What brings people in
- The 2 AM tingling — numbness in the thumb and first fingers that wakes you up. Classic carpal tunnel, and it doesn't fix itself.
- The locking finger — a finger that catches, clicks, or locks bent. Trigger finger, usually fixable in minutes, not months.
- The fall on an outstretched hand — wrist fractures and sprains that "walked it off" but never felt right again.
- The grip that's going — thumb-base and finger arthritis stealing jar lids, doorknobs, and golf grips one week at a time.
How we treat hands here
Most hand and wrist problems are treated without surgery — splinting, targeted injections, and specialized hand therapy come first. When surgery is the right answer, most hand procedures are brief outpatient operations at our own surgery center, often under local or regional anesthesia, with movement starting within days. Either way, your rehab runs through a dedicated hand therapy team that includes a certified hand therapist (CHT) — because a hand that's repaired but stiff isn't a result, it's a redo.
What we see every week
- Nerves
Carpal & cubital tunnel
Compressed nerves at the wrist or elbow. Caught early: splints and activity changes. Caught late: numbness can become permanent — which is why "it comes and goes" is worth a visit now.
- Tendons
Trigger finger & tendonitis
Catching, locking, and the aching wrist tendons of new parents and heavy lifters. Injections resolve many; a brief release procedure handles the stubborn ones.
- Bones
Fractures of the wrist and hand
From fingertips to the distal radius — casting when stable, precise fixation when not. Small bones forgive very little; alignment now beats correction later.
- Joints
Arthritis of the thumb and fingers
Splints, injections, and joint procedures that trade pain for function — the thumb basal joint is one of the most treatable arthritic joints in the body.
Surgeon and hand therapist, one hallway apart
Dr. William Jackson — Hand & Upper Extremity Surgery
Fellowship-trained in hand and upper-extremity surgery, Dr. Jackson handles everything from carpal tunnel release to complex wrist reconstruction — with the judgment to tell you when surgery is the wrong answer.
Hand care fragments easily — surgeon in one building, therapist across town, nobody sharing notes. Here the surgeon and a dedicated hand therapy team with a certified hand therapist share one chart and one hallway. And under Texas direct-access law, therapy can start without a referral.
Common questions
My hand falls asleep at night. Is that really a problem?
It's the single most common early sign of carpal tunnel syndrome. Early treatment is simple and usually non-surgical; ignored for years, nerve compression can cause permanent numbness and weakness. Get it looked at.
Is carpal tunnel surgery a big operation?
It's typically a brief outpatient procedure, often under local anesthesia, at our own surgery center. Most people use the hand for light activity within days. Night symptoms are usually the first thing to disappear.
Do I need surgery for trigger finger?
Often not — a steroid injection resolves many cases. When one recurs or locks hard, a short release procedure fixes it definitively.
The experience with Dr. Jackson was awesome — he cared for me very well, and before the procedure he explained everything clearly.— Aruna Sundarakumar · Google review
Your hand surgeon
Board-certified, fellowship-trained, and in the office every week — read their story, then decide.
Medically reviewed by Keith W.V. Johnson, MD, FAAOS · Updated September 28, 2026