 Approach
to Orthopedic Treatment
My practice focuses on the diagnosis and treatment of upper
extremity disorders from the hand to the shoulder. Since I
completed separate fellowships in Hand/Microsurgery and Sports
Medicine, I have a broad experience with treatment of upper
extremity issues from simple to complex. I work closely with my
Physician assistant Joe Torres to coordinate care in the office
and assist me in surgery.
I have special
interest in arthroscopic treatment of shoulder injuries,
including rotator cuff tears, impingement, labral and SLAP
tears. When possible, I always start with non-surgical treatment
that can return function quickly. In situations requiring
surgery, I use minimally invasive arthroscopic techniques to
decrease pain and shorten the recovery period. My background in
Sports Medicine allows me to participate in the care of athletes
all the way from local high schools to collegiate and
professional levels, with early return to activity as the goal.
I also have an
interest in the treatment of both simple and complex hand and
elbow disorders. These also
often involve sports related issues, and I have expertise in
wrist arthroscopy and minimally invasive hand surgery. Common
examples of hand and elbow problems that I treat include: carpal
tunnel syndrome and peripheral nerve disorders/injuries,
fractures and ligament injuries, rheumatoid arthritis and
osteoarthritis, tendonitis and tendon ruptures, thumb basal
joint and hand osteoarthritis, tumors/masses/ganglions, tennis
and golfer’s elbow (lateral and medial epicondylitis). I also
have expertise in treatment of complex peripheral nerve
injuries, tendon transfers, rheumatoid hand reconstruction,
post-traumatic hand reconstruction, and microsurgery.
I believe in
using minimally invasive techniques for treatment of carpal and
cubital tunnel syndrome, thumb basal joint arthritis, trigger
fingers, and Dupuytren’s contracture of the hand. I have trained
with several experts in needle aponeurotomy (also know as percutaneous fasciotomy) for Dupuytren’s contracture in the
hand. My website
www.dupuytrens.biz has an
explanation of this technique that is performed in the office
with local anesthesia. There are many benefits to this
procedure, which can dramatically improve motion and function
with an office procedure using no stitches. I also use a similar
technique for treatment of trigger fingers that can spare you a
trip to the operating room and allow almost immediate use of
your hand.
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