Cingal injections for knee osteoarthritis at our Station House clinic in Sandbach, Cheshire. One injection that combines a fast-acting steroid with long-lasting hyaluronic acid, for relief that starts quickly and can last up to six months.
- £550 for a Cingal injection
- Steroid and hyaluronic acid in one injection
- Every injection placed under live ultrasound
- No GP referral needed
What is Cingal?
Cingal is a single-injection treatment for knee osteoarthritis pain. It combines triamcinolone hexacetonide, an anti-inflammatory steroid, with high molecular weight, high concentration cross-linked hyaluronic acid (HA). It is the first and only CE-marked combination of hyaluronic acid and corticosteroid, formulated to give both immediate and sustained relief.
How Cingal works
- Calms inflammation. The steroid settles inflammation, the main cause of osteoarthritis pain, within 48 hours. When cartilage breaks down it releases chemicals that cause pain and swelling and degrade the joint’s natural HA.
- Supports the joint. The hyaluronic acid tops up the reduced natural HA in the synovial fluid, providing lubrication and mechanical support and stimulating the joint’s own HA production.
- Breaks the pain cycle. By controlling inflammation first, the steroid protects the injected HA from breaking down too quickly, so it can keep supporting the joint.
Clinical results
Cingal has been studied in randomised, double-blind, placebo-controlled trials involving over 300 patients:
- 59% reduction in pain at one week, with 89% of patients responding positively
- 72% average pain reduction at 26 weeks, with 92% of patients responding positively
- Benefits often continued beyond the six-month study period
- A 2% adverse event rate, with side effects typically minor and settling without treatment
Why choose Cingal?
- One injection. Some HA treatments need up to five injections. Cingal is a single injection.
- Two actions in one. The rapid relief of a steroid with the longer-term joint support of HA (Monovisc).
- A high dose of HA. 88mg of hyaluronic acid to stimulate the joint’s own HA production.
- Fast and lasting. Longer-lasting than a steroid injection alone and quicker to work than hyaluronic acid alone, which can take weeks to show benefits.
Who is Cingal for?
Cingal suits people with mild to moderate knee osteoarthritis who have:
- Daily activities limited by knee pain
- Pain and stiffness that comes and goes
- Not had enough relief from rest, exercise or over-the-counter medicines
- Flare-ups after physical activity
- Had steroid injections before where the benefit wore off quickly
It is a good fit if you want fast relief that lasts, are not ready for surgery and want to stay active. For longer-lasting relief from a single injection, ask us about Arthrosamid.
Cingal injection price
A Cingal injection costs £550.
Who will treat you
Every injection is performed by Ben Harper, our Injection Service Lead, under live ultrasound imaging so the needle is placed exactly where it is needed. Ben was a lead clinician for Team GB at the Tokyo 2020 and Paris 2024 Olympic Games and holds a postgraduate certificate in musculoskeletal ultrasound.
How to get started
- Register for an injection. The form covers your symptoms, medical history and consent.
- Our team reviews your registration. If you have recent imaging or a consultant referral that confirms your diagnosis, you may be able to book your Cingal injection directly.
- Not sure what is causing your pain? Book a pre-injection consultation, where Ben uses ultrasound to confirm the diagnosis and talks you through the options.
- After your appointment you will receive a letter outlining the findings and treatment, including any medication and dosage, to pass on to your GP.
Cingal injections near Crewe, Holmes Chapel and Middlewich
Looking for a Cingal injection in Cheshire? All of our injections take place at Station House in Sandbach, on the corner of Sandbach station and less than a minute’s walk from the platform. It is the first stop after Crewe and there is plenty of parking.
Patients travel to us from Crewe (about six miles), Middlewich (about four miles), Holmes Chapel, Northwich and across Cheshire, and you do not need a GP referral. Find out more about our joint injection service.
