Part of the Orthopedics Department at PAMF's Palo Alto Center, the Hand Surgery Department provides diagnoses and rehabilitation and treatment of injuries and disorders of the hand and upper extremity. PAMF's Hand Surgery team is dedicated to alleviating problems and getting you back to important activities in your life.

We take care of surgical and non-surgical problems that affect all of the structures of the upper extremities. Some problems may be resolved with therapy, splints, medications and injections. When surgery is needed, our surgeons employ the latest surgical techniques including microsurgery and arthroscopy of the wrist and elbow.

Medical Team

• Andrew P. Gutow, M.D.
• Jennifer L. Schneider, M.D.
• Galina Batygina, PA-C
• Regina Roczniak, PA-C

Our dedicated team annually performs more than 500 surgical procedures on the hand and arm. Our most frequent procedures include:

• Surgical fixation of distal radius fractures (broken wrists)
• Decompression surgery for nerve compression (carpal tunnel syndrome and cubital tunnel syndrome)
• Surgical treatment of tendonitis (trigger digits, deqervains tendonitis, golfer and tennis elbow)
• Arthroplasty (joint replacement) for arthritis of the hand and wrist,
• Release of digital contractions (dupuytren's disease)

We also perform more specialized procedures such as elbow replacement, vascularized bone grafting of the wrist, micro surgical repair of blood vessels and nerves, and re-implantation of amputated digits, hands and arms.