DVLA D4 Medical — HGV & Group 2 Licence | OUR GP Dundee OUR GP — Dundee & Kirkcaldy · Driver Medicals DVLA D4 Medicalfor HGV Drivers The Group 2 medical examination required for HGV, LGV, PCV, bus, coach and taxi licences. Conducted by a GMC-registered GP. D4 form completed and signed on the day. Two clinic locations. Book D4 — Dundee Book D4 — Kirkcaldy GMC-registered GP D4 completed on the day Dundee & Kirkcaldy £65 all-inclusive Jump to a section Who needs a D4? What the exam covers How often do I need one? Medical conditions & D4 What to bring Clinic locations & booking FAQs GMC-registered GP DVLA-compliant assessment D4 signed on the day Dundee & Kirkcaldy clinics Who needs a D4? The examination How often? Medical conditions What to bring Locations FAQs Group 2 driving licences Who needs a DVLA D4 medical? The D4 medical examination report is a legal requirement for anyone applying for or renewing a Group 2 vocational driving licence — this covers HGV, LGV, PCV, bus, coach, and many taxi and private hire licences. Group 2 vehicles are large, heavy, or carry passengers — which means the DVLA holds drivers to significantly higher medical standards than ordinary car drivers. While Group 1 drivers (cars and motorcycles) can largely self-declare medical conditions, Group 2 drivers must provide regular, formal medical evidence through a completed D4 form signed by a GMC-registered doctor. The D4 is not a health check for your own benefit — it is a safety assessment for the benefit of every other road user. HGV / LGV drivers (Category C) All drivers of lorries over 3.5 tonnes — including artic drivers, rigid HGV, and class C vehicles — require a D4 for initial application and renewal. PCV / bus & coach drivers (Category D) Anyone driving a bus, minibus (with more than 8 passenger seats), or coach requires a D4 medical to obtain or renew their PCV entitlement. Taxi & private hire drivers Most local councils and Transport for London require taxi and PHV drivers to meet Group 2 medical standards, often using the D4 form or an equivalent assessment. First-time applicants If you are training for your HGV licence and applying for a provisional Group 2 entitlement for the first time, a D4 medical is required before your provisional is issued. Licence renewals Group 2 licences must be renewed with a D4 medical at age 45, then every 5 years until age 65, and annually thereafter. Missing a renewal means your entitlement lapses. DVLA referrals & reapplications If the DVLA has asked you to provide medical evidence following a health declaration, or if a previous application was refused on medical grounds, a fresh D4 is required. “If you are training for your HGV licence, book your D4 medical early — you cannot proceed with your training or test applications without a valid medical already submitted to the DVLA.” £65 D4 medical all-inclusive D4 form completed and signed on the day. Two locations — Dundee and Kirkcaldy. No referral needed. Short-notice appointments available. Book — Dundee → Book — Kirkcaldy → Call to arrange D4 is required when Applying for first HGV / PCV licence Renewing at age 45, then every 5 years Annual renewal after age 65 DVLA requests medical evidence Reapplying after refusal Taxi / private hire licensing Licence expired and reapplying Back to top The examination What the D4 medical examination covers The D4 is a structured, DVLA-defined assessment — not a general health check. It focuses specifically on conditions and measurements that could affect your ability to safely operate a large or passenger-carrying vehicle. The D4 form is an 8-page DVLA document divided into three sections: the driver’s own declaration, the doctor’s clinical assessment, and the optician’s vision report. At OUR GP, the GP handles the clinical assessment in full and conducts vision testing in-house in most cases, so you typically only need a single appointment. The whole process takes around 45 minutes. The completed, signed D4 form is handed to you on the day to submit directly to the DVLA. The D4 form — 3 sections Section 1 — You Driver’s declaration Your personal details, driving licence number, and a full declaration of your medical history covering all conditions the DVLA requires you to disclose. Section 2 — GP Clinical assessment The GP records blood pressure, BMI, neurological findings, cardiovascular assessment, and clinical review of all declared conditions. Section 3 — Vision Eyesight report Visual acuity and visual field tested using Snellen charts. Completed by the GP in-house or by a separate optician if complex corrective lenses are involved. What our GP examines at your D4 appointment Vision — acuity & field You must read a number plate at 20 metres. Visual acuity must be at least 6/7.5 in the better eye and 6/60 in the other. Visual field is also assessed. Glasses