Injection Therapy (Corticosteroid & Hyaluronic Acid)

Vitamin Injection service – Sarah Bittles-Kincaid – Senior Physiotherapist

• Vitamin D injections – £40

• Vitamin B12 injections – £25

• Biotin injections – £25

• Vitamin C injections – £25

• Winter Bundle to include all of the above – £100

  VIT D:
  Vit D deficiency affects the bones and muscles, often associated with poor sun exposure / winter.
  Signs and symptoms of Vit D deficiency are:
  ● Tiredness, low energy or fatigue
  ● Low mood or mild depression (“Winter blues”)
  ● Muscle weakness or aches — especially in thighs, hips, shoulders, and back
  ● Bone discomfort or diffuse pain (often described as “deep ache” in ribs, legs, or pelvis)
  ● Frequent illness or infections — due to reduced immune function
  ● Hair loss or brittle hair
  ● Slow wound healing
  ● Bone pain or tenderness — especially over the sternum, shins, or forearms
  ● Muscle cramps or spasms (due to low calcium regulation)
  ● Difficulty climbing stairs, standing up, or getting out of a chair
  ● Postural instability and increased fall risk (in older adults)

  Severe or Prolonged Vit D Deficiency:

  ● Soft, fragile, or demineralised bones
  ● Bone deformities (bowed legs in children, spinal curvature in adults)
  ● Fractures after minimal trauma
  ● Dental issues — delayed tooth eruption, weak enamel
  ● Severe muscle weakness

  B12:
  B12 deficiency affects the bone marrow, it makes less red blood cells, this affects the blood and the nervous
  system.
  Signs and symptoms of B12 deficiency are:
  ● Extreme tiredness
  ● Lethargy even after a good rest
  ● Feeling faint
  ● Pins and needles in hands / feet
  ● Sore tongue / smooth and red tongue
  ● Mouth ulcers
  ● Muscle weakness
  ● Visual disturbances
  ● Mobility problems / balance problems / coordination problems
  ● General nausea / vomiting / diarrhea or constipation
  ● Loss of appetite / weight loss (see GP if this is a lot in a short period for no reason)
  ● Palpitations
  ● Shortness of breath, especially during physical activity
  ● Persistent headaches
  ● Dizziness
  ● Confusion
  ● Lack of judgement
  ● Irritability / depression / mood changes / poor concentration / anxiety
  ● Pale skin
  ● Memory loss

  Biotin:
  Biotin helps support a healthy nervous system and improves the basic protein that makes up hair, skin and nails.
  Signs and symptoms of BIOTIN deficiency are:
  ● Skin and Hair: Thinning hair and hair loss, a scaly red rash or inflammation around the eyes, nose, mouth
  or perineum.
  ● Nails: Brittle or thin nails that break easily
  ● Wellbeing: Poor energy levels, lethargy, fatigue, low mood
  ● Neurological: Tingling or pins and needles in the hands and feet or numbness
  ● Muscles: Muscle pain and weakness
  ● Skin: A scaly red rash.
  ● Hearing loss, vision problems (optic atrophy)
  ● Severe Biotin deficiency and Untreated Symptoms: In rare, severe cases or in infants with a genetic
  disorder, symptoms can progress to: Optic atrophy (damage to the optic nerve), Hearing loss, Seizures,
  Coma

  VIT C:
  Vit C is needed for the health and repair of various tissues in the body, including skin, collagen formation, bone
  health, teeth and cartilage.
  Signs and symptoms of Vit C deficiency are:
  ● Fatigue
  ● Irritability or low mood
  ● Swollen and bleeding gums
  ● Muscle and joint pain
  ● Dry, rough skin
  ● Dry hair
  ● Loose teeth
  ● Poor wound healing
  ● Nosebleeds
  ● Unexplained weight gain
  ● Anaemia
  ● Scurvy (rare in UK)
  ● A blood test would show exact levels of vitamin C in the body

Should you have have any severe symptoms of the above, please see your GP for advice and further investigations.