and fever, seek medical attention by calling the clinic, making an appointment to be seen by your family physician or presenting yourself to the local emergency department for evaluation.

You can begin a supervised or home exercise program one week after cortisone injection unless otherwise specified by your physician.

Prolotherapy is a dextrose solution that causes local tissue irritation and results in remodelling and longer term pain relief than cortisone injections. Typically a series of 2-4 injections are performed approximately 4 to 6 weeks apart. Results are usually seen after 2-3 injections.

There is a fee of $125 + GST for the medication and its administration.

The most common side effect is increased pain of the target site for 5-7 days. Patients are advised relative rest for one week after the injection.

Your Doctor will outline a rehab plan for you and your therapist following the injection that includes target exercises and gradual return to preferred activities. Prolotherapy can be safely used in combination with shockwave therapy.

PRP results in supraphysiologic concentrations of platelets being injected using ultrasound guidance in and/or around the target tissue. PRP is made using a commercial kit and flow cytometry or light absorption by cells. A 60mL blood draw is taken from a vein in the antecubital fossa and processed. The final product is 3mL to 5mL. The appointment typically takes 45 minutes to an hour.

The cost of PRP is $850 + GST which includes the blood draw and commercial kit. 

The most common side effect of PRP is local pain at the injection site which lasts up to 3-5 days. If the affected area becomes red, hot, swollen and painful we advise patients to seek medical attention urgently.

After PRP injection, patients are advised a period of rest up to 2 weeks depending on the nature and severity of their injury. Your Doctor will outline a rehab plan for you and your therapist following the injection that includes target exercises and gradual return to preferred activities. PRP injections are best used as part of a comprehensive non-operative plan including strengthening exercises, bracing and activity modification.

• Rotator Cuff Tendinopathy
• Biceps Tendinopathy
• Lateral Epicondylitis (Tennis Elbow)
• Medial Epicondylitis (Golfer’s Elbow)
• Calcific or Non-Calcific Tendonitis
• Patellar Tendinopathy (Jumper’s Knee)
• Fascial Release
• Hamstring Tendinopathy
• Shin Splints
• Trigger Points
• Hallux Rigidus
• Gluteal Tendinopathy
• Stress Fractures & Non-unions
• Osgood-Schlatter’s
• Morton’s Neuromas
• Metatarsalgia
• Achilles Tendinopathy
• Plantar Fasciitis
• Bursitis