Joint Injections - Wrist and Hands
Specialist Wrist & Hand Joint Injections in London
At Rejuvence Clinic, we provide diagnosis-led wrist and hand injection treatments for pain, stiffness, nerve compression and tendon-related conditions. All injections are selected following careful clinical assessment and, where appropriate, ultrasound evaluation, supporting safe symptom relief and effective rehabilitation.
Wrist & Hand Joint Injections
Pain and dysfunction in the wrist and hand can significantly affect daily activities, work and quality of life. Symptoms may arise from tendon inflammation, nerve compression, joint degeneration or mechanical restriction of tendon movement.
While many wrist and hand conditions improve with splinting, activity modification and physiotherapy, injection therapy may be appropriate in selected cases where symptoms persist or function is significantly limited.
At Rejuvence Clinic, wrist and hand injections are offered as part of a broader, evidence-based treatment plan tailored to the underlying diagnosis.
Wrist & Hand Conditions We Treat
Injection therapy may be considered for:
Corticosteroid (Steroid) Injections
Corticosteroid injections are widely used for inflammatory and compressive conditions affecting the wrist and hand. They work by reducing local inflammation, swelling and tissue irritation, which can relieve pain and improve function.
For De Quervain’s tenosynovitis, steroid injections have strong evidence supporting their use, often providing significant symptom relief when splinting alone is insufficient. In trigger finger and trigger thumb, steroid injections are commonly used to reduce tendon sheath inflammation and allow smoother tendon movement.
In carpal tunnel syndrome, steroid injections may be offered to reduce inflammation around the median nerve, particularly in mild to moderate cases or where surgery is not immediately indicated. Steroid injections may also be used in wrist and hand arthritis to manage inflammatory flares and pain.
Summary – Steroid Injections- Reduce inflammation and pain
- Strong evidence for De Quervain’s and trigger finger
- Used selectively in carpal tunnel syndrome
- Short- to medium-term symptom relief
Hyaluronic Acid Injection (Ostenil Plus®)
Hyaluronic acid injections aim to improve joint lubrication and reduce mechanical pain. While most commonly used in larger joints, they may be considered in selected cases of wrist and hand osteoarthritis, particularly when a non-steroidal option is preferred.
Hyaluronic acid injections are not routinely used for tendon sheath or nerve compression conditions such as De Quervain’s tenosynovitis or carpal tunnel syndrome but may be discussed where degenerative joint changes contribute to symptoms.
Summary – Hyaluronic Acid- Improves joint lubrication and mechanical comfort
- Considered in wrist and hand osteoarthritis
- Non-steroidal treatment option
- Used selectively based on diagnosis
Autologous Exosome-Based Injection (ExoSmart™)
Autologous exosome-based injections are an emerging treatment approach using biologically active extracellular vesicles derived from a patient’s own blood sample. These vesicles are involved in cellular signalling and inflammatory modulation.
Clinical interest includes chronic tendon-related conditions of the wrist and hand. Research is ongoing, and outcomes may vary. This option is offered only following detailed consultation and informed discussion. Summary – Autologous Exosome Injection.
Summary – Autologous Exosome Injection- Patient-derived, emerging treatment option
- Considered in selected chronic tendon conditions
- Evidence base is evolving
- Individualised treatment selection
Hydrodistension (Limited Role in Wrist & Hand Care)
Hydrodistension is primarily established for frozen shoulder and is not routinely used for wrist or hand conditions. In rare cases of significant joint stiffness following injury or prolonged immobilisation, a distension-type approach may be discussed by a specialist, but it is not a standard treatment for the conditions listed above.
Summary – Hydrodistension- Not routinely used in wrist or hand conditions
- Considered only in rare cases of joint stiffness
- Diagnosis-led decision-making
Aspiration (Joint or Tendon Sheath Aspiration)
Aspiration involves the removal of excess fluid from a joint or tendon sheath. In the wrist and hand, this may be considered in cases of joint effusion or significant swelling where pressure contributes to pain or diagnostic clarification is required. Aspiration is less commonly used than in larger joints but may form part of the management plan in selected inflammatory or degenerative conditions.
Summary – Aspiration- educes pressure-related pain and swelling
- Can assist diagnosis in selected cases
- Used selectively in wrist and hand conditions
- * Often combined with other treatments
Your Wrist & Hand Injection Specialist
Mr Ameerudhin Ahamed
MBBS, MRCS, FRCS, PG Cert (MSK USGI) Consultant Trauma & Orthopaedic Surgeon Barts Health NHS Trust
Mr Ameerudhin Ahamed is a GMC-registered consultant orthopaedic surgeon with extensive experience in musculoskeletal medicine and ultrasound-guided injections. He qualified with an MBBS in 2000 and has held full GMC registration since 2007.
He completed advanced postgraduate training in Trauma and Orthopaedic Surgery across major London hospitals, including the Royal National Orthopaedic Hospital, Stanmore, and was awarded FRCS (Trauma & Orthopaedics) in 2016. He also holds a Postgraduate Certification in Musculoskeletal Ultrasound-Guided Injection.
At Rejuvence Clinic, Mr Ahamed provides specialist assessment and ultrasound-guided wrist and hand injections, integrating injection therapy into a broader care plan that may include splinting, physiotherapy and rehabilitation.
Steroid injections are well supported by clinical evidence and are commonly effective, particularly in early or moderate cases.
Injections may relieve symptoms temporarily, especially in mild to moderate cases. Some patients may still require surgery depending on severity and recurrence.
Yes. Injections are usually combined with splinting, physiotherapy or activity modification for best outcomes.
Ultrasound guidance can improve accuracy, particularly in small joints and tendon sheaths.
References & Further Reading
1. NICE CKS. De Quervain’s tenosynovitis: management. 2. NICE CKS. Trigger finger: management. 3. Atroshi I et al. Carpal tunnel syndrome. Lancet. 4. Peters-Veluthamaningal C et al. Corticosteroid injection for trigger finger. Cochrane Database Syst Rev. 5. Kloppenburg M et al. Hand osteoarthritis management. Ann Rheum Dis.
