Painful hand

Hand Surgery

Orthopedic hand surgery can help restore comfort and function for patients with painful hand conditions such as carpal tunnel and arthritis.

Our fellowship-trained surgeons offer minimally invasive surgery, allowing patients to return to their normal life as quickly as possible.

If you suffer from hand or wrist pain, learn how our surgeons at The Hand to Shoulder Center in Fort Worth, TX, can help provide relief...

Painful hand

Do I Need Surgery?

We use our hands for nearly every activity we complete throughout the day. It can be easy to take for granted until you are faced with discomfort, swelling, stiffness, or other symptoms.

People with certain hand issues may benefit from surgery depending on the severity and type of condition they face. Injury, rheumatic diseases such as osteoarthritis and rheumatoid arthritis, degenerative changes to the structures that make up the hands, congenital issues and defects present at birth, and infection can all be corrected by a hand surgeon. If you suffer from an underlying problem with your arm or hand, and non-surgical methods such as physical therapy, rest, and medications have failed to provide relief, our team of fellowship-trained upper extremity physicians in Fort Worth may be able to help.

Why Should You Choose a Specialist?

Hand surgery can address a wide range of conditions and significantly restore your quality of life, but finding the right surgeon can be difficult. ​A general physician may be able to diagnose an issue with the hand or wrist, but if nonsurgical options have proved unsuccessful, a well-trained hand and upper extremity surgeon is needed to alleviate the burden of living in pain or with a limited range of motion.

Our team of physicians, including Drs. Nathan Lesley, Brian Tobias, Christopher Bates, and Jonathan Guevara, have specialty fellowship training in hand, wrist, forearm, elbow, shoulder, and microsurgery. This extensive training provides our surgeons with the skill sets necessary to treat patients in the Greater Fort Worth area with any range of conditions.

Suffering from Hand or Wrist Pain? Contact Our Fort Worth, TX, Office Today

If your physician has recommended hand surgery, our orthopedic surgeons can perform advanced and minimally invasive techniques, including internal brace technology and endoscopic carpal tunnel release, to lessen recovery time and improve your quality of life.

For your convenience, our fellowship-trained hand, wrist, elbow, and shoulder surgeons can perform many procedures in-office at a greatly reduced cost when compared to a hospital or surgical center visit.

Get relief now. Schedule an appointment at our Forth Worth, TX, practice using our online form or by calling us today. 

(817) 420-9238

The Hand to Shoulder Center Surgical Team
The Hand to Shoulder Center Surgical Team

5-Stars for Our Fort Worth, TX, Practice


Rebecca Kaminski


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Excellent care & professional medical service, my husband saved hundreds of dollars on surgical costs & anesthesia versus an outpatient surgical center! The location made it that much more convenient for us! Staff is friendly and knowledgeable.

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Rebecca Shingledecker


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Dr Lesley did an amazing job on my complicated wrist/ligament injury! His office was so helpful and kind. He and the therapist Lindsey got me back to CrossFit ASAP and took great care of me in the months of recovery. Highly recommend them!

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Reasons to Choose Us for Your Hand Surgery

Fellowship-Trained Surgeons

Our highly skilled, experienced surgeons completed specialized orthopedic surgery training beyond their five years of residency. Not all surgeons are as well-trained as our team. Our surgeons have subspecialty training and even additional certification in hand surgery with decades of experience between them.

We Save You Money

Orthopedic surgeries performed at our outpatient surgery centers avoid hospital costs, saving you substantial money. Also, surgeries performed at our state-of-the-art Fort Worth practice can cost you over 50 percent less than at an outside facility.

No Searching for Specialists

Our team is trained to treat all types of conditions–from the shoulder to fingertips. This includes elective and reconstructive procedures, joint replacement, trauma surgery, arthroscopic surgery, microsurgery, and minimally invasive surgery. You do not need to see multiple specialists to diagnose and relieve your pain.

On-Site Physical Therapy

If our physicians prescribe PT for your condition, you can do it here in our relaxing office. No need to make appointments at crowded off-site therapy centers.

No Pain. No General Anesthesia.

Afraid of pain or being unconscious during surgery? Our in-office procedures are done with local anesthetics, so you can be pain-free without losing consciousness. You will also be able to drive yourself home after the procedure.

Affordable Financing

Our surgeons does not want you to delay treatment because of high insurance deductibles or a lack of private insurance. We offer affordable CareCredit® financing to help you manage out-of-pocket costs so you can get the relief you deserve.

Types of Hand Surgery Our Team Performs All Surgeries of the Hands and Wrists

Hand Fracture

X-ray of hands with fractures highlighted in red

When a hand fracture occurs, our surgeons may use closed reduction (non-surgical setting of a broken bone) or fixation surgery, employing the ExsoMed metacarpal nail, to realign a fractured bone. The site of the fracture may be immobilized during the healing phase using internal fixtures such as rods or wires. The ExsoMed nail procedure requires no healing immobilization. 

Nerve Repairs

Hand with nerves shown in yellow

Nerve damage in the hand or wrist can cause a significant loss of function and a loss of feeling. While some nerve injuries may heal on their own, more severe damage may require orthopedic hand surgery. Depending on your case, our surgeons can perform surgery at our comfortable, modern office, potentially saving you thousands of dollars.

Tendon Repair

Cross-section diagram of wrist

The fibers that join muscle to bone, tendons in the hand are difficult to perform surgery on due to their structure.