or contact lenses may be worn. Blood pressure Measured at the appointment. A persistent reading of 180/100 mmHg or above is a trigger to stop driving and notify the DVLA. Most drivers with controlled blood pressure pass without issue. Cardiovascular assessment Your heart health history is reviewed including any history of heart attack, angina, arrhythmia, or cardiac procedures. The GP checks pulse and heart sounds where indicated. Neurological function History of epilepsy, seizures, blackouts, stroke, or TIA is specifically reviewed. Group 2 drivers face stricter rules than car drivers — any history requires careful consideration and often specialist input. Diabetes assessment Insulin-treated or tablet-controlled diabetes does not automatically disqualify you, but specific DVLA monitoring requirements apply. Bring evidence of glucose control and recent HbA1c if relevant. Sleep disorders Obstructive sleep apnoea (OSA) is a significant concern for HGV drivers. If you snore heavily, feel excessively tired while driving, or have been told you stop breathing at night, disclose this. Medical history review A full review of your declared medical history — including mental health conditions, alcohol or substance use, medications, and any condition that could affect safe driving. Physical examination A brief physical check for any obvious limitations that could affect safe vehicle operation — including limb function, mobility, and any relevant physical disability or impairment. “The doctor records findings and signs the D4 — but the doctor does not make the final licensing decision. The DVLA reviews the completed form and decides whether you meet Group 2 standards. Most drivers with common, managed conditions pass without any difficulty.” ~45 min appointment duration D4 form completed and signed on the day. You submit it directly to the DVLA with your licence application or renewal form. Book — Dundee → Book — Kirkcaldy → Group 2 vision standard Read number plate at 20 metres 6/7.5 acuity in better eye 6/60 acuity in worse eye Visual field meets DVLA standard Glasses or contacts permitted Monoculars cannot hold Group 2 Blood pressure standard Must be below 180/100 mmHg Controlled hypertension — usually fine Single high reading — not automatic fail Persistently high — stop driving, notify DVLA Back to top Renewal schedule How often do you need a D4 medical? The frequency of D4 medicals increases with age. Understanding your renewal schedule is critical — allowing your licence to lapse because a medical wasn’t booked in time can cost you your livelihood. Group 2 licences are not renewed on the same fixed cycle as car licences. The renewal frequency depends on your age and whether the DVLA has issued any conditions on your licence. Many drivers are unaware that once they reach 65, they must renew their D4 medical and licence every single year — a much more demanding schedule than most expect. Missing a renewal date means your Group 2 entitlement automatically lapses, and you cannot legally drive an HGV or PCV until it is reinstated. Age / SituationWhen D4 is requiredFrequency First application (any age) When applying for provisional Group 2 entitlement for the first time Once on application Under 45 Licence valid for up to 5 years — no D4 needed unless DVLA requests one or a notifiable condition develops On DVLA request only Age 45 First mandatory renewal medical — required when renewing at or after 45 Once at age 45 45 to 65 Renewal required every 5 years with a completed D4 medical Every 5 years Age 65 and over Annual renewal mandatory — D4 medical required every year to maintain Group 2 entitlement Every year Conditional licence holders DVLA may issue a shorter licence where a condition requires more frequent review — check your licence expiry carefully As specified by DVLA Health change at any age If you develop a notifiable medical condition, you must inform the DVLA immediately — do not wait for renewal Immediately Don’t leave it to the last minute Book your D4 medical at least 4–6 weeks before your licence expires. The DVLA can take time to process applications and issue new licences. If your licence lapses while the application is being processed, you may be unable to work legally during that period. If you drive after your Group 2 licence has expired — even for one day — you may be committing an offence. Your employer’s insurance may also be invalidated. £65 per D4 medical Short-notice appointments available. Don’t let your licence lapse — book as soon as you know your renewal is due. Book — Dundee → Book — Kirkcaldy → Key renewal reminders Check your licence expiry date now Book D4 at least 4–6 weeks before expiry Over 65? You need a D4 every single year New health condition? Tell DVLA immediately Driving on a lapsed licence may be an offence Back to top Medical history