I've had them in my thumbs. I would not do it without the numbing spray prior to the procedure. Some doctors use it and some don't.
August 15
Good morning! Cortisone injections directly into hand joints are a recognized treatment option for RA. Doctors can inject corticosteroids into specific joints — like those in the hands — to target inflammation right at the source.
Here are a few things worth knowing before considering hand injections:
- You need to be Show Full Answer
Good morning! Cortisone injections directly into hand joints are a recognized treatment option for RA. Doctors can inject corticosteroids into specific joints — like those in the hands — to target inflammation right at the source.
Here are a few things worth knowing before considering hand injections:
- You need to be free of infection before receiving a shot
- The joint shouldn't be severely damaged, as the injection may not help in that case
- Those on blood thinners should discuss extra precautions with their doctor
- Whole-body injections shouldn't exceed six times per year to reduce side effects
Potential side effects to be aware of include:
- Bone weakening
- Cartilage damage
- Skin or tissue thinning at the injection site
- Joint infection
A rheumatologist typically administers these and may use ultrasound to guide the needle precisely into a small hand joint. Regarding Botox injections in the hands for RA — this isn't a standard or widely recognized treatment for RA joint pain, so it would be really worth raising that question directly with your rheumatologist to get their professional take on it.
August 12
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