Mode of Action of High Volume Tendon Injection
HVTI works by injecting a large volume of fluid—typically a mixture of saline, corticosteroids, and local anaesthetic—into the space between the tendon and its surrounding sheath. This fluid helps break down adhesions, reduce inflammation, and stimulate tissue remodelling. The increased volume disrupts neovessels and accompanying nerves that often cause persistent pain in chronic tendon injuries, encouraging healing and pain relief.
High Volume Tendon Injection
High Volume Tendon Injection (HVTI) is a specialised, non-surgical treatment used to manage chronic tendon conditions by targeting inflamed or thickened tendons. This procedure uses advanced ultrasound-guided techniques to ensure precision and maximise patient comfort. HVTI aims to relieve pain, reduce inflammation, and promote healing by delivering a high volume of saline solution directly into the affected tendon sheath.
Procedure of High Volume Tendon Injection
Preparation: The area is sterilised and local anaesthetic is administered to ensure comfort.
Needle Placement: Under ultrasound guidance, a fine needle is positioned accurately in the space around the affected tendon.
Injection: A high volume of sterile saline solution, sometimes combined with corticosteroids, is slowly injected into the tendon sheath.
Post-Procedure Care: A dressing is applied, and patients are typically able to return home shortly after. A rehabilitation programme may be recommended to support recovery.
Ultrasound guidance enhances safety and accuracy by allowing real-time visualization of the tendon and surrounding structures, ensuring precise delivery and minimising risks.
Conditions Treated with High Volume Tendon Injection
Achilles Tendinopathy: Chronic pain and inflammation of the Achilles tendon.
Patellar Tendinopathy (Jumper’s Knee): Pain and inflammation in the tendon connecting the kneecap to the shinbone.
Tennis Elbow (Lateral Epicondylitis): Pain and irritation in the tendons of the elbow.
Rotator Cuff Tendinopathy: Chronic inflammation of the shoulder tendons.
Benefits of High Volume Tendon Injection
Minimally invasive, non-surgical procedure
Effective pain relief by disrupting painful neovessels and nerves
Promotes tendon healing, improving function and mobility
Quick recovery with minimal downtime
Precise injection delivery ensured by real-time ultrasound guidance