Office-Based Procedures

When an option, patients prefer procedures done in the office.

OSS doctors can do some surgeries and procedures in the office (instead of in a surgery facility) because certain ones only require the OSS doctor to use local anesthesia, the SAME local anesthesia that a dentist uses for a dental procedure done in her office.

The benefit to you is the OSS doctor can do the procedure in an environment that is already familiar to you - the office.  The OSS doctor can safely manage the local anesthesia medication and follow the same standard operating room protocols to keep you safe.

Commonly Performed Procedures

Treatments for the Hand & Wrist
Here are some surgeries that an OSS doctor can do in our office:

  • Repair a cut (laceration)
  • Repair a broken bone in the finger
  • Repair a tendon in the hand or wrist
  • Repair the nailbed of a finger
  • Remove a foreign body object or piece of hardware
  • Remove a mass on a finger (also referred to as excising a cyst on the finger)
  • De Quervain’s tenosynovitis release (affecting the tendons associated with the thumb)
  • Carpal Tunnel syndrome release (affecting the wrist)

Treatments for Pain Management
Here are the procedures that our Pain Management Specialist routinely does in the office:

  • Epidural Steroid injections
  • Joint injections
  • Medial branch blocks
  • Peripheral nerve blocks



In-Office Procedures are more comfortable:

  • No IV sedation or anesthesia means no nausea or vomiting
  • No long waits to be admitted to the surgery facillity
  • No long waits in the preoperative suite (before surgery room)
  • No need to stay in the recovery room

In-Office Procedures are more convenient:

  • No pre-surgery tests
  • You may take your routine medicine
  • You may eat and drink before procedure
  • You may drive yourself home after the procedure

In-Office Procedures are more cost-effective:

  • No fees for pre-surgery tests
  • No fees for medical doctor clearance
  • No fees for facility (hostpital or surgery center)
  • No fees for a physician anesthesiologist
Book an appointment with an OSS orthopaedic or pain management doctor.
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    - Jose
  • “I waited approximately 10 years for Dr. Raymond Raven to perform a Dupuytren's Contracture release procedure on my right (dominant) hand because I was waiting for my insurance to change, and heard (from several medical professionals) that he was the ... ”

    - Doc S.
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  • “Dr. Falkenstein has performed 2 lower back microdiscectomies in the past with excellent results. I've seen other doctors since the surgeries and they have all commented on the excellent work performed by Dr. Falkenstein. I am going back for fusion ... ”

    - Russel L.
  • “Dr. Moses was Fantastic He diagnosed my hand problem and gave me all the information I needed to know about having a Trigger Finger. I've never had an appointment go so well. Kudos to the entire staff. ”

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