Wrist & hand guide

Thumb-side wrist pain (De Quervain's) and trigger finger treatment online in Virginia and West Virginia

This guide is for wrist or finger pain without a wound, fever, or injury, not for a swollen red hot finger or a fall with deformity.

Start online

Start a $59 online review for Wrist pain / trigger finger.

Review for adults with either pain on the thumb side of the wrist that is worse gripping, lifting a child, or turning the wrist (De Quervain tenosynovitis), or a finger or thumb that catches, clicks, or locks when bending and straightening (trigger finger), without a wound, fever, or injury: splinting, activity changes, a home program, and at the physician's discretion a bounded topical or screened oral anti-inflammatory course composed by hand.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Start this visit See response windows

Quick facts

You must be physically located in Virginia or West Virginia at the time of request.
Starts at $59
No insurance needed
No app download
Physician review around the clock
Non-controlled prescriptions can be sent to your pharmacy when appropriate
A work or school note can be included when medically appropriate
Response windows: 24/7, every day

Common symptoms

Pain at the base of the thumb when lifting a baby or wringing a towel
A finger that clicks and sticks when making a fist
Worst in the morning

May fit online care

Adults 18 and older
No swollen, red, hot finger
No bite, puncture, or wound on the hand
No fall with swelling or deformity
No numbness, tingling, or hand weakness

Look for another care setting

A finger swollen along its whole length, red, hot, held bent, and painful to straighten, or red streaks up the hand
A bite, puncture, or wound on the hand with swelling or fever, a deformity after a fall, or a pale, cold, or numb finger
New numbness or tingling, hand weakness, or dropping objects
A finger locked that cannot be straightened at all

What to have ready

Which finger or which side of the wrist is affected
Whether the finger locks completely or just catches
Any recent steroid injection in the area
Whether you have rheumatoid arthritis, gout, or diabetes

What happens next

Standard

$59

Within 6 hours

Priority

$99

Within 3 hours

Rush

$149

Within 1 hour

Start the request on the website, answer the fit questions, and choose the response window you want. If the concern still fits this service, a physician reviews it and sends a secure update after sign-in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

Your physician

Every visit is personally reviewed by Ankur Fadia, MD — board-certified, cardiology-fellowship-trained, and Alpha Omega Alpha. Licensed in Virginia and West Virginia — your care is never handed off.

Verify Virginia medical license Verify West Virginia medical license Verify board certification

What's the difference between these two conditions?

De Quervain's is pain on the thumb side of the wrist, worse with gripping or twisting. Trigger finger is a finger or thumb that catches, clicks, or locks when bending. Both are reviewed in this lane and treated with similar principles.

What symptoms need to be seen in person right away?

A finger that is swollen along its whole length, red, hot, and painful to straighten, or red streaks up the hand, can mean a tendon-sheath infection — a surgical emergency that needs same-day care.

What does the splinting plan look like?

For thumb-side wrist pain, a thumb spica splint for 3 to 4 weeks. For trigger finger, a night extension splint for 6 weeks and tendon-gliding exercises, with a check-in at 4 weeks.

Related conditions we treat

Not quite what you have? These are the closest concerns this service covers.

Achilles tendinitis Acute low back pain Acute muscle strain Alcohol use disorder Altitude sickness prevention Ankle / wrist sprain