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Dr. Sagini is a board-certified, fellowship-trained orthopedic surgeon specializing in care of the hand and upper extremity. He also treats many conditions non-surgically through means such as steroid injections, occupational and physical therapy, and splinting.


Dr. Sagini has a cutting edge physical therapy department, with over 12 physical therapists on staff.  He also has 3 full-time certified hand therapists that are available on-site, as well as a state-of-the-art MRI machine, a nerve testing machine (EMG), and a digital X-ray machine.






  • Minimally invasive carpal tunnel release

  • Joint replacement in the hand and wrist

  • Thumb base joint replacement

  • Nerve transfer in the elbow

  • Elbow joint replacement

  • Non-Surgical Treatments, such as Steroid Injections, PRP Injections, and Physical Therapy



When non-surgical treatments fail to provide adequate relief from the symptoms of arthritis, your orthopedic surgeon may recommend joint replacement. The technique of joint replacement uses implants typically made from polyethylene (plastic) and metal alloy to replace the damaged sections of bone and cartilage in the joint. The purpose of the procedure is to restore function and mobility and to provide relief from joint pain.


You must decide if your discomfort, pain or stiffness, and overall loss of quality of life justify undergoing surgery.


CLICK HERE to learn more about Wrist Replacement




If an injury is severe, and cannot be treated through physical therapy or other non-invasive means, surgery may be recommended.  Some types of injuries that may require surgery include:

- tendon repairs

- carpal tunnel syndrome

- joint arthroscopy

- traumatic injury care






The goal of therapy is to restore range of motion, strength, flexibility, coordination and balance in the hand or upper extremity following an injury.  The purpose is to return you to pre-injury activities and allow you to regain independence.


Therapy is an “exercise prescription”, and it is an essential part of recovery. Our therapists will develop a customized program unique to your individualized needs, with the primary goal of achieving the best possible outcome for each patient.


CLICK HERE to learn more about Hand Therapy



Steroid injections are often used as a means of treatment for a variety of inflammatory conditions of the upper extremity. This can include such things as trigger fingers (stenosing tenosynovitis), carpal tunnel syndrome, arthritis, tennis elbow (lateral epicondylitis), and rotator cuff tendonitis.


What is in a steroid injection?


Typically, steroid injections contain a mixture of a synthetic cortisone and a local anesthetic. Cortisone is a steroid naturally produced by the adrenal gland, and it is a powerful anti-inflammatory. There are several available synthetic preparations (such as triamcinolone, betamethasone, and dexamethasone, which are all also often referred to by their trade names.) All of these have similar mechanisms, however they vary in strength and duration (short versus long-acting). These anti-inflammatory steroids are very different from the anabolic steroids, which are commonly known because of their abused by some athletes for body-building and performance enhancement.  These anti-inflammmatory products are not the same type of steroids.


How does it work?


Steroid injections work by decreasing inflammation of the area. The local anesthetic dissolves the steroid and numbs the area of the injection, diminishing discomfort during the procedure.


Once the inflammation subsides, the associated pain usually improves as well.

PRP (Platelet Rich Plasma) Injections



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