At The Hand Center, you are surrounded by a truly amazing group of professionals. The doctors, nurses, therapists, medical assistants, receptionists and business office staff are indeed highly trained, highly skilled and very experienced. That is not all that makes your care special however. They all firmly believe there’s no greater honor than for you to put your trust in us for your health care.
They welcome this responsibility. That’s why their dedication to providing you with the highest quality care possible began decades ago in classrooms, medical schools, residency training programs and laboratories. They have been fully trained and are deeply experienced in the Brown Procedure. Their dedication continues to you, their patient, by listening to you and recognizing your needs.
They constantly endeavor to improve methods of diagnosis, treatment and service to you. That is why they are here, to provide a service to you in a comforting, confident and happy atmosphere. Because they enjoy taking good care of people.
In plain talk they are committed to providing you with care that’s second to none in every way. Your health is important to us.
Dr. Randolph Lopez is from New York, N.Y. where he received his Doctorate of Medicine from the University of Medicine & Dentistry of New Jersey in Newark, N.J. He then completed his General Surgery residency as Chief Resident at Monmouth Medical Center, Long Branch, N.J. and Newark Beth Israel Medical Center where he received the Cyril Arvanitis Award in surgery. Dr. Lopez then went on to complete his Hand Fellowship at Oklahoma University Medical Center and Integris Baptist Medical Center in Oklahoma City, OK, and is now highly accomplished and experienced in minimally invasive techniques, including the Brown Procedure and the Brown Endoscopic Trigger Release (BETR). While accompanying Michael G. Brown, M.D., to an international orthopedic conference in Barcelona, Spain designed to train European hand surgeons in the Brown Procedure, he had the chance to train other surgeons in the techniques with which he is so familiar.
Dr. Mark D. Khorsandi is a native of Staten Island, New York and is now a Board Certified General Surgery and Fellowship trained Hand Surgeon with Brown Hand Center. He recieved his B.S. in Biology from Boston College in Massachusetts, and Doctorate from Nova Southeastern University in Ft. Lauderdale, Florida. Upon graduation he worked at P.C.O.M. as a rotating intern for 1 year, and then completed his General Surgery residency at Peninsula Hospital Center in Queens, New York. Dr. Khorsandi completed his Hand Surgery Fellowship at Beth Israel Medical Center, in New York, N.Y. He was trained by Dr. Charles P. Melone, a pioneer in sports injuries of the hand. Dr. Khorsandi continues to specialize in sports related injuries of the hand, including boxing, basketball, baseball, football, golf, and tennis. He has taken care of many high school, amateur, and professional sports players. He is also actively involved in treating patients with scleroderma related hand problems. He is a member of the American Medical Association, Scleroderma Foundation, American College of Osteopathic Surgeons, American Osteopathic Association, and is a member of the strategic planning committee of the ACOS. Dr. Khorsandi continues to participate in research projects as he has in the past at Sloan Ketterring, New York Medical College, New England Medical Center and Beth Israel medical center. He is an accomplished Hand Surgeon personally trained in the Brown Procedure and BETR by Michael G. Brown, M.D.
Dr. Joseph Dang received his B.A. from the University of Texas and his Doctorate of Medicine from the University of Texas Medical School in Houston. His post graduate training included internship at the University of Texas and completed his residency in Physical Medicine and Rehabilitation at the prestigious Southwestern University Medical School in Dallas, Texas. He is Board Certified by the American Board of Physical Medicine and Rehabilitation. He is further trained in spinal procedures for pain management under the auspices of the Physiatric Association of spine, sports and occupational rehabilitation. Dr. Dang is regarded as a physician with exceptional electrodiagnostic skills and conducts ongoing research at The Hand Center.
