Wrist and Hand Pain Treatment Newcastle

Same-Day Private Hand and Wrist Treatment and consultation at our Newcastle clinic.

Wrist and Hand Pain Treatment Newcastle

Joint Care Clinics offer same-day private wrist and hand pain treatment in Newcastle using ultrasound-guided diagnostic scans and injections. The base of the thumb joint is called the ‘Carpometacarpal (CMC) joint’. This joint is prone to wear and tear, also known as ‘Osteoarthritis’.

The common symptoms associated with this are a gradual worsening of:

Pain
Stiffness
Swelling
Decreased strength
Loss of joint function

Hand Pain Treatment Newcastle

Ultrasound-Guided Hand and Wrist Pain Treatment

Joint Care Clinics are HCPC registered and members of the Chartered Society of Physiotherapy. and the Society of Radiographers. Highly experienced clinicians offer this service at our Joint Care Clinics. We use an ultrasound diagnostic scanner to pinpoint the area of pain for a more accurate diagnosis and tailor-made treatment.

MUSCULOSKELETAL ISSUES?

IF YOU ARE EXPERIENCING PAINFUL JOINTS, MUSCLES, TENDONS OR LIGAMENTS PLEASE GET IN TOUCH FOR AN ULTRASOUND DIAGNOSTIC SCAN AND OR TREATMENT

Wrist and hand pain issues?

Occupations involving the repetitive use of the thumb joint, such as builders, butchers, carpenters, chefs, drummers, computer and keyboard users, engineers, housekeepers, plumbers, and painters. Other locations of hand/wrist prone to Arthritis:

  • Radiocarpal joints
  • Distal radio-ulnar joint
  • Scapholunate joint
  • Metacarpophalangeal (MCP) joints.
  • Interphalangeal joints (PIP/DIP)
  • Scapho-trapezio-trapezoid joint (STT joint)

For Wrist and Hand Pain Treatment in Newcastle, call 0333 444 2013

Private wrist pain treatment at Joint Care Clinic in Newcastle upon Tyne

MCP (Metacarpophalangeal) Joint Pain

In moderate to severe cases of arthritis, a lump around the joint location can be seen. This is due to enlarged or bony overgrowth from bony repair.

The Middle of the thumb joint is called the MCP (Metacarpophalangeal) joint. The MCP joint is also prone to developing arthritis, but it is less common compared to the base of the thumb.

Schedule a Wrist and Hand Pain Consultation and Treatment at our Newcastle clinic

Arthritis Hand Pain
Hand & Wrsit Pain

“Ultrasound Guided Injection I was referred to Ram by Ruth at Rugby Physiotherapists for an ultrasound examination and possible cortisone injection of my left thumb. Before the injection, Ram discussed with me the probable benefits together with the possibility of some side effects. It is now 2 weeks since the treatment, my thumb is functioning much better with less pain. Not 100% but I never expected that and well worth having the procedure.”

 

David Sargent – Hand Pain/Trigger Thumb 

Common hand and wrist pain conditions

De Quervain's Tenosynovitis

De Quervain's tenosynovitis is an inflammation of the tendon sheath around the tendons (Abductor pollicis longus, Extensor pollicis brevis) that supply the thumb.
Symptoms
• You may notice swelling/lump between the base of the thumb and wrist.
• Very painful to move the thumb. Ex: Pinching, grasping, lifting, wringing.
• Make a fist by placing the thumb inside the palm and bending the wrist towards your little finger – if it causes pain, this can be due to De Quervain’s tenosynovitis.

Possible Causes:

  •  Any repetitive activities, such as sports, hobbies, typing, carpentry, painting, decorating can lead to this condition.
  • This condition is commonly seen after pregnancy.
  • In some cases cause is unknown.

If your symptoms do not improve with pain, rest,  physiotherapy, and medication, you will benefit from an Ultrasound diagnostic scan to confirm the diagnosis and a guided steroid injection to reduce the inflammation.

Surgery may be needed if you do not respond to the steroid injections.

Trigger finger/thumb

This is an inflammatory condition which affects the tendon that catches or locks when trying to bend or straighten the affected finger or thumb. Tendon catching is due to the swollen nodular part of the tendon that cannot move freely throughout the tendon sheath.

 Symptoms:

  • The sudden or gradual development of a snapping tendon.
  • You may feel a lump at the base of the finger due to nodular thickening of the tendon.
  • Snapping/catching is more common in the mornings.

Possible causes;

  • Diabetes
  • Rheumatoid arthritis
  • Occupation involving repetitive usage of hands/wrists.

Ultrasound can diagnose the trigger finger and help to guide the needle to accurately infiltrate the Corticosteroid injection into the problematic area. Before this rest, ice and physiotherapy are suggested.

