Review Question - QID 219438

A 33-year-old right-hand-dominant male amateur golfer presents to the clinic for evaluation of right wrist pain. He reports an insidious onset of dull pain on the palmar and radial side of his wrist that is worsened when playing golf. On examination, there is vague radial-sided wrist pain with diffuse tenderness to palpation and a mild degree of swelling, and pain is exacerbated with resisted wrist flexion. He denies any numbness or tingling on the palmar, radial, and dorsal aspects of the hand. An MRI of the wrist is obtained and shown in Figures 1 and 2. He is subsequently referred to physical therapy and instructed to refrain from golfing, only to return six weeks later with no improvement. What is the most appropriate next step in management?