Dr. Andrew K. Lee is double Board Certified in Orthopedic Surgery and Added Qualifications in Surgery of the Hand. He received his Bachelor of Science degree from the University of California at Los Angeles in 1988 and earned his Doctorate of Medicine at Howard University in 1992 with honors. He completed his residency in orthopedic surgery at Howard University Hospital in 1997 and also received training at George Washington University affiliated hospitals and Sinai Hospital in Baltimore. Dr. Lee completed his fellowship in Hand Surgery at The Hand Center in Houston and his microvascular training at Baylor College of Medicine. He received numerous academic accolades including Scholar’s Award for outstanding leadership in residency. Dr. Lee is an active member of American Society for Surgery of the Hand. Dr. Lee is an accomplished surgeon, musician, and has devoted much of his time over the years to medical missionary work abroad.
Dr. Jamie Lynn Guyden Dr. Jamie Lynn Guyden, a native of New Jersey, holds a Bachelor of Science degree from Rutgers University in Brunswick, New Jersey. Before entering medical school, Dr. Guyden participated in AIDS research in Kampala Uganda which facilitated the initiation of molecular research by Ugandan physicians. She received her Doctorate of Medicine from University of Medicine and Dentistry of New Jersey-New Jersey Medical School in Newark. Dr. Guyden completed her internship at St. Vincent's Medical Center in Bridgeport, Connecticut and her residency in Physical Medicine and Rehabilitation at Baylor College of Medicine/University of Texas-Houston Medical School Alliance. Dr. Guyden is a member of the American Academy of Physical Medicine and Rehabilitation and the Harris County Medical Society. As a teenager, Dr. Guyden was diagnosed with the autoimmune disease Lupus. One of her life-long passions is counseling young Lupus patients.
Dr. Mark Ciaglia was born in Chicago, Illinois where he later attended Illinois Wesleyan University and graduated with tri-beta honors in biology and chemistry. He was accepted at Nova Southeastern University in Ft. Lauderdale, Florida, obtaining his medical degree and then completing his surgical training at Lutheran Medical Center, in Brooklyn, New York. While there, he was awarded the prestigious Sampath Kumar Excellence in surgery award and completed several research projects that have been recognized at national meetings and published in prominent surgical journals. Dr. Ciaglia completed his hand surgical fellowship at Beth Israel / Albert Einstein in Manhattan, NY. There he trained under the world renowned hand surgeon, Dr. Charles P. Melone and was involved in providing care for many professional athletes. He has lectured at state and national hand society meetings. When not in the office or operating room, Dr. Ciaglia enjoys traveling the world with his wife. He also is an avid aviator, having obtained his private pilot's license at age 17.
Dr. Baher Maximos comes from a family of physicians. He received a Bachelor of Science in Biochemistry from La Sierra University in Riverside, California. Immediately after receiving his undergraduate degree, he continued his education at Saint George's University and was accepted in the prestigious combined Medical Doctorate and Master of Science program. While attending medical school, he studied the effects of sleep on memory at the University of Washington and attended a summer externship in Prague, the Czech Republic. He graduated with a Medical Degree as well as a Master of Science in Neuroscience. Dr. Maximos completed his General Surgery residency at State University of New York at Buffalo and continued his medical education in the same program with fellowship training in hand and microsurgery. While at SUNY, he served as chief resident of General Surgery in his final year. He enjoys research, teaching and received the SUNY Buffalo resident teaching award in 2009.
