Primary Care

carpal tunnel numbness and pain location

Common Carpal Tunnel Syndrome (CTS) Symptoms

  • Numbness, tingling, burning, and pain in the thumb, and index, ring and middle fingers
  • Occasional shock-like sensations that radiate to the thumb and index, middle, and ring fingers
  • Pain or tingling that may travel up the forearm toward the shoulder
  • Weakness in the hand

 

ClickHere_middlebutton.png to take a quiz to see if you are experiencing Carpal Tunnel Syndrome

 

Release & Relief
Carpal Tunnel
Procedure

This program is designed to evaluate, and definitively treat patients with chronic carpal tunnel symptoms in ONE day!
By using ultrasound for both diagnostic and therapeutic purposes we are now able to reliably and comfortably provide patients expedited symptom relief.

 

Micro-invasive,
Micro-recovery

If you have carpal tunnel syndrome (CTS) and are considering a surgical procedure, Micro-invasive Carpal Tunnel Release (CTR) with the SX-One MicroKnife® may be right for you. Developed by doctors at the Mayo Clinic, the SX-One MicroKnife® is the breakthrough device that allows ultrasound-guided CTR to be performed through a tiny incision.

Live Release & Relief Carpal Tunnel Procedure

RegisterHere_button.png

From Canada? 

Location: 

From the Peace Bridge, it is approximately six miles to Dr. Paterson's office in Buffalo, New York, and jsut 15 miles to his Hamburg, New York office.

Convenience: 

You won’t be making trips back and forth across the border. This innovative procedure allows for a diagnosis and procedure to be done in a single visit with no follow-up appointment needed!

Payment: 

Self-pay. Please call 716-800-3623 for more information

carpal tunnel numbness and pain location

Common Carpal Tunnel Syndrome (CTS) Symptoms

  • Numbness, tingling, burning, and pain in the thumb, and index, ring and middle fingers
  • Occasional shock-like sensations that radiate to the thumb and index, middle, and ring fingers
  • Pain or tingling that may travel up the forearm toward the shoulder
  • Weakness in the hand

 

ClickHere_middlebutton.png to take a quiz to see if you are experiencing Carpal Tunnel Syndrome

 

Release & Relief
Carpal Tunnel
Procedure

This program is designed to evaluate, and definitively treat patients with chronic carpal tunnel symptoms in ONE day!
By using ultrasound for both diagnostic and therapeutic purposes we are now able to reliably and comfortably provide patients expedited symptom relief. CIck here for more information.

 

Micro-invasive,
Micro-recovery

If you have carpal tunnel syndrome (CTS) and are considering a surgical procedure, Micro-invasive Carpal Tunnel Release (CTR) with the SX-One MicroKnife® may be right for you. Developed by doctors at the Mayo Clinic, the SX-One MicroKnife® is the breakthrough device that allows ultrasound-guided CTR to be performed through a tiny incision.

 

Live Release & Relief Carpal Tunnel Procedure

 

For Our Canadian Neighbors
(once the borders reopen) 

Location: 

From the Peace Bridge, it is approximately six miles to Dr. Paterson's office in Buffalo, New York, and jsut 15 miles to his Hamburg, New York office.

Convenience: 

You won’t be making trips back and forth across the border. This innovative procedure allows for a diagnosis and procedure to be done in a single visit with no follow-up appointment needed!

Payment: 

Self-pay. Please call 716-800-3623 for more information

Carpal Tunnel Information Seminars

 

Rochester, NY

Date: Saturday, March 28th • 10:00 am - Noon
Place: Hilton Garden Rochester, 30 Celebration Dr., Rochester NY 14620
Presenter: Paul Paterson, MD

  • View a video of a live demonstration 
  • Light Refreshments 
  • Ample Parking
  • Q&A with Dr. Paterson
  • FREE Screening

Learn about the innovative procedure - Release and Relief and find out how you can get relief in just one day!
Fill out the form below to register or call 716-800-3623

Orchard Park, NY

Date: Tuesday, April 21 • 6:00pm - 8:00pm
Place: Great Lakes Cardiovascular, 5959 Big Tree Road, Orchard Park, NY 14127
Presenter: Paul Paterson, MD

  • View a Live Demonstration 
  • Light Refreshments 
  • Ample Parking
  • Q&A with Dr. Paterson
  • FREE Screening

Learn about the innovative procedure - Release and Relief and find out how you can get relief in just one day!
Fill out the form below to register or call 716-800-3623

Williamsville, NY

Date: Tuesday, May 19 • 6:00pm - 8:00pm
Place: 705 Maple Road, Suite 300, Williamsville, NY 14221
Presenter: Paul Paterson, MD

