The Skin & Joint Injection Clinic

Hand & wristpain treatmentin Wirral.

Tingling at night? A finger that catches?

01Carpal tunnel
02Trigger finger
03De Quervain's
04Base of thumb

Book a consultation → Where does it hurt?

Hands resting on a wooden table as one hand rubs the aching base of the other thumb, beside an open jar

Jar lids, keys, a pen?

Wrist · Thumb · Fingers

Living with hand & wrist pain

The hand and wrist do an extraordinary amount of work, and they tend to tell you about it.

Night-time tingling, a finger that catches on bending, thumb-side wrist pain on gripping, or that burning pain at the base of the thumb on opening a jar: these are some of the most disruptive symptoms we see, because they interfere with sleep, work and the small ordinary tasks that keep daily life moving.

At the Skin & Joint Injection Clinic in Bebington, Wirral, we assess hand and wrist problems in person, including examination and ultrasound where it helps. Where a well-placed injection is the right step, we explain the realistic likelihood of benefit and the alternatives, including surgical referral when that's the better path.

A day in your hands

Where hand pain shows up, hour by hour.

Hands twisting the lid of a marmalade jar

07:00

The jar that won't open.

Breakfast, and a familiar burning ache at the base of the thumb as you twist the lid. Pinch grip, writing and holding a steering wheel can bring on the same pain.

Often seen with Base-of-thumb arthritis →

10:00

The kettle feels heavier.

Pain on the thumb side of the wrist when you grip and lift: a kettle, shopping, a grandchild. Repetitive thumb use keeps it going.

Often seen with De Quervain's tenosynovitis →

14:00

A finger that catches.

In the garden, a finger clicks or locks as you open and close your grip. Sometimes there's a tender nodule you can feel in the palm.

Often seen with Trigger finger →

Hand hanging over the edge of a bed at night

03:00

Woken by tingling.

Numbness and pins-and-needles in the thumb, index and middle fingers, often at night or after sustained gripping. Many people shake the hand to get the feeling back.

Often seen with Carpal tunnel syndrome →

What might be causing it

Where does it hurt?

Tap a point on the hand, or choose what you're feeling. These are the patterns we most commonly assess. The guide isn't diagnostic: your consultation works out which (if any) fits your symptoms.

Engraved illustration of the bones and tendons of the hand and wrist, palm view

I mostly notice…

Choose a point on the hand, or a symptom above.

Nerve path shown as a simplified illustration.

Pain · Rehabilitation · Function

What a well-placed injection can do.

An injection is rarely the whole answer for a hand. It is often the step that makes the rest of the plan possible.

01Ease

Settle the pain

Calming nerve compression, an inflamed tendon sheath or an arthritic thumb joint can ease pain and the night-time symptoms that break your sleep.

02Rebuild

Make rehab possible

With symptoms quieter, splinting, activity changes and hand exercises become far easier to stick with, which is what keeps problems from returning.

03Return

Restore function

When inflammation or nerve compression settles, many patients notice grip and dexterity improving over the weeks that follow.

Clinician placing a small ultrasound probe on a patient's wrist

Why guidance matters

Small spaces need precise hands.

At the wrist, the median nerve shares a narrow tunnel with nine tendons. Ultrasound lets us see the nerve and place the injection around it, rather than relying on surface landmarks alone.

Schematic cross-section, not to scale.

Which injection might suit your hand or wrist?

A starting point, not a diagnosis.

Patterns of pain matter as much as imaging. Below are the routes we most often discuss for hand and wrist problems. Final recommendation always follows in-person assessment.

If your pattern is

Carpal tunnel syndrome with predominantly night-time numbness and tingling, hand strength still preserved.

Often considered

Ultrasound-guided steroid injection (carpal tunnel)

A targeted ultrasound-guided injection around the median nerve. Often a useful alternative to surgery in mild-to-moderate carpal tunnel syndrome, particularly when symptoms have not progressed to muscle wasting or significant weakness.

Steroid injection (tendon sheath)

Targeted into the A1 pulley tendon sheath. Frequently effective in early trigger finger; some patients eventually need surgical release if catching persists or recurs.

Steroid injection (first dorsal compartment)

An ultrasound-guided injection into the first dorsal compartment is often a turning point for De Quervain's, particularly in new parents and patients with stubborn symptoms despite splinting and activity modification.

Ostenil Plus (hyaluronic acid)

A non-steroid option for the small joints affected by osteoarthritis, including the base of the thumb. Considered where supporting lubrication is preferred over suppressing inflammation.

An honest picture of recovery.

Timings vary from person to person. We discuss the realistic likelihood of success at your consultation.

The Skin & Joint Injection Clinic

Book an assessment for your hand & wrist in Wirral.

Our GP-led clinic in Higher Bebington serves patients from across Merseyside: Liverpool, Birkenhead, Heswall and Chester. We assess in person before any treatment is offered, and refer onward when it's the right call.

Book a consultation → See pricing Contact the clinic

Frequently asked

Questions we hear about hand & wrist pain.

The questions patients most often raise in clinic when they're not sure which next step is right.

Is a carpal tunnel injection a good alternative to surgery?

For many patients with mild-to-moderate carpal tunnel syndrome, yes: a well-targeted ultrasound-guided injection often settles night symptoms and tingling, and the benefit can last from several months to over a year in suitable cases. Where symptoms are advanced (constant numbness, muscle wasting, significant weakness), surgical release is usually the better answer, and we refer on rather than injecting repeatedly.

How quickly does a trigger finger injection work?

Many patients notice the catching or locking ease within the first one to two weeks, with full effect over three to four weeks. Some patients have a single injection and the trigger finger settles permanently; others need a second injection or, occasionally, surgical release. We discuss the realistic likelihood of success based on how long the trigger finger has been present and how severe the catching is.

Can De Quervain's be treated without surgery?

Most cases of De Quervain's tenosynovitis settle with a combination of activity modification, a thumb-spica splint and, where needed, a targeted ultrasound-guided steroid injection. Surgery is reserved for resistant cases that don't respond to one or two well-placed injections.

Will a hand injection affect my grip strength?

The injection itself doesn't usually affect grip strength. The diagnosis driving the pain often does, of course: carpal tunnel, severe trigger finger and arthritic change can all reduce grip. When the injection settles inflammation or nerve compression, many patients notice grip and dexterity improving over the weeks that follow.

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