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Relieve Hand Pain.
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Expert surgical care for carpal tunnel syndrome, delivered by the region’s leading hand specialists.


If you’ve been living with numbness, tingling, or weakness in your hand, it might be more than just overuse — it could be carpal tunnel syndrome. While splints and medications offer temporary relief, many patients don’t realize that there’s a long-term solution: a safe, outpatient surgical procedure performed by elite hand surgeons. 

At The Center for Hand and Upper Extremity Surgery, a division of The Institute for Advanced Reconstruction, we specialize in restoring hand function through advanced microsurgical techniques. Our approach is precise, personalized, and designed to get you back to doing what you love — without pain.

Schedule Your Consultation Today

Meet the Team

Our care is delivered by a team of highly specialized, board-certified surgeons with advanced fellowship training in hand, tendon, and nerve procedures. We don’t take a generalist approach — we live and breathe hand surgery. With national recognition in microsurgical technique and a patient-first mindset, our team is built for precision and results. From the moment your finger stops moving the way it should, we know exactly how to help you get it back.

Ajul Shah, MD, FACS

A double board-certified plastic and reconstructive surgeon with national recognition in microsurgery, Dr. Shah brings unmatched skill to tendon and nerve release procedures — including complex cases of trigger finger.

Hari Iyer, MD, FAAOS

An orthopedic hand specialist with fellowship training, Dr. Iyer focuses on restoring full range of motion through minimally invasive solutions tailored to each patient's needs.

David Tsai, MD

Fellowship-trained in hand and upper extremity surgery, Dr. Tsai blends surgical precision with a strong focus on patient communication and recovery outcomes.

Peter Andrawes, MD

Known for his meticulous microsurgical work, Dr. Andrawes treats a wide range of hand and finger conditions — always with close attention to tendon and soft tissue dynamics.

Mark Yazid, MD

Dr. Mark Yazid is a plastic surgeon with specialized expertise in hand conditions, including trigger finger. He provides comprehensive care using the latest surgical and non-surgical techniques to relieve pain, restore mobility, and improve function in patients affected by tendon-related hand disorders.

Sidney Rabinowitz, MD, FACS

With decades of experience, Dr. Rabinowitz is a pioneer in hand surgery and a trusted name for patients seeking function-restoring care.

Why Choose Carpal Tunnel Surgery?

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Proven Relief from Nerve Compression - Surgery decompresses the median nerve to eliminate the numbness, tingling, and weakness that interfere with work, sleep, and everyday tasks.
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Outpatient Procedure, Low Downtime - Most surgeries are completed in under an hour. You’ll go home the same day and typically return to light activity within days.
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Microsurgical Precision, Long-Term Results - We use advanced techniques to minimize scarring, protect nearby structures, and ensure a durable outcome that holds up over time.
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Specialized Nerve Surgeons — Not Generalists - Our team is highly skilled in hand and peripheral nerve surgery — offering a level of expertise that goes beyond general orthopedics.
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Better Function, Better Sleep, Better Life - Many patients experience near-immediate relief — regaining hand strength, coordination, and uninterrupted rest.
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Trusted for Complex & Referred Cases - We regularly treat patients whose symptoms didn’t improve with bracing, injections, or prior care — offering solutions where others can’t.
Select Procedure

Meet the Team

HUES team smiling in front of desk (1)

Our care is delivered by a team of dedicated hand and nerve specialists with advanced training in microsurgery and complex reconstruction. We don’t take a generalist approach — we live and breathe hand surgery. Known nationally for our skill in delicate tendon and nerve procedures, we bring a patient-first mindset and a focus on precision to every case. From the moment your finger stops moving the way it should, we’re here to help you get it back.

Ajul Shah, MD, FACS

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A double board-certified plastic and reconstructive surgeon with national recognition in microsurgery, Dr. Shah brings unmatched skill to tendon and nerve release procedures — including complex cases of trigger finger.

 

 

Hari Iyer, MD, FAAOS

Headshot of Dr. Iyer

An orthopedic hand specialist with fellowship training, Dr. Iyer focuses on restoring full range of motion through minimally invasive solutions tailored to each patient's needs.

