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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 offers minimally invasive surgery, allowing patients to return to their normal life as quickly as possible.

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

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 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.

"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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Types of Hand Surgery

Closed Reduction and Fixation

X-ray of hands with fractures highlighted in red

When a fracture occurs in the hand, surgeons may use closed reduction and fixation surgery to realign the fractured bone. The site of the fracture is immobilized during the healing phase using internal fixtures such as rods or wires.

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.

Tendon Repair

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. Fellowship-trained hand surgeon, Dr. Lesley, can perform three types of tendon repair: 

  • Primary repair is a direct surgery that can fix an acute or sudden injury within 24 hours of trauma.
  • 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.

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. 

Trigger Finger (Stenosing Tenosynovitis)

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.

"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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Contact The Hand to Shoulder Center in Fort Worth, TX

Hand surgery can address a wide range of conditions, 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 skillsets necessary to treat patients in the Greater Fort Worth area with any range of conditions.

If your physician has recommended hand surgery, our team 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 visit. We also accept CareCredit® financing. Click here for more information on pricing

Our Doctors

To learn more or to schedule an appointment, please contact our Fort Worth, TX, office online or by calling (817) 420-9238.

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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Fort Worth Office

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

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