Wrist pain affects daily tasks such as writing, lifting and typing. It comes from tendons, small joints and nerves packed into a narrow space — and every one of them can be seen on ultrasound. Most cases are treated with a single precise injection; surgery is reserved for severe nerve compression or advanced arthritis.
Repetitive strain, long hours of computer use, diabetes, obesity and rheumatoid arthritis are the usual risk factors. Tendons pass through tight sheaths at the wrist and fingers and swell with repetitive use, catching or compressing what runs alongside — the median nerve shares the carpal tunnel with nine tendons, so any swelling there presses on it.
Clinical testing of sensation, strength and tendon function, with ultrasound to measure the nerve and see tendon sheath swelling; nerve conduction studies when carpal tunnel syndrome is moderate or severe.
Conditions treated
Compression of the median nerve at the wrist; night-time tingling, dropping objects, morning stiffness. Mild to moderate cases: an ultrasound-guided regenerative injection or hydrodissection — freeing the nerve with fluid — with a night splint. Constant numbness, weakness or thumb muscle wasting: surgical release, referred directly.
Inflammation of the tendon sheath on the thumb side of the wrist, common after childbirth and with repetitive lifting. An ultrasound-guided injection into the sheath resolves most cases in one visit.
A nodule on a flexor tendon catches at the pulley, so the finger clicks or locks. An ultrasound-guided injection at the pulley; release surgery for the few that recur repeatedly.
Pain and creaking on the back of the forearm just above the wrist, where two tendon groups cross — common with rowing, lifting and racquet sports. Splinting and an ultrasound-guided injection at the crossing point.
Tendon injuries at the fingertip from ball sports — in mallet finger the tip droops and cannot straighten; in jersey finger the tip cannot bend. Mallet finger is treated with continuous splinting; jersey finger usually needs surgical repair and is assessed and referred promptly.
Ligament injury after a fall or twist, and wear of the wrist joint itself. Splinting first, then ultrasound-guided PRP for partial ligament tears; hyaluronic acid or PRP for arthritis. Regenerative medicine reduces pain and improves function without surgery in most cases.
Ten to twenty minutes under ultrasound guidance and local anaesthesia. Hand use resumes the same day, with heavy gripping avoided for a few days.
No — early cases respond to splints and injections.
Yes — regenerative medicine can reduce pain and improve function.
No. It is placed beside the nerve, watched on ultrasound throughout.
Light typing the same day; avoid heavy gripping for two to three days.