Joint Injections - Wrist and Hands

cqclogo
 

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 (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

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 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

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 Injection

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
  • Patient-derived, emerging treatment option
  • Considered in selected chronic tendon conditions
  • Evidence base is evolving
  • Individualised treatment selection

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

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

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

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
  • Reduces pressure-related pain and swelling
  • Can assist diagnosis in selected cases
  • Used selectively in wrist and hand conditions
  • Often combined with other treatments

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.

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

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.

ExcellentGoogle star 1Google star 2Google star 3Google star 4Google star 54.8503 reviews
4.8Google star 1Google star 2Google star 3Google star 4Google star 5
Excellent503 reviews
Posted on Google Google
A. B. London profile picture
A. B. London
10 October 2026
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
I was looking for a clinic offering Sciton BBL treatments in Canary Wharf, close to my workplace, when I came across Rejuvence Clinic. Their prices were much more affordable compared to other clinics in the City, so I decided to give them a try. I booked a treatment for vascular redness and rosacea, as the redness tends to flare up from time to time. My treatment was carried out by Kurt, who was incredibly thorough and attentive throughout. To my surprise, by the time I got home, I could already see a noticeable improvement! I’m really happy with my choice and would definitely recommend Kurt. The reception staff were also very friendly and welcoming, which made the whole experience even better!
Posted on Google Google
S H profile picture
S H
9 October 2026
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
I had a huge keloid scar removed here. The doctors are professional and polite, and the clinic is very clean and pleasant. I would highly recommend this clinic as the doctors are friendly and make you feel welcome.
Posted on Google Google
Aaron profile picture
Aaron
8 October 2026
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Absolutely thrilled with Rejuvence! The steroid injections were highly effective, and the staff's professionalism was superb. Everything was personalized to my needs in a clean and welcoming environment. I couldn't ask for better!
Posted on Google Google
Julien Feild profile picture
Julien Feild
3 October 2026
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
I've been coming here for a year now the service is fabulous and in particular I'd like to highlight Olga who was absolutely a star when dealing with me and administering the PRP - Flawless!!!
Posted on Google Google
Prem Gurung profile picture
Prem Gurung
3 October 2026
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
The treatment at Rejuvence was a life-changer. My hair is growing back wonderfully! The staff's professionalism was evident from start to finish, making the whole experience so reassuring. Absolutely recommend this clinic!
Posted on Google Google
Paula St Ange profile picture
Paula St Ange
3 October 2026
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
My keloid removal went flawlessly and the results are phenomenal. The team was incredibly professional and made everything so easy. Can't recommend them enough for keloid treatment!
Posted on Google Google
jamker0 profile picture
jamker0
1 October 2026
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Been having my Keloid treated here at Rejuvence, the service from the administration to the doctors here have been amazing made me feel very comfortable and calm very happy with my results and definitely recommend , Dr Ghana , Paige Rita, & others for your skills upon what you do here thank you , Jmaine
Posted on Google Google
Ling Jiang profile picture
Ling Jiang
1 October 2026
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
What a fantastic place! Rejuvence Clinic combines professionalism with outstanding follow-up care. The facilities are modern and well-equipped, making the whole experience seamless and stress-free. Can't praise them enough for their amazing service!
Posted on Google Google
Anna Villocino profile picture
Anna Villocino
29 September 2026
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Everyone is professional,this is my 4th session in this clinic and I'm glad with the progress so far 😍
Posted on Google Google
Jolyon Ng profile picture
Jolyon Ng
26 September 2026
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Incredible experience at Rejuvence! The keloid removal was painless, and the results are beyond my expectations. The clinic is spotless, and the team is super professional. Their modern facilities are top-notch. Highly recommend!

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.

Need Help? Chat with us