Hand & Upper Extremity Care

Because your hands and wrists are at work nearly every minute of the day, you need prompt attention when they are in pain. Reach out to our hand and upper extremity care team, who diagnose and treat a wide variety of complex conditions and injuries.


  • Conditions Treated/Clinical Services Provided

    • Arthritis of the hand, wrist and elbow
    • Carpal tunnel syndrome, including endoscopic carpal tunnel release
    • Cubital tunnel syndrome
    • Masses or ganglions
    • Tendinitis
    • Fractures, dislocations and other acute injuries
    • Ligament or tendon injuries
    • Dupuytren's disease
    • Rotator cuff injuries

Our Clinical Team

You will be cared for by numerous members of our team, working under the direction and supervision of our orthopedic surgeons. We also have the availability of on-site X-ray services and durable medical equipment supplies such as splints, slings and crutches.

Dr. Gause treats patients in our North Hills office and operates at UPMC Passavant Hospital-both McCandless and Cranberry, as well as Western PA Surgery Center. 

Trenton M. Gause II, MD

Dr. Gause II treats patients in our Cranberry/Mars and North Hills offices and operates at UPMC Passavant Hospital-both McCandless and Cranberry, as well as Western PA Surgery Center. 

Dr. Pacek treats patients in our BHS Crossroads Campus and Slippery Rock offices. He operates at both Butler Memorial Hospital and The Surgery Center at Benbrook.

Dr. Pfaeffle treats patients in our BHS Crossroads Campus and Cranberry/Mars offices, He operates at Butler Memorial Hospital, UPMC Passavant Hospital-Cranberry and also The Surgery Center at Benbrook.

FAQs

Got a question? We’re here to help.

  • When should you see a doctor?

    Mild joint pain that occurs with activity can generally be controlled with self-help measures. Rest, topical ointments and the use of over-the-counter medications–such as aspirin and ibuprofen–are usually effective in treating mild cases. When pain becomes more severe or persistent, it may be necessary to see your doctor. Seek medical attention when the pain and swelling:

    • occur when you are not involved in an activity
    • cannot be relieved by rest or reduced by over-the-counter medications
    • interfere with your ability to perform many activities, such as grasping objects
    • awaken you from sleep

  • What conservative treatments are available?

    For patients with arthritic pain, our surgeons initiate treatment options such as: 

    • anti-inflammatory medications
    • physical therapy
    • steroid injections
    • use of bracing for support

  • What surgical procedures are available?

    After conservative measures are no longer effective, our surgeons may recommed that patients progress to surgical treatments including: 

    • endoscopic or open carpal tunnel release

Make your musculoskeletal health a priority!

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