Advanced Surgical Care for Arm, Wrist, and Elbow Pain
Is Chronic Arm, Wrist, or Elbow Pain Controlling Your Life?
When discomfort in your arm, wrist, or elbow starts interfering with everyday movement, even simple tasks can feel impossible. The ache may travel beyond a single joint — radiating through the arm, reducing strength, and limiting your ability to move freely. If you have tried conservative treatments without lasting relief, specialized surgical care could be the answer.
The Center for Hand and Upper Extremity Surgery offers advanced treatment for complex nerve, joint, and tendon conditions. As a division of The Institute for Advanced Reconstruction, we help patients move beyond chronic pain through targeted surgical solutions for brachial plexus injuries, nerve compression, and other debilitating disorders.
You don’t have to live this way. Here’s who we help:
Individuals with chronic wrist or hand pain after fracture, trauma, or surgery.
Men and women experiencing nerve-related pain or weakness from carpal or cubital tunnel syndrome.
Patients living with stiffness, weakness, or pain following tendon or ligament injury.
Individuals with persistent elbow or shoulder pain from overuse or repetitive motion injuries.
Those who’ve undergone multiple treatments for hand or arm pain without lasting relief.
Conditions We Treat
Our specialists diagnose and treat a wide range of complex upper extremity conditions that cause chronic pain.
Arthritis & Degenerative Disorders
Arthritis and related degenerative disorders involve the breakdown of joint cartilage and tissue, resulting in pain, inflammation, and loss of function. Learn more about:
- Arthritis
- CMC Thumb Arthritis
- DIP Arthritis
- PIP Arthritis
- Rheumatoid Arthritis in Hand
- Wrist Arthritis
- Shoulder & Elbow Arthritis
Nerve Compression & Entrapment Syndromes
When nerves in the arm or wrist are compressed, pain, tingling, and weakness often follow. Learn more about:
- Cubital Tunnel Syndrome
- Guyon’s Canal Syndrome
- Pronator Teres Syndrome
- Radial Tunnel Syndrome
- Suprascapular Nerve Entrapment
- Thoracic Outlet Syndrome
- Nerve Compression Syndrome
Post-Traumatic & Structural Conditions
Persistent pain after trauma or surgery may be caused by structural or healing complications. Learn more about:
- Post Trauma
- Non-healing Fractures / Non-union Bones
- Fractures (Distal Radius, Metacarpal, Phalanx, Scaphoid — when healing abnormally)
Tendon & Soft Tissue Disorders
Overuse, inflammation, or injury can cause chronic tendon pain and stiffness. Learn more about:
- De Quervain’s Tenosynovitis
- Tennis & Golfer’s Elbow
- Trigger Finger
Nerve & Neuropathic Conditions
Nerve injuries can create lasting pain, weakness, and numbness if not repaired properly. Learn more about:
- Nerve Injuries
- Nerve Lacerations
- Chemotherapy-Induced Peripheral Neuropathy
- Spinal Cord Injury
- Complex Regional Pain Syndrome
Advanced Procedures That Relieve Chronic Pain
Performed
Studies Published
Served
Microsurgical Techniques
Want to know how our breakthroughs translate into better outcomes?
Why Patients Choose The Institute When Others Can’t Help
Chronic pain care requires more than surgical expertise. It requires deep diagnostic insight, multidisciplinary coordination, and a relentless commitment to outcomes. Through the Center for Hand and Upper Extremity Surgery, patients gain access to the same innovative techniques and outcomes The Institute is known for – delivered with specialized focus on arm, wrist, and elbow procedures.
Here, pain management physicians and reconstructive surgeons work side-by-side to develop highly specialized treatment plans for patients who’ve exhausted other options. The result is care that is not only advanced but also personal, coordinated, and centered on restoring long-term quality of life. For those living with pain that hasn’t responded to conventional care, we represent a path forward.