  • View a Live Demonstration 
  • Light Refreshments 
  • Ample Parking
  • Q&A with Dr. Paterson
  • FREE Screening

Learn about the innovative procedure - Release and Relief and find out how you can get relief in just one day!
Fill out the form below to register or call 716-800-3623

 

Carpal Tunnel Information Seminars

 

Rochester Seminar

Date: Saturday, March 28, 2020
10:00 am - Noon
Instructor: Paul Paterson, MD
Place: Hilton Garden Rochester
30 Celebration Dr., Rochester NY 14620

Orchard Park

Date: Tuesday, April 21, 2020
6:00 pm - 8:00pm
Instructor: Paul Paterson, MD
Place: Great Lakes Cardiovascular
5959 Big Tree Road, Orchard Park, NY 14127

Williamsville Seminar

Date: Tuesday, May 19, 2020
6:00 pm - 8:00pm
Instructor: Paul Paterson, MD
Place: General Physician, PC office
705 Maple Road, Suite 300, Williamsville, NY 14221

 
 

Learn about the innovative procedure - Release and Relief and find out how you can get relief in just one day!
Fill out the form below to register or call 716-800-3623

Thank you for contacting Dr. Paterson’s office. One of our Patient Service Representatives will follow up with you shortly.

In the meantime, if you have any further questions, please feel free to visit us online at www.gppconline.com

Thank you.

tracking

About Carpal Tunnel

Announcing an innovative Carpal Tunnel syndrome treatment program

Release and Relief

To schedule an appointment or get more information click here or call 716-500-HAND (4263)

JOIN US FOR A FREE SEMINAR
Saturday, February 29, 2020
10:00 am - Noon

General Physician, PC
705 Maple Road, Suite 300
Williamsville, NY 14221

Click here for more information or to RSVP. Seating is limited. Register today.

This program is designed to evaluate, and definitively treat patients with chronic carpal tunnel symptoms in 1 day! By using ultrasound for both diagnostic and therapeutic purposes we are now able to reliably and comfortably provide patients expedited symptom relief.

What is Carpal Tunnel Syndrome?

Carpal tunnel syndrome (CTS) is a result of chronic compression of the median nerve.  Ninety percent of patients present with a classic story of numbness, pain, tingling in the median nerve distribution of the hand that is worse at night, while driving, or while reading a newspaper. Classic physical exam findings (Tinels and Phalens) combined with the above history make the CTS diagnosis greater than 80% probable.

While nonoperative treatment in the form of splints, nonsteroidal anti-inflammatories, and injections can be useful in the first couple of months after symptom onset, symptoms greater than 6 months rarely respond adequately to nonoperative treatment.  The chronic ischemia that results from nerve compression leads to irreversible intrinsic changes to the nerve. These intrinsic changes make it even more difficult to perfuse the nerve, and therefore symptoms can only be reliably relieved by nerve decompression. Several prospective randomized studies have demonstrated the superior efficacy of surgical versus nonsurgical treatment for CTS greater than 6 months duration.

 

carpal tunnel numbness and pain locationCommon Carpal Tunnel Syndrome (CTS) Symptoms

  •  Numbness, tingling, burning, and pain in the thumb, and index, ring and middle fingers
  • Occasional shock-like sensations that radiate to the thumb and index, middle, and ring fingers
  • Pain or tingling that may travel up the forearm toward the shoulder
  • Weakness in the hand

 

What is the Release and Relief Program?

Release and Relief is a program designed to care for Carpel Tunnel Syndrome – Evaluation and Treatment in ONE Day.

Carpel_tunel_Image.jpg

Micro-invasive, Micro-recovery

If you have carpal tunnel syndrome (CTS) and are considering a surgical procedure, Micro-invasive Carpal Tunnel Release (CTR) with the SX-One MicroKnife® may be right for you. Developed by doctors at the Mayo Clinic, the SX-One MicroKnife® is the breakthrough device that allows ultrasound-guided CTR to be performed through a tiny incision.

 

 

PatersonAmbuffalo

CarpalTunnelRelease

PatersonInteriew

About Carpal Tunnel

Announcing an innovative Carpal Tunnel Syndrome treatment program now available to Canadian patients at two convenient locations in Buffalo, New York

JOIN US FOR A FREE SEMINAR
Tuesday, October 22, 2019
6:00 pm - 8:00 pm

General Physician, PC
705 Maple Road, Suite 300
Williamsville, NY 14221

Click here for more information or to RSVP. Seating is limited. Register today.

