Welcome To The Center For

Hand and Upper Extremity Surgery

Hand and upper extremity injuries can significantly impact your life. We are here to offer hope and healing with comprehensive, highly specialized treatments that can restore functionality, movement, and independence.

What Sets Us Apart

The Center for Hand and Upper Extremity Surgery specializes in advanced surgical techniques for relieving pain and restoring function of the hand, wrist, elbow, and shoulder due to ailments of arthritis, limb loss, traumatic injuries, failed past surgeries, nerve and tendon injuries, and nerve compression syndromes. When left untreated, problems affecting the upper extremities could lead to impairments in function and chronic pain, significantly impacting a patient’s quality of life. Our multidisciplinary, patient-centered approach to treatment allows us to provide patients with superb outcomes.
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Life-Changing Treatment

Life-Changing Treatment

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Our Mission

Our Mission

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Our Expertise

Our Expertise

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Our Expertise

Our Expertise

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Patient Stories

Patient Stories

World-Renowned Upper Extremity Surgeons

Our dedicated team of providers includes hand surgeons and finger surgeons with sub-specialty expertise in hand and upper extremity surgery and microsurgery. Dr. Ajul Shah and our hand surgeons are at the forefront of research and surgical innovation. They bring this expertise, along with a wealth of compassion, to each upper extremity surgery they perform.

Hear What Patients Say About Us

Last December, I had to go to the ER at Capital Health due to a fractured hand. Upon discharge and confirmation that I would need surgery as soon as possible, they referred me to Dr. Tsai. I had to do some research on him and was impressed by his credentials, so I had high confidence that I’ll be fine. When I met him the first time, he patiently explained the different options that they may perform to “fix” my hand. His attendant was also accommodating in providing information about what to expect before, during, and after the medical procedure. My surgery went without any problems, and I am very impressed with the applied surgical technique. He did mention that his approach will quicken the healing process to about a few weeks compared to months when doing the “usual” way. Five weeks after my surgery, I was cleared of any physical restrictions and was back doing activities as if I didn’t break any bone, thanks to Dr. Tsai’s expertise.
Xerxes M.
I really recommend Dr. Iyer. He genuinely care[s] for his patients. Thank you so much, Dr. Iyer [for] helping me. Very knowlegable doctor. Help[ed] me a lot to regain my motion. Broke my elbow and had surgery in India about 6 months ago. I lost 90% of palm up and palm down motion due to surgery in my elbow within 1 month. After visiting him, he found out that pins were blocking my motion. He performed surgery [to] remove pins. He helped me get my motion back about 95% within 2 months after having 2nd surgery. Explain[ed] really well how he is going to operate on me. He guided me [with] correct exercises I needed. He inspired me to regain my motion, [kept] track of my all progress with my therapist. His staff is really friendly and helped me with all paperwork I needed for work.
Priyanka S.
I was treated by Dr. Shah this past April for an injured index finger.I had long neglected this injury and now the finger was extremely swollen, painful, and non-functioning. Dr. Shah diagnosed the injury with confidence , patience and precision and prescribed a course of physical therapy. In one consultation I went from total despair to a sense that my injury was treatable without major surgery. The physical therapy was at times quite painful as he predicted. However within six weeks I was well on the road to recovery. I have only gratitude and respect for Dr. Shah and his staff
Brian F.
I’ll start by saying Dr. Ajul Shah is a surgical genius and wonderful person! I broke my 4th metacarpal bone in 3 places in my right hand during handstand walking in a CrossFit competition. Not only was I tremendously concerned about returning to working out, but was in fear of even just normal hand usage. Dr. Shah’s supreme surgical skill has enabled me to get back to doing handstand push ups, pull ups, lifting, and successfully competing! He also provided me with the most highly skilled Occupational Therapist. They were an amazing team focused on my health and healing. Even more important is his personality – he gets to know you as a person, not a patient. He truly cares. He’s in constant communication, thoroughly explains everything, and makes himself accessible for any question, concern, and even appreciated when I would share my workout videos!
Jackie B.
Dr. Ferro has excellent bedside care and attentiveness to her patients! Makes you feel very comfortable! Listens intently and will not rush you. I have had nerve blocks and steroid injections before several times; but my experience with Dr. Ferro by far has been the best experience and best results!
Jeffery N.
Dr Tsai provided me with excellent service. He talked with be before and after surgery to ensure I properly understood everything He answered all of my questions and addressed my concerns. His staff was absolutely wonderful. I highly recommend Dr. Tsai!!
Susan B.
I had a wonderful experience with Dr. Tsai. He and his staff are extremely professional and took the time to explain the entire process to me.
Barbara J.
Not only did Dr. Iyer get rid of my carpal tunnel, [he] also operated on my special needs daughter. He solved both of our needs, and his bedside manner is exceptional. He is the doctor to seek out for your upper extremity surgical needs.
Jayne M.
HUES Surgeons

Find a Hand Surgeon

Your upper extremities are essential in performing day-to-day functions. If you have suffered an injury and are experiencing pain and frustration, we are here to help. We’re proud to bring our expertise to each of our patients.

Areas of Expertise

We are dedicated to providing advanced treatments for injuries and disorders affecting the upper extremities, consisting of the shoulder, elbow, wrist, and hand.

FAQs

What type of tendon injuries do you treat?
Your tendons connect the hand and forearm muscles to the finger and wrist bones, making them crucial for performing routine tasks. We offer advanced surgical procedures to alleviate common tendon injuries, such as tendonitis, tennis elbow, flexor and extensor tendon injuries, and De Quervain's tenosynovitis.
What are symptoms of nerve compression syndrome?
When the nerves of the arm and hand are injured or compressed, movement can become difficult and painful. We treat various nerve compression syndromes, such as carpal tunnel, as well as brachial plexus injuries.
Do broken bones, including wrist, hand, and finger fractures, need surgery?
Though broken bones often heal on their own, certain injuries may need surgery to properly heal. Our surgeons in NJ offer treatment for complex distal radius fractures and metacarpal fractures to ensure your bones return to their correct position and function normally.
What is toe-to-finger transplant surgery?
Accidents and trauma can sometimes result in life-altering injuries, such as losing a finger or part of the hand. We offer advanced hand reconstruction surgery and finger reconstruction surgery, including replantation or reattachment and toe-to-finger transplant surgery.
What is the best treatment for arthritis?
Arthritis causes pain and stiffness in the joints, often worsening with age. When joint pain is severe, often due to arthritis, hand surgery may be an option for certain patients. We offer joint denervation surgery to alleviate chronic joint pain so patients can feel good again.
What is targeted muscle reinnervation?
Amputation of the arm or hand causes many changes in a patient’s life, including functional limitations, social and psychological issues, and severe phantom pain. We’re proud to offer an advanced surgical procedure known as targeted muscle reinnervation (TMR), which transfers nerves to restore muscle function.