Patients trust The Institute because we provide:
Your Questions, Answered
Yes. Many patients experience lasting pain from nerve compression, scar tissue, or incomplete healing after an injury or previous surgery. Our specialists use advanced diagnostic testing to identify the exact source of pain and offer procedures such as nerve decompression, reconstruction, or joint denervation to relieve it.
Patients with chronic upper extremity pain that has not improved with conservative treatments may benefit from a surgical evaluation.
→ Learn more about becoming a patient
Many of these surgeries are considered medically necessary and are covered by insurance. Our team helps confirm benefits and explore available options.
→ Visit our Insurance and Billing page to learn more.
No referral is required. Patients can contact us directly, though we often collaborate closely with referring providers such as neurologists, primary care physicians, physical therapists, etc.
→ For provider-specific referral information, visit our Referrals page.
Recovery time depends on the procedure and the extent of the condition. Some patients experience immediate improvement in symptoms, while others may need several weeks of physical therapy to regain full motion and strength. Our team provides detailed recovery guidance and works closely with each patient throughout rehabilitation.
We are one of the few centers in the world dedicated to advanced surgical solutions for chronic arm, wrist, and elbow pain. Our surgeons have pioneered microsurgical and nerve reconstruction techniques that restore motion and bring lasting relief to patients who have not found success with traditional treatments. People travel from across the country and around the world to receive the specialized care available only at The Institute for Advanced Reconstruction through The Center for Hand and Upper Extremity Surgery.
→ Learn more about why patients choose us.
Meet Our Surgeons
Behind every surgery is a surgeon who understands what’s at stake: your comfort, independence, and quality of life. Our world-renowned specialists bring unmatched skill and the compassion and commitment to guide you through every step of your journey.
Andrew Elkwood
Hamid Abdollahi
Edwin Acevedo
Peter Andrawes
Gary Arishita
Russell Ashinoff
Jonathan Bank
Sean Boutros
Anjeanette Brown
David Cabiling
Courtney Carpenter
Stephen Chagares
Eric I. Chang
Ann Chuang
Frank Ciminello
Kari L. Colen
Ryan Couvillion
Desiree D'Angelo
Joseph Dayan
Nicholas De Leo
Frank Dellacroce
Antonios Dimopoulos
George Dreszer
Stephen Dudick
Rodion Erenburg
Berry Fairchild
Randall Feingold
Adam Feintisch
Nicole Ferro
James Fletcher
Anton Fries
James Frost
Amon-Ra Gama
Andrew Gassman
Patrick Greaney
Ritwik Grover
Edward Hahn
Sanaz Harirchian
Cassie Hartline
Sean Herman
Zuhaib Ibrahim
Ron Israeli
Lisa Iucci
Hari Iyer
Priya Jadeja
Reza Jarrahy
Santosh Kale
Karen Kaplan
Matthew Kaufman
Ergun Kocak
Peter Korn
Arjuna Kuperan
Chris Lakhiani
Peter Ledoux
David Light
Matthew Lynch
Tyler Merceron
Ahmed Nasser
Chet Nastala
Robert T. Nevitt III
Oscar Ochoa
William Ordoyne
Lauren Otaguro
Tushar Patel
Steven Pisano
Vaishali Purohit
Sidney Rabinowitz
Deepak Ramesh
David Rayfield
Rukmini Rednam
Michael Rose
Adam Saad
Nirvana Saraswat
Ali Seckin
Ajul Shah
Tzvi Small
Mohit Sood
Scott Sullivan
Darren Sultan
Yolanda Tammaro
Pankaj Tiwari
Stephen Toran
Christopher Trahan
David Tsai
Hakan Usal
Eric Weiss
Jonathan Weiswasser
Lauren Whipple
Eric Wimmers
Whitten Wise
Mary Jo Wright
Alex Xu
Mark Yazid
Sarosh Zafar
What to Expect When You Reach Out
We know reaching this point has likely been a long journey. That’s why we make the next step clear and supportive.
1 Consultation
2 Evaluation
3 Personalized Care Plan
4 Surgery & Support