Hand clinic · Cardiff & Penarth

Hand steroid injection.

A targeted cortisone injection that can settle hand pain — often without surgery. For trigger finger, thumb-base arthritis, De Quervain's and more, given in the same visit as your consultation by Consultant Hand Surgeon Mr Angus Maclean FRCS. Quick, no incision, no downtime.

Consultation + injection £350 · Consultation only £150 · Same visit · Follow-up FREE
Steroid (cortisone) injection Same visit as your consultation No incision, no downtime Bupa · AXA · WPA · Vitality
Mr Angus Maclean, Consultant Hand Surgeon, at Acorn Private Clinic Penarth
FRCSConsultant Hand Surgeon
Same visitAssessed & injected together
No downtimeBack to normal the same day
4.9From 376 Google reviews
Steroid injection

Could an injection settle it?

A steroid (cortisone) injection calms the inflammation behind many painful hand and wrist problems. It often helps with:

  • Trigger finger — a finger that clicks, catches or locks
  • Thumb-base arthritis — pain and weakness at the base of the thumb
  • De Quervain's tenosynovitis — pain on the thumb side of the wrist
  • Early or mild carpal tunnel — tingling and night-time symptoms
  • Inflamed tendons or joints in the hand and wrist
  • Not sure what it is? An assessment comes first

An injection can give months of relief. For some people it resolves the problem for good; for others it buys time or confirms that surgery is the better answer. Your surgeon will be honest about what to expect for your hand.

Transparent pricing

All-inclusive fixed pricing.

Every price includes the consultant surgeon and the treatment given. No hidden fees.

Assessment only

Consultation

£150

Clinical assessment with Mr Maclean to confirm the diagnosis and the right treatment. No injection given.

Book consultation
Always included

Follow-up appointment

FREE

A review once the injection has had time to work, with a clear plan if you need anything further.

Book consultation

Insurance accepted: Bupa, AXA Health, WPA, Vitality, Aviva, Cigna, Healix, Saga, Allianz. We'll help with your pre-authorisation paperwork.

Injection or surgery

The simplest step first.

For many hand problems an injection is the sensible first move. If it doesn't settle things, surgery is straightforward and we'll talk you through it.

B

Surgery, if it's needed

If an injection doesn't settle things, or the problem is more advanced, day-case surgery under local anaesthetic is the next step — for example trigger finger release or carpal tunnel release. Priced separately.

Meet your surgeon

Given by a Consultant Hand Surgeon.

Not delegated. Not rushed. The surgeon who assesses your hand is the one who gives the injection.

Mr Angus Maclean, Consultant Hand Surgeon at Acorn Private Clinic Penarth
Consultant Hand Surgeon

Mr Angus Maclean

BM, MRCS, FRCS (Tr & Orth), MD, Eur Hand Dip

Mr Maclean is a Consultant Hand Surgeon specialising in trigger finger, carpal tunnel release, thumb-base arthritis, Dupuytren's contracture, ganglion and cyst excision and complex hand surgery. He holds the European Hand Diploma in addition to his UK FRCS, and has performed many thousands of hand injections and procedures across NHS and private practice.

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How it works

From booking to relief.

Assessed and treated in a single visit — you walk out and get on with your day.

1

Self-refer online

No GP referral needed. Book your consultation directly. We accept patients from across South Wales.

2

Consultation (£150)

Mr Maclean examines your hand, confirms the diagnosis, and checks a steroid injection is the right treatment for you.

3

The injection (£350 in total)

A targeted steroid injection, placed precisely by hand based on examination. A brief sting and it is done — no incision, no dressing.

4

Straight back to normal

No downtime. You drive yourself home and carry on with your day. Mild soreness for a day or two is normal.

5

Relief over a few days

The steroid usually starts working within 3 to 7 days, with the full effect by 2 to 6 weeks.

6

Review (FREE)

We check it has worked. If symptoms return, we discuss a repeat injection or surgery — honestly and without pressure.

After your injection

What to expect afterwards.

Realistic expectations based on Mr Maclean's experience across many thousands of hand injections.

First 24-48 hrs

Mild soreness

As the local anaesthetic wears off, some ache at the injection site is normal. Paracetamol is usually enough.

Days 1-3

Possible flare

A small number of people get a short-lived "steroid flare" — a temporary increase in pain that settles on its own.