A tendon injury can occur due to trauma, a spontaneous rupture, or infection. Our Fellowship-trained hand surgeons can perform all types of tendon repair: 

  • Primary repair is a direct surgery that can fix an acute or sudden injury.
  • Delayed primary repair is generally performed a few days following the injury while an opening in the skin from the wound is still present.
  • Secondary repairs may occur two to five or more weeks after the initial injury. A tendon graft or another complex procedure may be included during secondary repair surgery.

"Best Hand Surgeon around in My Book!"


Jayme Haney


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Did carpel tunnel and trigger finger on my right hand in December and carpel tunnel on my left in March. Easy surgery barely a scar! Great office staff

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Callie Koons


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Great experience! Dr. Lesley is wonderful. He set the bone in my finger perfectly and was extremely accommodating. He understood my situation and helped me weigh every option. Best hand surgeon around in my book!

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Ready to Improve Your Quality of Life? Contact Us to Relieve Hand and Wrist Pain

Hand or wrist pain can make simple tasks like typing, writing, or even cooking difficult and uncomfortable. Aching joints or a lack of mobility not only affects your physical health–the emotional toll can be substantial as well.

Drs. Bates, Lesley, Tobias, and the surgical team at The Hand to Shoulder Center in Fort Worth do not want these scenarios to affect your quality of life. Contact us online or call us today to schedule an appointment. Isn't it time to get back to doing the hands-on activities you love?

Call Us Today: (817) 420-9238

Drawing of a human with point points

Carpal Tunnel Syndrome:  Causes & Treatment

Diagram showing inflamed carpal tunnel

The carpal tunnel is formed by the bones in the wrist and the transverse carpal ligament that runs across the top (inside) of the wrist. The median nerve and tendons that allow your fingers to move pass through this narrow passageway at the wrist. Swelling of the tissues in and around the tunnel can press on the median nerve causing numbness, tingling, and pain in the hand. The causes of carpal tunnel syndrome vary from a congenital predisposition (running in the family) to a sprain or fracture. Carpal tunnel is often caused by activities like typing or the repetitive use of a vibrating tool. Anyone can develop the condition but it is more commonly diagnosed in women and older adults.

In its earliest stages, patients with the condition may find relief from rest, adopting new hand positions during work, bracing, or physical therapy. If nonsurgical methods of treatment have been unsuccessful, your physician may recommend seeking the help of a surgeon. Our surgeons specialize in all types of hand surgery, including endoscopic carpal tunnel release, at our Fort Worth, TX, office. They can treat a number of orthopedic conditions, from the shoulder to your fingertips, and may be able to provide you much-needed relief from your symptoms. 

Carpal Tunnel Syndrome: Rare or Common Orthopedic Condition?

Trigger Finger (Stenosing Tenosynovitis)

Painful hand

Most often affecting the ring finger and thumb, trigger finger is a condition that causes pain, stiffness, and a locking, catching, or popping sensation when you bend and straighten your finger. This is oftentimes painful, and as the condition progresses and becomes more severe, the finger may become locked in a bent position. In these cases, you might even have to use your other hand to straighten the finger. Another symptom includes a tender lump at the base of the finger on the palm side of the hand.

The causes of trigger finger are not well known, but several factors increase the risk of developing the issue, including a medical condition such as diabetes or rheumatoid arthritis. Activities that cause a substantial amount of force to pass through the fingers and thumb may also be a contributing factor for trigger finger. 

Our Fort Worth, TX, hand surgeons can provide a solution when nonsurgical treatment options have failed. Surgery for trigger finger is performed in an outpatient setting, allowing patients to drive to and from the appointment. While there may be some soreness following surgery, patients are encouraged to move their fingers immediately following the appointment.

"Thank You for a Wonderful Experience"


Elizabeth Flash


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One of the nicest and most competent doctors I have ever been to. Very compassionate and knowledgeable. Took his time, explained everything thoroughly. I highly recommend him!! Thank you Dr. Lesley for a wonderful experience. Also his office staff and nurses are wonderful and the wait time was the shortest I’ve ever experienced. A+ in my books!!

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Betty Ebling


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5 years ago I had so much pain in my hand that I thought I was going to loose movement for good. Dr. Lesley was highly recommend to me. I am a very hard person to please and Dr. Lesley was so patient with me. He explain everything he was going to do. Even after surgery he explain what he did. I am so grateful I found him. I am in my sixty and I work on a computer for 8 hours a day. Thank you Dr. Lesley for everything.

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Hand to Shoulder team in the surgical suite

The Hand to Shoulder Center

At The Hand to Shoulder Center in Fort Worth, TX, our team of fellowship-trained hand, elbow, and shoulder surgeons treat any and all conditions from the shoulder to the fingertip. Our surgeons perform both elective and reconstructive procedures, including:

  • Joint Replacement
  • Traumatic Injury Surgery
  • Arthroscopic Surgery
  • Microsurgery
  • Minimally Invasive Surgery
  • Wide Awake Local Anesthesia Only Surgery

Our physicians are associated with the American Society for Surgery of the Hand and the American Board of Orthopaedic Surgery. For more information or to schedule an appointment, please contact us online or call (817) 420-9238.

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5612 Edwards Ranch Rd.
Ste 200
Fort Worth, TX 76109

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