Dr. Pedro J. Loredo III grew up in Dallas in a working class family with his parents and his one brother. Before graduating from Thomas Jefferson High School in Dallas, he obtained the highest rank of Eagle Scout that is attainable in the Boy Scouts of America. He received his Bachelor of Arts in Biochemistry/Biology with a minor in Chemistry from the University of North Texas in Denton, Texas. The first in his family to graduate from college, Dr. Loredo was very involved in student government and held several positions while at college. While attending UNT he participated in several triathlons and achieved third place in the southwestern region. He also underwent training as an emergency medical technicians by careflight instructors at Methodist Dallas Medical Center. His experience as an EMT ignited his desire to become a physician. He received his Doctorate of Medicine from the University of Texas Medical School at Galveston. While at UTMB he worked very closely with the world renowned Dr. David Herndon at the Shriners Burns Hospital as a research burn fellow. Where he helped with cutting edge burns research that was used to improve the lives of burned patients. He obtained his General Surgery residency training at St. John Hospital Medical Center in Detroit, Michigan, where he became the Chief Resident. During his residency he was elected graduate medical education committee representative for the surgery department where he helped with the improvement of the residency program. He then completed his Hand and Upper Extremity Surgery Fellowship at the Christine M. Kleinert Institute of Hand and Microsurgery at the University of Louisville in Louisville, Kentucky. Where he worked with one of the early pioneers of hand surgery Dr. Harold Kleinert before he retired in 2008. Currently, Dr. Loredo is a candidate member of the American Society for Surgery of the Hand and a member of several organizations, including the American Medical Association and The American College of Surgeons. Dr. Loredo and his wife, an ob/gyn physician, are the proud parents of a son and three daughters. They enjoy spending time at home with family and friends. In his spare time, he enjoys playing indoor/outdoor soccer, golf, football, and softball. He also enjoys weightlifting, swimming and hunting.
Dr. Garrison Whitaker Dr. Garrison Whitaker received his Bachelor's of Science degree from University of Michigan. His M.D. is from Howard University in Washington, D.C. He is a graduate of the Kleinert-Kutz/University of Louisville Hand Fellowship where the first American Hand transplant was performed. At Louisville, he assisted in multiple digit replantations and complex hand reconstructions. Highlights of his training include the surgical management of Thoracic Outlet Syndrome, which he spent additional time pursuing and toe-to-thumb transfer. In his spare time he enjoys jogging, lifting, film, theater and military history.
Dr. Igor Rakovchik moved to the U.S. with his family at a young age from St. Petersburg, Russia. Always having a strong interest in science, he graduated Cum Laude with a Bachelor of Science degree in Biology from the University of Texas at Dallas while participating in research on the Human Genome project at the Southwestern School of Medicine. He then went on to complete his Doctorate degree at the University of North Texas and his residency training in Physical Medicine & Rehabilitation at the Baylor College of Medicine in Houston, TX. Dr. Rakovchik holds a fellowship in Spinal Cord Injury rehabilitation from Mount Sinai School of Medicine in New York, NY where he was involved in resident teaching on Neurorehabilitation and contributed several chapters to a book on functional and medical management of patients with spinal cord injury. He is a Board Certified Diplomate in the field of Physical Medicine and Rehabilitation and continues work in electrodiagnosis of nerve problems. In his spare time, he enjoys reading about psychology, philosophy and cosmology as well as spending time cycling and swimming.
Dr. Dustin Ray, born in South Carolina, is a Phi Beta Kappa, magna cum laude graduate of Howard University in Washington, DC. Dr. Ray graduated with honors with a Bachelor of Science degree in Biology, earning a full tuition scholarship to Howard University College of Medicine where he finished among the top of his class. He then completed his general surgery residency at Howard University Hospital where he was awarded “Intern of the Year” and as chief resident earned “Resident of the Year” honors. Dr. Ray completed his hand surgical fellowship at the Kleinert Institute for Hand and Microsurgery in Louisville, Kentucky. During his fellowship, Dr. Ray assisted in numerous complex soft tissue reconstructive surgeries of the upper extremity. These included microsurgical free flaps, digit replantations, and revascularizations. Following this intensive training, he completed a course in Minimally Invasive Hand Surgery at the Brown Hand Center in Houston, Texas. Dr. Ray is a Candidate Member of the American Medical Association, the National Medical Association, the American College of Surgeons, and the American Society for Surgery of the Hand. He is committed to providing quality patient care and looks forward to meeting you in our Dallas, Texas office. Away from work, Dr. Ray enjoys relaxing to classical music, fishing and playing the piano.
