Steroid injections
I do quite a lot of steroid injections. They can be a really helpful intervention that fits between:
doing nothing
hand therapy solutions
and
surgery
It is important to be aware of ‘steroid flare’ (a couple of days of increased pain that some patients have - rest, ice pack, support with a splint, anti-inflammatory paikillers is the way to deal with that. Some may have skin colour/texture change (temporary - 3-12 months).
Risks: tendon rupture and infection - extremely rare - less than 1 in 1000
Caution: pregnancy