Hand & Wrist Pain Treatment — Trigger Finger, Arthritis & Carpal Tunnel
Small Joints, Big Impact
Your hands are involved in nearly everything you do — which is why hand and wrist problems are so disruptive, and why precise treatment matters so much. The structures here are small and close together; a few millimeters determines whether an injection lands in the right tendon sheath or misses entirely. This is where ultrasound guidance earns its keep.
Hand & Wrist Conditions We Treat
Trigger Finger: Often Fixed With One Precise Injection
Trigger finger happens when a flexor tendon catches in its sheath. The good news: a single ultrasound-guided injection into the tendon sheath resolves it for a majority of patients — published success rates run 50–70% after one injection and higher after a second. Done under ultrasound, placement is confirmed rather than assumed.
Carpal Tunnel Without the Operating Room
Mild-to-moderate carpal tunnel syndrome often responds to night splinting, activity modification, and ultrasound-guided injection. We’ll also tell you honestly when nerve testing or a surgical consult is the smarter move — untreated severe compression can cause permanent numbness, and that’s a risk we won’t let you take blindly.
Answers from Dr. Ogunsola
The questions Treasure Coast patients search most — answered with the same honesty you'll get in the office.
What causes trigger finger?
Thickening or nodule formation in a flexor tendon as it passes through its sheath pulley — more common with diabetes and repetitive gripping. It’s mechanical, not arthritis, and usually very treatable without surgery.
Can thumb arthritis be treated without surgery?
Yes — splinting, activity modification, and image-guided injections manage symptoms well for many patients. The basal thumb joint is small, making ultrasound guidance especially valuable for accurate placement.
When does carpal tunnel need surgery?
When numbness becomes constant, hand muscles weaken or shrink, or symptoms persist despite splinting and injection. Earlier, milder cases are very reasonable to manage non-surgically.