Wrist Pain Treatment: Wrist Injection

Wrist pain?

Awrist joint fait partie du membre supérieur et est située entre la main et l’avant-bras. Elle est constituée par l’extrémité distale (terminale) des deux os de l’avant-bras (radius et ulna) et les huit os de la main (appelés les carpes). De plus, le poignet est aussi formé de ligaments (un ligament relie deux os), de tendons (un tendon relie un os à un muscle) et de muscles. Le poignet joue un rôle important dans les mouvements. Il permet de faire des mouvements de flexions, d’extensions et d’inclinaisons latérales. Une inflammation or trauma which may affect one of the wrist structures déjà citées peut être à l’origine d’une joint pain.

Qu’est-ce que l’infiltration du poignet ?

If, despite treatment (splinting, anti-inflammatory treatment, etc.), the pain persists, a wrist pain treatment will be indicated.

Wrist injection is a painless therapeutic procedure that involves injecting corticosteroids into the painful area.

What types of wrist pain treatment are there?

We distinguish three types wrist pain treatment :

• The world of medical imaging has made significant strides in diagnosing and understanding the human body. As one of these technologies, Magnetic Resonance Imaging (MRI) offers detailed images of internal structures without requiring invasive procedures. In this article, we discuss the crucial role of lumbar spine MRI in diagnosing conditions affecting the lower back. infiltration intra-articulaire : dans l’infiltration intra-articulaire, le médicament sera injecté à l’intérieur de l’articulation. Ce geste thérapeutique est indiqué en cas d’arthrose du poignet.
• The world of medical imaging has made significant strides in diagnosing and understanding the human body. As one of these technologies, Magnetic Resonance Imaging (MRI) offers detailed images of internal structures without requiring invasive procedures. In this article, we discuss the crucial role of lumbar spine MRI in diagnosing conditions affecting the lower back. periarticular injection : dans l’infiltration péri-articulaire, le médicament sera injecté autour de l’articulation. Ce geste thérapeutique est indiqué en cas de tendinite ou de kyste de l’articulation du poignet.
• The world of medical imaging has made significant strides in diagnosing and understanding the human body. As one of these technologies, Magnetic Resonance Imaging (MRI) offers detailed images of internal structures without requiring invasive procedures. In this article, we discuss the crucial role of lumbar spine MRI in diagnosing conditions affecting the lower back. injection intracanalaire : dans l’injection intracanalaire, le médicament sera injecté dans un étroit où passe un nerf irrité. Ce geste thérapeutique est indiqué en cas de syndrome du canal carpien.

How does wrist infiltration work?

Nos radiologues sont experts de la pratique d’infiltrations.  Le geste dure 10 minutes.

You will lie on your back. This procedure sometimes requires a local anaesthetic.

A wrist pain treatment can be done without radioguidance: The rheumatologist locates the puncture site by simply palpating your wrist, disinfects the area of skin and then injects the product into the joint using a needle.

In the absence of sufficient visibility, this gesture will require a radiological guidance (under ultrasound or X-ray). The examination begins with a radiological examination to identify the puncture site. Radioguided injection enables continuous control of the needle's path and position. The gesture is therefore more precise and targeted.

Does it work? What are the possible results?

L’efficacité n’est pas immédiate. Il faut attendre 3 à 4 jours pour avoir une diminution de la douleur. Un repos sera aussi indiqué pour augmenter la chance d’efficacité du traitement. Malgré tout cela, l’efficacité n’est pas certaine. En cas d’échec, une réinfiltration sera donc préconisée. Un maximum de 3 infiltrations est recommandé. Si malgré tout cela la douleur persiste, d’autres stratégies thérapeutiques seront adoptées par votre médecin traitant.

What follow-up is required after wrist infiltration and what are the risks associated with infiltration?

Wrist infiltrations are often both diagnostic and therapeutic. Not only do they relieve pain, but they also determine whether the pain actually originates in this area. If no relief is felt after the injection, it's likely that the pain has a different origin.

It's important to warn patients of potential complications, including the steroid "flare" phenomenon, which is a well-recognized complication of steroid injections. Most patients will experience increased pain within 24 to 48 hours of the injection, usually the following day. This pain may be accompanied by redness or slight swelling at the injection site. In most cases, standard treatment with analgesics, wrist elevation and ice are sufficient to manage these symptoms. Some patients may find it difficult to work under these conditions, and taking a day off is quite reasonable.

Symptomatic relief usually appears between 2 and 7 days after injection, although it may sometimes take a little longer. Symptoms may reappear as the steroid wears off.