Cingal® Injection for Knee Osteoarthritis
Fast-acting relief from joint pain with combined anti-inflammatory and lubricating action
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Fast-acting relief from joint pain with combined anti-inflammatory and lubricating action

Cingal® is a unique, clinically proven injection designed to relieve knee osteoarthritis (OA) pain quickly and effectively. It’s the only treatment that combines two powerful therapies in a single injection:
This dual-action approach makes Cingal® an excellent option for patients who want both immediate comfort and longer-lasting improvement in joint mobility.
It contains a higher concentration of sodium hyaluronate (hyaluronic acid) than standard OSTENIL®, plus mannitol, and offers the option to reduce the number of injections to one per treatment cycle.
Cingal® mimics the joint’s natural synovial fluid, improving shock absorption and movement. The added corticosteroid component acts within days to reduce inflammation, while the HA continues to lubricate and protect the joint for several months.
Key benefits:

Cingal® is suitable for patients with mild to moderate knee osteoarthritis, especially those who:
When the effect of OSTENIL® PLUS begins to wear off, if considered appropriate by your clinician, you may safely choose to have another injection whenever necessary.
After a consultation with one of our clinicians, Cingal® is injected directly into the knee joint under sterile conditions. You may feel a mild pressure or tightness during the procedure. Most patients return to normal activities within 24–48 hours.
Outcomes reported in studies:
Our Cingal® treatment package includes:
• An assessment with our clinician
• Corticosteroid and hyaluronic acid injection by our experienced clinician
• Aftercare support and guidance where needed
Price: £300
Contact us today to book your assessment or learn whether Cingal® is right for you.
Tel. 01900 268184
Email. reception@proactivephysicalhealth.co.uk
50 Finkle Street, Workington, Cumbria, CA14 2AZ

Cingal® is generally well-tolerated. Some patients may experience mild joint discomfort or swelling after the injection, which usually resolves within a few days.
It may not be suitable for patients with:
We always carry out a thorough consultation to assess your suitability and ensure the best outcomes.
“Thanks to Proactive Physio for the treatment, advice and support across a multitude of injuries sustained during a variety of sporting challenges. Always managed to get back in action quickly following sessions and guidance issued by the clinic. Offers a wide spectrum of treatments for all work, sport and long-term conditions. Professional and knowledgeable staff always happy to help out. Would highly recommend as your first port of call.”
Liam Nicholls, RFU Development Officer (Recreational Triathlete), West Cumbria Tri Club
“I went to Proactive Physical health with a longstanding niggling injury. After an assessment the Physio clearly explained what the injury was and how to treat it. I was given rehab that was specific to the demands of my sport. I was able to play with much less pain and more confidence which really helped my performance on the pitch.”
Callum Phillips, Whitehaven RL, Scotland RL International
“I’ve been coming to see Nigel at Proactive Physical Health for many years now, mainly because he is patient and very knowledgeable. I always leave feeling reassured and confident I’m going in the right direction. If ever I have a problem or any tightness, I’ll always give them a call to book an appointment straight away.”
Ricky Lightfoot, Salomon sponsored athlete, World Champion Trail Runner and Team GB Mountain Runner
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