An alternative to steroid injections in the hand can be hyaluronic acid injections. Please see this article that I co-authored. http://www.whichmedicaldevice.com/news/article/431/hyaluronic-acid-injection-in-the-treatment-of-small-joint-arthritis-in-the-hand
Blog to record the musings and activities of Maxim Horwitz, Consultant Hand and Wrist Surgeon as he goes about his daily business working full time as NHS Consultant at Chelsea and Wesminster Hospital. Includes also thoughts and discourse his his private medical practice, complex surgery, lecturing, teaching, audit, learning and working with medical colleagues.