Medical conditions & the D4 Having a medical condition does not automatically mean you will fail your D4 or lose your licence. Most common conditions are acceptable if well managed — but they must be declared honestly. The most important thing to understand about the D4 is that honesty is always the right approach. Failing to declare a relevant medical condition is not just a risk to your health — it is a criminal offence that can result in licence revocation, a fine of up to £1,000, and the invalidation of your employer’s commercial insurance. The DVLA’s job is not to disqualify drivers — it is to ensure that conditions are properly managed and monitored. ConditionGroup 2 position Controlled hypertension (blood pressure)On medication, well controlled Usually acceptable — most drivers with treated hypertension pass without issue Type 2 diabetes (diet or tablet controlled)No insulin Usually acceptable — must be well controlled with regular monitoring evidence Insulin-treated diabetesType 1 or Type 2 on insulin Requires DVLA assessment — strict monitoring requirements; annual licence with evidence of control. Must carry glucose monitor. Epilepsy / seizuresHistory of seizures Requires DVLA review — Group 2 rules are stricter. Longer seizure-free periods required. Specialist report often needed. Sleep apnoea (OSA)With or without CPAP treatment Must be declared and assessed — treated OSA with CPAP compliance data may be acceptable. Untreated significant OSA — must not drive. Previous heart attack or cardiac eventMI, angina, cardiac procedure Requires specialist report — often requires cardiologist assessment and a period off Group 2 driving before relicensing Stroke or TIAHistory of cerebrovascular event Requires DVLA review — Group 2 rules are stricter than Group 1. Period off driving required, then specialist report needed. Mental health conditionsDepression, anxiety, bipolar, etc. Assessed individually — depends on condition, treatment, and stability. Controlled and stable conditions often acceptable. Visual impairmentCorrected or uncorrected Corrected vision often acceptable — provided Group 2 standards are met with glasses or contacts in use Alcohol dependency (history)Past or current Must be declared — period of abstinence required; specialist report and liver function evidence may be needed “Not sure whether your condition needs to be declared? The rule is simple — if in doubt, declare it. Our GP will advise honestly at your appointment whether the condition is likely to affect your D4 outcome and what the DVLA will require.” Ask us first before booking Concerned about a specific condition? Call or WhatsApp us before your appointment and our GP will advise on whether it is likely to affect your D4. WhatsApp to discuss → Call us Failing doesn’t mean permanent ban Many conditions cause a delay — not a permanent refusal DVLA often requires more evidence or specialist reports Once conditions are controlled, relicensing is often possible A shorter licence with review dates may be issued Our GP will advise on next steps if your D4 cannot be completed Back to top Preparation What to bring to your D4 appointment Arriving prepared saves time and avoids your D4 form being delayed or returned by the DVLA. Read this section carefully before your appointment. The D4 medical is a formal DVLA document — errors or missing information on the form are one of the most common reasons for delays. Our GP will complete the form carefully at your appointment, but there are things only you can provide. Bring everything on the list below. If you are unsure about any of it, call us in advance and we will advise. Essential — must bring Current photocard driving licence — required to confirm identity and driver number Second form of ID — passport, utility bill, or bank statement Glasses or contact lenses — bring exactly what you use when driving; the vision test is done with them in Full medication list — name, dose, and what it’s for; include over-the-counter medications if relevant Bring if relevant to your health Optician’s report — if you have a recent optician’s report or prescription, bring it; it helps confirm your corrected visual acuity and can speed up the vision section of the D4 Diabetic monitoring records — recent HbA1c result, home blood glucose diary; for insulin users, DVLA requires 3 months of readings CPAP compliance data — if you use CPAP for sleep apnoea, bring downloaded usage records Specialist letters or reports — cardiology, neurology, or any specialist involved in managing a notifiable condition Home blood pressure readings — if you have known hypertension, a recent diary of home readings is helpful Do I need to bring the D4 form itself? No — you do not need to bring or print the D4 form. We provide the form at your appointment. If the DVLA has already sent you a