Carpal Tunnel (Median nerve) syndrome

In this case, the median nerve is entrapped in the wrist at the carpal tunnel level.

Symptoms:

  • Loss/weak grip strength.
  • Usually worse at night and in the morning.
  • Tingling/pins and needles in the thumb, ring and middle fingers.
  • Reduced sensation and numbness along the thumb side of the wrist

Possible causes:  

  • Diabetes
  • Wrist tendons tenosynovitis
  • Swelling
  • Mass/cyst in the carpal tunnel
  • Overweight
  • Pregnancy
  • Wrist injury
  • Family history

Steroid injections can reduce the inflammation around the nerve and alleviate the symptoms. Sometimes you may need another injection in a few months. Surgery is needed if steroid injection fails to control the symptoms.

Ultrasound-guided injection ensures the steroid injection is carried out around the nerve, without actually damaging the nerve itself.

Ganglion cyst aspirations and infiltrations

A ganglion cyst is a thick fluid-filled sac that usually appears in the middle of the back of the wrist or front of the wrist on the thumb side.

  • Not harmful, but it can be painful at times.
  • It looks and feels like a smooth lump under the skin.

A ganglion cyst sometimes resolves on its own; other times, it requires aspiration of cystic fluid. Diagnostic ultrasound ensures the diagnosis of the cyst and accurately aspirates the fluid/gel.

Darren Gough Cricketer

"Having played professional sport from 1989-2008, I’ve amassed plenty of aches and pains after numerous operations. I’ve been around the world and seen some of the best Doctors and surgeons out there, and Ram has been right up there with his care and skill. Never in a rush, he’s kind, compassionate and very professional. Not only helped me with knee and shoulder pain, but he’s also treated my wife for elbow pain. My son is now going to see him as he’s seen a difference in how his parents are moving. Thanks for all your help, Darren Gough and Anna Gough"

 

Darren Gough - English Cricket Player

Joint Care Clinic Client Testimonials

Google Reviews

Ultrasound-guided injection

Ram was quick to make me an appointment. The ultrasound-guided injection was painless and has reduced the pain and discomfort. Ram was patient and reassuring throughout the appointment, and I felt very comfortable and at ease. Thank you, Ram. Denise 

Friendly and professional

Visited for the second time this morning. Friendly and professional! I wouldn’t go anywhere else. I highly recommend it. Thank you, Ramakrishna. Kerry

Ultrasound investigation

My consultation with Ram was very friendly, professional and informative. He was completely open with the ultrasound investigation, showing and explaining the scans. I left with a clear indication of my problem, which in my case required no further treatment, just lifestyle adaptation. Everything was clearly explained, and there was no pressure to provide treatment, which in my case would have been of little benefit, if any benefit. My experience was of a high level of professional and ethical care. Tony Goodman Tony

Guided me through ultrasound images

Excellent, very informative, guided me through ultrasound images, which have given me a clearer picture of my condition. I went forward with treatment immediately, which was surprisingly painless. Satt Sembhy

Ultrasound-guided cortisone injection

Booked in for an ultrasound-guided cortisone injection. Offered me a suitable appointment time and advised me well over the phone. Had my face-to-face consultation, where everything was covered and discussed, followed by the injection put me at ease was very gentle, very knowledgeable and told me what to expect. I really can’t recommend this place enough, and very reasonable prices to. Julie

Wrist and Hand Pain Treatment FAQs

How long does an ultrasound guided injection take?

This will vary depending on the area and other factors, but an assessment, scan & ultrasound-guided injection will generally take around 60 minutes. Ultrasound-guided injection alone is done in a few seconds. Injection alone is carried out in a few seconds.

Are ultrasound guided injections painful?

Discomfort from the needle insertion can be minimised by using local anaesthesia with a very fine needle. Ram is experienced and carried out more than 30,000 Ultrasound-guided injections so far. He routinely treats complex patients and patients with needle phobia,through the technique he developed through his experience.

What is an ultrasound guided cortisone / Steroid / Corticosteroid injection?

A cortisone injection is also known as a Corticosteroid injection or steroid injection. This is a strong anti-inflammatory medication that is used for many inflammatory and arthritis conditions to control pain, swelling, stiffness and improve function. Corticosteroid injections are NOT the same used by bodybuilders. Corticosteroid injections do not cause weight gain.  To find out more, please visit our ultrasound-guided steroid injections page from the ‘Types of Guided Injection’ menu at the top.

Always consider having the Steroid injections under ultrasound guidance for accuracy.

For a free consultation at Joint Care Clinic, click here

What is an ultrasound guided hyaluronic acid (HA) injection?