Dr. Kyle Herron received a Bachelor of Science in Biology from Murray State University and completed medical school at Ross University School of Medicine. Dr. Herron performed his General Surgery Residency at York Hospital in York, Pennsylvania, where he made many presentations at local and national surgical meetings, and then completed his hand and microsurgery fellowship training at the University of Alabama at Birmingham. He served as an instructor in a Human Anatomy course for York College premedical students. During his residency, he participated in a surgical mission trip to Honduras with The World Surgical Foundation. In his spare time, Dr. Herron enjoys triathlons, biking, swimming, running, golf, chess, and traveling.
Dr. John William Mathewson received his undergraduate degree in Bio-Science from Schiller University in his native country, England. He then went on to St. George's University School of Medicine in Grenada where he received his Medical Degree and induction to the international honor society, graduating in the top 5% of his class. During his early training, Dr. Mathewson had the opportunity to work as an assistant to a Plastic Surgeon and Hand Specialist, inspiring his future career. His Surgical Residency was completed at York Hospital in York, Pennsylvania where he received the Gil Rothrock award, followed by a Fellowship in hand and microsurgery at University of Minnesota in Minneapolis, Minnesota. Dr. Mathewson enjoys skiing, soccer, scuba diving, sailing, mountain biking, swimming, squash, golfing and travel and welcomes the opportunity to take care of you and your family in our San Antonio office.
Dr. Ivan Edwards received his medical degree from Midwestern University of Glendale, Arizona. He completed his internship at Eastern Virginia Medical School, Norfolk, Virginia and his residency in Physical Medicine and Rehabilitation at the University of Texas Health Science Center, San Antonio. He graduated with honors with a Bachelor's degree in Biology from Rivier College. Dr. Edwards has a special interest in electrodiagnostics, musculoskeletal medicine, minimally-invasive pain management (for which he has been specially trained to do ultrasound-guided procedures), manipulation medicine, sports-related injuries, and muscle and joint pain. He is board certified by the American Board of Physical Medicine and Rehabilitation. Dr. Edwards has varied skills and interests. He is also a Flight physician with the US Air Force Reserve, loves martial arts (earned a black belt in Korean Taekwondo) and once ran a dojo. He has written a few articles on various topics, e.g. investing, medical contracts, and the power of positive thinking. He loves to travel, work out, and spend his leisure time with family and friends.
Dr. Richard Treviño was born and raised in San Antonio, Texas. He graduated from the University of Texas in 1988 with a B.A. in Biochemistry and B.S. in Zoology, and then joined the workforce as a chemist for EPA testing of water sources for contamination. In 1990, he changed direction and entered medical school at Texas Tech School of Medicine, being inducted into the AOA Honor Medical Society and graduating in 1994 with honors. Dr. Treviño was then accepted into the orthopaedic Surgery residency program at the Mayo Clinic in Rochester Minnesota. After finishing his 5 year residency he pursued his interest in hand and upper extremity, completing an additional fellowship at the Medical College of Wisconsin. Dr. Treviño then entered private practice in Wisconsin where he treated general orthopaedic and upper extremity pathologies. He returned to San Antonio after completing additional minimally invasive surgery training at the Brown Hand Center in Houston, Texas to be closer to his extended family. He and his wife enjoy outdoor activities and sporting events with their four young children. They are also interested in physical fitness and nutrition. Dr. Trevino's goal is to provide every patient with the highest quality medical and surgical care.