pre-filled renewal form (D47P), bring that with you. If you have already printed and partially completed a D4 you downloaded from GOV.UK, bring that too — but we will also have a copy if needed. Common mistakes that delay DVLA processing The DVLA returns forms with mismatched names, wrong addresses, or incorrect licence numbers. Everything on the D4 must match your licence exactly — including middle names and address. Our GP will help you complete this correctly. Never leave a field blank. If a question does not apply, write “N/A” or “None.” Blank fields are treated as missing information and cause delays. Ready? book your D4 Once you have everything on the list, book your appointment. Short-notice slots available at both Dundee and Kirkcaldy. Book — Dundee → Book — Kirkcaldy → Call us After your appointment D4 form signed and handed to you on the day Submit to DVLA with your D2 (new) or D47P (renewal) Keep a photocopy for your records DVLA processing typically takes 2–6 weeks Contact DVLA on 0300 790 6806 if chasing Back to top Two clinic locations Book your D4 medical — Dundee or Kirkcaldy OUR GP offers D4 medicals at two locations — our Dundee clinic and in Kirkcaldy in partnership with Direct HGV Driver Training, making us convenient for drivers across Tayside, Fife, and Angus. Whether you are based in Dundee, Perth, Fife, or Angus, we have a clinic location to suit you. Our Kirkcaldy clinic is run in partnership with Direct HGV Driver Training — ideal if you are currently training for your HGV licence and want to have your medical done at the same location as your training. Both clinics offer short-notice appointments, with the D4 form completed and signed on the day. Main clinic Dundee 14 Dudhope StreetDundee, DD1 1JUServing Dundee, Perth, Angus & Tayside £65 D4 medical all-inclusive Book D4 — Dundee → Fife clinic Kirkcaldy Direct HGV Driver TrainingKirkcaldy, FifeServing Fife, Glenrothes & surrounding areas £65 D4 medical all-inclusive Book D4 — Kirkcaldy → Currently training for your HGV? Our Kirkcaldy clinic is based at Direct HGV Driver Training — so if you’re training for your licence, you can have your D4 medical done at the same location. No need to travel to a separate clinic. Call us or book online for the Kirkcaldy slot. 1 Book your appointment online or by phone Choose your preferred clinic location — Dundee or Kirkcaldy — and select a time that suits you. Short-notice slots are usually available. Let us know if your licence is about to expire and we will do our best to accommodate you urgently. 2 Attend with your documents Bring your driving licence, ID, glasses if worn, medication list, and any relevant medical letters or records. The appointment takes approximately 45 minutes from start to finish. 3 GP conducts the full D4 examination Vision testing, blood pressure, medical history review, physical assessment, and neurological screening — all in one appointment. No separate optician visit needed in most cases. 4 D4 form signed and handed to you The completed, GP-signed D4 form is given to you at the end of the appointment. You submit it directly to the DVLA with your licence application (D2) or renewal form (D47P). £65 both locations Same price at both clinics. D4 completed and signed on the day. Short-notice and urgent appointments accommodated where possible. Book — Dundee → Book — Kirkcaldy → Call to discuss What’s included for £65 Full D4 medical examination Vision testing (Snellen in-house) Blood pressure measurement Medical history review D4 form completed & GP-signed D4 form provided — no need to print your own Back to top Common questions Frequently asked questions Straight answers to the questions HGV and PCV drivers ask us most often about the D4 medical. The D4 medical is routine for most professional drivers — but it generates a lot of questions, particularly among those approaching their first renewal at 45 or those with a managed health condition. If your question isn’t here, call or WhatsApp us and we’ll be happy to advise. Do I need to bring the D4 form with me? No — we provide the D4 form at your appointment. You do not need to download, print, or pre-fill the form before attending. If the DVLA has already sent you a pre-filled D47P renewal form, bring that with you. If you have already started completing a D4 you downloaded yourself, bring that too — but it is not required. How long does the D4 medical take? The appointment typically takes around 45 minutes from start to finish. This includes the vision test, blood pressure measurement, medical history review, physical assessment, and completion of the form. In most cases no separate optician visit is needed — vision testing is done in-house by our GP. If you have a complex vision prescription or eye condition, an optician may need to complete that section separately. Will I fail if