Our Services

Hand and Wrist Surgery in Alexandria VA

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

Plastic Surgeon in Reston, VA

Dr. Mosely is a plastic surgeon in Reston, VA, who specializes in the surgical repair of the hands and wrists. Whether due to physical trauma, congenital deformities, repetitive motion, or sports or workplace injuries, your hands can function normally and comfortably with our help. Schedule a consultation at our office to speak with our plastic surgeon about your case.

Before scheduling an appointment for any surgical procedure, you should consider the experience and specialization of your surgeon. Dr. Mosely is a member of the American Society for Surgery of the Hand, as well as a member of the American Society of Plastic Surgeons. She has regularly won the prestigious Patient’s Choice Award since 2008, and she recently was awarded the designation Most Compassionate Doctor. You can expect the highest standard of medical treatment and care when you come to us with your hand or wrist injury.

Providing You with the Care You Need

Perhaps you are experiencing symptoms and you have not yet received a diagnosis. If any of the below symptoms apply to you, schedule an appointment at our office right away. We will conduct a thorough examination and recommend the most beneficial treatment options for your particular case. Our patients often experience:

  • Numbness in the Thumb, Index Finger, or Middle Fingers
  • Numbness in the Ring or Little Finger
  • Nodule or Cord in Your Palm
  • Pain or Stiffness in a Joint
  • Pain at the Base of Your Thumb
  • Pain in Your Elbow
  • Bump in Your Wrist
  • Inability to Straighten a Finger
  • Inability to Bend a Finger
  • Redness, Swelling, and Bruising in the Hand or Wrist

The above list is by no means exhaustive. Don’t hesitate to ask us your questions about any discomfort or pain you are experiencing. We treat a variety of conditions that each present a number of symptoms.

For more information about some of the common conditions we routinely treat, please click on the topics below. At your consultation, you will receive more specific details about your particular case and treatment plan.

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 difficulty with the 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. Contact our office today to discuss the possibility of wrist surgery to correct your carpal tunnel.

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 the ring and little fingers, loss of a finger or hand strength, inability to straighten fingers, or sharp, sudden pain when the 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 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.

Our comprehensive services also include:

  • Emergency treatment of minor and major hand and upper-extremity injuries
  • Reconstruction of hand and upper-extremity injuries due to trauma
  • Tendon and nerve repairs
  • Reconstruction of congenital deformities
  • Treatment of upper extremity compression neuropathies as well as repetitive motion injuries
  • De Quervain’s tenosynovitis treatment
  • Scar removal or revision
  • Burn treatment
  • Repair of split earlobes
  • Suturing of lacerations

Contact us for more details about our services or to schedule an appointment. We treat patients in Reston, Virginia.