Dr. Jackson M. Ombaba graduated from college with honors where he majored in chemistry with a minor in mathematics. He then joined Jackson State University, Jackson, Mississippi to pursue a master's degree in chemistry before proceeding to the University of Massachusetts where he graduated with a Ph.D. degree in analytical chemistry. For several years after graduating from the University of Massachusetts, Dr. Ombaba was a professor of chemistry at Jackson State University, Jackson, Mississippi and a visiting researcher at Walter Reeds Army Medical Center, Washington, DC where he conducted research in Marine biochemistry. It was at Walter Reeds Army Medical Center, while working with prominent theoreticians, scientists and medical doctors, that Dr. Ombaba realized his calling was in medicine. Dr. Ombaba received his Doctorate of Medicine degree from the University of Cincinnati College of Medicine, Cincinnati, Ohio before proceeding for his general surgery internship, residency and chief residency at State University of New York at Buffalo, New York. After graduating from general surgery residency, Dr. Ombaba joined Texas Tech University health science center, El Paso Texas as a trauma surgeon. His responsibilities included patient care, teaching residents and medical students in addition to conducting scientific research. It was at Texas Tech University health science center during the care of trauma patients in conjunction with the orthopedic department where Dr. Ombaba fell in love with managing upper extremity ailments and trauma. To further his expertise in upper extremities, Dr. Ombaba pursued additional training in Hand and Microsurgery and completed a Hand Surgery fellowship at Integris Baptist Medical Center/Oklahoma University under the tutelage of world renowned Ghazi M. Rayan, M.D. During his Hand Surgery fellowship, Dr. Ombaba gained extensive experience in adult upper extremity pathology, microsurgery, microvascular flap reconstruction, and diagnosing and management of congenital and pediatrics upper extremity anomalies. After joining Brown Hand Center in Houston, Texas, Dr. Ombaba completed a course in Minimally Invasive Hand Surgery where he was personally trained in The Brown Procedure and the Brown Endoscopic Trigger Release (BETR) by Michael G. Brown, M.D. In his spare time, Dr. Ombaba enjoys visiting the Houston Opera, symphony and performing arts, in addition to exercising, traveling and spending time with his family and friends.
Dr. Michael J. Fitzmaurice received his Bachelor of Science degree from Northern Illinois University and M.S. degree from Barry University. He was ranked in the top 5% of his class and was on the Dean’s List at St. George’s University School of Medicine, where he received his Doctorate of Medicine. Dr. Fitzmaurice is a member of the Iota Epsilon Alpha International Honor Society. He completed his General Surgery residency at the University of South Carolina in Columbia, South Carolina during which time he spent one year in the study of Plastic Surgery and ongoing research projects. Dr. Fitzmaurice went on to further training including his Hand and Microsurgery Fellowship at the University of Louisville, Kleinert Hand Program. Dr. Fitzmaurice has had numerous publications in medical journals and has lectured extensively. He is the recipient of the American Medical Association Physicians Recognition Award. Dr. Fitzmaurice has a wide range of personal interests including skiing, fitness training, and athletics.
Dr. P. Stephen Mahoney graduated cum laude from Southern Methodist University in Dallas, Texas with a Bachelor of Science degree in Biochemistry. He received his Doctorate of Medicine from Tulane University School of Medicine, New Orleans, Louisiana. He completed his General Surgery residency at Boston University Medical Center, Boston, Massachusetts and at Akron General Medical Center. Dr. Mahoney completed his hand surgical fellowship at the Kleinert Institute for Hand and Microsurgery in Louisville, Kentucky and served as Clinical Instructor in hand surgery at the University of Louisville. Dr. Mahoney is a recipient of the American Medical Association Physician’s Award in 2002 and has received numerous other academic accolades. He is the author of scientific and medical research articles too numerous to mention. Dr. Mahoney is a Candidate Member of the American Medical Association, the American College of Surgeons, and the American Society for Surgery of the Hand. His hobbies include scuba diving, skiing and golf.
Dr. Jenpin Weng is a Distinguished Graduate of the U.S. Air Force Academy in Colorado Springs, Colorado, with a Bachelor of Science degree in Biology. He received his Doctorate of Medicine from the University of Texas Medical Branch in Galveston, Texas. After his preliminary residency at Good Samaritan Hospital in Baltimore, Maryland, he completed a residency in Physical Medicine and Rehabilitation at the University of Virginia in Charlottesville. He holds a musculoskeletal rehabilitation/pain fellowship from the Mayo Clinic in Scottsdale, Arizona. He is professionally certified in Medical Acupuncture for Physicians from the Helms Medical Institute and UCLA. He is the author of a number of medical research articles on the subject of hip arthroplasty and rehabilitation. Dr. Weng has served as a Board Member of Camp Holiday Trails, a camp for children with special health needs. He is a member of the American Academy of Physical Medicine and Rehabilitation, PASSOR and the American Medical Association.