Days 3-7

It starts working

The steroid begins to calm the inflammation and symptoms ease. Keep using the hand normally.

Weeks 2-6

Full effect

You should feel the full benefit of the injection by this point.

Months 3-6+

Lasting relief

Relief typically lasts several months and varies from person to person. Some people need no further treatment.

If it returns

Next steps

A repeat injection or day-case surgery can be discussed. We'll always be honest about the best option for you.

Why patients choose Acorn

The Acorn difference.

Award-winning private healthcare in South Wales. As seen on BBC.

Fast access

Most patients seen — and injected — within 1 week. Compare to NHS waiting times of 9-12+ months.

Consultant-led

Assessed and injected by Mr Angus Maclean FRCS, a Consultant Hand Surgeon — not delegated to a trainee.

All-inclusive pricing

£350 covers the consultation and the injection together. No separate injection fee, no surprise extras.

HIW regulated

Acorn Private Clinic is regulated by Healthcare Inspectorate Wales. Mr Maclean is registered with the General Medical Council.

Award-winning

Vale of Glamorgan Business of the Year — Professional Services. 4.9★ from 376 Google reviews. Featured by BBC.

Insurance accepted

Bupa, AXA, WPA, Vitality, Aviva, Cigna and more. We help with pre-authorisation paperwork at no extra cost.

Patient experiences

What patients say.

Verified reviews from real Acorn Private Clinic patients.

★★★★★
I have experienced Acorn Private Clinic that maintains the highest standards of medical care based on their expert surgeons and excellent resources. You can expect everything a patient needs to get back to their best health.
Leigh MedlicottPatient review
★★★★★
Their nurses, clinicians, and support teams deliver exceptional patient care. They were with me every step of the way, tailoring the care around me and giving the peace of mind.
Sian SmithPatient review
★★★★★
From a fantastic easy online booking service to the treatment itself — everyone was friendly and professional and I felt supported all the way through. I would highly recommend them.
Google reviewerGoogle review
★★★★★
Very professional clinic. I felt safe and looked after by the team. I travelled far to the clinic, and am very pleased I did.
Emma JacksonGoogle review

Read all 376 Google reviews →

Your questions, answered

Hand injection FAQs.

The questions patients ask most often before booking.

How much does a hand steroid injection cost in Cardiff?

A consultation with a steroid injection in the same visit costs £350. A consultation on its own is £150. Follow-up is FREE.

The £350 is all-inclusive — there is no separate injection fee.

Is the injection ultrasound guided?

No. For hand and finger conditions such as trigger finger, De Quervain's and thumb-base arthritis, the target is superficial and easily located, so an experienced Consultant Hand Surgeon gives the injection precisely by hand, based on examination — this is standard, reliable practice.

Ultrasound-guided injections are offered as a separate service for deeper joints elsewhere in the body. Ask us if that would suit you better.

What hand conditions can a steroid injection treat?

A steroid injection can settle trigger finger, thumb-base (basal joint) arthritis, De Quervain's tenosynovitis, early or mild carpal tunnel symptoms, and other inflamed tendons or joints in the hand and wrist.

Your surgeon confirms it is the right treatment at the consultation.

How quickly does it work, and how long does it last?

Most people notice improvement within 3 to 7 days, with the full effect by 2 to 6 weeks. Relief typically lasts several months and varies from person to person.

For some people it resolves the problem; others need a repeat injection or go on to surgery.

Does the injection hurt?

You feel a brief sting as it goes in. It takes only a minute or two, with no incision, dressing or downtime. Mild soreness for a day or two afterwards is normal.

What if the injection doesn't work?

Not every injection works for everyone. If symptoms return or don't settle, we discuss the options — which may include a repeat injection or day-case surgery such as trigger finger or carpal tunnel release. We are honest about what to expect.

Do I need a GP referral?

No GP referral is required. You can self-refer by booking a hand consultation online or by calling 029 2199 9300.

Does my health insurance cover it?

Yes. We accept Bupa, AXA Health, WPA, Vitality, Aviva, Cigna, Healix, Saga and Allianz.

Contact your insurer for a pre-authorisation code before booking — we'll help with the paperwork at no extra cost.

Settle the pain — often without surgery.

Don't wait 12 months on the NHS. Book your consultation with Mr Maclean — most patients seen, and injected, within 1 week.