Wrist & Hand Pain Doctor Naples FL | Nonsurgical Treatment | Dr. Rubin
Your hands are involved in nearly everything you do — and wrist or hand pain can be surprisingly debilitating. Dr. Gregory Rubin offers precise, nonsurgical evaluation and treatment for a wide range of wrist and hand conditions. Using in-office ultrasound and targeted injections, most patients find meaningful relief without surgery.
Wrist & Hand Conditions We Treat in Naples
Carpal Tunnel Syndrome
Carpal tunnel syndrome causes numbness, tingling, and weakness in the hand — often worse at night and with sustained gripping. Mild-to-moderate carpal tunnel frequently responds to ultrasound-guided corticosteroid injection combined with nighttime splinting, delaying or avoiding surgery.
De Quervain's Tenosynovitis
This painful condition affects the tendons on the thumb side of the wrist and is common in new parents, pickleball players, and anyone who repeatedly pinches or grips. A single ultrasound-guided injection into the tendon sheath is often highly effective.
Trigger Finger (Stenosing Tenosynovitis)
Trigger finger causes the finger to lock or catch when bending, and can be quite painful. Ultrasound-guided corticosteroid injection is the first-line treatment and resolves trigger finger in the majority of patients — avoiding the need for a release procedure.
Ganglion Cysts
Ganglion cysts are benign fluid-filled lumps that commonly develop on the wrist or hand. Aspiration under ultrasound guidance is a simple in-office option that can decompress the cyst and relieve pain without surgery.
Wrist Sprains & Ligament Injuries
Wrist ligament sprains — including TFCC (triangular fibrocartilage complex) injuries — are common in racquet sport players and those who fall on an outstretched hand. Many of these injuries heal with bracing, activity modification, and targeted injection.
Thumb CMC (Basal Joint) Arthritis
Arthritis at the base of the thumb is one of the most common hand complaints, particularly in women over 50. Ultrasound-guided injections — including corticosteroid and PRP — can provide durable relief and delay the need for surgical reconstruction.
Why Ultrasound Guidance Matters for Hand & Wrist Injections
The structures in the wrist and hand are small and tightly packed. Injecting without imaging guidance significantly increases the risk of missing the target or injuring nearby structures. Dr. Rubin uses live ultrasound for every wrist and hand injection to ensure precision and safety.
Read more at the Sports Medicine Review Blog — Diagnostic Wrist and Hand Ultrasound
Treatment Options
• Ultrasound-guided corticosteroid injections (carpal tunnel, trigger finger, De Quervain's)
• PRP for thumb CMC arthritis and wrist ligament injuries
• Ganglion cyst aspiration under ultrasound
• Splinting and custom orthosis recommendations
• Hand therapy referral with specific protocols
• Activity modification and ergonomic coaching
Frequently Asked Questions
Q: Can carpal tunnel be treated without surgery in Naples?
A: Yes. Mild-to-moderate carpal tunnel syndrome often responds well to a precisely placed ultrasound-guided injection combined with nighttime splinting. Surgery becomes more appropriate for severe or refractory cases.
Q: How effective are cortisone injections for trigger finger?
A: A single cortisone injection resolves trigger finger in approximately 60–70% of patients. A second injection may be offered if the first provides partial relief.
Q: Is PRP an option for thumb arthritis?
A: Yes. PRP injections for thumb CMC arthritis are an emerging and promising nonsurgical option, particularly for patients who want to avoid or delay surgical reconstruction.
Q: Do you treat pickleball wrist injuries in Naples?
A: Absolutely. Wrist injuries from pickleball — including TFCC tears, ECU tendinitis, and wrist sprains — are common at our Naples clinic. Walk in any day we're open.
Q: How quickly can I be seen for wrist or hand pain?
A: Same-day walk-in care is available at both Naples OrthoCollier locations. No referral required.
See a Naples Sports Medicine Physician Today
Wrist and hand pain is affecting your grip, your game, and your life. Dr. Rubin offers same-day walk-in evaluation and treatment at both Naples locations. Don't wait weeks for a specialist — call 239-325-1135 or walk in today.