Top Rated Orthopedic hand surgeon in Houston TX

Dr. Budoff is a Board Certified Orthopedic Hand Surgeon specializing in the Hand, Wrist, Elbow and Shoulder

He has completed fellowships in both Hand Surgery and Sports Medicine. He was previously an Associate Professor of Orthopedic Surgery at the Baylor College of Medicine, where he taught residents and fellows for nine years. He has edited 7 textbooks, written 46 papers and authored 24 book chapters. He is an expert in arthroscopic and open surgery of the Hand, Wrist, Elbow and Shoulder.

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Orthopedic Surgeon Houston Hand Carpal Tunnel Wrist Shoulder ElbowAmerican Academy of Orthopaedic SurgeonsAmerican Society for Surgery of the Hand

Dr. Budoff’s focus is on restoring function and eliminating hand and wrist pain with the least invasive method possible. Many patients are successfully treated without surgery. Should surgery be desired, Dr. Budoff is up to date with the best, least invasive surgical procedures that minimize pain and time of healing. The one-incision Endoscopic Carpal Tunnel Release gets most people back to work and other activities quicker than open carpal tunnel release or the two-incision Endoscopic Carpal Tunnel Release that many surgeons advertise.

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What are your symptoms?

Dr. Budoff Patient Satisfaction

1. Convenience of getting an appointment in appropriate time frame: Avg. 3.98 / 5
2. The courtesy and helpfulness of Dr. Budoff’s office staff: Avg. 4.00 / 5
3. The overall happiness of your patients with Dr. Budoff’s services: Avg. 4.21 / 5
4. Appropriate levels of care and follow-up are provided. Avg. 4.23 / 5
5. Level of satisfaction for your referrals to Dr. Budoff’s practice: Avg: 4.25 / 5

* Scale range 1 to 5 (with 5 being highest satisfaction) patients-choice

What are the Symptoms of Capral Tunnel Syndrome?

  • Waking up with a numb hand and flicking your wrist to ‘try to get the circulation back’
  • Numbness, burning, tingling, or falling asleep of the fingers and hand
  • Worse at night or when gripping (driving, holding objects or using tools)
  • Clumsiness, weakness, or dropping objects
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Frequently Asked Questions

What is a hand surgeon?

A hand surgeon is an orthopedic surgeon, plastic surgeon, or occasionally a general surgeon, who does an additional 1 year of a training fellowship in hand surgery. They subspecialize and are the experts in diagnosing and treating disorders of the hand & wrist. Some Hand & Upper Extremity fellowships cover the hand, wrist, elbow and shoulder.

Do hand surgeons do wrist surgery?

Yes. Hand surgeons specialize in the diagnosis and treatment of problems involving the hand and wrist. Hand & Upper Extremity surgeons specialize in the hand, wrist, elbow and shoulder. I am a Hand & upper extremity surgeon so I do hand, wrist, elbow and shoulder surgery.

When should you see a hand surgeon?

Any problems of the hand or wrist are better diagnosed and treated by a fellowship-trained hand surgeon. Things that your regular physician rarely sees, and isn’t specifically trained in diagnosing and treating, are routine for hand surgeons. Hand surgeons acquire an extensive experience diagnosing and treating these conditions through extra training and by focusing exclusively their entire careers exclusively on these problems. This allows hand surgeons to see disorders of the hand and wrist, and only disorders of the hand and wrist (as well as the elbow and shoulder, for some of us) day in and day out. Subspecialists, such as hand surgeons, often know the diagnosis and best treatment within seconds, even though your regular physician was not able to adequately diagnose the issue. Often, hand and upper extremity injuries must be diagnosed and treated within a fairly rapid time frame in order to obtain an optimal result. Seeing a hand surgeon helps avoid unproductive or counterproductive treatments that may effect your ability to regain normal function. This potentially avoids unnecessary diagnostic studies or therapy appointments. Many hand problems, especially fractures, that are treatable when seen early, lead to permanent problems when treatment is delayed. Trying to lessen the impact of these permanent problems can take months or years of treatment, when the entire situation could have been definitively handled if treated early.

What are the most common hand surgeries?

The most common hand surgeries are carpal tunnel release (which I perform endoscopically, with the least invasive technique), trigger finger release, cubital tunnel release (which I perform endoscopically), DeQuervain’s release, and surgical fixation of hand and wrist fractures. As a Hand & Upper Extremity surgeon I also do many arthroscopic shoulder procedures, most commonly arthroscopic rotator cuff repairs.

Do you stay in the hospital after hand surgery?

Generally no. All of my surgeries are performed on an outpatient basis, without an overnight stay. We work hard to minimize recovery time and focus on minimally invasive surgery.

