Non-Surgical Options

Many of our patients require no surgery at all.

All treatment starts with an exam and honest talk about your pain or discomfort. In many cases, relief can be achieved through a treatment plan designed to avoid surgery. In any case, we’ll communicate openly and honestly, keeping your needs and goals in mind.

As part of this process, we may request x-rays or other imaging to better understand the source of your pain or discomfort. If we determine surgery is not required, there are a number of treatment options, including:

Rest and medication

Sometimes the best option is to do nothing, or next to nothing. Allowing the injured or hurting part of your hand or arm to rest can help to heal certain problems. We can immobilize the affected area and monitor your progress. Reducing how much you move your hand or arm can reduce stress on the area and, with some time, may improve your condition.

Exercises and therapy

The best medicine for some injuries is massage or exercises to stretch or strengthen the muscles. The doctor may give you a few to try, or he may refer you to our experienced hand and arm therapists who will work with your physician to design a program.

Minor, in-office procedures

We can relieve the pressure and pain of some conditions by removing fluid buildup using a thin needle. For significant or troublesome swelling, injections of medicines that reduce inflammation or irritation are often beneficial.


We use custom splints instead of plaster casts. Splints can prevent you from causing more damage and may be the most effective way to fix certain hand and arm problems. We create lightweight splints that are removable, and we can customize them so you can continue to do as many of your normal activities as possible. Our splits are OHSAA approved and may be worn during practices and games. They are removable for showering and waterproof for swimming.

Where does it hurt?

We have many tools to diagnose and treat all types of hand and arm injuries and conditions. If you have lost hope of gaining back the use of your hand or arm, or relieving your pain, let us examine you and give you our expert opinion.
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Sometimes surgery is necessary.

If your symptoms continue or the pain doesn’t go away with various treatments, surgical options that remove disease or tumors or repair bones or muscles may be the best option.
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Successful Surgery for Arthritis

I had debilitating pain in my right hand that affected my job as a dental hygienist. I was diagnosed with Basal Joint Arthritis and surgery was recommended. Dr. Kobus performed the surgery and now I am pain free and so happy.