Hand & Wrist Specialist in Frisco, TX

Q: What is trigger finger and how is it treated?

Irritation of the tendon sheath causes catching or locking of a digit. Treatment starts with splinting and injections; a small release is very effective when symptoms persist.

Q: What is De Quervain’s tendinitis?

Inflammation of tendons on the thumb side of the wrist. Splinting, activity changes, therapy, and injections help most; surgical release is reserved for recalcitrant cases.

Q: How are TFCC injuries diagnosed and treated?

Clinical tests plus MRI when needed help confirm the diagnosis. Care starts with splinting and therapy; persistent pain or mechanical symptoms may benefit from arthroscopic debridement or repair.

Q: When can I drive or type after hand surgery?

You must be off narcotic pain medications, able to control the hand safely, and cleared for the required motion/strength. Simple procedures often allow early return to desk work; timelines vary by surgery.

Hand and wrist problems affect work, hobbies, and sleep. Nathan Boes, MD is a board-certified orthopedic surgeon fellowship-trained in Sports Medicine, offering comprehensive hand and wrist care for patients in Frisco and the North Dallas area. Care starts with conservative treatment—splinting, therapy, and injections—reserving surgery for when it clearly restores function and long-term comfort.

Serving Frisco, Plano, McKinney, Allen, Prosper, Little Elm, The Colony, and nearby North Dallas/DFW communities.

Common Hand & Wrist Conditions & Injuries

Carpal Tunnel Syndrome
Numbness/tingling in thumb, index, middle fingers; night pain.

Cubital Tunnel Syndrome
Ulnar-nerve irritation with ring/little finger tingling.

De Quervain’s Tendinitis
Pain at thumb-side wrist with gripping/lifting.

Extensor/Flexor Tendon Injuries
Lacerations or ruptures causing loss of motion.

TFCC Injury
Ulnar-sided wrist pain with rotation/grip.

Thumb CMC (Basal Joint) Arthritis
Pain with pinch/opening jars.

Wrist Arthritis
Post-traumatic or degenerative.

Hand & Wrist Treatments & Procedures

Non-Surgical Care

Custom splinting/bracing, activity modification
Hand therapy for motion, scar management, and strength
Injections (when appropriate) for carpal tunnel, De Quervain’s, arthritis

Minimally Invasive / Outpatient Procedures

Carpal Tunnel Release (endoscopic or mini-open)
Trigger Finger Release
De Quervain’s Release
Ganglion Cyst Excision (wrist/hand)
Wrist Arthroscopy for TFCC debridement/repair, cartilage evaluation
Thumb UCL Repair/Reconstruction (skier’s thumb)

Fracture & Reconstruction

Open Reduction & Internal Fixation (ORIF) — precise realignment and stabilization for displaced wrist/hand fractures (distal radius, scaphoid, metacarpal/phalangeal), and select dislocations
Tendon Repair/Transfer for lacerations or chronic loss of function
Arthroplasty or Fusion for advanced arthritis in select joints

Which option is right for you? Dr. Boes matches treatment to your diagnosis, goals, and imaging—starting conservatively whenever possible.

Personalized Treatment Plans for Every Patient

Evaluation & Diagnosis

Detailed history and hands-on exam (sensation, tendon integrity, stability, special tests)
X-rays for fractures/alignment; ultrasound or MRI when tendon/TFCC or ligament detail is needed
Clear explanation of findings and a step-wise plan tailored to your work/sport demands

Non-Surgical Care Comes First

Splinting and activity modification to calm symptoms
Targeted therapy to restore motion and strength while protecting healing tissues
Ergonomic coaching for keyboard, tools, sports, and daily tasks
Selective injections for pain relief to facilitate rehabilitation

Surgical Expertise (When Needed)

When pain, numbness, or mechanical symptoms persist—or fractures are displaced—Dr. Boes offers modern surgical care: carpal tunnel or trigger release, wrist arthroscopy, tendon/ligament repair, thumb UCL reconstruction, and ORIF for hand/wrist fractures and select dislocations. Every procedure includes a coordinated rehab plan for safe return to work and sport.

