Hand Pain Overview

Your hands do everything, so hand pain gets noticed fast — whether it’s numbness and tingling from a pinched nerve, a catching finger, or the ache of arthritis. Our orthopedic and pain management team diagnoses the cause and treats it, from conservative care to targeted procedures, across Long Island and northern New Jersey. We have offices in Plainview, New Hyde Park, and Ronkonkoma, NY, and Clifton, Montville, and Plainfield, NJ.
The short version
- Common causes include carpal tunnel syndrome, trigger finger, arthritis, and tendonitis.
- Numbness and tingling usually point to a nerve; catching or locking points to a tendon; deep aching to a joint.
- Most hand pain improves with splinting, therapy, and activity changes.
- When it doesn’t, targeted injections or a minimally invasive release procedure can help.
What causes hand pain
The hand and wrist pack a lot of nerves, tendons, and small joints into a small space, so pain can come from several sources. The most common we see include:
- Nerve compression — carpal tunnel syndrome, where the median nerve is squeezed at the wrist, causing numbness and tingling
- Tendon problems — trigger finger, where a finger catches or locks, and tendonitis from overuse
- Arthritis — wear of the small joints, especially at the base of the thumb
- Injury — sprains, fractures, and ligament damage
The pattern is a clue: numbness and tingling suggest a nerve, a catching or locking finger suggests a tendon, and deep aching with stiffness suggests a joint. Getting the diagnosis right is what makes treatment work.
Hand conditions we treat
Carpal Tunnel Syndrome
Median-nerve compression at the wrist causing numbness, tingling, and weakness in the hand.
We also treat trigger finger, hand and thumb arthritis, and tendonitis. For a finger that catches or locks, our trigger finger release is a minimally invasive option when conservative care isn’t enough.
How we treat hand pain — step by step
- Splinting and activity changes — resting the hand and bracing (often at night) is the first step for many nerve and tendon problems.
- Therapy — hand therapy, nerve-gliding exercises, and ergonomic adjustments to reduce strain.
- Injections — a corticosteroid injection can calm inflammation in carpal tunnel, trigger finger, or arthritis; for certain tendon problems, PRP therapy may support healing.
- Minimally invasive surgery — a carpal tunnel release or trigger finger release when conservative care hasn’t resolved the problem.
Our approach: Most hand pain never needs surgery. We favor the least invasive path that will actually solve the problem — but we also don’t wait too long with nerve compression, where early treatment protects hand function.
Seek prompt care if: you have progressive numbness or weakness, difficulty with fine movements like buttoning a shirt, visible thinning of the hand muscles, or a hand injury with deformity or inability to move a finger. These warrant timely evaluation.
Why patients across Long Island and North Jersey choose Empire
We’re a local orthopedic and pain practice, so your evaluation, treatment, and follow-up all happen close to home with the same team.
- New York: Plainview, New Hyde Park, and Ronkonkoma — across Nassau and Suffolk
- New Jersey: Clifton, Montville, and Plainfield — serving Passaic, Morris, and Union County communities
- Orthopedics, hand care, and interventional pain under one roof
- Minimally invasive release procedures when needed
Insurance
Coverage varies by plan and by location, and we accept many major insurance plans across our New York and New Jersey offices. The simplest way to know exactly what your plan covers is to call — our team will verify your benefits before your visit, so there are no surprises. Whether you’re on Long Island or in North Jersey, reach out and we’ll walk you through your options.
Frequently asked questions
What’s causing the numbness in my hand?
Numbness and tingling in the hand most often come from nerve compression, such as carpal tunnel syndrome at the wrist. The specific fingers affected help pinpoint which nerve is involved.
Why does my finger catch or lock?
A finger that catches, locks, or snaps is the hallmark of trigger finger, a tendon problem. It often responds to splinting or an injection, with a release procedure available if needed.
Can hand pain be treated without surgery?
Very often, yes. Most hand pain improves with splinting, therapy, and injections. Surgery is reserved for specific problems that don’t respond or where a nerve needs to be decompressed.
When should I see a specialist for hand pain?
When home care hasn’t helped after a couple of weeks, the pain is worsening, or you have numbness, weakness, or a finger that locks. Early evaluation often means simpler treatment.
What’s a red flag for hand problems?
Progressive numbness or weakness, trouble with fine motor tasks, visible muscle thinning at the base of the thumb, or a hand injury with deformity all warrant prompt attention.
Is hand arthritis treatable?
Yes. Thumb and hand arthritis are managed with splinting, activity changes, therapy, and injections, with surgery considered only in advanced cases.
Hand pain, numbness, or a locking finger?
Our orthopedic and pain management team sees patients across Long Island, NY and northern New Jersey. We’ll find the cause and start you on the least invasive treatment that works.
New York: 516-229-1443 | New Jersey: 732-630-7246
Medicare, Workers Comp,
No Fault & Others.
We accept most major insurance plans across our New York and New Jersey offices. Select your state to see accepted plans.
Accepted at our New York Locations
Workers' Compensation
No-Fault (NY & NJ)
Lien Cases
Medicare
Empire BCBS
BCBS / Anthem
Cigna
Aetna
Empire NYSHIP
Oxford (PPO)
United Health Care
GHI / Emblem Health
Humana (PPO)
Magnacare (PPO)
Northwell Direct
1199 SEIU
Self Pay
Accepted at our New Jersey Locations
No-Fault (NJ)
Lien Cases
Horizon BCBS
Empire NYSHIP
BCBS / Anthem (PPO)
Cigna
Aetna (PPO)
GHI / Emblem (PPO)
Port Authority UHC
Verizon Plan
Carpenter & Trade Unions
Self Pay
Medicare and Medicaid are not accepted at our New Jersey locations. Not sure about your plan? Call us and we'll verify before your visit.
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Meet Our Pain Management & Orthopedic Specialists

Dr. Monica Misak
Interventional Pain Specialist

Dr. James Yu, D.O.
Board Certified Anesthesiologist
Board Certified Interventional
Pain Management Physician

Dylan J. O'Rourke
Certified Physician Assistant
Pain Conditions Affecting Daily Life
Improve your quality of life with our comprehensive approach to pain management
We are dedicated to finding individualized treatment options tailored to fit your needs. Our team is dedicated to helping you lead a productive and active life, free from pain and disruption.
We use an integrative approach to conduct a comprehensive evaluation and assess your condition.
Physical examination and review of your medical history. We assess the cause of your pain, determine its severity and duration, and help you develop an individualized treatment plan.
We provide a range of treatments and procedures to address your chronic pain. These include nerve blocks, injections, physical therapy, implantable therapies and more. We also offer health education to help you better manage your condition.



