Background: Wrist discomfort is frequent in Orthopedic OPD. Computers, phones, laptops, and other electronics aggravate wrist pain. Treatment requires accurate diagnosis. Diagnostic imaging confirms. Ultrasound, MRI, and X-ray are employed. Critical imaging. Sonography and physical exam solve diagnostic problems. Real-time ultrasound is cost-effective for wrist imaging. Ultrasound imaging has improved for wrist joint diseases. It's cheaper than other methods. Cost and availability make wrist ultrasonography significant in our country. Ultrasound is the primary line of imaging for a patient with wrist joint pain. Use ultrasound along with X-rays and clinical exam to aid in speedy and decisive diagnosis, avoiding expensive investigative modalities. To describe USG image interpretation problems. Material and Methods: In our study, a prospective analysis of 100 individuals who had wrist pain was included. Additionally, a pre-written consent is obtained. All patients got a complete clinical examination, a USG of the affected wrist with comparison to the other side, and an X-ray (PA & Lateral) of the affected wrist Results: A wide range of pathologies, including anomalies of the local bones, joints, and soft-tissue structures including tendons, can cause the clinical manifestation of wrist pain. US can help identify the precise source of wrist pain. Conclusion: For a case of wrist pain, a USG examination can be performed as the initial line of inquiry because it is affordable, real-time, and enables comparison with the contralateral side.