Injection request/surgery query

Hello. I have had a few steroid injections which seem to work well but my left hand is getting increasingly worse. If possible, I would like another steroid injection please but would be interested to see what the surgery options are too please (if I am at that stage) - I am embarking on a career as a massage body psychotherapist, which involves massage and I am concerned about this as a prospect currently. Thank you for your time.