Hand & Wrist Specialist

Urgently Ortho

Orthopedic Urgent Care & Sports Medicine Clinic

Wrist and hand problems are particularly troublesome, because we rely so much on our hands for so many of our activities in the course of a normal day. If you have hand or wrist pain or notice any difficulties in movement or feeling, contact Ephraim Dickinson, MD and Brieana Brady, PA-C at Urgently Ortho in San Francisco. They are experienced medical professionals specializing in orthopedics, providing out-of-hours and at-home services for both acute and chronic orthopedic conditions. Call the clinic today, or book an appointment online.

Hand & Wrist Q & A

Urgently Ortho

What conditions cause wrist and hand problems?

Wrist and hand pain and disability can be due to acute injuries, such as fractures and sprains, or ongoing conditions, such as arthritis, De Quervain's Tendinitis, and Carpal Tunnel Syndrome.

Fractured hand or wrist

Fractures are breaks in the hand bones or wrist and vary from hairline fractures and stress fractures to compound fractures where the broken bone protrudes through the skin. They’re typically a result of accidents, such as falls, sports injuries, crushing, and climbing injuries. A broken bone in the hand or a wrist fracture is usually painful and limits movement.

Dr. Dickinson and his team can diagnose fractures using their digital X-ray equipment, either at the Urgently Ortho clinic or from their mobile unit.

Tendon damage

Tendons in the wrist may be damaged through overuse injuries, resulting in wrist tendonitis, or you may suffer an acute tendon injury or sprained wrist. Mallet finger is a condition in which the tendon on the back of the finger gets separated from the muscles to which it’s normally connected. It’s a common sporting injury, as are many tendon problems.


Osteoarthritis is a degenerative condition in which the cartilage that allows bones to move freely next to one another in a joint starts to disappear. The loss of cartilage causes pain and swelling where the ends of the bones rub together and can affect any joints in the body.

Hands are very commonly affected by osteoarthritis, and finger joints with arthritis and thumb arthritis are common problems for many older people.

What is De Quervain's Tendinitis?

Also known as de Quervain's tendinosis, this condition causes pain in the wrist on the thumb side. The pain can travel from the thumb up the forearm and may make some activities more difficult, including:

  • Making a fist
  • Holding items securely
  • Turning your wrist

The cause of de Quervain’s is inflammation in the tendons situated where the wrist joins the base of the thumb.

What is Carpal Tunnel Syndrome?

Carpal Tunnel Syndrome (CTS) is a common cause of hand and wrist pain, and can also cause weakness, tingling, and numbness in the affected arm. The pain can travel right up to the shoulder, and you may feel like your arm or hand has fallen asleep. These symptoms can make it hard to grip objects, and people with CTS often find they’re prone to dropping whatever they’re holding.

The symptoms are due to constriction of the median nerve that serves the thumb side of the hand where it runs through the carpal tunnel in the wrist.

What treatments are available for hand and wrist pain?

The cause of your pain will determine the most effective course of treatment, and Dr. Dickinson and his team take a detailed look at your medical history and current state of health before recommending the most appropriate treatment. Options include:

  • Splinting or a cast
  • Anti-inflammatory medications
  • Cortisone injections
  • Physical therapy
  • Heat treatment
  • Surgical intervention (e.g., carpal tunnel surgery for severe cases)

Complicated fractures may also need surgery to set or repair the bones. The team at Urgently Ortho specialize in treating orthopedic conditions both acute and chronic, so if you’re experiencing any kind of hand or wrist pain, call the clinic today, or make an appointment online.

Conditions & Treatments


Don't see your condition? Let's chat!

Book an Appointment