Hand And Wrist Pain

Samuel S. Abrams, MD

Hand and Upper Extremity Surgeon located in Asheville, Arden, & Hendersonville, NC

Hand and wrist pain can make day-to-day activities, like driving and getting dressed, difficult or impossible. Board-certified hand and upper-extremity orthopedic surgeon Samuel S. Abrams, MD, offers innovative treatments for hand and wrist pain, including wide-awake minimally invasive surgery, in Asheville, Hendersonville, and Arden, North Carolina. Call or book an appointment online today for leading care of hand and wrist pain.

Hand and Wrist Pain Q & A

What causes hand and wrist pain?

Carpal tunnel syndrome

Carpal tunnel syndrome causes pain, numbness, and tingling in your thumb, index, middle, and ring fingers. This condition is due to pressure on the median nerve as it passes through the carpal tunnel in your wrist.

Trigger finger

Trigger finger causes stiffness and a locking or catching sensation when you bend and straighten your finger. Also known as stenosing tenosynovitis, this condition most often affects your thumb, middle, and ring fingers.

Ganglion cysts

A lump or mass in your fingers, hand, or wrist is often due to a ganglion cyst. These fluid-filled sacs are noncancerous, but they can be painful and make it difficult to use your hand or wrist for daily tasks

Dupuytren’s contracture

Also called Dupuytren’s disease, this condition causes one or more of your fingers to pull inward, towards the palm. Dupuytren’s contracture can interfere with your hand function and ability to perform routine activities. 


Arthritis is joint inflammation. This condition can affect any joint, but it’s common in the small joints of your hand. Dr. Abrams performs an innovative procedure to treat basilar thumb arthritis that restores thumb movement faster. 


Many injuries can affect your hand, wrist, and arm, including fractures. Dr. Abrams specializes in trauma care for the fingers, hand, wrist, forearm, and elbow. 

What are the methods for diagnosing hand and wrist pain?

First, Dr. Abrams thoroughly reviews your symptoms and medical history. He may also obtain imaging studies, like an X-ray, ultrasound, CT scan, or MRI. If these tests don’t reveal the cause of your hand or wrist pain, he may perform a minimally invasive surgical procedure called arthroscopy to look inside your joints. 

What treatments are available for hand and wrist pain?

Dr. Abrams provides comprehensive care using the most advanced treatments available. He takes a collaborative and conservative approach to treatment so you play an active role in your health care decisions. He always explores every available nonsurgical treatment, including XIAFLEX® injections for Dupuytren’s contracture. 

When surgery is necessary, Dr. Abrams uses a minimally invasive approach. He is one of the  only surgeons in the area to perform wide-awake surgery for many hand procedures, including:

  • Carpal tunnel release
  • Cyst removal
  • Trigger finger release

Wide-awake surgery avoids the risk and cost of general anesthesia and may facilitate a faster recovery. He also performs many types of reconstructive and salvage procedures for wrist injuries and arthritis. 

If you have hand or wrist pain, call Samuel S. Abrams, MD, or book an appointment online today.