my blood pressure is high? Not necessarily. A single elevated reading does not automatically prevent the D4 from being completed — blood pressure can fluctuate due to anxiety, caffeine, or recent activity. Our GP will take a clinical view. However, if your blood pressure is persistently above 180/100 mmHg, the DVLA requires that you stop driving and notify them. If you are on blood pressure medication and it is well controlled, most drivers have no difficulty passing the D4 assessment. I take medication — will that be a problem? Most medications are not a problem for Group 2 licensing. Bring a full list of everything you take — name, dose, and what it’s prescribed for. Some medications can cause drowsiness or impair reaction times, which the DVLA will consider. Others — like blood pressure medication or statins — are completely routine and will not affect your D4 outcome. If you are unsure about a specific medication, call us before your appointment and we will advise. What happens if I cannot complete the D4 on the day? In rare cases, the GP may not be able to complete or sign the D4 at the appointment — for example, if a condition requires further specialist input before the form can be finalised. If this happens, our GP will explain why clearly, advise what evidence or reports the DVLA is likely to need, and suggest the next steps. You will not be charged again for a follow-up appointment if it is related to the same issue. A D4 that cannot be completed is not the same as a permanent licence refusal — it is usually a request for more information. Can I drive while my D4 application is being processed by the DVLA? This depends on your specific situation. For renewals where the application is received by the DVLA before your licence expires and you have no notifiable conditions, you may be able to continue driving on your existing entitlement while the application is processed — but this is not automatic and you should confirm with the DVLA. If your licence has already expired, you cannot drive a Group 2 vehicle until your new licence is received. If in doubt, contact the DVLA directly on 0300 790 6806 before driving. I’m starting my HGV training — when do I need the D4? You need to submit your D4 to the DVLA as part of your provisional Group 2 application before you can legally begin HGV training. Book your D4 medical as early as possible — ideally before you start or at the very beginning of your training, not after. Our Kirkcaldy clinic is based at Direct HGV Driver Training, so if you are training in Fife, you can have your D4 done on-site. Allow time for the DVLA to process the application — typically 2–6 weeks. £65 Dundee & Kirkcaldy D4 form completed and signed on the day. No referral needed. Short-notice appointments available at both clinics. Book — Dundee → Book — Kirkcaldy → Call us Quick facts Price: £65 all-inclusive Duration: ~45 minutes D4 form provided — don’t need to print Form signed on the day Vision tested in-house Two locations: Dundee & Kirkcaldy Short-notice appointments available GMC-registered GP throughout Back to top Book your D4 medical today. Dundee and Kirkcaldy clinics. £65 all-inclusive. D4 form completed and signed on the day. Short-notice appointments available. Don’t let your licence lapse. Book D4 — Dundee Book D4 — Kirkcaldy +44 7468 987807 Joint Injections | OUR GP Dundee | Private GP Clinic OUR GP — Dundee · Pain Management Joint Injections GP-administered steroid injections for joint and soft tissue pain. Fast, effective relief lasting 3–4 months — for knees, shoulders, hips, elbows and more. From £100. Book an injection +44 7468 987807 GP-administered From £100 Lasts 3–4 months Same-day available Jump to a section About steroid injections Joints & conditions treated What to expect Safety & what to tell us Pricing FAQs GP-administered injections Steroid depo preparations Relief lasting 3–4 months Same-day appointments available About injections Joints treated What to expect Safety Pricing FAQs The treatment About corticosteroid joint injections Joint injections deliver a powerful anti-inflammatory steroid preparation directly into the affected joint or surrounding soft tissue — providing fast, targeted relief where it is needed most. At OUR GP we use steroid depo preparations — long-acting corticosteroid formulations that are injected directly into the joint space or soft tissue. Unlike oral anti-inflammatory medications, which affect the whole body, a joint injection concentrates the medication precisely where your pain is coming from. This means a higher local effect with a lower systemic dose. Relief typically lasts around 3–4 months within the joint or soft tissue, though individual responses vary. 1 Intra-articular steroid injection The most common type — the corticosteroid is injected directly into the joint space (e.g. knee, shoulder, hip). It reduces inflammation within the joint lining (synovium), relieving pain and improving movement. Effect typically lasts 3–4 months. 