Sports Medicine Insight for Every Patient

Fellowship-trained at the Steadman Hawkins Clinic of the Carolinas, Dr. Boes has cared for MLB, NCAA, and professional teams and also treated athletes in Auckland, New Zealand. That performance background informs return-to-work and return-to-play timelines for patients across Frisco and North Dallas.

When to See a Hand & Wrist Specialist

Pain with gripping/throwing that limits performance or daily tasks
Catching/locking or restricted motion suggesting a loose body
Sudden pop with front-elbow pain and weakness (possible distal biceps rupture)
Persistent symptoms despite 2–6 weeks of rest and basic care
Recurrent medial elbow pain or loss of control/velocity in throwers

Next step: Request an evaluation with Nathan Boes, MD in Frisco, TX.

Schedule an Appointment Today

Why Choose Dr. Boes for Hand & Wrist Care

Board-Certified Orthopedic Surgeon (ABOS)
Fellowship-Trained in Sports Medicine with experience in wrist arthroscopy, tendon/ligament repair, nerve-release procedures, and ORIF
Conservative-first care with clear criteria for surgery and individualized therapy protocols
Leader & educator: AAOS • AANA • AOSSM • ASES; AOSSM Council of Delegates (TX)
Honors: AOA Medical Honor Society; ASES Mark Frankle Fellow for Healthcare Advocacy
Convenient access to imaging, therapy, and follow-up in Frisco

Hand & Wrist Injuries & Treatment: Frequently Asked Questions

Does carpal tunnel always need surgery?

No. Many cases improve with night splinting, activity changes, and therapy. Surgery (carpal tunnel release) is considered for persistent numbness, weakness, or nerve changes.

How long is recovery after carpal tunnel release?

Light activities often resume within days; grip strength and endurance improve over weeks. Desk work may resume quickly; heavy or repetitive tasks take longer.

What is trigger finger and how is it treated?

Irritation of the tendon sheath causes catching/locking of a digit. Treatment starts with splinting and injections; a small release is very effective when symptoms persist.

What is De Quervain’s tendinitis?

Inflammation of tendons on the thumb-side of the wrist. Splinting, activity changes, therapy, and injections help most; surgical release is reserved for recalcitrant cases.

Do all wrist fractures need surgery?

No. Many distal radius fractures do well with reduction and casting. Displaced or unstable fractures—especially scaphoid or intra-articular injuries—may require ORIF to restore alignment and function.

How are TFCC injuries diagnosed and treated?

Clinical tests plus MRI (when needed) help confirm the diagnosis. Care starts with splinting and therapy; persistent pain or mechanical symptoms may benefit from arthroscopic debridement or repair.

What are my options for thumb CMC arthritis?

Splints, therapy, activity modification, and injections come first. If pain persists, options include arthroplasty (ligament reconstruction/tendon interposition) or fusion based on goals and joint involvement.

When can I drive or type after hand surgery?

You must be off narcotic pain meds, able to control the hand safely, and cleared for the required motion/strength. Simple procedures often allow early return to desk work; timelines vary by surgery.

I’m not an athlete—can you still help?

Absolutely. Dr. Boes treats workers, parents, musicians, and active adults across Frisco and North Dallas, tailoring plans to everyday demands as well as sports.

Hear What Dr. Boes' Other Patients Have to Say

Kind, Sharp, Helpful

Dr. Boes patiently listened to all of my concerns and put on a good path to less pain without surgery. He also referred me to, and got me in to see, a spine specialist that I had been trying to see for a long time. He seems kind, really sharp. Was extremely helpful!

Andrew E.

Highly Recommended

Dr. Boes and his team were wonderful. They took excellent care of my son and gave a great recommendation for his post surgery recovery. Thank you guys! I highly recommend Dr. Boes and his team for all your needs.

Chasity H.

Knowledge, kindness and expertise

I saw Dr Boes for continued pain with my shoulder from an old injury, he was great at listening and discussing my options while we navigating treatment and a successful surgery.
I appreciate his knowledge, kindness and expertise.

Lisa S.

Restore Comfort & Control

Schedule an appointment with Nathan Boes, MD—serving Frisco, Plano, McKinney, Allen, Prosper, Little Elm, The Colony, and nearby North Dallas/DFW communities.