Hand & Upper Extremity Care

A broad array of conservative to surgical treatment options

When it comes to the hand and upper extremity ...

Your hands and wrists are at work nearly every minute of every day. From brushing your teeth to typing an email or cooking dinner, hand arthritis and carpal tunnel are just two possible hand or upper extremity conditions that cause pain, which may negatively affect your whole day.

Although the cause of hand or upper extremity pain varies, the Hand & Upper Extremity physicians diagnose and treat a wide array of conditions with conservative measures that can progress to advanced surgical procedures when the patient’s condition warrants more aggressive treatment.

Conditions treated/Clinical services provided

Our skilled orthopedic hand and upper extremity surgeons address numerous conditions, injuries and illnesses such as:

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

What you need to know about hand and upper extremity care

You will be cared for by numerous members of our team, working under the direction and supervision of our physicians:

A group of advanced practice providers—Jessica Flanigan, PA-C, Michael Lugarich, PA-C, Bethany Prince, PA-C, Francis Savannah, CRNP, and Rebecca Zahniser, PA-Cworks with the Hand & Upper Extremity physicians to assist them during surgery and office hours. The advanced practice providers also see patients for pre- and postoperative care and new patient appointments.

To request an appointment, call 1-866-874-7483 or click here. 

What conservative treatments are available?

For patients with arthritis pain, our physicians 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 recommend that patients progress to surgical treatments including:​

  • endoscopic or open carpal tunnel release

When to 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. You should 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