Vale Health Injection Clinic


Clinically Proven Non-Invasive Relief for Mild to Moderate Arthritis



Mild to Moderate Arthritis


None Needed 


30 minutes per session 


No Downtime


Highly cross linked for longer lasting benefits

Minimal side effects

Combined with injections therapy for optimal results

DUROLANE is a single-injection hyaluronic acid treatment for knee osteoarthritis

Durolane is a viscosupplement used in the treatment of osteoarthritis, a degenerative joint disease characterized by the breakdown of cartilage and inflammation in the affected joints. As a highly cross-linked hyaluronic acid (HA) preparation, Durolane offers a safe and effective therapeutic option for individuals suffering from osteoarthritis-related pain and functional limitations.

London Bridge Regenerative Clinic

Durolane represents a valuable treatment option for individuals suffering from osteoarthritis-related pain and functional limitations. With its highly cross-linked hyaluronic acid formulation, Durolane offers long-lasting symptom relief, improved joint function, and minimal side effects.

Through ultrasound-guided injection techniques, Durolane can be delivered with precision and accuracy, ensuring optimal therapeutic outcomes for patients with osteoarthritis.

As part of a comprehensive management approach, Durolane plays a crucial role in enhancing the quality of life and mobility for individuals affected by this debilitating condition.

Durolane Ultrasound Guided Injection - London Bridge Regenerative Clinic

Durolane is composed of non-animal, stabilized hyaluronic acid derived through a fermentation process.

Hyaluronic acid is a naturally occurring molecule found in the synovial fluid of joints, where it serves to lubricate and cushion the joint surfaces, as well as provide shock absorption.

In Durolane, the hyaluronic acid molecules are highly purified and cross-linked using a proprietary process, resulting in a gel-like formulation with increased durability and longevity within the joint space.

How does shockwave therapy work

Shockwave therapy, known for its ‘mechanism of action’, involves the use of a specialized device to deliver acoustic energy through the skin to the injured part of the body. The shockwaves, which are mechanical and not electric, consist of audible, low-energy sound waves that increase blood flow to the injured area.

This therapy operates through two primary modes of action to alleviate persistent tendon pain. Firstly, the shockwaves work to desensitize nerve endings, often resulting in an immediate reduction in pain. Secondly, and perhaps most importantly, the shockwaves induce controlled micro-trauma (microscopic damage) to the tissues. This action encourages the body to respond by enhancing blood circulation and metabolism in the affected area, thereby activating and accelerating the body’s natural healing response. Additionally, shockwaves can assist in ‘breaking down’ disorganised tissue and calcifications. For treatment to be optimal we would normally recommend combining this treatment with injection therapy and a rehabilitation programme.  

Extensive testing has shown that Ostenil Plus does not induce any significant adverse reactions. Furthermore, as it lacks animal proteins, the likelihood of triggering an allergic response is minimal. Like with any injections, there exists a slight risk of infection, and occasional post-injection discomfort at the site may persist for a day or two.

Ostenil injections have become increasingly popular among athletes, particularly football players, who seek relief from joint discomfort resulting from intense physical exertion.

Featuring hyaluronic acid as its primary ingredient, these injections offer enhanced joint lubrication and cushioning, thereby reducing friction, easing pain, and improving mobility to enhance performance on the field.

The non-invasive nature and minimal side effects of Ostenil make it an appealing option for athletes aiming to preserve joint health and quickly return to their training and competitive activities.

Implementing injury prevention measures such as warm-up routines, conditioning exercises, and recovery strategies further bolster joint health and overall athletic prowess.

Ostenil is commonly manufactured through a method referred to as bacterial fermentation.

In this process, specific bacterial strains, typically Streptococcus zooepidemicus, are chosen for their capacity to generate hyaluronic acid. These bacteria are cultivated in a suitable growth medium that contains carbohydrates like glucose or corn syrup, serving as a carbon source. Through fermentation, the bacteria produce hyaluronic acid as a byproduct of their metabolic processes.

The resulting sodium hyaluronate can then be utilized in orthopedic applications, such as treating conditions like Osteoarthritis, Knee Meniscus issues, as well as Shoulder or Hip Labral tears.


At London Bridge Regeneration clinic we provide various payment options meaning you can spread the cost and enjoy a confident outlook at a price you can afford this can also include interest free options.

Please book your free initial 10 minute free telephone or face-to-face consultation to ascertain the suitability of the shockwave and the different treatments we offer. 




Durolane injection

Jon Handley-Collins


Highly Cross-Linked Hyaluronic Acid

One of the distinguishing features of Durolane is its status as the most highly cross-linked hyaluronic acid available on the market. Cross-linking refers to the chemical bonding of adjacent hyaluronic acid molecules to increase the viscosity and resilience of the gel. The enhanced cross-linking in Durolane confers several advantages:

Improved Durability

The cross-linked structure of Durolane allows it to withstand the mechanical stresses and shear forces within the joint environment, providing sustained lubrication and cushioning.

