Clinical assessment
Review symptoms, function, diagnosis and suitability for the proposed approach.
Liverpool Street REGEN · Featured treatment
Guna Collagen + Shockwave Therapy
An individualised musculoskeletal treatment pathway combining shockwave therapy with targeted, ultrasound-guided collagen injections where clinically appropriate.
Book a consultationEXPLORE / ANATOMICAL MOTION
See the treatment areas in motion.
Hover over a treatment area to preview its animation, or tap to play on mobile.
Knee
Hip
Ankle
Shoulder
Elbow
Wrist
Spine
Achilles tendon
01 / The approach
Support tissue.
Support movement.
Guna’s musculoskeletal injectable collagen devices are designed to provide mechanical support to connective tissue structures. Following clinical assessment, Chris may combine these products with shockwave therapy as part of a broader rehabilitation plan.
Evidence for the combined approach is still developing. Treatment cannot guarantee tissue regeneration or pain relief; suitability varies between patients.
Discuss your treatment options02 / Your treatment pathway
A clear path, personal to you.
Four considered stages, with clinical review guiding each decision.
Shockwave therapy
An agreed treatment programme, with response monitored by Chris.
Guided collagen
Following reassessment, an ultrasound-guided Guna injection may be offered where appropriate.
Rehabilitation
Progressive movement and strength work, supported by follow-up assessments.
The number of injections, formulation and timing are determined individually following clinical review. Chris is considering approximately 5–10 injections where appropriate.
03 / Treatment areas
Care focused on your movement.
Explore the anatomical illustrations and learn about the areas Chris may assess when considering collagen treatment.
ANATOMICAL AREA
Knee
An illustrated view of the knee region. Chris can assess symptoms, movement and relevant tissues before discussing suitable treatment options.
Assessment-led care · Treatment suitability varies
ANATOMICAL AREA
Hip
An illustrated view of the hip region. Chris can assess symptoms, movement and relevant tissues before discussing suitable treatment options.
Assessment-led care · Treatment suitability varies
ANATOMICAL AREA
Ankle
An illustrated view of the ankle region. Chris can assess symptoms, movement and relevant tissues before discussing suitable treatment options.
Assessment-led care · Treatment suitability varies
ANATOMICAL AREA
Shoulder
An illustrated view of the shoulder region. Chris can assess symptoms, movement and relevant tissues before discussing suitable treatment options.
Assessment-led care · Treatment suitability varies
ANATOMICAL AREA
Elbow
An illustrated view of the elbow region. Chris can assess symptoms, movement and relevant tissues before discussing suitable treatment options.
Assessment-led care · Treatment suitability varies
ANATOMICAL AREA
Wrist
An illustrated view of the wrist region. Chris can assess symptoms, movement and relevant tissues before discussing suitable treatment options.
Assessment-led care · Treatment suitability varies
ANATOMICAL AREA
Spine
An illustrated view of the spine region. Chris can assess symptoms, movement and relevant tissues before discussing suitable treatment options.
Assessment-led care · Treatment suitability varies
ANATOMICAL AREA
Achilles tendon
An illustrated view of the achilles tendon region. Chris can assess symptoms, movement and relevant tissues before discussing suitable treatment options.
Assessment-led care · Treatment suitability varies
These illustrations and animations are conceptual, not demonstrations of proven treatment outcomes or a protective barrier. Treatment indications, injection location and suitability must be confirmed by the clinician; spinal treatment remains subject to confirmation.
04 / Questions patients ask
Good questions.
Clear answers.
Understanding the treatment is part of making an informed decision.
Discuss your optionsWhy use ultrasound guidance?
Ultrasound allows the clinician to visualise relevant anatomy during injection placement.
Will I need injections?
Not necessarily. The decision follows assessment and response to treatment. Benefits, limitations, alternatives and risks are discussed before consent.
Is recovery guaranteed?
No. Outcomes differ, and current evidence does not establish that this combination reliably regenerates damaged tissue.
How many treatments might I need?
The treatment course is individual. Chris is considering approximately 5–10 injections when clinically indicated, subject to assessment and review.
05 / Product guide
Collagen options, considered carefully.
Product selection depends on the anatomical region, clinical assessment and confirmed indications.
MD-KNEE
Collagen of porcine origin with arnica, described for knee movement support.
Knee regionMD-HIP
Collagen of porcine origin with calcium phosphate, described for hip and periarticular support.
Hip regionMD-SMALL JOINTS
Collagen of porcine origin with violet, described for small joints including the ankle and foot.
Small joint regions