Joint Injections - Wrist and Hands

      
   4.8470 reviews

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:

De Quervain’s tenosynovitis

Tendonitis of the wrist or hand

Carpal tunnel syndrome

Wrist and hand osteoarthritis

Trigger Finger & Thumb

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.

Are wrist and hand injections painful?

Most patients experience brief discomfort. Ultrasound guidance can help improve accuracy and comfort during the procedure.

How effective are steroid injections for trigger finger or De Quervain’s?

Steroid injections are well supported by clinical evidence and are commonly effective, particularly in early or moderate cases.

Can injections treat carpal tunnel syndrome permanently?

Injections may relieve symptoms temporarily, especially in mild to moderate cases. Some patients may still require surgery depending on severity and recurrence.

Will I still need splinting or physiotherapy?

Yes. Injections are usually combined with splinting, physiotherapy or activity modification for best outcomes.

Are ultrasound-guided injections better?

Ultrasound guidance can improve accuracy, particularly in small joints and tendon sheaths.

       
 Excellent4.8470 reviews
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   Sophia 
 12 September 2026
 
 
 Trustindex verifies that the original source of the review is Google. A massive thank you to Dr Ghani, Dr Mitha and Olga, who have looked after me for various cosmetic and hair procedure. I highly recommend this clinic to anyone looking for professional, knowledgeable and caring doctors and staff. The reception team are also absolutely lovely,  polite, welcoming and friendly.
  
 
     Posted on Google  
   
   Arpan Kumar 
 11 September 2026
 
 
 Trustindex verifies that the original source of the review is Google. The doctor and healthcare professional doing the surgery were lovely and made me feel comfortable throughout the procedure
  
 
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   Bisi Dauda 
 11 September 2026
 
 
 Trustindex verifies that the original source of the review is Google. What an incredible experience! The modern facilities at Rejuvence Clinic are state-of-the-art. The staff's professionalism and the personalized treatment I received were outstanding. Follow-up care was thorough, and the aftercare support was reassuring.
  
 
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   THY 
 11 September 2026
 
 
 Trustindex verifies that the original source of the review is Google. I can't thank Rejuvence enough for their brilliant service! My steroid injections eased my pain significantly. The team's professionalism and the state-of-the-art facilities were impressive. The follow-up care was just the cherry on top! 🌟
  
 
     Posted on Google  
   
   Jack Ho 
 10 September 2026
 
 
 Trustindex verifies that the original source of the review is Google. The nurses are very helpful and Dr Sam Ghani is thoughtful and understands my needs for scar removal.
  
 
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   Mahamed Hagar 
 10 September 2026
 
 
 Trustindex verifies that the original source of the review is Google. Rejuvence Clinic exceeded my expectations! The keloid removal was a breeze, and the staff's professionalism was top-notch. Follow-up care was attentive and reassuring. Truly a fantastic experience from start to finish! Dr Ghani and Paige thank you.
  
 
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   Tochi Madubuike 
 10 September 2026
 
 
 Trustindex verifies that the original source of the review is Google. Absolutely delighted with Rejuvence! The steroid injections were super effective, and the staff's professionalism was evident from start to finish. Their follow-up care was incredibly thorough. I can't recommend them enough for anyone in need!
  
 
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   Aziah Brown 
 8 September 2026
 
 
 Trustindex verifies that the original source of the review is Google. Amazing experience, all the staff are kind and helpful would recommend if need any cosmetic surgery done.
  
 
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   Daniel Brandão 
 6 September 2026
 
 
 Trustindex verifies that the original source of the review is Google. I saw Doctor Sam Ghani for my alopecia problem and he was amazing. The treatment was effective. All the staff is friendly, helpful and professional. Highly recommend.
  
 
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   Kurt King 
 3 September 2026
 
 
 Trustindex verifies that the original source of the review is Google. Dr Ghani was really informative and took the time to answer all of my questions and concerns. I left the clinic feeling like I actually understood my options and could make the right decision about what treatment to have. Really appreciated him taking the time to explain everything properly. I’ll definitely be back and would happily recommend him to anyone considering treatment.

Authored by:

Dr Samuel Ghani

MBBS BSc MRCSEd FRCEM MSc Aesthetic Medicine

GMC: 6103460

Clinically reviewed by:

Mr Ameerudhin Ahamed

MBBS, MRCS, FRCS, PG Cert (MSK USGI)

GMC: 6093057

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.