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Muscles & joints · ProceduresInjection
Heel pain on your first steps in the morning, a burning ball of the foot, or an ankle that aches every time you walk? A consultant scans your foot or ankle first, then places a steroid or PRP injection exactly where it is needed, under ultrasound guidance, in the same visit.
Medically reviewed by Dr John Fitzpatrick, consultant radiologist: GMC-registered · Last reviewed October 2026
£525
steroid injection, all fees inclusive
Scan first, same visit
diagnosed before anything is injected
Ultrasound-guided
needle placed under live imaging
No GP referral
book directly
Consultant Radiologist
scans and injects you personally
Self pay
and insurance accepted
Conditions we treat
The foot and ankle are packed with small joints, tendons and nerves, and many problems feel alike. The diagnostic scan tells them apart before anything is injected.
Plantar fasciitis
Heel pain worst on the first steps in the morning. Steroid for faster relief, or PRP for stubborn, long-standing cases.
Morton’s neuroma
Burning pain and tingling in the ball of the foot, like standing on a pebble, eased with steroid placed around the nerve.
Ankle osteoarthritis
A deep ache and stiffness in the ankle joint, often years after a fracture or bad sprain.
Tendon sheath inflammation
Pain along the peroneal or tibialis posterior tendons, treated in the sheath rather than the tendon itself.
Ankle impingement
Pinching at the front or back of the ankle, common in runners, footballers and dancers.
Big toe and midfoot arthritis
Painful, stiff small joints, including hallux rigidus, settled with a precisely placed steroid injection.
Treatment options and prices
Two options with different jobs. The comparison helps you understand them; the choice is made with your consultant after the scan.
fast-acting anti-inflammatory
£525
All fees inclusive, diagnostic scan included
your own platelets
£545
Blood draw, preparation and guided injection in one visit
Read more about PRP injections →
Consultant-led treatment
Your ankle or foot injection is performed by a consultant musculoskeletal radiologist from a leading London hospital. In the foot, targets are small and close together, so they scan first to confirm the cause, then place the needle under ultrasound guidance, protecting the heel fat pad, nerves and tendons.
Diagnosed on ultrasound before anything is injected
if an injection is not right for you, it does not go ahead
Needle placed under ultrasound guidance
placed exactly where the problem is, not by feel
Formal report and images on your personal health portal
usually the same day, ready to share with your GP or physiotherapist
Onward referral to other tests and specialists when required
to podiatry, physiotherapy, MRI or a foot and ankle surgeon where appropriate
Included in the price
Prices by treatment, all fees inclusive
If the scan shows an injection is not the right treatment, it does not go ahead and our standard diagnostic ultrasound rate applies. Most major private insurers accepted; we are currently unable to accept AXA or Aviva policies.
Pricing & what’s included
£525steroid injection
Meet your consultant
Who treats you matters. A heel injection given by feel can damage the fat pad that cushions your heel, and a neuroma sits between bones only millimetres apart. At the Harley Street Ultrasound Group your foot or ankle is assessed, scanned and injected by a consultant musculoskeletal radiologist, the senior doctors who image and treat feet and ankles for the NHS every day.
Dr John Fitzpatrick
Consultant radiologist
Musculoskeletal and trauma imaging, image-guided injections
Dr Niels van Vucht
Consultant radiologist
Musculoskeletal subspecialist, RNOH fellowship in image-guided intervention
Dr Nikhil Patel
Consultant radiologist
Musculoskeletal imaging and ultrasound-guided injections, King’s College Hospital
Dr Shayan Ahmed
Consultant radiologist
Musculoskeletal imaging, Urological imaging, General ultrasound
All our doctors are GMC-registered. Meet the whole team →
Three ways to reach us
01
Use our easy and hassle-free booking platform to make an appointment and get a confirmation in seconds.
Book online02
Do not hesitate to reach out by writing to us. Use our online form to send us your queries.
Send a message03
If something is unclear, give us a call directly to discuss our services.
0203 904 4441What happens on the day
Your consultant asks where it hurts, what makes it worse, what you have tried and what you want to get back to, and examines your foot and ankle.
You lie with the foot supported while warm gel and a probe show the plantar fascia, the ankle and foot joints, the tendons and the nerves between the toes. Your consultant measures the fascia, looks for a neuroma or fluid, and confirms the cause before treatment.
The skin is cleaned and numbed with local anaesthetic, then the needle is guided into the target under ultrasound guidance. In the heel, the needle comes from the side, avoiding the sensitive heel pad. Most people feel a sting, then pressure.
a few minutes under ultrasound guidance
Wear comfortable, supportive shoes and keep walking to a minimum for 48 hours, then build up gradually. Your report is on your portal the same day, with stretches and footwear advice where they help.
Risks, honestly, and aftercare
Serious complications: infection, an allergic reaction, damage to a tendon, are rare, and rarer still under ultrasound guidance. These are the common ones, by agent, so nothing surprises you.
Rest the joint, ice for ten minutes at a time, and avoid strenuous activity. Mild soreness is normal; paracetamol is fine.
