Offering our region the best treatments for your hands, wrists, elbows and shoulders.

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Conditions & Treatment
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Care and Treatment
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Leadership & Practice
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Patient Education
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Patient Education
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Hand and Upper Extremity
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Offering the region's most comprehensive team.
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Hand and Upper Extremity
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Our Team
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Meet Our Team
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Hand and Upper Extremity
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Today's best treatments for your hands, wrists, elbows and shoulders.
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Hand and Upper Extremity
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Locations
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View Our Locations
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Orthopaedics and Bone Health
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From head to toe, our team collaborates on simple and complex orthopaedic problems.
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Awards
Becker's Hospital Review
Becker's Hospital Review
Top 100 Hospitals with Great Orthopaedic Programs
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VT Health Care Provider
Official health care provider for Virginia Tech
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US News & World Report
Best Regional Hospital Southwestern Virginia
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Top Orthopaedic Team
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Awards
Patient Education
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Do you need
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Shoulder or Elbow Surgery?
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When everyday tasks become difficult to perform or when sleeping through the night is interrupted because of pain, discuss with your surgeon the option of surgery. We're here to provide treatment options for you.
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Video Education
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Shoulder Videos
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Learn more about what to expect before, during and after shoulder surgery.
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Shoulder Surgery
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Elbow videos
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Learn more about what to expect before, during and after elbow surgery.
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Elbow surgery
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Shoulder and Elbow on-demand education
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Patient Education Videos
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Hand Surgery
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American Society for Surgery of the Hand
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We are proud that our surgeons are a part of the ASSH, the premier upper-extremity surgery society for thousands of professionals.
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ASSH Certification
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Certified surgeons through ASSH
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Experience You Can Trust
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We're here to help
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Are you ready to schedule an appointment with one of our providers? Do you need more information?
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Leadership and Practice
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Proud of our
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Hugh Hagan III M.D.
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Hugh J. Hagan III, M.D.
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Section Chief - Orthopaedic Hand
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Carilion Orthopaedic Surgery Series
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There is nothing like seeing a patient improve and knowing you had a role in their improvement.
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Hugh Hagan III M.D.
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Wide-Awake Surgery
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Wide-Awake Surgery
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Our team is trained in the most innovative treatments, including wide-awake surgery. This technique involves no IVs, sedation, anesthesia or tourniquets, while providing patients the same superior quality while being fully aware during the procedure.
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Brachial Plexus Clinic
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Brachial Plexus Clinic
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The Brachial Plexus Clinic at Carilion utilizes a unique multidisciplinary approach to care for patients with traumatic injury to the collection of nerves between the neck and shoulder. These nerves control critical arm and hand function. The effects of nerve damage in this area can be devastating. Using the most modern nerve reconstruction and nerve transfer techniques, we then restore function to areas where injury has occurred. The goal is to restore movement and sensation that otherwise would be lost.
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Hand Replantation
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Advanced Surgery
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Our hand surgeons use the latest techniques and technologies with the goal of offering improved quality of life for thousands of patients through improved function. Our team partners with our surgical staff to offer life altering procedures such as hand replantation or reattachment. During this process, our highly skilled surgeons are often racing against time to ensure a successful outcome.
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Hand Therapy
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Hand Therapy
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Our hand surgery faculty have board certifications in hand surgery, plastic surgery and general surgery. This expertise, coupled with four certified hand therapists, rivals some of the best hand centers in the nation.
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Institute for Orthopaedics and Neurosciences (ION)
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The Institute for Orthopaedics and Neurosciences (ION) is an innovative convergence of leading medical practitioners who provide expert care to patients, serving as a model for medical students, research fellows and residents—the next generation of providers. ION provides a shared vision of collaboration and a team-based approach to healing.

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Research & Education
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Your care is elevated by innovative
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Research and Education
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Education
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VTCSOM Virtual Tour
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VTCSOM
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We are proud to have nationally and internationally recognized faculty committed to educating the next generation of students at VTCSOM.
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Education
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Fellowships
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Fellowship Program
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We are proud to offer an Accreditation Council for Graduate Medical Education (ACGME)-accredited fellowship in hand and upper extremity allowing fellows the experience and resources they need to become skilled in hand surgery.
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Education
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Graduate Medical Education
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Graduate Medical Education
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When it comes to residencies and fellowships, finding the right fit is very important. Our GME program offers amazing support and training.
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Research
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Select Research Studies
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Select Research Studies
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At Carilion Clinic Orthopaedics, we are actively involved in finding innovative ways to improve the care we give to our patients. Here is a list of select research studies currently taking place in Hand and Upper Extremity.

 

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  • Can I Drive Myself Home? Driving After Wide-Awake Hand Surgery
  • Fingertip Injury Study: Video Education (An Ultrashort Video to Educate Healthcare Providers on Fingertip Injury repair)  
  • Robotic Hand Orthosis Providing Grasp Assistance for Patients with Brachial Plexus Injuries
  • What Do Patients Do With Outpatient Naloxone Prescriptions Provided With Opioids for Acute Post-surgical Pain After Orthopedic Surgery?
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  • A Randomized Controlled Trial Comparing Combination Therapy of Acetaminophen plus Ibuprofen versus Hydrocodone for the Treatment of Pain after Carpal Tunnel Surgery
  • Combatting Stigma and Turing Orthopaedic Surgery Providers into a Touchpoint for Intervention in the Opioid Crisis: SBIRT (Screening, Brief Intervention and Referral to Treatment) Training
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Meet Our Hand and Upper Extremity Team
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Our team of orthopaedic hand and upper extremity surgeons provides care at the Institute for Orthopaedics and Neurosciences in several locations throughout southwest Virginia. Our board-certified, fellowship-trained hand surgeons evaluate and treat thousands of patients each year.
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