2 Periarticular / soft tissue injection Delivered into the soft tissues around a joint — including tendons, bursae, and fascial planes. Used for conditions such as tennis elbow, plantar fasciitis, rotator cuff tendinitis, and greater trochanteric bursitis. 3 Combined steroid & local anaesthetic A local anaesthetic is added to the injection alongside the steroid. This provides immediate short-term pain relief — confirming the injection is in the right place — while the steroid takes effect over the following days. “Steroid injections are not a cure — they reduce inflammation and pain to allow you to function better and engage with physiotherapy or rehabilitation. The underlying condition should be managed alongside the injection.” From £100 consultation + injection Includes the GP consultation and the injection itself. No additional charge for the steroid preparation. See the pricing section for full details. Book an injection → Call to discuss How quickly does it work? Local anaesthetic component — immediate (hours) Steroid takes effect — 2–7 days Peak effect — 1–2 weeks after injection Duration of relief — typically 3–4 months Repeat injections — usually possible after 3 months What are depo preparations? Slow-release steroid formulations Remain active in the joint for weeks to months Lower systemic absorption than oral steroids Examples: depo-medrone, kenalog Back to top What we treat Joints & conditions we treat We treat a wide range of joints and soft tissue conditions — from large joints such as the knee and shoulder to smaller structures such as the wrist, hand, and tendon insertions. Corticosteroid injections are most effective when the pain is caused by inflammation — whether within the joint itself (arthritis, synovitis) or in the surrounding soft tissues (tendinopathy, bursitis, fasciitis). Our GP will take a brief clinical history and examine the affected area before proceeding to ensure that an injection is the appropriate treatment for your specific presentation. Knee Osteoarthritis, synovitis, bursitis, patellofemoral pain Shoulder Rotator cuff tendinopathy, subacromial impingement, frozen shoulder, acromioclavicular joint Hip Greater trochanteric bursitis, hip osteoarthritis, iliotibial band syndrome Elbow Lateral epicondylitis (tennis elbow), medial epicondylitis (golfer’s elbow), olecranon bursitis Ankle & foot Plantar fasciitis, ankle synovitis, Achilles tendon bursitis, Morton’s neuroma Wrist & hand De Quervain’s tenosynovitis, carpal tunnel, small joint arthritis, trigger finger Trigger points Myofascial trigger point injections for localised muscle pain and spasm Not sure? Contact us and our GP will advise whether an injection is appropriate for your specific condition “If you’ve tried physiotherapy, rest, and oral anti-inflammatories and are still struggling with joint pain, a steroid injection may be the next appropriate step. Our GP will give you an honest assessment.” From £100 per injection Unsure whether your joint or condition is suitable? Call or WhatsApp us and our GP will advise before you book. Book now → WhatsApp to discuss Conditions that respond well Osteoarthritis flares Inflammatory arthritis Tendinopathy & tendinitis Bursitis (joint bursa inflammation) Fasciitis (plantar, iliotibial) Synovitis (joint lining inflammation) Capsulitis (frozen shoulder) Back to top Your appointment What to expect at your injection appointment A straightforward, clinical experience in a calm environment — most appointments take 20–30 minutes from arrival to leaving the clinic. Joint injection appointments at OUR GP begin with a brief consultation — our GP will review your history, ask about your current symptoms, and examine the affected joint or soft tissue. If an injection is appropriate and you are happy to proceed, the injection is carried out in the same appointment. You can usually drive and carry out normal activities afterwards, though we recommend resting the injected area for 24–48 hours. 1 Brief GP consultation Your GP reviews your history and symptoms, examines the joint, confirms that a steroid injection is clinically appropriate, and answers any questions you have before proceeding. 2 Skin preparation The skin over the injection site is cleaned with an antiseptic wipe. The area is palpated to identify the correct entry point. A skin-numbing spray or local anaesthetic may be used if preferred. 3 The injection A needle is introduced into the target site and the steroid (and local anaesthetic if included) is delivered. Most patients feel a brief pressure sensation. The procedure typically takes under 2 minutes. 