Knee Injections & Arthrosamid in Bristol

Sven Putnis offers advanced knee injections in Bristol, including steroid, Durolane (hyaluronic acid), and Arthrosamid hydrogel for lasting osteoarthritis relief.

Overview

For patients experiencing debilitating knee osteoarthritis, delaying a joint replacement for as long as clinically appropriate is highly recommended. To facilitate this delay and improve daily function, Sven Putnis offers a highly selective, evidence-based range of injectable treatments. These include short-term steroid injections for breakthrough pain, Durolane (hyaluronic acid) for medium-term lubrication, and the innovative Arthrosamid hydrogel—a permanent injectable implant that acts as a barrier layer within the synovial lining of the knee.

Kneeultrasoundarthrosamidinjection Enhanced (1)

The Procedure

  • Initial consultation and clinical assessment of knee pain
  • Review of imaging (X-rays/MRI) to determine osteoarthritis severity
  • Selection of the most appropriate injectable (Steroid, Durolane (high molecular weight Hyaluronic Acid), or Arthrosamid)
  • Skin preparation and sterilisation of the injection site
  • Precise, ultrasound-guided (or landmark-guided) intra-articular knee drainage and injection
  • Post-injection observation and physiotherapy referral

Benefits

  • Provides relief from debilitating joint pain and inflammation
  • Minimally invasive, clinician guided outpatient procedure with no hospital stay
  • Steroid provides short-term breakthrough in pain
  • Durolane replenishes natural joint lubrication for up to six months
  • Arthrosamid provides a permanent cushioning barrier within the joint
  • Creates a pain-free window to focus and engage in specialist physiotherapy
  • Tailored treatment options based on individual patient needs

Who Is This For?

  • Patients with mild to moderate knee osteoarthritis
  • Individuals experiencing acute, breakthrough inflammatory knee pain
  • Patients who are too young for a joint replacement
  • Those who wish to delay knee replacement surgery for as long as possible
  • Individuals whose pain prevents them from engaging in physiotherapy
  • Patients who are unsuitable candidates for surgery due to medical reasons

Recovery Timeline

  • Day 1-2: Rest and avoid strenuous activity. Some mild swelling or discomfort at the injection site is normal and can be managed with ice. If there has been significant fluid drained the benefit from this can be immediate.
  • Week 1-2: The anti-inflammatory effects of steroids and the lubricating effects of Durolane/Arthrosamid begin to take full effect.
  • Week 2-6: The benefits of the injections begin to take effect with steroid and Durolane faster than Arthrosamid. This is the optimal window to commence or intensify a targeted physiotherapy and strengthening programme.
  • Month 6+: Monitoring of symptom relief. Durolane may require repeating, while Arthrosamid provides ongoing, long-term barrier protection.

Frequently Asked Questions

How long does a steroid injection last?

A steroid injection typically provides rapid pain relief that lasts anywhere from a few weeks to a few months. Because repeated steroid use can damage cartilage, it is best used as a single injection to then allow you to complete necessary bracing or physiotherapy exercises.

Durolane is a hyaluronic acid injection that temporarily lubricates the joint and typically provides relief for about six months before being absorbed by the body. Arthrosamid is a non-biodegradable hydrogel that permanently integrates into the joint lining, acting as a long-lasting physical barrier against inflammation.

Yes. Arthrosamid is highly biocompatible and has been extensively tested in clinical trials. It is licensed in the UK as an injectable implant and has demonstrated an excellent safety profile with very few adverse effects reported in long-term studies 3.

No injection can cure osteoarthritis or regrow lost cartilage. The primary goal of these injections is to significantly reduce or eliminate pain, improve your mobility, and delay the need for a knee replacement for as long as possible.

The injection is performed by Sven Putnis, under ultrasound guidance, in a clinical setting. He uses local anaesthetic to numb the area first to minimise discomfort and reassures you throughout. You may experience a sensation of fullness or mild swelling in the knee for a few days following the procedure, which is a normal part of the hydrogel integrating into the joint lining.

Treatment Details

Recovery Time

Immediate to a few days (depending on injection type)

Duration of Relief

Short-term (Steroid), 6 months (Durolane), Years (Arthrosamid)

Ready to Get Started?

Book a consultation to discuss if this treatment is right for you.

  • 15+ years specialist orthopaedic experience
  • Specialist technical ability to use Ultrasound to guide inflammatory joint drainage and subsequent injection therapy
  • First-hand experience with the Arthrosamid development team in Denmark
  • A focus on best available evidence to guide shared decisions in care
  • Comprehensive integration with specialist physiotherapy

Ready to Take the Next Step?

Book your consultation today and begin your journey to recovery with expert knee care in Bristol.