Michelangelo-Adam-touching-the-hand-of-God-Sistine-ChapelSurgery and Therapy of the Hand

Reconstructive and emergency hand surgery procedures are performed by our surgeons to improve hand function. Hand surgery procedures include treatment of traumatic and post-injury problems, arthritis and congenital abnormalities. All of our surgeons are trained in microscopic surgery, which makes possible the repair of small nerves and blood vessels in the hand.

Hand problems treated at Plastic & Hand Surgical Associates include:

  • congenital abnormalities
  • arthritis
  • burns
  • carpal tunnel syndrome
  • nerve injuries
  • overuse syndrome
  • pain problems
  • brachial plexus injuries
  • Dupuytren’s contracture
  • traumatic injuries
  • work-related injuries

Our Hand Therapists

Our hand therapists are part of the team that provides treatment for patients with hand injuries. The patient is an important participant in the process of successful hand therapy.

Kristin Marston, OTR/L and Eric Stunkel, OTR/L










Dupuytren’s Contracture and XIAFLEX® Treatment

Do you have trouble straightening or moving your fingers?

Dupuytren's handDupuytren’s contracture is a progressive hand condition that affects how much you can move or straighten your fingers.

In people with Dupuytren’s contracture, abnormal collagen buildup can form a cord in the palm of the hand. Over time, this cord can cause one or more of your fingers to bend toward the palm, so you cannot straighten them.

At Plastic & Hand, our experienced surgeons are experienced in treating this condition. In addition to surgical treatment, some patients can see improvement with a non-surgical approach: XIAFLEX® is a prescription medicine used to treat adults with Dupuytren’s contracture when a “cord” can be felt. XIAFLEX helps to break down the cord that is causing the finger to be bent. Our surgeons are experienced in injection procedures of the hand and treating people with Dupuytren’s contracture.

Dupuytren’s contracture can sometimes be mistaken for other conditions such as arthritis or trigger finger, as there is some overlap in the symptoms of the different conditions, which may make it difficult to distinguish one from the other. Only a doctor can diagnose Dupuytren’s contracture.

If you are experiencing the symptoms of Dupuytren’s contracture, you may wish to set up an appointment with one of our surgeons: 775-3446. 

We can also provide you with an informative booklet about Dupuytren’s contracture and treatment with XIAFLEX. 

Endoscopic Carpal Tunnel Release

The small incisions made possible by the use of the endoscope are beneficial to patients with carpal tunnel syndrome. Endoscopic surgery helps relieve the symptoms of carpal tunnel syndrome by releasing the transverse carpal ligament that runs across the wrist. Pressure on the median nerve, which carries sensation to and from the fingers and powers the movement of the thumb, is then released.