Osteoarthritis is a degenerative joint condition caused by the gradual breakdown of cartilage — often due to wear and tear, previous injury, or biomechanical stress. As cartilage deteriorates, the joint loses its smooth, gliding surface and shock-absorbing function, leading to pain, stiffness, and reduced mobility.
In the past, joint replacement surgery was often the only viable option for patients requiring sustained relief. However, for many individuals unable or unwilling to undergo major surgery, alternative treatments were needed to bridge the gap.
Since 2013, Dr Lewis has provided non-surgical osteoarthritis management for the Gold Coast community. He is one of the region’s most experienced musculoskeletal specialists in the use of platelet-rich plasma (PRP) and hyaluronic acid (HA) injections. With a focus on individualised assessment and careful patient selection, Dr Lewis has helped many patients reduce pain, avoid surgery, and return to the activities they enjoy.
Cortisone injections may be recommended when both diagnostic clarity and symptom relief are needed.
All cortisone injections are ultrasound-guided for precision. When cortisone is combined with local anaesthetic, a successful reduction in pain after injection confirms the targeted area is the source. If not immediately clear, we may monitor your response over time or with the aid of a pain chart.
Cortisone helps reduce inflammation and relieve pain in conditions like bursitis, tendinopathy, and joint irritation. However, repeated cortisone injections can weaken tendons or cartilage, so we use them sparingly and strategically.
We use cortisone:
✔ To confirm diagnosis when the pain source is unclear
✔ To support rehabilitation when pain limits progress
Affects the small joints of the foot and ankle, causing stiffness and pain.
Treatment Options:
A bony deformity at the base of the big toe, pain and difficulty in footwear.
Treatment Options:
Characterised by cartilage degeneration, leading to pain and stiffness in the knee.
Treatment Options:
Causes pain and reduced mobility due to cartilage breakdown in the hip joint.
Treatment Options:
Leads to pain and restricted movement in the shoulder joint.
Treatment Options:
Commonly seen in repetitive motion injuries or degenerative changes.
Treatment Options:
Progressive cartilage loss leads to pain and joint dysfunction.
Treatment Options:
ASSESSMENT
We identify the underlying cause of joint pain through clinical history/examination and diagnostic imaging.
REHAB
Rehabilitation recommended to improve mobility and strength and advice provided regarding appropriate activity modification.
TREATMENT
Evidence-based treatments recommended. Injectable therapied considered if appropriate based on the joint/s involved and the degree of joint degeneration. Patient factors are also taken into account.
MONITORING
The results of treatment are monitored and if there is failure of treatment, other options are considered (including surgical referral if required).
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