About Our Team





Dennis Sagini, M.D. | Board Certified Orthopedic Surgeon

Hand & Upper Extremity

Dr. Dennis Sagini, MD is a board-certified, fellowship-trained orthopedic surgeon, specializing in care of the hand and upper extremity. He is on the Joint Implant Surgeons of Florida team, based in Fort Myers, FL.  Dr. Sagini has a passion for helping his patients get back to the lifestyle they love, using the most minimally invasive procedures, as well as non-surgically through means such as steroid injections, occupational and physical therapy, and splinting.  


Whether it’s getting back to tennis, golf, job duties, or performing tasks as simple as opening a jar, or sleeping easily through the night, the goal of Dr. Sagini and his staff is to help patients enjoy life again without pain.


Dr. Sagini also makes it a priority to provide a relaxed atmosphere that is both professional and personal, and makes his patients feel at ease. Patients can feel comfortable talking directly to their doctor, and getting answers to all of their questions and concerns. 


Lastly, Dr. Sagini places a great value on educating his patients and the general public about common disorders and issues of the hands and upper extremities.  He regulary provides free lectures and seminars about these topics.  (Seminars are held the 1st Tuesday of every month at Lee Memorial See Calendar on the Home Page



Physician Assistant

Margaret J. Zimmerman  | PA-C, MPAS

Physician Assistant


Board-Certified Physician Assistant

Margaret is a nationally Board-Certified Physician Assistant. She attended Western State Colorado University for her Bachelor’s of Science degree with a Major in Biology and a Minor in Chemistry.  She then went on to obtain her Master’s of Medical Science in Physician Assistant Studies at Nova Southeastern University.  

Margaret is an active member in the American Academy of Physician Assistants (AAPA). 


As Physician Assistant (PA), Margaret is delegated various patient care duties by Dr. Sagini, specializing in care of the hand and upper extremity.  This team model is an efficient way to continue providing the highest quality medical care to patients.

In her free time, Margaret enjoys spending time with her husband, cat, and two dogs. 

Occupational and Physical Therapists

Constance (Connie) Kurash | OTR/L, CEAS, CHT


Occupational Therapist

Certified Ergonomic Assessment Specialist

Certified Hand Therapist



Member American Society of Hand Therapists

Member Florida Hand Society

Organized a SW Florida Hand Forum


Connie has 20 years of experience providing specialty therapy services to the hand and upper extremity. She began her medical career in Pittsburgh PA, in 1991, and moved to Florida in 1997. She now works with Dr. Sagini and Joint Implant Surgeons of FL as a seasoned therapist.


Connie specializes in treatment of arthritis of the hands, nerve, muscle and tendon injuries, as well as post-op fracture care, and upper extremity dysfunction.  


Connie also realizes the value of education, and enjoys teaching and sharing her splint designs and lecturing at professional seminars. She has also authored articles and book chapters on hand therapy topics for various publications. Injuries vary in degree and complication. As part of her presentations Connie shares her expertise in splint design, which has received a high degree of recognition and numerous awards from her peers.


A large part of what attracted Connie to Florida is her love for the outdoors.  In her time off, Connie enjoys volunteering services to help maintain and enhance the mountain bike trails, camp sites and the kayaking waterways that Lee County is famous for.




Sarah Yagelski | OTR/L, CHT


Ball State University, BS Exercise Science

Indiana University, MS Occupational Therapy



Occupational Therapist

Certified Hand Therapist

Lymphedema Therapist



Member American Society of Hand Therapists

With eight years of clinical experience in three hand centers across the country, Sarah specializes in treatment of the upper extremity. She has worked for twelve hand surgeons along with many certified hand therapists to learn a variety of treatment protocols. Continuing education is very important to her to make sure she is staying current with the best treatment practice. 


Sarah enjoys spending time with her family as well as a variety of outdoor activities including running and beach volleyball. 






To Schedule An Appointment

Call 239.337.2003​

*Medical Disclaimer - All information provided on these web pages is intended for general information purposes only, and is provided with the understanding that neither Dennis Sagini, MD nor any of its employees are engaged in rendering surgical or medical advice or recommendations to those who read it. Further, use of this site does not establish a doctor-patient relationship between the user and Dennis Sagini, MD


This information should not be considered a substitute for evaluation by a board certified orthopedic surgeon to address individual medical or orthopedic needs. Individual facts and circumstances will determine the treatment that is most appropriate.

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