We’d like to use cookies to understand how our website is used and to measure our Google advertising. They’re only set if you agree. Essential settings, such as remembering this choice, are always used. Find out more.
Durolane® injections in Tunbridge Wells: a single dose for knee and hip arthritis
Durolane® is a long-acting form of hyaluronic acid, given as one injection into an arthritic knee or hip. At Vale it’s placed under ultrasound guidance, after a free consultation.
Free consultation, with no obligation · £350 per joint
£350Per joint, with a free consultation first
1 injectionA single 3 ml dose
Knee or hipMild to moderate osteoarthritis
UltrasoundGuidance for accurate placement
Osteoarthritis
When stiffness and aching set the limits
Osteoarthritis is the most common reason for a painful knee or hip in later life. The cartilage covering the bone ends wears thinner, and the joint lining can become inflamed.
The fluid inside the joint changes too. It loses some of its hyaluronic acid, the substance that makes it thick and slippery, so it protects the joint less well.
Strengthening exercise, staying active and keeping to a healthy weight help most people. When pain still gets in the way, an injection is one option to consider.
Durolane® contains 60 mg of hyaluronic acid in a 3 ml syringe. It’s made by fermentation, not from animal tissue, so it’s suitable if you have a poultry or egg allergy.
Its hyaluronic acid is lightly cross-linked, a process the manufacturer calls NASHA. This makes the gel more stable, so it stays in the joint longer than ordinary hyaluronic acid. That’s why a full treatment is one injection rather than a weekly course.
What it won’t do: Durolane® doesn’t regrow cartilage or stop arthritis progressing. The aim is less pain and easier movement for a period of months.
What it may offer
Possible benefits
Drawn from published trials. Results differ between people, and some notice little change.
A single injection
One appointment for the treatment, rather than three to five weekly visits.
Knee or hip
Durolane® can be used in either joint, with ultrasound guiding the needle.
Steady relief
In a trial, its benefit held up better at six months than a steroid injection.
No operation
No anaesthetic or recovery period. Most people carry on with their day.
Is this right for you?Find out if Durolane® suits your knee or hip at a free consultation.
The gel restores some of the thickness the joint fluid has lost. Because it’s stabilised, it’s cleared from the joint more slowly than ordinary hyaluronic acid.
Hyaluronic acid may also calm inflammation in the joint lining, which could help explain why relief can last for months.
01
Thinner joint fluid
In osteoarthritis the fluid becomes watery and protects the cartilage less well.
02
Topping it up
Durolane® adds a dose of stabilised hyaluronic acid directly into the joint.
03
Easier movement
Thicker fluid may mean smoother movement and less pain when you put weight through the joint.
Who it suits
Who may benefit from Durolane®?
Durolane® is mainly used for mild to moderate osteoarthritis of the knee or hip.
It may suit you if the joint aches with walking or keeps you awake, and exercise and painkillers haven’t been enough. Some people choose it because they want to avoid repeated steroid injections, or because they’re not ready for surgery.
It’s less likely to help when the joint is badly worn, with bone rubbing on bone. In that case, we’ll talk you through other options, such as Arthrosamid® for the knee, or referral for a surgical opinion.
The evidence
What does the research show?
The most useful Durolane® study compared it directly with a steroid injection in 442 people with knee osteoarthritis [1].
At 12 weeks, both injections had reduced pain by a similar amount.
At 26 weeks, the Durolane® group had held on to more of their improvement.
Research on hyaluronic acid as a whole is more mixed. A Cochrane review found it improved knee pain compared with placebo [2], but NICE advises the NHS not to offer these injections, judging the overall benefit too small [3].
In short, some people get worthwhile relief for months, and others notice little. We’ll tell you honestly whether your joint looks like a good candidate.
We go through your symptoms, health and medicines, and what you’ve already tried. We examine the joint and scan it with ultrasound, and look at any X-rays or MRI scans you bring.
02
Step 2 of 4
Your options
We explain whether Durolane® is a sensible choice, what the alternatives are and what each costs. You don’t have to decide on the day.
