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my name is Sophie strike and Im one of the hand and upper extremity surgeons at Johns Hopkins I see patients with problems of the hand and upper extremity as well as patients who have tumors as I have a specialty in orthopedic oncology so there are many causes of wrist pain and tendonitis and we see it a lot of people who do repetitive activities either at work or in their hobbies or sports sometimes its just from irritation and overuse sometimes its from something like a ganglion cyst so we will see tendonitis and young active athletes who play a certain sport year-round and use the same tendons over and over and then we will also see wrist pain and tendonitis in older patients who have some arthritis or underlying stiffness of their joints with some degeneration of their tendons who particularly those who do repetitive activities that then leads to tendonitis treatment options for tendonitis are quite variable usually for mild symptoms we will start with the course of hand therapy