Hand, Elbow & Peripheral Nerve Surgery

Hand, elbow and peripheral nerve surgery at UCSF Health

Our specialists help you manage pain and regain mobility in your hands and arms. We diagnose and treat a range of conditions and injuries affecting the:

• Hands

• Wrists

• Elbows

• Arms

• Shoulders

Treatment for complex conditions

UCSF Health's orthopedic surgeons are regional leaders in treating complex upper extremity injuries and conditions, including:

• Autoimmune arthritis

• Contractures, paralysis and spasticity

• Peripheral nerve pathology and injuries

They perform a range of procedures for the hand, wrist and elbow, including:

• Arthroscopy

• Fusions

• Joint replacement

Diagnostic technologies

We use innovative technology to diagnose nerve conditions. MRI neurography shows detailed images of the nerves within your body, enabling us to provide a precise diagnosis and effective care for peripheral nerves.

Our skilled procedural interventionalists may also use musculoskeletal ultrasound to diagnose nerve conditions. This noninvasive imaging technique helps us see your nerves in real-time.

Nonsurgical treatments

After your initial consultation, we may recommend nonsurgical treatments, such as:

• Splinting or casting

• Medication

• Injections

• Aspirations

• Physical therapy

Hand, elbow and peripheral nerve surgery

When nonsurgical treatments aren't working, or a condition is complex, our orthopedic surgeons help you find lasting relief and regain mobility.

When possible, we give you local anesthesia, so you are awake during the procedure but don't feel any pain. This approach supports a faster recovery with minimal downtime.

If your surgery requires general anesthesia, where you are asleep during the procedure, we help you prepare for surgery and support the best outcomes possible.

Joint denervation surgery

We are a regional leader in joint denervation surgery. We perform denervation surgery for the thumb and other upper extremity joints. Using a minimally invasive approach, we help relieve pain and stiffness caused by arthritis.

Tailored surgery with 3D printing

Our surgeons use 3D printing to tailor surgeries to your needs. This innovative technology supports surgical planning and preparation. We can also create custom surgical tools and implants to perform complex surgeries with excellent outcomes.

Ongoing care after surgery

We see you regularly after your surgery to make sure you recover well. You also see a physical therapist who teaches you exercises so you can regain strength and mobility. UCSF Health hand surgeons and hand physical therapists work together when needed, collaborating to support your healing.