Dr. Christian Petrulio received a Bachelor of Arts with honors in Biology from Harvard University in Cambridge, Massachusetts. After five years of research in New York and Africa, he decided to continue his education at New York University School of Medicine from where he received his Doctorate of Medicine in 2002. He completed his General Surgery training at Columbia University, during which time he did a year of research as the Chiron Surgical Oncology Fellow. During this year, he published several articles and developed a tumor vaccine. After six years at Columbia University, he went on to complete a Hand and Microvascular Surgery fellowship at Kleinert-Kutz in Louisville, Kentucky where he participated in three hand transplantations. Dr. Petrulio occupies his time by closely following professional tennis and playing himself when he is not working on his first full-length screenplay, playing with his dogs or doing the New York Times crossword puzzle. A project very dear to him is his ongoing involvement with the study and conservation of the wild African cheetah population, which began with a tenure in Namibia and brings up his favorite activity of all, taking every opportunity to travel the world. Dr. Petrulio continuously works to improve his ability to care for his patients with a strong desire to fully appreciate human life and experience.
Dr. Andres Lerner comes from a highly respected family of physicians and has consistently been ranked in the top ten of his class throughout his career. After receiving his Doctorate of Medicine from Maimonides University, he spent over a year at Georgetown University in Washington, DC, conducting neuroscience research and microsurgery. After his research experience, he began his General Surgery residency at Graduate Hospital in Philadelphia, PA and after that, completed a chief resident year at Lanquenau Hospital in Wynnewood, PA. During his residency, Dr. Lerner had the opportunity to work in prestigious hospitals, such as Temple University Hospital and Hanneman University Hospital as well as Jefferson University Hospital where he gained experience in hand surgery under the mentorship of world renowned hand surgeons. After residency, Dr. Lerner pursued further training in Hand and Microsurgery and completed a combined plastics and orthopedics Hand Surgery fellowship at University of California San Francisco. During his Hand Surgery fellowship, Dr. Lerner gained extensive experience in hand and wrist pathology, elbow pathology and free microvascular flap reconstruction procedures. Following this extensive training, he completed a course in Minimally Invasive Hand Surgery at the Brown Hand Center in Houston, Texas, where he was personally trained in The Brown Procedure and the Brown Endoscopic Trigger Release (BETR) by Michael G. Brown, M.D. In his spare time, Dr. Lerner enjoys songwriting and recording, exercising and spending time with his family and friends. Dr. Lerner is looking forward to bringing you and your family the highest level of care and compassion.
Dr. Cayli Nguyen received a Bachelor of Arts with honors from the University of Dallas in Irving, Texas. During her undergraduate studies, she developed a passion for science, travel and exploring new cultures while studying abroad in Rome, Italy. She went on to receive a Doctorate of Osteopathic Medicine from the University Of North Texas Health Science Center in Fort Worth, Texas, feeling osteopathy’s holistic approach to medicine, helping integrate the patient into the health care process, was best suited to her philosophy. Her post-graduate training included serving as co-chief intern with the Department of Medicine at Plaza Medical Center of Fort Worth where she helped coordinate her class to assist with evacuees from New Orleans at a Hurricane Katrina Medical Relief Post. She completed her residency in Physical Medicine and Rehabilitation at the Rehabilitation Institute of Chicago associated with Northwestern University in Chicago, Illinois, where she served as contributing editor for Rehab in Review-Association of Academic Physiatrists and received the RIC Scholl Recognition Award for Rehabilitation Research. Her professional experiences include working as an instructor for the Department of Orthopedic Surgery and Rehabilitation for Loyola University Medical Center in Maywood, Illinois. She is Board Certified by the American Board of Physical Medicine & Rehabilitation. Dr. Nguyen strives to promote healthcare excellence by serving as a guiding partner in her patient’s medical journey.