4 Aftercare advice Your GP provides written and verbal aftercare instructions. Rest the joint for 24–48 hours. Avoid strenuous activity for a few days. Some post-injection soreness is normal and resolves within 48 hours. 5 Follow-up We will advise on when to expect the steroid to take full effect (typically 1–2 weeks). If you have concerns after the injection, contact us. Follow-up injections can be arranged after 3 months if required. “Most patients find the injection less uncomfortable than expected. The procedure itself takes under 2 minutes. The GP will talk you through every step before and during.” 20–30 min total appointment time Same-day appointments available in most cases. Book online or call us — no referral from your NHS GP is needed. Book now → Call us After your injection Rest the joint for 24–48 hours Avoid strenuous exercise for 48–72 hours Some soreness is normal — take paracetamol if needed Ice packs can help (15–20 min intervals) Full effect expected within 1–2 weeks Contact us if signs of infection develop Back to top Important information Safety & what to tell your GP Steroid injections are safe and well-tolerated in most patients — but there are important things we need to know before proceeding. Please disclose the following before your appointment. While joint injections are a very commonly performed and safe procedure, they are not suitable for everyone. To ensure your injection is safe and effective, please tell our GP about any blood-thinning medications you take and any known allergies — especially to medications, latex, or antiseptic preparations. This information is essential and must be disclosed before the injection is given. Please tell us if you are on blood-thinning medication If you take any anticoagulant or antiplatelet medication, you must inform our GP before your injection appointment. This includes warfarin, rivaroxaban (Xarelto), apixaban (Eliquis), dabigatran (Pradaxa), edoxaban, clopidogrel, aspirin (in antiplatelet doses), and any other blood-thinning agents. Blood thinners increase the risk of bruising and bleeding at the injection site. Your GP will assess whether to proceed, adjust technique accordingly, or advise you to speak with your prescriber first. Do not stop blood-thinning medication without medical advice. Please disclose all known allergies Tell your GP about any allergies you have — particularly to corticosteroids, local anaesthetics (such as lidocaine or bupivacaine), latex, iodine, chlorhexidine, or any other antiseptic or cleaning preparations. Allergic reactions to joint injection preparations are rare but can occur. Disclosing your allergies allows us to select the safest preparation and approach for you. If you have had a previous reaction to any injection, please tell us in advance. Other important information to share with your GP Current infections — injections should not be given if you have an active infection, including skin infection near the injection site Diabetes — steroids can temporarily raise blood sugar levels; diabetic patients should monitor glucose after the injection Pregnancy or breastfeeding — please inform your GP; injections may still be appropriate but require careful consideration Recent joint injections — there should usually be at least 3 months between injections into the same joint Immunosuppression — patients on immunosuppressant therapy require careful assessment before any steroid injection Suspected joint infection (septic arthritis) — this is a contraindication; if your joint is hot, very swollen and you are unwell, seek urgent NHS care Tell us first before your appointment If you are on blood thinners or have allergies, please mention this when booking — not on the day. This allows us to prepare appropriately or advise you in advance. Book and declare → WhatsApp to discuss Blood thinners — common examples Warfarin Rivaroxaban (Xarelto) Apixaban (Eliquis) Dabigatran (Pradaxa) Clopidogrel Aspirin (antiplatelet dose) Any other anticoagulant Allergy examples to disclose Corticosteroids Local anaesthetics (lidocaine etc.) Latex Chlorhexidine or iodine Any previous injection reaction Back to top Transparent pricing Joint injection prices All-inclusive pricing — the fee covers the GP consultation and the injection. No additional charge for the steroid preparation or the clinical procedure. Our joint injection fees are all-inclusive — they cover the GP consultation, clinical assessment, the steroid depo preparation, and the injection procedure itself. There are no hidden charges. For patients who require a follow-up injection to the same joint, a reduced follow-up rate applies as a full consultation is not repeated. Pricing Initial consultation + injection Includes GP assessment, steroid depo preparation & injection From £100 Follow-up injection (same joint) No full consultation required — injection only From £80 Multiple joints in same appointment