How do you know if a hand injury is serious?

Serious hand injuries lead to numbness, loss of motion, weakness, severe pain, obvious deformity, signs of infection, and/or severe bleeding. If there’s any question, you should see a hand surgeon within the first week following injury. Do not be delayed because your injury was seen by a non-specialist physician, thinking they would know if the injury was serious and would have sent you to a hand surgeon if you needed one. Significant hand injuries are frequently missed by generalists/ER providers. And serious, permanent, problems are often caused by these delays.

What is the difference between a doctor and a specialist?

Doctor” simply means that the person obtained a doctorate from an institution. They can be MDs (what most people think of as “doctors”), DOs (which are similar), PhDs (doctors of education, economics, etc), doctors of physical therapy (many physical therapists now go this route), chiropractors and podiatrists. As far as medical doctors go: Many are generalists/primary care physicians. This is the most basic amount of education to be a practicing physician. However, some take years of additional highly-intensive training in order to specialize as orthopedic surgeons. However, in my opinion, the most important thing to understand is that the physicians who understand the most about specific body parts and specific disorders are the sub-specialists. These are physicians who have undergone additional training to become specialists, and who then undergo even more additional fellowship training to sub-specialize in a specific area of expertise. Examples include orthopedic hand surgeons, orthopedic foot surgeons, orthopedic spine surgeons, orthopedic trauma surgeons, orthopedic tumor surgeons, etc.

Can I go straight to a specialist?

Going straight to a specialist saves time and money, and prevents you from getting bad advice from a less knowledgeable provider, which may delay seeking appropriate treatment until too late. However, some insurances require a referral from a primary care physician. Which actually costs both that company and you more money, not to mention providing a lower level of care, but insurance executives don’t seem to have figured that out yet.

What’s the difference between an orthopedic doctor, orthopedic surgeon and an orthopedist?

They are simply different names for the same thing.

What conditions does an orthopedic surgeon treat?

Orthopedic surgeons treat all conditions of the arms, legs and spine. These conditions include arthritis, fractures, dislocations, injuries to tendons, ligaments, and all other problems causing pain in the arms, legs, neck and back.

What training does an orthopedic surgeon have?

An orthopedic surgeon graduates from a 4 year college, goes through 4 years of medical school, a 1 year internship (where he rotates between general surgery, ENT, urology, ER medicine, trauma, etc) and then completes a 4 year orthopedic residency. Following residency, he/she is now a board-eligible orthopedic surgeon. 2 years later, if they pass their boards, they are board certified. Following training, an orthopedic surgeon may elect to sub-specialize by completing a 1 year fellowship. I elected to do two one-year fellowships, in Sports Medicine and Hand Surgery, allowing me to provide the highest quality of care for the entire upper extremity.

Do orthopedic surgeons specialize?

It is important to understand the difference between a specialist and a sub-specialist. An orthopedic surgeon is a specialist (as opposed to primary care or emergency room physicians, who are generalists). Many orthopedic surgeons then pursue additional fellowship training to sub-specialize in a certain area of orthopedics, such as hand surgery, foot surgery, spine surgery, tumor surgery, trauma surgery, etc. Many subspecialists then devote their entire career to only that area, giving them a great amount of experience and knowledge that a generalist or simple “specialist” would not have. Subspecialists provide the highest quality of care. Consequently, I highly recommend seeking out a subspecialist for any significant problem you may have, orthopedic or otherwise.

Do orthopedic surgeons only do surgery?

No. This is a very common misconception. Orthopedic surgeons are the best care providers for the entire musculoskeletal system. Well over 90% of patients that see me are successfully treated without surgery. Orthopedic surgeons are experts in diagnosing musculoskeletal problems and the best at determining who needs surgery and who doesn’t. And orthopedic surgeons are the best at providing nonoperative treatment for those that don’t need surgery.

How do you get a doctor to take you seriously?

Physicians take everyone seriously, but we also take our examination seriously. It is very important to understand that not all pain is injury. Pain is, unfortunately, part of the human experience and doesn’t always mean that something needs to be fixed. Physicians can’t always explain why something hurts, even in ourselves. The best way to make sure that nothing important gets missed is to see a sub-specialist, who can recognize problems that lesser trained physicians would miss. Sometimes people think we are not taking their concerns seriously but the truth is we are. We understand the long term implications of injuries and surgeries and do not want to operate when its not necessary. People have often been almost disappointed when I tell them they do not need surgery.

Do orthopedic doctors treat arthritis?

Yes. All the time. In fact, it’s one of the most common conditions that I treat. As we age arthritis is one of the most common early problems that people face.

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