Dr. Christopher Khorsandi comes from a highly respected family of physicians. He was born and raised in New York City and was accepted into the competitive B.S./M.D. dual degree program at Villanova University where he was a member of Alpha Epsilon Delta Medical Honor Society. Following his undergraduate studies, he matriculated to Temple University School of Medicine in Philadelphia, where he was awarded the prestigious Laughlin Scholarship. While in medical school his commitment to excellence led him to serve on the admissions committee, act as vice president for the student surgical society and work to improve the quality of healthcare for the underprivileged. He founded a chapter of the Operation Smile charitable organization on campus, and for his outstanding service to the community of Philadelphia, he was presented with a commendation from Senator Shirley Kitchen. Following his graduation from Medical School, Dr. Khorsandi received his training in General Surgery at the University of Pennsylvania -- an Ivy League institution consistently ranked as one of the nation’s best hospitals. While there, he was inducted into the Thomas Bond society for Humanism in Medicine. He then went on to the Cleveland Clinic Hospital in Weston, where he was trained in Plastic, Reconstructive, and Hand surgery and served as Chief Resident. Following this training, he completed a course in Minimally Invasive Hand Surgery at the Brown Hand Center in Houston, Texas. He has co-authored a peer reviewed study on muscle transfers and reconstruction, presented at professional meetings, and has participated in research related to the field. Throughout his training and education, Dr. Khorsandi’s interest in Hand, Plastic and Reconstructive surgery has led him to surgical rotations at some of the nation’s best hospitals including: New York University Hospital, Mount Sinai Hospital, Children’s Hospital of Philadelphia (CHOP), Western Pennsylvania-Allegheny Hospital, UPENN Hospital, Cleveland Clinic, Temple University, and Lehigh Valley hospitals. He has accomplished all this so that he may bring to you and your family the highest level of skill, professionalism, and compassion in treating your medical issues. He looks forward to meeting with you for a consultation in our Las Vegas Office.
Dr. Nitin J. Engineer is a Board Certified Diplomate of the American Board of Surgery and Fellow of the American College of Surgeons (F.A.C.S.). He graduated Cum Laude from Vanderbilt University in 1996 and completed his Doctorate of Medicine at Vanderbilt University in 2000. Dr. Engineer's postgraduate education includes a General Surgery internship at the University of Washington in Seattle followed by a General Surgery residency at Southern Illinois University in Springfield, Illinois. In 2007, he completed a fellowship in Hand and Microsurgery with the Division of Plastic Surgery at Southern Illinois University. During his residency and fellowship training, Dr. Engineer received numerous teaching awards and joined several academic societies of which he is now an active member including the American College of Surgeons (ACS), the American Association for Hand Surgery (AAHS), the American Society for Peripheral Nerve (ASPN), and the American Association for Reconstructive Microsurgery (ASRM). In addition, he has coauthored several research articles in the field of Hand and Microsurgery that have been published in peer reviewed medical journals. Immediately following fellowship training, Dr. Engineer joined the faculty at the University of Louisville School of Medicine and served as Clinical Instructor with the Department of Surgery, where he taught and directed medical students, residents, and fellows in the field of Hand and Microsurgery. Dr. Engineer subsequently moved his practice to Las Vegas, Nevada, and joined the Brown Hand Center, where he has been dedicated to treating patients with any ailment or injury involving the upper extremity. His particular surgical expertise and interests are minimally invasive hand surgery, including the Brown Endoscopic Carpal Tunnel Release (BECTR) and the Brown Endoscopic Trigger Release (BETR), peripheral compression neuropathies, degenerative and rheumatoid arthritis, joint reconstruction and replacement, and traumatic hand injuries. Dr. Engineer's extracurricular interests include playing the drums, inline skating, golf, photography, and travel.