03
Step 3 of 4
The injection
The skin is cleaned and the needle is guided into the joint using the live ultrasound image. If the knee is swollen, we may draw off some fluid first.
04
Step 4 of 4
Aftercare
You can walk out straight afterwards. For the first day or two, avoid running, long walks and heavy lifting, then build back up with the exercises we give you.
Step 1 of 4
When to get help
After your injection
Mild soreness for a day or two is common. Contact us, or seek urgent medical advice, if the joint becomes increasingly hot, red, swollen and painful, or you feel feverish or unwell. These can be signs of infection, which is rare but needs prompt treatment.
Injection Therapist and Chiropractor, Clinic Director
GCC 03996
Dr Gabriel Azzini
Doctor, Sport & Exercise Medicine
GMC 7689922
Registered and regulated
Google reviews
What our patients say
5.0from 150 Google reviews
Hyaluronic acid★★★★★
I first saw Gary for a consultation regarding the arthritis in my knees with a view to having a hyaluronic acid injection. Gary was extremely knowledgeable and went through all the options before suggesting which would be the best option for me.
Paula F. · 2025 · Google review
Knee injection★★★★★
My mum had acute knee pain which has been treated at the clinic, she now has much better mobility and positive outlook due to the treatment received. Gary has been so helpful and supportive throughout the consultation and treatment.
Robert C. · 2024 · Google review
Cortisone injection★★★★★
I recently had an ultrasound guided cortisone injection with Gary… Gary took the time to explain everything clearly before the procedure which really put me at ease, not easy when you’re not a fan of needles! The process itself was essentially pain free.
James T. · 2026 · Google review
Frozen shoulder★★★★★
Gary helped me with my frozen shoulder. He was very thorough, professional and informative. I was given a cortisone injection, which he talked me through. During the procedure he was calming and efficient.
Annette P. · 2026 · Google review
Stem cell★★★★★
I cannot thank Gary and Gabriel enough for the stem cell treatment they gave me. When I started my treatment my tendonitis was so bad in my elbows that I couldn’t carry my little children, drive the car or do my day job without getting in severe pain.
You’ll feel a sharp scratch and some pressure as the gel goes in. A hip injection can feel deeper, but ultrasound guidance helps keep it quick.
Are there any risks or side effects?
Some people have soreness, warmth or swelling in the joint for a day or two. Infection is rare but needs prompt treatment, so we’ll tell you what to watch for. We go through your health and medicines at your consultation.
How soon will it work?
Durolane® isn’t a quick fix. Any improvement usually builds over the first few weeks.
How long does it last?
In a large trial, the average benefit was still present at six months. Some people do better than that, and some notice little difference.
Can I have another one?
Yes, if the first one helped. We’ll review how long the benefit lasted before recommending a repeat.
Can I have Durolane® on the NHS?
Usually not. NICE, which advises the NHS in England, doesn’t recommend hyaluronic acid injections for osteoarthritis, so they’re mainly available privately.
Got another question?Ask us at your consultation. You don’t have to go ahead.
ClinicVale Health Clinic, 31–33 Vale Road, Tunbridge Wells TN1 1BS
References
Leighton R, Åkermark C, Therrien R, et al. NASHA hyaluronic acid vs. methylprednisolone for knee osteoarthritis: a prospective, multi-centre, randomized, non-inferiority trial. Osteoarthritis Cartilage 2014;22(1):17–25. doi:10.1016/j.joca.2013.10.009
Bellamy N, Campbell J, Robinson V, et al. Viscosupplementation for the treatment of osteoarthritis of the knee. Cochrane Database Syst Rev 2006;(2):CD005321. doi:10.1002/14651858.CD005321.pub2
National Institute for Health and Care Excellence. Osteoarthritis in over 16s: diagnosis and management. NICE guideline NG226. 2022.
Written by Gary Edwards, Injection Therapist (PG Cert Injection Therapy) and Chiropractor (GCC 03996). Last updated 15 October 2026.
