LSRI Harley Street
Central London
19 Harley Street
London W1G 9QJ
Opening hours
- Mon–Sat
- 9am–7pm
- Sunday
- Closed
Cingal Injections
Available at LSRI Harley Street (W1G 9QJ) and LSRI Northwest London, Harrow (HA2 7SJ).
Advanced dual-action treatment combining corticosteroid and hyaluronic acid for fast, long-lasting knee osteoarthritis relief.
One injection. Relief within days. Benefits lasting up to 6 months.
- 5.0 59 Google reviews
- 5/5 Doctify
-
Bupa
Fee-assured
-
CQC Registered
-
GMC / FRCR
Dr Prashant Sankaye, Consultant MSK Radiologist
Just 1
Injections Needed
Days
Relief Onset
6 Months
Duration
3+ Years
Delays Surgery
The Science
How Cingal's Dual-Action Formula Works
Two proven therapies working together in one powerful injection
Corticosteroid
Fast Pain Relief
Rapidly reduces inflammation in the knee joint, providing immediate relief from pain and swelling
Timing
Within Days
Duration
Stays active for 21 days
Triamcinolone Hexacetonide
Hyaluronic Acid
Long-Term Support
Restores joint lubrication and cushioning, providing sustained improvement in mobility and comfort
Timing
Up to 6 Months
Duration
Proven relief through 26 weeks
Cross-Linked HA (88mg)
+
Combined Result
Fast relief that lasts up to 6 months
Precision Matters
Why Choose Cingal?
The next generation of osteoarthritis pain management
Dual-Action Formula
Fast relief + long-lasting joint support in one
Single Injection
One convenient treatment, no repeat visits needed
Clinically Proven
Evidence from randomized controlled trials
Safe & Effective
Demonstrated safety for repeat injections
Your Relief Timeline
How the dual-action formula works over time
Day 1-3
Immediate Response
Corticosteroid begins reducing inflammation and pain
Week 1-3
Peak Steroid Effect
Maximum anti-inflammatory benefit while HA integrates
Week 4-6
HA Takes Over
Hyaluronic acid provides ongoing lubrication and cushioning
Month 2-6
Sustained Relief
Long-lasting improvement in pain, stiffness, and function
How Cingal Compares
See why Cingal offers the best of both worlds
| Feature |
Cingal
|
Steroid Only | HA Only |
|---|---|---|---|
| Pain Relief Onset | Within days | Within days | 2-4 weeks |
| Duration of Relief | Up to 6 months | 6-12 weeks | 3-6 months |
| Reduces Inflammation | — | ||
| Joint Lubrication | — | ||
| Number of Injections | Single | May need repeat | 1-3 injections |
| Delays Surgery | 3+ years potential | Temporary | Yes |
Clinical Evidence
Backed by Science
Proven results from rigorous clinical trials
368
Patients Studied
26 weeks
Study Duration
RCT
Gold Standard Design
Key Findings
Based on a randomized, double-blind, placebo-controlled multicenter clinical trial comparing Cingal to Monovisc (HA only) and saline placebo.
Is Cingal Right for You?
Cingal works best for patients with mild to moderate knee osteoarthritis
Ideal Candidates
Mild to moderate knee osteoarthritis (Grade I-III)
Seeking non-surgical treatment option
Want both immediate and long-term relief
Looking to delay joint replacement surgery
Active lifestyle you want to maintain
Previous positive response to HA or steroid injections
May Not Be Suitable
Severe osteoarthritis (Grade IV)
Active joint infection
Allergy to hyaluronic acid or steroids
Bleeding disorders
Pregnant or breastfeeding
A consultation with our specialists will determine if Cingal is appropriate for your condition.
What's Included
Comprehensive care from consultation to recovery
Frequently Asked Questions
Everything you need to know about Cingal injections
What is Cingal and how is it different from other injections?
Cingal is a unique single-injection treatment that combines two proven therapies in one: a corticosteroid (triamcinolone hexacetonide) for rapid pain relief and a high-concentration cross-linked hyaluronic acid for long-lasting joint lubrication. Unlike steroid-only injections that provide temporary relief, or HA-only injections that take weeks to work, Cingal delivers both immediate and sustained benefits—fast relief within days that lasts up to 6 months.
How quickly will I feel relief after a Cingal injection?
Most patients begin experiencing pain relief within a few days of the injection as the corticosteroid component reduces inflammation. This rapid relief continues while the hyaluronic acid component integrates with your joint fluid. The steroid effect peaks around weeks 1-3, then the HA takes over to provide sustained relief. Clinical studies show significant improvement in pain, stiffness, and function through 26 weeks (6 months).
How long does Cingal last?
Cingal is designed to provide relief for up to 6 months. In clinical trials, patients showed significant improvement through 26 weeks compared to placebo. The corticosteroid provides immediate relief lasting about 3 weeks, while the hyaluronic acid delivers ongoing lubrication and cushioning that extends benefits through 6 months. Individual results vary based on osteoarthritis severity and activity level.
Who is a good candidate for Cingal injections?
Cingal is ideal for patients with mild to moderate knee osteoarthritis (Kellgren-Lawrence grades I-III) who want both quick pain relief and long-term joint support. It's particularly suitable for active individuals looking to delay joint replacement surgery and those who haven't found adequate relief from other conservative treatments. Patients with severe (grade IV) osteoarthritis may not experience the same benefits. Your specialist will assess your condition to determine if Cingal is right for you.
Is Cingal safe? Can I have repeat injections?
Yes, Cingal has demonstrated safety in clinical trials for both initial and repeat injections. A follow-up study confirmed the safety of receiving a second Cingal injection 6 months after the first. Common side effects are similar to other joint injections: temporary pain, swelling, or stiffness at the injection site. Serious complications are rare when performed by experienced specialists using ultrasound guidance.
Our clinics
Two clinics, one team
Dr Prashant Sankaye, Consultant MSK Radiologist, sees patients at Harley Street in central London and at our Northwest London clinic in Harrow. Call one number to book at either clinic.
19 Harley Street
London W1G 9QJ
LSRI Northwest London
Harrow, Northwest London
62 Station Road
Harrow HA2 7SJ
Opening hours
- Mon–Sat
- 9am–6pm
- Sunday
- 10am–1pm
Dual-Action Relief
Ready for Fast, Long-Lasting Relief?
Experience the power of Cingal's dual-action formula—immediate pain relief with benefits lasting up to 6 months.
For effective, expert-led joint pain relief, book your Cingal injection today!
- Harley Street: Mon–Sat 9am–7pm, Sunday closed
- Harrow: Mon–Sat 9am–6pm, Sunday 10am–1pm