Our Orthopedic Surgeons Are Happy You're Here Welcome to The Hand to Shoulder Center in Fort Worth, TX
How Our In-Office Procedures Can Benefit You Multiple Advantages To Having Your Surgery Performed On-Site
When undergoing surgery at an outside facility, the patient is burdened with additional expenses for the facility and anesthesia. By performing surgery in our state-of-the-art procedure rooms in Fort Worth, TX, we eliminate these additional fees, decreasing the cost to the patient while maintaining the highest standard of care.
Advantages:
- No general anesthesia, no nausea or vomiting
- Much less cost to you, the patient
- As safe as a formal operating room
- Equivalent or even better outcomes
- No need for a driver
- You can eat and drink like normal
- If you take insulin, you can take your medicine just like normal
- If you have health problems you can avoid anesthesia
- No IV needed! The numbing medicine needle is much smaller, too
- You get to talk and ask questions during the procedure (better communication & more time with the surgeon)

Schedule a Consultation Today
If you are suffering from an orthopedic issue anywhere in the upper extremity, relief is available. Our orthopedic surgeons at The Hand to Shoulder Center in Fort Worth, TX, are highly specialized.
To begin the process of achieving a better quality of life, we invite you to schedule a consultation with our team. During this meeting, our doctors will examine your case and recommend a personalized treatment plan. Whether you need physical therapy or orthopedic surgery, we tailor our specialty services to your needs.
To schedule a consultation with us today, fill out our online form or call:
(817) 420-9238
Compassionate & Understanding
"Amazing staff that actually cares about their patients. Best service/customer care that I have experienced." Karen Ingram
Meet Our Doctors Highly Trained Orthopedic Surgeons
Dr. Christopher M. Bates
Dr. Bates took his advanced fellowship training in surgery of the hand, wrist, forearm, and elbow, at the University of Cincinnati. He specializes in conditions affecting the region from the elbow to the fingertips.
Dr. Nathan Lesley
Dr. Lesley received his fellowship in hand/upper extremity and microsurgery from the prestigious Brown University. He also is a Fellow of the American Academy of Orthopedic Surgeons. Board-certified, he specializes in the care of the hand, wrist, and elbow.
Dr. Brian Tobias
Dr. Tobias is a board-certified orthopedic surgeon. He received fellowship training in surgery of the hand, wrist, forearm, and elbow, as well as reconstructive microsurgery, at the Florida Orthopedic Institute in Tampa.
Dr. Jonathan Guevara
Orthopedic surgeon Dr. Guevara completed a fellowship in shoulder and elbow surgery at the Cleveland Clinic Foundation. He specializes in arthroscopic and open surgery of all shoulder and elbow conditions.
Professional Affiliations
Meet your orthopedic surgeon. Contact our Fort Worth, TX, office to request your consultation.
Orthopedic Surgery
Hand Surgery
We rely on our hands to perform tasks throughout the day, from brushing our teeth to doing our jobs. When hands don't function properly, it's important to accurately diagnose and treat the condition. Whether you are suffering from an injury, repetitive motion issues, or a degenerative condition, our highly skilled surgeons use the latest techniques to diagnose and treat your concern. Among the hand issues we treat are carpal tunnel syndrome, arthritis, ganglion cysts, and tendon and nerve injuries.
Elbow Surgery
Tennis elbow and golfer's elbow are the common names in sports medicine for painful conditions caused by overuse of the elbow. But as painters, mechanics, cooks, and others know firsthand, these ailments crop up whenever repetitive motions are part of the job. Whatever elbow condition you face, we offer a full range of specialized care, including non-surgical treatment, minimally invasive procedures, and surgical options, to get you back in form.
Shoulder Surgery
Your shoulder is the most mobile joint in your body. However, that range of movement also makes the shoulder more susceptible to injury, whether from repetitive athletic activities, daily chores, or accidents. Our surgeons have advanced training in the diagnosis and treatment of shoulder and upper arm conditions, including arthritis, rotator cuff tears, biceps tendinitis, and fractures.
Procedures And Services
Surgery
Conditions
- Arthritis
- Biceps Tendinitis
- Carpal Tunnel Syndrome
- Cubital Tunnel Syndrome
- Fractures
- Ganglion Cysts
- Golfer's Elbow
- Rotator Cuff Tear
- Tendons, Nerve, & Other Injuries
- Tennis Elbow
- Trigger Finger
Therapy
Additional Therapy Conditions Treated
- Ankle & Foot Pain
- Elbow Pain
- Hand & Wrist Pain
- Head & Face Pain
- Hip Pain
- Jaw Pain
- Knee Pain
- Lower Back & Spine Pain
- Neck Pain
- Neurological Disorders
- Sacroiliac Joint Pain
- Shoulder Pain
Carpal Tunnel Syndrome Early Treatment Avoids Lasting Damage
Carpal tunnel syndrome is a painful condition that makes everyday tasks like typing, writing, and cooking difficult.
The symptoms range from numbness or tingling to radiating pain or weakness in your hand. Without treatment, the effects can be debilitating and leave permanent damage.
Our team in Fort Worth, TX, can operate surgically to relieve the pressure on the nerves in the wrist. We perform both open and arthroscopic carpal tunnel surgeries.

