Wrist Pain Treatment: Wrist Injection

Wrist Pain Treatment in Paris, ile-de-france

Wrist pain?

A wrist joint is part of the upper limb, located between the hand and the forearm. It is made up of the distal (terminal) ends of the two forearm bones (radius and ulna) and the eight hand bones (called carpals). The wrist is also made up of ligaments (a ligament connects two bones), tendons (a tendon connects a bone to a muscle) and muscles. The wrist plays an important role in movement. It enables flexion, extension and lateral tilting movements. A inflammation or trauma which may affect one of the wrist structures already mentioned, can be at the origin of a joint pain.

What is wrist infiltration?

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 :

An intra-articular injection : In intra-articular injection, the medication is injected into the joint. This therapeutic procedure is indicated for osteoarthritis of the wrist.
An periarticular injection In periarticular injection, the medication is injected around the joint. This therapeutic procedure is indicated in cases of tendonitis or cysts in the wrist joint.
An intra-channel injection Intra-canal injections: In intra-canal injections, the medication is injected into a narrow area where an irritated nerve passes. This therapeutic procedure is indicated in cases of carpal tunnel syndrome.

How does wrist infiltration work?

Our radiologists are experts at performing injections. The procedure takes 10 minutes.

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

A wrist pain treatment can be done without guided radiology: 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. The 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?

Efficacy is not immediate. It takes 3 to 4 days for the pain to diminish. Rest is also indicated to increase the likelihood of treatment efficacy. Despite all this, efficacy is not certain. In the event of failure, re-injection is recommended. A maximum of 3 injections is recommended. If pain persists, other therapeutic strategies will be adopted by your attending physician.

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Wrist Pain Treatment Appointment

Make an appointment for a Back Injection at our centers:

Bachaumont Radiology 75002

Clinique Drouot 75009

Make an appointment on Doctolib

When should you see a radiologist?

Any pain persisting for more than 6 weeks should be investigated by a rheumatologist.

What test does a rheumatologist order for wrist pain?

In general, the rheumatologist begins with a thorough clinical examination of your painful joint. Then, if necessary, he or she will order additional tests such as: CT scan, MRI, bone densitometry, joint ultrasound, electromyogram...

You will then be referred to an expert radiologist for a wrist pain treatment.

What can help with wrist pain:

A splint will be indicated to keep the injured structures at rest. In addition, anti-inflammatory and analgesic treatment may be indicated.
Rest and cold can also help.

What causes wrist pain?

Trauma A traumatic bone or tendon injury can cause significant pain. On the one hand, a fracture or dislocation following an impact or fall can cause deformation of the joint and subsequent pain. On the other hand, a sprain (trauma to the ligaments supporting the joint) following a violent, sudden movement may be asymptomatic.
Neurological causes The median nerve is a sensory (for sensitivity) and motor (for mobility) nerve of part of the forearm and first three fingers (thumb, index and middle fingers). The median nerve also passes through the wrist. Repetitive movements that place heavy demands on the wrist, together with other factors that can narrow the path of the median nerve, cause it to be compressed, resulting in neurological disorders such as tingling in the first three fingers, motor disorders (motility disorders) and sensitivity disorders. This is carpal tunnel syndrome. Normally, your rheumatologist will order an electromyogram, using fine needle electrodes to assess the nerve and muscle damage caused by compression.
An tendinitis Inflammation of a wrist tendon can cause severe joint pain.
Osteoarthritis Osteoarthritis (OA) is a joint disease caused by destruction of the cartilage between the forearm and carpal bones. Like painful shoulder syndrome, osteoarthritis does not spare the wrist. Osteoarthritis of the wrist, with the same risk factors as osteoarthritis of the shoulder, can lead to stiffness and limited joint motility. Osteoarthritis is caused by: on the one hand, continuous trauma to the joint; on the other, factors that may precipitate and add to this trauma, such as a disease (rheumatoid arthritis).
Don't forget that age is one of the main risk factors for osteoarthritis.

Who should I talk to about wrist pain?

Rheumatologists treat joint pain, including wrist pain.