Main causes of wrist pain

Carpal tunnel syndrome

Median nerve compression in the carpal canal. Nighttime numbness of fingers 1–3, a "dropping" hand, weak grip. The most common cause. Confirmed by EMG and ultrasound of the nerve.

De Quervain's tenosynovitis

Inflammation of the first extensor compartment — tendons at the base of the thumb. Pain on thumb abduction, positive Finkelstein test. Common in young mothers and after unusual loading.

Rhizarthrosis

Arthrosis of the first carpometacarpal joint of the thumb. Pain with grip, opening jars, pinch. "Shifting" joint deformity. Affects up to 20% of women over 50.

Ganglion (hygroma)

A cystic formation on the dorsal or palmar surface of the wrist. Often painless but may compress a nerve or limit motion. Treated by ultrasound-guided aspiration or injection.

Trigger finger

Stenosing tenosynovitis of the finger flexors. Click on flexion, sometimes finger locking in flexion. Treated by injection into the A1 pulley under ultrasound guidance.

Post-traumatic conditions

Sequelae of scaphoid fractures, TFCC tears, instability of the distal radioulnar joint. Combination of MIBRAR® with orthopedic care.

Carpal tunnel syndrome

How to recognize it

Nighttime numbness of the thumb, index and middle fingers. Patient wakes up and shakes the hand. Daytime numbness when holding a phone, steering wheel, book. Weak grip, dropping objects.

Diagnosis

Positive Tinel's and Phalen's tests. EMG (nerve conduction study) — gold standard, determines compression severity. Ultrasound of the nerve — cross-sectional area and hypervascularization.

MIBRAR® treatment

Median nerve hydrodissection: precise PRP/CGF injection into the canal around the nerve under ultrasound guidance. Releases compression, restores nerve gliding. 2–3 sessions. Surgical release is only needed for severe thenar atrophy.

Rhizarthrosis and de Quervain's

Rhizarthrosis — cartilage regeneration

CGF or Lipogems® injections into the first carpometacarpal joint under ultrasound navigation. 2–3 sessions. An alternative to trapeziectomy and endoprosthesis.

De Quervain's — tendon restoration

CGF into the first extensor compartment under ultrasound guidance. Regeneration of the tendon sheath without steroids, which weaken the tissue. 2 sessions 3–4 weeks apart.

Trigger finger

Targeted injection into the A1 pulley zone. The click resolves in 80% of cases without surgery. Especially effective in fresh forms.

Wrist pain treatment with MIBRAR®

All procedures are outpatient, under ultrasound navigation, with local anesthesia. The patient goes home in 1–2 hours. Return to work — usually the next day.

20–40 minProcedure duration
2–3Sessions per protocol
80%+Avoid surgery
1 dayBack to work

Describe your case — get a plan

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Frequently asked questions

Why do my fingers go numb at night?

Classic sign of carpal tunnel syndrome. MIBRAR® with median nerve hydrodissection releases compression without surgery.

What is de Quervain's tenosynovitis?

Inflammation of thumb base tendons. Treated with ultrasound-guided CGF without steroids.

Is surgery mandatory for carpal tunnel?

No. For mild and moderate severity, MIBRAR® is effective without surgery.

Can rhizarthrosis be cured without a prosthesis?

Yes at stage I–II. CGF/Lipogems® injections into the thumb base joint.

When should I see a doctor?

Pain over 2 weeks, nighttime numbness, weak grip. Early presentation means better prognosis.