The Center for Hand & Upper Extremity Surgery - HUES

The Center for Hand & Upper Extremity Surgery - HUES Skilled surgeons delivering specialized care for hand and upper extremity injuries — serving patients across New Jersey

Real patients. Real results. Real relief.From the first consultation through recovery, patients consistently highlight t...
04/30/2026

Real patients. Real results. Real relief.

From the first consultation through recovery, patients consistently highlight the level of care, attention, and expertise they experience every step of the way. Clear communication, thoughtful treatment, and a focus on restoring function are at the center of everything we do.

It’s not just about treating the condition, it’s about helping you move better, feel better, and get back to your daily life with confidence

04/22/2026

That throbbing or numbness in your hand is not something to ignore.

Dr. Tsai explains how symptoms like tingling, weakness, or loss of grip can be early warning signs of underlying conditions such as carpal tunnel, tendonitis, arthritis, or nerve compression. When left untreated, these issues can progress and begin to impact your strength, movement, and daily function.

Early evaluation can make a significant difference. While many cases improve with conservative care, advanced surgical options are available when needed to directly address the cause and restore function.

If your hand is not working the way it should, it is time to get it checked before it starts to affect your everyday life.

04/15/2026

Arthritis in the hands can impact everything from daily tasks to the activities you enjoy most.

Dr. Rabinowitz breaks down two of the most common types, arthritis in the fingertip joints and arthritis at the base of the thumb, and how they can affect strength, movement, and overall function.

While many patients start with non surgical treatment, there are highly effective surgical options when needed. From joint fusion in the fingers to advanced procedures for thumb arthritis, these treatments are designed to relieve pain, restore strength, and help you get back to your routine.

For many patients, the right treatment can be truly life changing, allowing them to move more comfortably and return to the things they love with confidence.

Meet Dr. Peter Andrawes, a plastic and reconstructive surgeon specializing in hand and upper extremity care.Dr. Andrawes...
04/07/2026

Meet Dr. Peter Andrawes, a plastic and reconstructive surgeon specializing in hand and upper extremity care.

Dr. Andrawes is known for his precise, thoughtful approach and dedication to restoring both function and quality of life. He works closely with each patient to deliver personalized treatment plans focused on improving mobility, reducing pain, and helping patients return to what matters most.

From nerve compression and tendon injuries to fractures, arthritis, and complex upper extremity conditions, Dr. Andrawes is committed to providing expert, patient centered care that supports both recovery and long term function.

Restoring function rebuilding confidence.From diagnosis through recovery our team is committed to precise care clear com...
03/26/2026

Restoring function rebuilding confidence.

From diagnosis through recovery our team is committed to precise care clear communication and personalized treatment that helps you move with greater strength comfort and confidence.

03/11/2026

A distal radius fracture is one of the most common wrist injuries, often occurring after a fall onto an outstretched hand.

Dr. Rabinowitz explains that symptoms typically include immediate pain and swelling at the wrist, and prompt evaluation is important. X-rays help determine whether a fracture is present and guide the best course of treatment.

Some fractures can be treated with casting or splinting, while more complex or unstable fractures may require surgical repair using a plate and screws to restore alignment and support healing.

If you experience wrist pain and swelling after a fall or injury, seeking timely medical care is essential to ensure proper treatment and recovery.

Meet Dr. David Tsai, a hand and upper extremity surgeon specializing in complex conditions of the hand, wrist, and arm.D...
03/04/2026

Meet Dr. David Tsai, a hand and upper extremity surgeon specializing in complex conditions of the hand, wrist, and arm.

Dr. Tsai is known for his precise, thoughtful approach and dedication to restoring function, strength, and quality of life. Using advanced techniques and careful planning, he provides individualized care focused on helping patients regain mobility, reduce pain, and return to their daily activities with confidence and comfort.

From nerve compression and tendon injuries to arthritis, brachial plexus conditions, and complex reconstructive cases, Dr. Tsai is committed to delivering expert, patient centered care that supports both recovery and long term function.

Restoring function, supporting every step.Our team at The Center for Hand and Upper Extremity Surgery combines expertise...
02/27/2026

Restoring function, supporting every step.

Our team at The Center for Hand and Upper Extremity Surgery combines expertise and compassion to help patients recover from injury, restore mobility, and get back to what matters most.

02/19/2026

If your hand is painful, weak, and no longer working the way it should, it can start to feel like you’re running out of options.

Dr. Ajul Shah explains bionic hand reconstruction and who it may be for. After severe trauma or nerve injuries, such as a brachial plexus injury, some patients are left with a hand that can’t move, can’t grip, and remains a constant source of pain even after surgeries, therapy, or medication.

Bionic reconstruction is a carefully planned approach that replaces a nonfunctional, painful hand with an advanced prosthetic, while also using nerve-based reconstruction to help address chronic pain. For many patients, it isn’t a setback, it’s a step toward getting function back when traditional reconstruction can no longer deliver it.

A key part of the process involves “rewiring” nerves so the prosthetic can be controlled in a more natural, intuitive way. This can help patients return to everyday tasks like typing, picking up small objects, or handling simple routines that most people don’t think twice about.

It’s a major decision and not right for everyone, which is why it’s guided by a multidisciplinary team to make sure it’s truly the best fit for the patient’s life and goals.

02/11/2026

Chronic shoulder, arm, or neck pain that keeps coming back can be exhausting, especially when tests come back “normal” and you’re left without clear answers.

Dr. Ajul Shah explains the human disharmony loop, a cycle of pain and dysfunction that often starts with a tight pectoralis minor, a small muscle in the front of the chest. When it shortens, it can pull the shoulder forward, throw off shoulder blade stability, and disrupt the mechanics of the neck, upper back, shoulder, and arm. Over time, that imbalance can irritate surrounding muscles and even compress nerves, leading to a pattern where pain causes poor movement and poor movement feeds more pain.

This pattern can show up in athletes, bodybuilders, people with repetitive strain, women with larger breasts, and those with a history of trauma like a car accident. Once it’s properly identified through a detailed exam and focused testing, treatment can be directed at the source, and for some patients, a targeted outpatient surgical release may offer lasting relief.

Meet Dr. Ajul Shah, Hand and Upper Extremity Surgeon. From everyday wear and tear to sudden injuries, hand and arm pain ...
02/03/2026

Meet Dr. Ajul Shah, Hand and Upper Extremity Surgeon.

From everyday wear and tear to sudden injuries, hand and arm pain can affect everything from work to sleep to the simplest routines. Dr. Shah is committed to combining cutting-edge surgical innovation with compassionate care, so every patient feels comforted, informed, and confident throughout the process.

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Shrewsbury, NJ
07702

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