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Hand & Upper Extremity Surgery · New York

Tell us where it hurts.
We'll tell you what it is.

A three-question self-diagnosis — built from the same clinical patterns our surgeons use. No appointment needed to understand what's happening in your hand.

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2
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Which area bothers you?

Scroll to learn more

Anxiety converts to understanding,
one scroll at a time.

From the moment you describe your symptom to the week you close your hand around a coffee mug again — here is exactly what happens.

01

Initial Consultation

You describe it. We listen in millimeters.

Your first visit is a thorough conversation and physical examination. We map the exact anatomy of your symptoms — which nerve, which tendon, which joint — using clinical tests that have been refined over decades of hand surgery.

Typically 45–60 minutes. Bring any imaging you already have.
02

Diagnostic Imaging

X-ray, ultrasound, or MRI — only what the picture needs.

Not every condition needs imaging. When it does, we order the right study — not the most expensive one. Nerve conduction studies for carpal tunnel, weight-bearing X-rays for fractures, dynamic ultrasound for tendon pathology.

Most results reviewed same day or within 48 hours.
03

Treatment Options

Surgery is never the default. It's the measured choice.

We present every option — splinting, injection, physical therapy, WALANT in-office procedures, endoscopic release, microsurgical repair — with honest recovery timelines and success rates. The comparison tables below are exactly what we show patients in the office.

State-of-the-art: WALANT, endoscopic, computer-assisted 3D, microsurgery.
04

Recovery Milestones

Week by week, function returns.

Recovery from hand surgery is measured in days and millimeters of motion. We track your grip strength, range of motion, and nerve recovery at every follow-up — adjusting therapy and activity restrictions in real time so nothing is left to guesswork.

Hand therapy coordinated. Progress tracked at 2, 6, and 12 weeks.

Non-surgical vs. surgical.
Honest numbers. Your decision.

These are the same comparison tables we show patients in the office — success rates, recovery weeks, and return-to-activity dates, condition by condition.

Conservative Management

Splinting, anti-inflammatory medication, activity modification, corticosteroid injections.

Success Rate~60–70% short-term
Complete ReliefPartial in most cases
Recovery TimeOngoing management
Grip Strength ReturnsVariable, often limited
Return to Office WorkImmediate with splint
Night SymptomsImproved with splinting
Recurrence RiskHigh if structural cause
Anesthesia RequiredNone
Surgical

Carpal Tunnel Release

Open or endoscopic release. Endoscopic offers less scar sensitivity and faster return to sport.

Success Rate>90% symptom improvement
Complete ReliefFull relief in ~50% of patients
Recovery Time2–4 weeks to daily tasks
Grip Strength Returns2–3 months post-op
Return to Office Work1–2 weeks
Night SymptomsOften resolves immediately
Recurrence Risk<10% with release
Anesthesia RequiredLocal (WALANT option)

Surgery has changed.
We operate at the frontier.

From WALANT in-office procedures to computer-assisted 3D fracture planning — precision is not a promise here. It's the method.

>90%

Carpal tunnel success rate

>90%

Trigger finger success rate

<3%

Trigger finger recurrence

10 min

Typical trigger release time

WALANT Surgery

Wide-Awake Local Anesthesia No Tourniquet

No anesthesia risks

Many procedures now performed entirely in-office — no hospital, no general anesthesia, no tourniquet pain. You stay awake, we verify function in real time.

Endoscopic Release

Minimal-access carpal tunnel & trigger finger

Faster recovery

A single small incision, a camera, a precise instrument. Less scar sensitivity, faster return to work, lower wound complication risk than open surgery.

Microsurgery

Operating under loupes at millimeter scale

Sub-millimeter precision

Tendons thinner than shoelaces. Nerves the width of thread. Every repair is performed with surgical loupes and headlamps — the same precision used for digit replantation.

Computer-Assisted 3D Planning

Complex fracture reconstruction

>95% alignment accuracy

For compound distal radius fractures and complex reconstructions, 3D imaging is used to plan plate and screw placement before the patient reaches the operating room.

Two ways to take the next step

You already know your condition.
Now let's treat it.

Book directly, or send your self-diagnosis results to our care team and we'll reach out within one business day.

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View real-time availability and schedule your initial consultation online. Most new patients are seen within 5–7 business days.

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Not ready to book?

Send your self-diagnosis results — we'll follow up.

Your information is confidential and used only to prepare for your consultation.

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