Participants who have failed therapy for chronic wrist pain on the little finger side of the wrist will recieve dextrose prolotherapy. Their results will be compared to a cohort of consecutive participants who have not failed therapy, and receive 4 weeks of usual care.

Inclusion criteria

• Pain on the ulnar side of the wrist.
• PRWE greater than 40

Exclusion criteria

• Radioulnar instability more than moderate as determined by a positive ulna fovea sign or ulna grinding test
• Surgery in the wrist area
• Infection in the wrist area
• Other wrist pathology on examination
• Other pain area that is constant, interferes with sleep, or is as bad, or worse, than shoulder pain.
• Diabetes or other peripheral neuropathy
• Radiculopathy
• Unstable psychiatric function.
• Current opioid use.
• Vulnerable patients
• Pregnancy

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