Hand and Wrist Pain Treatment
in Queens, NY
Hand or wrist hurting? Let's find out why.
Board-certified pain specialists in Rego Park use ultrasound to find the cause of your hand or wrist pain, then pair targeted injections with hand therapy and splinting. Ask about same-day availability.
Nerve compression, tendon irritation, arthritis and injury account for most hand and wrist pain. Carpal tunnel syndrome is the most common nerve cause, and De Quervain's tenosynovitis and trigger finger are the most common tendon causes. Sometimes the problem is actually in the neck.
Queens Pain Clinic confirms the cause with a hands-on exam and ultrasound before treating anything, and many people get better without surgery.
Last reviewed October 2026
Most hand and wrist pain comes from one of four places: a pinched nerve (carpal tunnel is the usual one), an irritated tendon, a worn or injured joint, or a problem in the neck that only shows up in the hand. Treatment depends on which it is, so we start by finding out. At Queens Pain Clinic in Rego Park, our board-certified pain specialists use ultrasound to see the problem and to guide injections to exactly the right spot, paired with hand therapy and splinting. Many people get better without surgery. Some don’t, and if you’re one of them we’ll say so and refer you to a hand surgeon. Ask about same-day availability.
Pain from a nerve, tendon, joint or the neck, treated without surgery whenever reasonable
Conversation, hands-on exam and, when needed, ultrasound, X-ray, MRI or nerve testing
9701 66th Ave, Rego Park, NY 11374
Mon, Tue, Thu, Fri 9 am to 6 pm. Sun 9 am to 3 pm. Closed Wed and Sat
Call 1-877-97 NO PAIN
Four Places It Usually Comes From
Most hand and wrist pain comes from one of four places: a pinched nerve (carpal tunnel is the usual one), an irritated tendon, a worn or injured joint, or a problem in the neck that only shows up in the hand. Treatment depends on which it is, so we start by finding out.
At Queens Pain Clinic in Rego Park, our board-certified pain specialists use ultrasound to see the problem and to guide injections to exactly the right spot. We pair that with hand therapy and splinting.
Many people get better without surgery. Some don't, and if you're one of them we'll say so and refer you to a hand surgeon.
Signs It's Time to Get Your Hand or Wrist Looked At
- Numbness or tingling in your thumb, index and middle fingers that wakes you at night
- A weak grip, or dropping cups and phones
- A finger that catches or locks in a bent position, usually first thing in the morning
- Pain on the thumb side of your wrist when you lift a child, twist a jar lid or wring out a cloth
- An ache at the base of your thumb when you pinch, turn a key or open a bottle
- Wrist pain that hasn’t settled after two or three weeks of rest
- Your hand is hot, red and swollen and you have a fever
- You hurt your wrist in a fall or accident and it looks bent or you can’t move it
- Numbness or weakness comes on suddenly along with trouble speaking or a drooping face
What Causes Hand and Wrist Pain
What it feels like helps point to what's going on. Here's how the common patterns line up.
Carpal tunnel syndrome
Numbness, tingling or burning in the thumb, index, middle and half of the ring finger; often worse at night.
The median nerve is squeezed where it passes through the wrist.
Guyon’s canal syndrome
Numbness in the little finger and half of the ring finger; weaker grip.
The ulnar nerve is compressed at the heel of the hand. Long hours of gripping handlebars or tools are a common trigger.
De Quervain’s tenosynovitis
Pain on the thumb side of the wrist when gripping or twisting.
Two thumb tendons are irritated inside their sheath.
Trigger finger
A finger that catches, snaps or locks, worse in the morning.
A tendon snags at the A1 pulley, the band of tissue at the base of the finger.
Thumb-base (CMC) arthritis
Deep ache at the base of the thumb, hard to pinch or turn things.
The cartilage in the joint has worn down.
Wrist osteoarthritis
Stiffness, aching and less motion.
Cartilage wear, often years after an old injury.
TFCC tear
Pain on the little-finger side of the wrist, sometimes with clicking.
The cartilage and ligament complex that cushions the wrist is torn or worn.
Pinched nerve in the neck (C6–C7)
Arm and hand pain, numbness or weakness, often with neck pain.
A nerve root is irritated where it leaves the spine.
Inflammatory arthritis (rheumatoid, gout)
Swollen, stiff or suddenly hot, painful joints.