David Tsai, MD

TsaiIFAR

Fellowship-trained in hand and upper extremity surgery, Dr. Tsai blends surgical precision with a strong focus on patient communication and recovery outcomes.

Peter Andrawes, MD

Dr. Peter Andrawes

Known for his meticulous microsurgical work, Dr. Andrawes treats a wide range of hand and finger conditions — always with close attention to tendon and soft tissue dynamics.

Sidney Rabinowitz, MD, FACS

Dr. Rabinowitz-1

With decades of experience, Dr. Rabinowitz is a pioneer in hand surgery and a trusted name for patients seeking function-restoring care.

Mark Yazid, MD

MarkYazid

Dr. Mark Yazid is a plastic surgeon with specialized expertise in hand conditions, including trigger finger. He provides comprehensive care using the latest surgical and non-surgical techniques to relieve pain, restore mobility, and improve function in patients affected by tendon-related hand disorders.

What Sets Our Team Apart?

We are not general hand doctors — we are microsurgical specialists with advanced training in tendon function and release techniques. That means you benefit from more precise care, fewer complications, and outcomes designed to last. Our surgeons have restored hand mobility for thousands of patients using minimally invasive methods that prioritize both comfort and long-term use.

What Sets Our Team Apart?

We are not general hand doctors — we are microsurgical specialists with advanced training in tendon function and release techniques. That means you benefit from more precise care, fewer complications, and outcomes designed to last. Our surgeons have restored hand mobility for thousands of patients using minimally invasive methods that prioritize both comfort and long-term use.
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What to Expect from Treatment

Before Your Procedure

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Once your diagnosis is confirmed, your surgeon will walk you through your treatment plan. Most carpal tunnel procedures are scheduled as outpatient surgeries. You’ll receive clear pre-op instructions, which may include temporarily stopping certain medications or arranging transportation home after your procedure.

During Treatment

02
Carpal tunnel release is performed using a small incision in the wrist or palm, typically under local anesthesia with light sedation. The surgeon carefully releases the transverse carpal ligament, relieving pressure on the median nerve. The procedure is highly targeted, takes about 15–30 minutes, and does not require an overnight stay.

After Treatment

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Most patients experience symptom relief within days — reduced tingling, improved grip, and better sleep. You’ll return home the same day with a light dressing and detailed care instructions. Light activity usually resumes within a few days, and full hand function often returns within 4–6 weeks. For many, this is the moment hand discomfort no longer defines their daily life.

Frequently Asked Questions

Is surgery the only treatment option?
No. Some cases can be managed with bracing or injections. But when symptoms persist or interfere with your life, surgery offers a lasting solution.
What exactly happens during the procedure?
Your surgeon will make a small incision in the wrist or palm to release the ligament pressing on the median nerve. This relieves pressure and restores nerve function.
How long does recovery take?
Most patients return to light activity within a few days and resume full use within 4–6 weeks.
Will I have a scar?
The incision is small and placed in a discreet area. Our surgeons prioritize both function and aesthetics.
Is the surgery painful?
It’s performed under local or regional anesthesia. Most patients report minimal post-op discomfort, usually managed with over-the-counter medication.
Will I need physical therapy afterward?
Some patients benefit from hand therapy to improve strength and flexibility, especially if symptoms are long-standing.
Can carpal tunnel return after surgery?
Recurrence is rare, especially when surgery is performed by an experienced hand specialist.
What if I wait too long for treatment?
Delaying care can lead to permanent nerve damage and loss of hand function. Early treatment leads to better outcomes.
Is this covered by insurance?
Yes — carpal tunnel surgery is considered medically necessary and is covered by most insurance plans, including Horizon and Cigna.

Insurance & Financing

The Center for Hand and Upper Extremity Surgery participates in a wide range of insurance plans, including Horizon Blue Cross Blue Shield, Cigna, and many others.

Before scheduling your appointment, please contact your insurance carrier to confirm coverage. Financing or payment plans may be available through third-party healthcare financing institutions.

Don’t Wait to Get Relief

The discomfort you feel today doesn’t have to become permanent. If your hands are holding you back — from work, hobbies, or daily life — our expert surgeons are here to help you take the next step forward.