Wrist Fractures Timely Care Avoids Complications
In this technological age, wrist fractures can be debilitating. Whether you are a laborer or an office worker, wrists are essential for virtually every line of work.
It's imperative a fracture is treated correctly to avoid a lifetime of limitations. Our fellowship-trained surgeons have the advanced training, including microsurgery, to deal with this essential part of your anatomy. We are well-versed in the treatment options that can get you on the road to recovery.
With our in-house services, including radiology and casts, you can likely avoid expensive facility fees charged at hospitals while getting an expert level of service from your first visit on through to any rehabilitation services you may need.

Advanced Training & Advanced Technology
There is no need to see multiple specialists before finding the right physician. The Hand to Shoulder Center puts highly trained orthopedic specialists under one roof.
If you need sports medicine, occupational therapy, or suffer from spine or neurological disorders, our surgeons and therapists use the latest techniques and technologies to restore your quality of life.
Moving Past the Pain
The Hand to Shoulder Center in Fort Worth, TX, offers complete upper extremity care. Our suite of services means we can often manage all your treatment in-house, including some surgeries, making treatment convenient and as affordable as possible.
Our doctors are exceptionally trained surgeons with advanced fellowship training in upper extremity orthopedics. If you're concerned about weakness in your hand or nagging pain anywhere from your shoulder to your fingertips, schedule a consultation with us online or by calling:
(817) 420-9238
Medical Care & Therapy in One Location Top-Notch Care in Fort Worth, TX
I had carpal tunnel surgery on my right hand on 12/20/2022 and Dr. Bates and his team was absolutely Amazing. Dr. Bates was very patient and explained everything to me... I highly recommend that hand and Shoulder Center.
View on GoogleDr. Lesley and his staff are professional, friendly, and knowledgeable. Dr. Lesley takes time to listen and to advise and explain which procedures will work best for your condition. I thoroughly recommend this practice!
View on GoogleComprehensive Care in Fort Worth Visit Our State-of-the-Art Practice
Our Fort Worth practice is equipped with the latest tools and technology within the orthopedic industry. Because we stay up-to-date with the latest advancements, we can perform consultations, multiple surgeries, and physical therapy sessions under one roof.
Whether you are at our office to learn more about your options or to undergo surgery, we strive to create an atmosphere that is both professional and comfortable so every patient can feel at ease during their visit.

We Ease the Burden of Healthcare Compare our In-Office Pricing
Affordable Orthopedic Surgery How We Save You Money
CareCredit®
We accept financing through CareCredit for all of our orthopedic procedures. CareCredit is a third-party lender that works similarly to a credit card company, but specifically for medical treatment. Our office staff is happy to help you navigate this process.
Ambulatory Surgery Centers
To avoid exorbitant hospital costs, we perform advanced orthopedic surgery at ambulatory surgery centers. These modern centers are specifically designed to support outpatient surgical procedures and they allow us to provide the same level of care as a hospital at a fraction of the cost.
In-Office Orthopedics
For less advanced conditions like carpal tunnel or trigger finger, our orthopedic surgeons can operate in our Fort Worth, TX, office for even less than the cost of going to a facility. When you meet with one of our physicians for a consultation, they will discuss with you what location will be best suited for your needs.
We proudly serve our service men and women by accepting all forms of Tri-Care.
We Provide 5-Star Care
Extremely knowledgeable and professional care with personal attention to me and my case.
View on GoogleGreat experience from start to finish! Very professional.
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