Dr. Juan Martínez-Moreno received his Bachelor of Science in Biological Sciences at the University of Puerto Rico, Mayaguez Campus. He graduated Doctor of Medicine from Ponce School of Medicine in Ponce, Puerto Rico where he received the prestigious award of Clinical Distinction in MD Graduation. He completed his residency in Physical Medicine and Rehabilitation at East Carolina University/Brody School of Medicine in Greenville, North Carolina. During his time there, he became the department’s first recipient of the Good Samaritan Award, for helping transport a disabled patient back to his country of origin to be reunited with his family. Dr. Martínez is a board certified Diplomate of the American Board of Physical Medicine and Rehabilitation. He is also an Associate Member of the American Academy of Physical Medicine and Rehabilitation. He has lectured extensively on a wide variety of rehabilitation medicine topics. Dr. Martínez is an accomplished competition sailor. He and his crew aboard the J-24 keelboat Exodus, sailed into top three positions in the fiercely competed Caribbean Ocean Racing Triangle (CORT) twice, and participated in the elimination series for the sailing event of the XVIII Central American & Caribbean Games. In his spare time, Dr. Martínez also enjoys surfing, hiking, and playing the guitar. He is regarded by his a patients as a gentle electromyographer and a very informative physician..
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What is Carpal Tunnel Syndrome?
Carpal tunnel syndrome (CTS) begins with numbness and tingling in the hand and may involve aching in the hand, forearm or shoulder. It is a very common condition that is caused by a pinched nerve in the palm of the hand. The symptoms may occur intermittently during the daytime and sometimes occur at night and awaken one from sleep. It is not uncommon for the sufferer to think that the hands have “poor circulation” and shake the hands in an attempt to restore circulation. See Carpal Tunnel Syndrome >
What causes CTS?
Repetitive motions may cause Carpal Tunnel Syndrome. Any activity that involves grasping, squeezing or clipping motions, such as using tools, using a computer, knitting or playing the piano, can lead to CTS. However, carpal tunnel often develops without repetitive motion.
Can I wait until it gets worse? Maybe it will just go away.
Doing nothing can possibly lead to irreversible damage. If you have CTS, the nerve that provides sensation to the hand and function to the thumb is being “pinched.” After remaining in the pinched stage for a period of time, permanent injury to the nerve will result. There is no treatment that can fully restore hand function and sensation once permanent damage is sustained.
Is surgery always necessary?
No. Your surgeon at The Brown Hand Center will first examine your hands and review your symptoms. If you have something other than Carpal Tunnel Syndrome, the doctor will suggest the appropriate treatment. If CTS is suspected, a test conducted on the nerve will positively determine whether or not it is pinched and if you have CTS.
What happens after consultation?
Non-operative treatment is recommended if the total duration of symptoms does not exceed eight weeks and symptoms disappear completely. Otherwise, the Brown Procedure, an endoscopic (“from the inside”) carpal tunnel technique, is recommended. The procedure is performed on an outpatient basis. No hospital stay is required. With this proven endoscopic technique, the recovery period is about seven days compared with several weeks or months with the older open carpal tunnel release technique of cutting through the palm to reach the right
ligament.
Do I have a choice of surgeries?
Yes, you always have a choice. You can either have the traditional carpal tunnel release surgery in which a longitudinal incision is performed in the palm of the hand or have it done through the endoscopic Brown Procedure. Both are effective. But with the traditional technique, normal tissues are divided in the palm; the wound in the palm remains tender for several weeks or months and prevents a quick return to work or recreational activities. With the Brown Procedure, these structures are not injured. There are no stitches, and typically there are no restrictions after seven days.
Do you treat other hand problems besides CTS?
Yes. We are hand surgeons extensively trained in techniques of plastic, orthopedic, neuro-, microvascular, and reconstructive treatment of the upper extremity. Because of our extensive experience, sufferers with other hand problems can find effective treatment at The Brown Hand Center. See Other Hand Problems >
Why come to The Brown Hand Center?
We practice hand surgery exclusively. Our clinical and supporting staff members are not only exceptionally professional in every way, they are fully committed to your care.
What should I do now?
Call for appointment today: 1-866-4-MY-HAND. (In Houston, TX, you may call 281-440-HAND direct; in Phoenix, AZ, call Brown Hand Center at 480-585-HAND; in Las Vegas, NV, call 702-889-HAND.)