Return to normal activity gradually. Your consultant tells you when relief should begin for your agent, and we call to check in.
Increasing pain, heat, redness or fever after the first two days. Call 0203 904 4441 the same day. Out of hours, contact 111.

Preparation
A short questionnaire before you attend
A pre-procedure questionnaire is sent with your booking confirmation: medication, allergies, blood thinners and diabetes. Please complete it before your appointment.
Eat and drink normally
There is no fasting. Bring a list of your medication, and tell us if you take blood thinners.
Wear trousers that roll up easily and bring comfortable shoes
So the area can be scanned and injected easily; a gown is available.
Having PRP?
Avoid anti-inflammatory painkillers such as ibuprofen for a week before and after, and drink plenty of water on the day.
Arrive five minutes early
99 Harley Street, W1G 6AQ: a short walk from Regent’s Park and Oxford Circus stations.
Questions, answered
Anything else? Call 0203 904 4441, a real person answers, and a clinician can call you back.
An ankle or foot injection places medication exactly where your pain is coming from. The most common are:
All are given here under ultrasound guidance, after a diagnostic scan.
For most people, yes. A steroid injection usually eases heel pain within one to two weeks, often for several months. PRP works more slowly, over six to twelve weeks, but in long-standing cases the benefit can last longer. Both work best with calf stretches and supportive footwear.
The heel is sensitive, so we take care. The skin is numbed first, and the needle comes in from the side of the heel rather than through the sole, which is much more comfortable. You feel pressure as the medication goes in, and the heel may ache for a day or two.
A steroid injection relieves pain for many people, often for months and sometimes for good, particularly combined with wider, roomier shoes. If pain returns after one or two injections, your consultant can discuss other options, including a referral to a foot and ankle surgeon.
The targets in the foot are small and close to nerves, tendons and the heel fat pad. Injections given by feel can miss the target or damage the fat pad, leaving the heel more painful. Under ultrasound, your consultant watches the needle reach exactly the right place.
We do not inject steroid into the Achilles tendon itself, because it can weaken the tendon and increase the risk of rupture. For Achilles tendinopathy, a structured loading programme is the main treatment, and PRP or other options may be considered after the scan.
The local anaesthetic can ease pain within minutes but wears off after a few hours. A steroid usually starts to work within a few days, with the full effect at one to two weeks. PRP builds gradually over several weeks.
Keep walking to a minimum for 48 hours and wear supportive shoes; avoid running and high-impact exercise for about two weeks, then build up gradually. A cold pack and paracetamol help with soreness. If the foot becomes hot, red and increasingly painful, or you develop a fever, call us the same day.
Usually no more than two or three steroid injections a year in the same area, spaced at least three months apart. Repeated steroid in the heel can thin the protective fat pad, so if relief is short-lived, your consultant discusses PRP or other options instead.
At Harley Street Ultrasound a steroid injection for plantar fasciitis, Morton’s neuroma or the ankle is £525, and a PRP injection for plantar fasciitis is £545, all fees inclusive: the consultant assessment, diagnostic ultrasound, the guided injection, local anaesthetic and your written report.
We will never give you an injection you do not need. Every appointment starts with a diagnostic ultrasound of your ankle or foot, and if your consultant decides an injection is not the right treatment, it simply does not go ahead. You are charged our standard diagnostic ultrasound rate, not the treatment price.
You still leave with a clear plan: physiotherapy, a different treatment, an MRI, or a referral to the right specialist, with your report and images on your secure portal.
No. Harley Street Ultrasound is a private clinic, so you can book an ultrasound-guided ankle or foot injection in London directly, online or by phone: no GP letter and no waiting list. If you are searching for ankle or foot injections near me in central London, we are at 99 Harley Street, a short walk from Regent’s Park and Oxford Circus stations.
Prices are published before you book and are all fees inclusive: the consultant assessment, the diagnostic ultrasound, the guided injection, local anaesthetic and your written report. Insured patients should check with their insurer and bring an authorisation number if their policy requires one.
Yes. Your consultant explains the scan findings and the treatment in the room, and a written report with your images is published to your secure patient portal, usually the same day, ready to share with your GP, physiotherapist or surgeon.
Usually, yes: there is no sedation or general anaesthetic. The local anaesthetic can leave the area numb for a few hours, so if the injection is in your right leg or foot, or the joint feels weak, it is sensible to arrange a lift or take public transport.
Yes: completely. Coming to us privately never affects your NHS care. Your report and images can be shared with your NHS GP or consultant, and if anything needs onward NHS care, your consultant writes to your GP so you re-enter the pathway with a diagnosis already in hand.
Private ankle & foot injections
£525 steroid injection
What patients say
“Could not fault the service there Receptionist to Doctor to assistants all excellent. Thankyou”
“This is what I needs and value for money, convenient”
“Fantastic service - same day appointment and the staff were welcoming, efficient and reassuring. Highly recommended!”
Related
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Ready when you are
Same-day and next-day appointments at 99 Harley Street. No GP referral needed, results explained before you leave.
This assistant answers questions about this website only and is not medical advice. In an emergency call 999.