Enquire for combined pricing when treating more than one site POA What’s included in the fee GP consultation and clinical assessment Steroid depo preparation (e.g. depo-medrone, kenalog) Local anaesthetic where included Needle, syringe and sterile consumables Post-injection aftercare advice (written and verbal) Repeat injections Most joints can be re-injected after a minimum of 3 months. There is a general clinical guideline that no joint should receive more than 3–4 steroid injections per year. Your GP will advise on the appropriate interval based on your individual circumstances and response to treatment. From £100 all-inclusive Book online or call us. No referral from your NHS GP is needed. Same-day appointments available in most cases. Book an injection → Call us No referral needed No NHS GP referral required No physiotherapy report needed Book directly online or by phone Same-day appointments in most cases Back to top Common questions Frequently asked questions Answers to the questions we hear most often about joint injections at OUR GP. Joint injections are one of the most effective treatments for inflammatory joint and soft tissue pain, yet many patients are uncertain about the procedure, its safety, and whether it’s right for them. If your question isn’t answered below, contact us before booking — we’re happy to advise. Does a joint injection hurt? Most patients find the injection less uncomfortable than they expected. You will feel a brief sharp sensation as the needle passes through the skin, followed by a pressure sensation as the fluid is delivered. If a local anaesthetic is included in the injection, you may feel immediate warmth or numbness at the site. The procedure itself takes under 2 minutes. If you are particularly anxious, please let us know and we can use a skin-numbing spray beforehand. How long does the relief last? Steroid depo preparations typically provide relief lasting around 3–4 months within the joint or soft tissue, though individual responses vary. Some patients experience longer-lasting relief — particularly after a first injection into a relatively early inflammatory condition. Others may find the effect wears off sooner. Your GP will advise on the appropriate timing of any follow-up injection. I take blood thinners — can I still have an injection? Possibly, but you must inform our GP before your appointment. Blood-thinning medications increase the risk of bleeding and bruising at the injection site. In many cases the injection can still be safely performed with appropriate technique and monitoring, but your GP needs to make an informed decision based on the specific medication you are taking, the dose, and the joint being injected. Do not stop any blood-thinning medication before speaking to your prescribing doctor. Can I drive after a joint injection? In most cases yes — you should be able to drive after the injection once any immediate numbness from a local anaesthetic has worn off. If a local anaesthetic is used, we advise waiting 30–60 minutes before driving and testing the joint’s range of movement and strength first. For lower limb injections (knee, ankle, foot), extra care is needed. Your GP will advise you specifically at the time of your appointment. Are there any side effects? Side effects are uncommon but can include: post-injection flare (increased pain for 24–48 hours after the injection — common and temporary), skin thinning or discolouration around the injection site, small risk of infection (rare), temporary blood sugar elevation in diabetic patients, and facial flushing. Serious complications such as joint infection (septic arthritis) are very rare when injections are performed using correct sterile technique. Your GP will discuss these with you before proceeding. How many injections can I have? There is a general guideline that a joint should not receive more than 3–4 steroid injections per year, and at least 3 months should elapse between injections into the same site. Repeated injections over a short period can potentially weaken the surrounding tendons and cartilage. Your GP will advise on the most appropriate treatment frequency based on your response and overall clinical picture. From £100 all-inclusive Still have a question? Call or WhatsApp us before booking — we’ll give you an honest answer about whether an injection is right for your situation. Book now → WhatsApp us Quick summary From £100 all-inclusive Steroid depo preparations used Relief lasts 3–4 months typically Disclose blood thinners & allergies No referral needed Same-day appointments available Minimum 3 months between repeat injections Back to top Ready to find relief? Same-day joint injection appointments in Dundee. GP-administered steroid injections from £100. No referral needed. Book online or call us. Book an injection WhatsApp us +44 7468 987807