Skip to content

Opening December 1, 2027 in Bethesda, MD · Now scheduling new patients

Hand and wrist pain · Bethesda, MD

Hand and wrist pain treatment in Bethesda, MD

We treat carpal tunnel, trigger finger, thumb arthritis, and de Quervain's, with ultrasound-guided releases and injections in the office.

What causes hand and wrist pain?

Numbness in the thumb and first fingers, especially at night, suggests carpal tunnel syndrome. A finger that catches or locks is trigger finger. A deep ache where the thumb meets the wrist, worse when you pinch, is often thumb arthritis, and pain on the thumb side of the wrist with lifting can be de Quervain's.

The hand is crowded with nerves and tendons, so precision matters. Ultrasound guidance lets many hand procedures be done through a tiny opening in the office, with a quick return to light use.

When to see an orthopedic doctor for hand and wrist pain

  • Numbness or tingling in the fingers that wakes you at night
  • A finger that catches, clicks, or locks
  • Thumb-base pain when you pinch, grip, or open jars
  • Weak grip or dropping objects
  • A lump or cord in the palm that keeps a finger bent

Get urgent care instead if you have

  • A deformed finger or wrist after a fall
  • A red, swollen, very painful finger or hand, especially after a cut or bite
  • Sudden weakness or numbness in the hand with facial droop or speech trouble (call 911)

Hand and wrist pain treatment options

PRPPlatelet-Rich Plasma (PRP)A concentrate of platelets from a small draw of your own blood, placed precisely under ultrasound to calm pain and support tendon and joint healing.MSK UltrasoundDiagnostic Musculoskeletal UltrasoundReal-time imaging of tendons, ligaments, muscles, joints, and nerves at the exam table, including while you move.EMG / NCSEMG and Nerve Conduction Study with UltrasoundNerve and muscle testing, combined with nerve ultrasound, to pinpoint the cause of numbness, tingling, or weakness.Guided InjectionsUltrasound-Guided Joint and Tendon InjectionsOffice-based injections placed under live ultrasound, so the medicine reaches the exact structure that hurts.Cortisone InjectionCortisone (Steroid) InjectionsA targeted anti-inflammatory injection, placed under ultrasound, that calms a flare of joint, bursa, or nerve-tunnel pain so rehab can move forward.Carpal Tunnel ReleaseUltrasound-Guided Carpal Tunnel ReleaseReleases the ligament pressing on the median nerve through a tiny incision under live ultrasound, without open surgery.Trigger Finger ReleaseUltrasound-Guided Trigger Finger ReleaseReleases the pulley that catches a locking finger, through a needle under ultrasound.Dupuytren's ReleasePercutaneous Dupuytren's Contracture ReleaseReleases tight cords in the palm through a needle to help the fingers straighten.Nerve HydrodissectionNerve HydrodissectionUses fluid, under ultrasound, to free a nerve that is stuck or compressed by surrounding tissue.Nerve ModulationNerve ModulationNerve blocks and stimulators, including peripheral nerve and spinal cord stimulation, that quiet the nerves carrying pain so rehab can move forward.Joint DenervationJoint DenervationTreats the nerves that carry pain from the knee, hip, shoulder, elbow, wrist, sacroiliac joint, foot, or plantar fascia; an option for people delaying or avoiding joint replacement.Rehab PlanningRehabilitation and Return-to-Activity PlanningA strength-first plan, coordinated with your physical therapist, that sets clear milestones for getting back to training, work, and sport.

Questions about hand and wrist pain

What doctor should I see for hand pain?
Sports medicine physicians with ultrasound training and hand surgeons both treat hand pain. Propel treats carpal tunnel, trigger finger, thumb arthritis, and hand tendon pain in the office with releases, guided injections, and orthobiologics, often without open surgery.
Is there a carpal tunnel option besides open surgery?
Mild cases improve with splinting and activity changes. When a release is needed, Propel offers ultrasound-guided carpal tunnel release through a tiny incision under local numbing medicine.
What helps thumb arthritis pain?
Splinting, hand therapy, and ultrasound-guided injections help most people. Orthobiologics are an option for some, and surgery is discussed when function keeps declining.

What to expect at your visit

  1. 1.

    We listen first

    Your visit opens with a real conversation: how the problem started, what you have already tried, and the activity you want back.

  2. 2.

    Exam and in-office ultrasound

    A hands-on exam, then ultrasound at the exam table, often while you move, so your physician can see the tendon, joint, or nerve involved.

  3. 3.

    A clear diagnosis and plan

    You leave knowing what is wrong and what your options are, from strength-based rehab to procedures, and why we recommend each one.

  4. 4.

    Treatment and follow-through

    Most procedures happen here in the office. We coordinate with your physical therapist and check progress against the goals you set.

Rehab protocols

Dr. Gruner's week-by-week recovery guidelines. Your plan is individualized; follow these with your physician and physical therapist.

Opening December 1, 2027

Ready to get back in motion?

We are scheduling new patients now. Book an evaluation to find out what is causing your pain and how to treat it.

Call the front desk

(301) 200-9025

frontdesk@propelsportsortho.com
Fax (301) 664-1148

Email frontdesk@propelsportsortho.com

Call (301) 200-9025Request