Hand Surgery


Dr. Christopher Bates explains that hand surgery performed in his office doesn't require general anesthesia. It may be recommended for a number of reasons, including obstructed movement and bumps that develop on the wrist or fingers. Dr. Bates says after in-office surgery, patients can drive themselves home and remove bandages after a couple of days.

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[00:00:07.160] So in-office surgery is just regular surgery. [00:00:10.360] We just do it here in the office. [00:00:12.320] Rather than putting you to sleep and putting your brain to sleep, [00:00:15.760] we just put your hand to sleep. [00:00:17.560] It allows us to do the exact same thing [00:00:19.840] we would do in the surgery center or in the hospital, [00:00:24.040] but we get to do it here in the office. [00:00:26.040] So patients come to me asking about in-office surgery [00:00:28.960] for several different reasons. [00:00:30.760] Usually it's numbness in their fingers or numbness and pain in their hand. [00:00:35.200] Sometimes a finger that's catching or locking or triggering, [00:00:38.880] and sometimes it's a bump on the back of the wrist [00:00:41.440] or the front side of the wrist, [00:00:42.920] or even a bump on the tip of the finger. [00:00:45.160] And those patients asking about in-office surgery [00:00:47.960] are pleasantly surprised when we tell them, [00:00:49.760] "Yes, we can do those surgeries here." [00:00:52.440] So when a patient comes in to be evaluated, [00:00:55.360] they come in, we have X-rays here, if we need to get those. [00:00:59.080] We gather all their medical records ahead of time [00:01:01.600] to make it as easy as possible and as simple as possible for them. [00:01:05.720] They have time with me where we look at their imaging, [00:01:08.960] we look at any test results they've had. [00:01:11.280] And I examine the patient in a very detailed way [00:01:14.120] to help make sure that we make the right diagnosis, [00:01:18.040] and then we come up with a personalized treatment plan for them. [00:01:21.160] So when a patient qualifies for surgery in the office, [00:01:24.880] we set them up with a particular date that works with their schedule. [00:01:29.080] They come in, they can drive themselves to the office. [00:01:33.280] They come into the office, we get them numbed up for the procedure. [00:01:37.240] Then we perform the procedure in our sterile procedure room. [00:01:41.320] Once that patient is done, we make sure that they feel all right [00:01:45.520] and they get up and they drive themselves home. [00:01:48.040] So after in-office surgery, [00:01:50.080] the patient can usually take off the dressing or bandage [00:01:53.560] in about two to three days. [00:01:55.640] After that, they can start taking a regular shower [00:01:58.800] and get back to daily activities as tolerated. [00:02:02.320] Now, depending on the surgery, they'll have more or less discomfort, [00:02:05.760] but it's exactly the same amount of pain [00:02:08.080] that you would experience after having that surgery and being asleep. [00:02:11.880] So the best way for patients to find out if they're candidates for treatment [00:02:15.760] is to come in and get evaluated. [00:02:18.120] There are lots of different questionnaires online that can help a patient identify [00:02:23.400] if they have a certain diagnosis or a certain problem, [00:02:27.080] but really, that one on one discussion and examination with the surgeon [00:02:31.720] is the absolute best way to find out what they have exactly [00:02:36.680] and if they would benefit from surgery.

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 request an appointment, please contact us online or call (817) 420-9238.

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