Extended Residence Time

Due to its increased stability, Durolane remains in the joint space for an extended period, prolonging its therapeutic effects and reducing the need for frequent repeat injections.

Enhanced Efficacy

The highly cross-linked nature of Durolane ensures a consistent and predictable response, leading to reliable symptom relief and functional improvement in patients with osteoarthritis.

Durolane offers several benefits in the management of osteoarthritis symptoms, including:

Pain Relief

By supplementing the diminished levels of natural hyaluronic acid in the joint, Durolane provides lubrication and cushioning, alleviating pain and discomfort associated with osteoarthritis.

Improved Joint Function

The viscosupplementation provided by Durolane enhances joint mobility and flexibility, allowing patients to engage in daily activities with greater ease and comfort.

Minimal Side Effects

Unlike cortisone injections, which may have systemic effects and potential cartilage toxicity, Durolane is well-tolerated and associated with minimal adverse reactions. Its non-animal origin reduces the risk of allergic reactions.

Long-Lasting Symptom Relief

The highly cross-linked structure of Durolane allows for sustained symptom relief, with clinical studies demonstrating improvements lasting up to six months or longer following a single injection.

The administration of Durolane typically involves an ultrasound-guided injection technique to ensure precise placement within the affected joint. Here is a step-by-step guide to the procedure:

Patient Preparation

The patient is positioned comfortably on an examination table, with the target joint exposed and accessible. The skin overlying the injection site is cleansed with an antiseptic solution to reduce the risk of infection.

Ultrasound Imaging

A high-frequency ultrasound probe is placed over the target joint to visualize the joint anatomy and confirm the location of osteoarthritic changes, joint effusion, and synovial fluid distribution.

Injection Site Identification

Using real-time ultrasound guidance, the healthcare provider identifies the optimal injection site within the joint space, ensuring accurate placement of the needle for Durolane delivery.

Anesthesia Administration

Local anesthesia may be administered to numb the skin and underlying tissues at the injection site, minimizing discomfort during the procedure.

Needle Insertion

A sterile needle is inserted into the joint space under ultrasound guidance, guided by the visual feedback provided by the ultrasound monitor. The needle is advanced slowly and precisely to reach the desired location within the joint.

Durolane Injection

Once the needle is properly positioned within the joint space, the Durolane gel is injected slowly and steadily. The injection volume and technique may vary depending on the size and severity of the joint pathology.

Post-Injection Assessment

Following the injection, the healthcare provider may perform a brief examination to evaluate the distribution of Durolane within the joint and confirm proper placement. Any residual joint effusion or swelling may be addressed as needed.

Post-Procedure Care

After the injection, the patient is advised to avoid strenuous activities and to apply ice packs intermittently to reduce inflammation and discomfort. Patients may resume normal activities gradually, with the guidance of their healthcare provider.

After the procedure,  typically we dvise refraining from engaging in strenuous physical activities for several days to allow your body to recover optimally. It’s essential to prioritise hydration by drinking plenty of water to help flush out any toxins and aid in the healing process. If you experience any discomfort or pain, Paracetamol can be safely used for pain management as needed.

It is important to follow your clinician post-procedure instructions carefully and attend follow the knee rehabilitation programme.


Step 1. Free Intial consultation

London Bridge Regenerative clinic gives every patient a free consultation with one of our injecting practitioners.

There is no obligation to proceed to treatment. The consultation is an opportunity to discuss your issue in detail and the benefits and risks of the procedure.



We will perform palpation and orthopaedic tests to help confirm your diagnosis.  If required we perform a diagnostic ultrasound scan to assist in visualising the issue.  We may also refer you for an X-ray or MRI, depending on the examination findings.  

We will allow time to explain the procedure and answer any questions you may have.  We make sure you understand the advantages and risks with the procedure before going ahead


It’s important to let your practitioner know if you’re on any prescription or over-the-counter medications. You may be asked to stop taking aspirin or anti-inflammatory tablets, which can increase the risk of bruising. It’s also important to stop smoking cigarettes and e-cigarettes before and after the procedure because they can disrupt the healing process. 

Local anesthetic is not needed for this procedure and the procedure is tolerated very well. 


Following the procedure, most individuals can return home and resume their normal activities. Our clinical team will be available to offer water and provide guidance on post-injection care.

For the next 48 hours, it’s advisable to refrain from strenuous activities and alcohol consumption. 

A follow-up appointment will be scheduled for 6 weeks after the procedure to review the progress. 



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Gary Edwards

Doctor of Chiropractic and Injection therapy

Jon Handley-Collins

Doctor of Chiropractic and Injection therapy

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