Not necessarily. However, it is important to ensure a clear diagnosis and that orthobiologic treatment is an appropriate treatment for your condition. In many cases, we suggest a visit with one of our team before arranging an injection. We do, however, accept referrals from other medical professionals.

There is an increasing pool of evidence that suggests that orthobiologics can be an effective treatment. Most studies show an improvement similar to taking regular anti-inflammatory medication. This lasts for at least one year (some data suggests that the improvement can last up to five years). 

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It is important to highlight that the maximum improvement is generally not seen until about three months after the injection. It is important to recognise that this treatment does not work for everyone

As with any procedure, there are some associated side effects. 

1. The procedure involves a blood test and an injection into the painful body part. This is associated with some discomfort.  
2. The most common complication is a post-injection flare.  Approximately one in ten patients will feel more pain after the injection.  This is generally mild, lasts 24-48 hours and can be treated with analgesics.  
3. There is a small risk of infection (approximately 1 in 15,000) and the possibility that the injection may not be as effective as you had hoped.

Your appointment will take approximately 45 minutes and involve having blood taken, a short wait while the treatment is being prepared, followed by an injection into the injured or painful area. You are generally advised to avoid exercise or vigorous physical activity for 24-48 hours after the procedure.