Post traumatic or post-surgical wrist stiffness can be a debilitating condition that may be described as intra-articular, capsular or extra-articular. Prolonged absence of joint movement can also lead to arthrofibrosis, which may affect the radiocarpal, distal radioulnar and ulnocarpal joints, although it rarely involves the mid-carpal joint. When non-invasive treatments do not yield good results, arthroscopic arthrolysis can be an effective method to improve wrist mobility. The technique of ‘in-out progressive arthrolysis’ is a systematic approach to relieve wrist stiffness, applicable to the radiocarpal (RC) joint, midcarpal joint (MC) and for the distal radio ulnar joint (DRUJ). This technique involves a meticulous examination and incremental treatment of each joint, starting with the internal structures and ending with the external capsular tissues. Its minimally invasive nature allows for a thorough evaluation and standardised release of intra-articular and capsular structures.