The immune system or uric acid crystals inflame the joint.
Less often, pain comes from a scaphoid fracture that was missed after a fall, from thoracic outlet syndrome, or from other nerve entrapments such as pronator teres syndrome.
A neck problem and carpal tunnel can feel almost the same in the fingers. That's why we examine your neck and shoulder as well as your hand, and why we confirm the diagnosis with ultrasound, and nerve conduction testing when it's needed, before treating anything. See also our pages on neck pain and elbow pain.
How We Find the Cause
A conversation
When it started, what makes it worse, what your work and weekends involve, and what you’ve already tried.
A hands-on exam
We examine your hand, wrist, elbow and neck, not just the spot that hurts.
Imaging or nerve testing
If the picture isn’t clear, we add ultrasound, X-ray or MRI, or nerve conduction testing to see how well a nerve is carrying signals.
Plain explanation
You’ll hear what we think is going on, in plain terms, before any treatment is offered.
Hand and Wrist Treatment Options
Treatment follows the diagnosis. Here's what we may use, and what to expect from each.
Ultrasound-guided injections
A small amount of corticosteroid, placed with live ultrasound so it lands next to the nerve or inside the tendon sheath rather than near it. For trigger finger and De Quervain’s tenosynovitis, many people get lasting relief after one or two injections. For carpal tunnel, relief often lasts weeks to months and sometimes longer, which gives you room to decide what comes next.
Platelet-rich plasma (PRP)
We draw a small sample of your blood, concentrate the platelets and inject them into a stubborn tendon or an arthritic joint. It’s most often considered for tendon problems and early joint wear that haven’t responded to simpler care. The research on PRP in the hand and wrist is still growing, and results vary from person to person, so we’ll go over what’s known for your condition and what it costs before you decide.
Nerve hydrodissection
Under ultrasound, we inject fluid around a compressed median or ulnar nerve to loosen it from the tissue sticking to it. It’s a newer option for carpal tunnel and Guyon’s canal syndrome, and the evidence is still early. We offer it to selected patients, and we’ll tell you where the research stands.
Prolotherapy
Dextrose injections into loose or irritated ligaments and joints, used for conditions like thumb-base arthritis and wrist instability.
Hand therapy, splinting and ergonomics
Nerve-gliding exercises, gradual tendon strengthening, a night splint that keeps the wrist straight, and changes to how you set up your keyboard, tools or phone grip. For mild carpal tunnel, a night splint is often the first thing we try. This part of the plan is what keeps the problem from coming back.
Our hand and wrist treatments don't rely on opioids.
When Surgery Is the Better Answer
Injections and therapy don't fix everything. If numbness is constant, the muscle at the base of your thumb is shrinking, nerve testing shows significant damage, or you haven't improved after a fair trial of treatment, a hand surgeon may serve you better. Carpal tunnel release, for instance, is a short outpatient operation. We'll refer you and share your records so you don't have to start over.
Symptoms and history
We talk through your symptoms and history.
The exam
We examine your hand, wrist, elbow and neck.
Tests, if needed
We order or perform any tests we need.
Likely cause and options
We explain the likely cause and the options, including doing nothing yet.
An injection, if it fits
If an injection makes sense and you want one, we can often do it at that visit.
Injections themselves take a few minutes. Your hand may be sore for a day or two afterward. Many people return to light daily activity quickly, and we'll give you specific instructions for work, sports and typing.
If your pain started in a car accident or on the job, see our Auto Injury and Worker's Comp pages. Questions about coverage? Our Insurance and Payment Options pages cover it, or call us.
Hand and Wrist Pain Questions
Hand or Wrist Hurting? Let's Find Out Why.
Call 1-877-97 NO PAIN or request an appointment online. Ask about same-day openings. Serving Queens patients since 2004.
9701 66th Ave, Rego Park, NY 11374
Phone: 1-877-97 NO PAIN
- Monday9:00 am to 6:00 pm
- Tuesday9:00 am to 6:00 pm
- WednesdayClosed
- Thursday9:00 am to 6:00 pm
- Friday9:00 am to 6:00 pm
- SaturdayClosed
- Sunday9:00 am to 3:00 pm
Last reviewed October 2026. This page is for general education and isn't a substitute for an individual medical evaluation.