HA injection is also known as Gel injection or Lubricant injection. This viscosupplementation injection is a natural component of synovial fluid. This tends to increase joint fluid viscosity and restore joint lubrication. Hence, acts as a shock absorber to control the joint /tendon symptoms. Limits further damage to the joint and delays or avoids the need for surgery. Also, helps to enjoy your daily activities or your preferred hobbies. To find out more, please visit our  GUIDED ULTRASOUND HYALURONIC ACID INJECTIONS page from the ‘Types of Guided injection’ menu at the top.

These injections are very popular, especially for knee joint pain. Any number of injections can be taken in a given period, due to minimal or no side effects from these injections. Usually, a course of 3 Injections is preferred, though some may do well just with an injection per year 9 we have patients managing just with 1/year.

What is an ultrasound guided Scan?

A diagnostic musculoskeletal ultrasound scan uses high-frequency sound waves to produce images of the Joints, tendons, muscles, ligaments, nerves, and other soft tissue throughout the body. This helps to identify the abnormalities of the musculoskeletal problems.

can I drive after an injection

You will not be able to drive immediately after the procedure. Bring someone with you or use another form of transport to return home. This is mainly due to your driving license policy, rather than injection efficacy. The majority of the motor insurance policies will not allow you to drive for 3-5 hours after the injection with Local Anaesthesia.

What is the cost of a private steroid injection at one of your UK clinics?

The cost of steroid injections may vary depending on the area and how many are required. More than one injection in the same appointment attracts an additional discount.

Please see our prices page for a full breakdown of costs. 

What are the advantages of Ultrasound Guided Injections and Scanning?

The advantages of Ultrasound Guided Injections and Scanning:

  • Ultrasound can detect the presence of active inflammation in inflammatory conditions, such as Rheumatoid Arthritis and Psoriatic Arthritis. This is a unique feature exclusive to diagnostic ultrasound scans.
  • Ultrasound improves the accuracy of the injection, hence offering faster and better pain relief. Usually, you are referred for an ‘ultrasound-guided injection’ if landmark-guided injections have failed to control your symptoms.
  • Immediate provision of a diagnosis at a low cost. Meaning ultrasound helps in determining the potential source of pain.
  • An ultrasound scan also helps to assess treatment response.
  • Ultrasound scan is a readily available, non-harmful, non-invasive modality.

 

What should i expect after an injection?

After the injection, you may feel pain-free for a couple of hours due to Local anaesthesia. However, the pain returns after 2 hours, and you may even feel more pain for a couple of days due to bruising. Usually, you should start feeling better from the third day onwards. Pain relief from the steroid injection may take 1 to 2 weeks.

Book your hand and wrist pain consultation at our Newcastle Clinic

How do I manage bruising pain?

Discomfort from the needle insertion can be minimised by using an ice pack (wrapped in a towel, to minimise the risk of frostbite from direct skin contact) to the area of treatment. Use the icepack up to 3-4 times a day for 10-15 minutes at each time.

Will I always feel 100% pain free?

We can accurately inject the treatment area. However, pain relief depends on several factors, such as the severity of the problem, body response to the steroid injection, rest period following an injection, rehabilitation, and exposure to the risk factors.

how many injections can i receive?

Corticosteroid Injections: 3 or 4 per treatment area/year.

Hyaluronic Acid: no limit as long as you are benefiting.

What conditions can be treated?

Arthritis, Tendinopathies, Ligament, Muscle and Nerve-related problems. We also offer trigger point injections for persistent pain (usually a course of 2-5 is effective).

How long the injection effect lasts?

It is hard to determine without an assessment. It may be possible to estimate after assessing the patient. Usually, lasts up to 3 months. There are many patients who benefited for more than a year to 2 years.

Do you offer Cortisone Injections Near me?

We cover a wide area throughout the North East of England, and we have many people travel to our clinic in Jesmond, Newcastle, from areas such as Gateshead, Hartlepool, Sunderland, Durham, Cumbria, Northumberland, Stockton on Tees, Darlington and Carlisle.

newcastle clinic Joint Care Clinics
Joint Care Clinic newcastle
Joint Care Clinic Newcastle
Joint Care Clinic Newcastle Reception

NEWCASTLE CLINIC

Joint Care Clinics @Dr Matla Clinic

Old Brewery Court, Starbeck Ave

Jesmond

Newcastle upon Tyne NE2 1XG

 

Phone: 0333 444 2013

Areas covered for Wrist and Hand Pain

We cover a wide area throughout the North East of England, and we have many people travel to our clinic in Jesmond, Newcastle, from areas such as Tyne & Wear, Gateshead, Hartlepool, Sunderland, Durham, Cumbria, Northumberland, Stockton on Tees, Darlington and Carlisle.