Hand and wrist complaints


Full text NHG Guideline on Hand and wrist complaints (pdf)

Download free summary card (pdf)


The NHG Guideline Hand and Wrist Complaints provides recommendations for diagnosis and treatment of patients with symptoms of hand and wrist in general practice. This includes the most common specific conditions of the hand and wrist: carpal tunnel syndrome (CTS), ganglion cyst, osteoarthritis of the hand, trigger finger and trigger thumb, mallet finger, Dupuytren’s contracture and De Quervain’s tenosynovitis.

Non-specific hand and wrist complaints fall beyond the scope of this guideline. With the exception of mallet finger, the guide¬line does not discuss the management for acute injuries of the hand and wrist, such as fractures, ruptures and wounds. Condi¬tions that are not exclusively limited to the hand and wrist region, such as the complex regional pain syndrome (previously known as Südeck’s dystrophy or sympathic reflex dystrophy), Raynaud’s disease, conditions of the skin (such as skin infections, eczema, epithelial cyst), bone tumours and rheumatoid arthritis are not discussed either.


The guideline program of the College is designed for GPs in the context of the Dutch healthcare system. It makes no warranties concerning the efficacy of the guidelines used in other countries. The information is for educational and/or professional use only and is provided in good faith without any express or implied warranty. The College does not accept responsibility for any loss or damage occasioned by use of the information contained on the website nor from any access to the website. All access and use is at the risk of the end-user.

Additional information


Peters-Veluthamaningal C, Willems W, Smeets JGE, Van der Windt DAWM, Spies MN, Strackee SD, Vos K, Wind LA, Geraets JJXR



Revision Date

January 2010