About

Hand Surgeon in Reston, VA

The hand is an essential part of the body made up of joints, bones, tendons, ligaments, blood vessels, nerves, skin, and muscles; and all of them have to work together. When something goes wrong, a medical provider needs to know which part is affected and how to fix it, a task none can do better than our award-winning hand surgeon in Reston, VA. She’s a Board Certified Plastic and Reconstructive Surgeon who can do everything from scar removal to burn treatment and hand surgery.

We repair hands with injuries caused by sports, the workplace, trauma, repetitive motion, and congenital deformities. We also offer cortisone injections to help relieve pain and inflammation. You can come to our office for both emergencies and everyday aches and pains including:

  • Carpal Tunnel Syndrome
  • Dupuytren’s Contracture
  • Cubital Tunnel Syndrome
  • Trigger Finger
  • Extensor Tendon Injuries
  • Basal Joint Arthritis
  • Ganglion Cysts

Why Our Hand Surgeon is the Best for the Job

Our doctor has a quality that’s even more important than expertise: compassion and care for the people she treats. Her near-perfect positive reviews from patients won her the Patient’s Choice award in 2008, 2009, and 2010, a rare honor. In fact, fewer than 6% of active physicians received this award in 2010. Her ability to make a difference in her patients’ lives was later recognized when she was designated “Most Compassionate Doctor.”

[Dr. Mosley’s] (link to 4P) experience, extensive training, and kind-hearted personality make her the ideal hand surgeon for every situation. Your hands are imperative to everyday life, so they should be entrusted to someone who cares about you and can give you top-notch treatment.

We Help With Workers’ Comp and Financing

Around 75% of hand conditions and injuries are related to work, so our hand surgeon knows how to handle them effectively. We maintain communication with your employer and workers’ compensation insurance carrier. Our office sends medical status reports on your evaluation, diagnosis, treatment plan, and return-to-work status in a timely manner to make the process easier on everybody.

We also offer financing through American HealthCare Lending, the premier financing company in the cosmetic surgery industry. With over $5 billion funded and over 300k loan inquiries serviced through their lenders, this is a name and a program you can trust. Here are some of the benefits you’ll receive with a loan from American HealthCare Lending:

  • Immediate Decisions for Loans Under $35,000
  • Term Options Out to 84 Months (Affordable Monthly Payments)
  • No Collateral Required
  • No Prepayment Penalties
  • Fast and Easy Loan Inquiry Process
  • 100% Confidential

Contact us for information on appointments, workers’ compensation, and more. Our offices are located in Reston and Alexandria, Virginia.

Dr. Mosely specializes in surgical repair of the hands from trauma, congenital deformities, and repetitive motion, sports or workplace injuries. A full range of other services are also available including emergency care.

Some of the conditions we treat include:

Note: Please click on the topics below for information. Contact our office if you need more details or need to make an appointment.

Carpal Tunnel

a condition brought on by increased pressure on the median nerve at the wrist. In effect, it is a pinched nerve at the wrist. Symptoms may include numbness, tingling, and pain in the arm, hand, or fingers. There is a space in the wrist called the carpal tunnel where the median nerve and nine tendons pass from the forearm into the hand. Carpal tunnel syndrome happens when pressure builds up from swelling in this tunnel and puts pressure on the nerve. When the pressure from the swelling becomes great enough to disturb the way the nerve works, numbness, tingling, and pain may be felt in the hand and fingers. Symptoms are usually felt during the night but also may be noticed during daily activities such as driving or reading. Patients may sometimes notice a weaker grip, occasional clumsiness, and a tendency to drop things. In severe cases, sensation may be permanently lost and the muscles at the base of the thumb slowly shrink, causing difficultly with pinch.  While the cause is usually unknown, the pressure on the nerve can happen several ways: swelling of the lining of the flexor tendons, called tenosynovitis; joint dislocations, fractures, and arthritis can narrow the tunnel; and keeping the wrist bent for long periods of time. Fluid retention during pregnancy can also cause swelling of the tunnel and thus carpal tunnel syndrome, but this usually resolves after delivery. Other conditions like diabetes, and thyroid problems can be associated with carpal tunnel syndrome as well.

Dupuytren's Contracture

– a disease that can lead to limited use of your hand. This may happen when certain tissue in the palm thickens. While it often doesn’t cause pain, it can make it hard to straighten your fingers. Signs and symptoms start slowly, and can steadily progress, though they may also stop before they limit hand use.

These include:

  • A hard lump forming on your palm
  • Inability to place your palm flat on a surface
  • Scar-like bands forming across your palm
  • Fingers bent toward your palm
  • Hand pain (less common)

Cubital Tunnel Syndrome

– similar to carpal tunnel syndrome, this is a condition that may occur if the ulnar nerve in your elbow gets pinched. This may happen if you bend or lean on your elbows often. Many things can cause the ulnar nerve to get pinched, including:

  • Holding a phone to the ear for a long time
  • Leaning on elbows for a long time
  • Sleeping with arms tightly bent
  • A sudden elbow injury
  • A past elbow fracture (less frequent)

Symptoms can be minor at first, but may worsen over time. Common symptoms include numbness or tingling in ring and little fingers, loss of finger or hand strength, inability to straighten fingers, or sharp, sudden pain when elbow is touched.

Trigger Finger

– involves the pulleys and tendons in the hand that bend the fingers. Trigger finger/thumb occurs when the pulley at the base of the finger becomes too thick and constricting around the tendon, making it hard for the tendon to move freely through the pulley. Sometimes the tendon develops a nodule (knot) or swelling of its lining. Because of the increased resistance to the gliding of the tendon through the pulley, one may feel pain, popping, or a catching feeling in the finger or thumb.

Extensor Tendon Injuries

– Extensor tendons are just under the skin, directly on the bone, on the back of the hands and fingers. Because of their location, they can be easily injured even by a minor cut. Jamming a finger may cause these then tendons to rip apart from their attachment to bone. After this type of injury, you may have a hard time straightening one or more joints. Treatment is necessary to return use to the tendon.

Basal Joint Arthritis

– affects the joint at the base of the thumb, called the basal joint. Basal joint arthritis is most common in women over 40, but anyone can get it. Often it happens in both thumbs. It is more likely to occur, and at a younger age, if you have fractured or injured your thumb. Repeatedly gripping, twisting, or turning objects with the thumb and fingers may make the arthritis worse. The most common symptom is pain in the lower part of the thumb. You may feel pain when you lift something with the thumb and finders, unscrew a jar lid, or turn a door handle or key. You may find yourself dropping things. The joint may swell, and with time the thumb may become stiff or deformed.

Ganglion Cysts

– are very common lumps within the hand and wrist that occur adjacent to joints or tendons. The most common locations are the top of the wrist, the palm side of the wrist, the base of the finger on the palm side, and the top of the end joint of the finger. The ganglion cyst often resembles a water balloon on a stalk, and is filled with clear fluid or gel. The cause of these cysts is unknown although they may form in the presence of joint or tendon irritation or mechanical changes. They occur in patients of all ages. These cysts may change in size or even disappear completely, and they may or may not be painful. These cysts are not cancerous and will not spread to other areas.

Cortisone Injections

– Injecting cortisone can relieve pain for anything from a sports injury to arthritis. You may have an injection for treating inflammation, a sprain or other problems. Over the course of treatment your doctor may not inject the same region more than a few times. Injecting cortisone gets it directly to the inflamed region quickly. Your doctor may suggest an injection if resting, wearing splints, or taking oral medication doesn’t relieve your pain. Injecting cortisone often provides the lasting pain relief that can help you get out and enjoy life again.