Hand to Shoulder

The hand is a delicate balance of bones, joints, ligaments, tendons, muscles, nerves, and blood vessels. Injury or disease of these components can result in pain and loss of function. Whether re-attaching a severed finger or releasing a carpal tunnel, our fellowship-trained hand surgeons have built this practice over the past 40 years by offering the highest level of care available in the region. We treat patients of all ages, utilizing a team of surgeons, PAs, therapists, and other staff to restore this essential part of your body to good working order. Our extensive training and experience also include treatment of wrist and forearm conditions, upper extremity trauma reconstruction, and microsurgery. We represent the majority of the surgeons providing hand trauma care at Mission Hospital.

We offer extensive elbow treatment from simple tennis elbow injections to complicated “Tommy John Ligament” reconstruction. Most elbow conditions can be treated conservatively, but when needed, our practice offers advanced arthroscopic and reconstructive techniques to get this complicated joint back in working order.

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Sports Medicine

Sports medicine is typically thought to include only care of young school-age athletes. In fact, active patients of all ages find physical impediments to their chosen activities. Whether a high school football player with an ACL tear or a retired tennis player with a rotator cuff tear, these patients can benefit from the latest arthroscopic and minimally invasive techniques available at Carolina Hand and Sports Medicine. We offer treatment of both upper and lower extremity injuries. While the majority of these take place in the shoulder, elbow, and knee, we also treat other athletic-related injuries in the leg. Our goal is to return both athletes and non-athletes to their previous level of activity in a safe and efficient manner.

Dr. West assisted in the development of Mission Sports Medicine, a collaboration of Asheville sports medicine physicians who are solidifying the substantial resources of Mission Hospital to deliver the best possible care to organized sports throughout Western North Carolina.

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Foot & Ankle and Knee

Knee problems are very common, and they occur in people of all ages. Knee problems can interfere with many things, from participation in sports to simply getting up from a chair and walking. This can have a big impact on your life. As the largest joint in the body, the knee is essential for competing in almost every sport, but it is also the most common site for injury in young athletes. Knee injuries are very common in athletes who engage in cutting sports, such as football, soccer, basketball, and lacrosse.

The foot and ankle are intricate parts of the body containing numerous bones, muscles, tendons, and ligaments. Together, these structures allow for the balance and complex movements necessary to perform activities like walking, running, and jumping.

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Non-Surgical Orthopedics, Therapy

Physiatrists, or Physical Medicine and Rehabilitation physicians, are nerve, muscle, bone, and brain experts who treat injury or illness non-surgically to decrease pain and restore function.

Physical medicine and rehabilitation physicians diagnose and treat a vast number of conditions, including: musculoskeletal injuries and pain syndromes such as trochanteric bursitis, injuries such as patellofemoral syndrome or rotator cuff syndrome, and degenerative conditions such as arthritis. They are trained in complex neurologic rehabilitation conditions including stroke, brain injury and spinal cord injury, and often use electromyography (EMG) and nerve conduction studies to evaluate neurologic disorders and diseases such as carpal tunnel syndrome and radiculopathies, or “pinched nerves”.

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The team of therapists at Carolina Hand and Sports Medicine is one of the most experienced and well credentialed in the nation. With 107 years of combined experience, your condition is well within our expertise. Our therapy services cover a wide spectrum of musculoskeletal and neurological conditions. From common post-operative care for shoulder surgery to common knee post-operative therapy, our therapists are committed to providing you the best care that accommodate your specific needs.

Treatments include a progressive therapeutic exercise program to recover range of motion, strength, and establish a home exercise program. Modalities for pain reduction, edema control, inflammatory treatment may be offered, and ultimate goals include recovery of function for independent activities of daily living and return to work.

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