 

To schedule an appointment or get more information click here or call 716-500-HAND (4263)

Release and Relief

This program is designed to evaluate, and definitively treat patients with chronic carpal tunnel symptoms in one day! By using ultrasound for both diagnostic and therapeutic purposes we are now able to reliably and comfortably provide patients expedited symptom relief. This innovative procedure cuts recovery time to a day or two, with mild soreness for a short period following the procedure. You'll be pain free faster and easier than you ever imagined was possible!

What is Carpal Tunnel Syndrome?

Carpal tunnel syndrome (CTS) is a result of chronic compression of the median nerve.  Ninety percent of patients present with a classic story of numbness, pain, tingling in the median nerve distribution of the hand that is worse at night, while driving, or while reading a newspaper. Classic physical exam findings (Tinels and Phalens) combined with the above history make the CTS diagnosis greater than 80% probable.

While nonoperative treatment in the form of splints, nonsteroidal anti-inflammatories, and injections can be useful in the first couple of months after symptom onset, symptoms greater than six months rarely respond adequately to nonoperative treatment.  The chronic restriction in blood flow that results from nerve compression leads to irreversible changes to the nerve. These changes make it even more difficult for blood to reach the nerve, and therefore symptoms can only be reliably relieved by nerve decompression. Several studies have demonstrated the superior results achieved with surgical versus nonsurgical treatment for CTS lasting longer than six months.

 

carpal tunnel numbness and pain locationCommon Carpal Tunnel Syndrome (CTS) Symptoms

  •  Numbness, tingling, burning, and pain in the thumb, and index, ring and middle fingers
  • Occasional shock-like sensations that radiate to the thumb and index, middle, and ring fingers
  • Pain or tingling that may travel up the forearm toward the shoulder
  • Weakness in the hand

 

What is the Release and Relief Program?

Release and Relief is a program designed to care for Carpel Tunnel Syndrome – Evaluation and Treatment in ONE Day.

Carpel_tunel_Image.jpg

Micro-invasive, Micro-recovery

If you have carpal tunnel syndrome (CTS) and are considering a surgical procedure, Micro-invasive Carpal Tunnel Release (CTR) with the SX-One MicroKnife® may be right for you. Developed by doctors at the Mayo Clinic, the SX-One MicroKnife® is the breakthrough device that allows ultrasound-guided CTR to be performed through a tiny incision.

 

 

PatersonAmbuffalo

CarpalTunnelRelease

PatersonInteriew

About Carpal Tunnel

Announcing an innovative Carpal Tunnel Syndrome treatment program now available to Canadian patients at two convenient locations in Buffalo, New York

JOIN US FOR A FREE SEMINAR
Tuesday, October 22, 2019
6:00 pm - 8:00 pm

General Physician, PC
705 Maple Road, Suite 300
Williamsville, NY 14221

Click here for more information or to RSVP. Seating is limited. Register today.

 

To schedule an appointment or get more information click here or call 716-500-HAND (4263)

Release and Relief

This program is designed to evaluate, and definitively treat patients with chronic carpal tunnel symptoms in one day! By using ultrasound for both diagnostic and therapeutic purposes we are now able to reliably and comfortably provide patients expedited symptom relief. This innovative procedure cuts recovery time to a day or two, with mild soreness for a short period following the procedure. You'll be pain free faster and easier than you ever imagined was possible!

What is Carpal Tunnel Syndrome?

Carpal tunnel syndrome (CTS) is a result of chronic compression of the median nerve.  Ninety percent of patients present with a classic story of numbness, pain, tingling in the median nerve distribution of the hand that is worse at night, while driving, or while reading a newspaper. Classic physical exam findings (Tinels and Phalens) combined with the above history make the CTS diagnosis greater than 80% probable.

While nonoperative treatment in the form of splints, nonsteroidal anti-inflammatories, and injections can be useful in the first couple of months after symptom onset, symptoms greater than six months rarely respond adequately to nonoperative treatment.  The chronic restriction in blood flow that results from nerve compression leads to irreversible changes to the nerve. These changes make it even more difficult for blood to reach the nerve, and therefore symptoms can only be reliably relieved by nerve decompression. Several studies have demonstrated the superior results achieved with surgical versus nonsurgical treatment for CTS lasting longer than six months.

 

carpal tunnel numbness and pain locationCommon Carpal Tunnel Syndrome (CTS) Symptoms

  •  Numbness, tingling, burning, and pain in the thumb, and index, ring and middle fingers
  • Occasional shock-like sensations that radiate to the thumb and index, middle, and ring fingers
  • Pain or tingling that may travel up the forearm toward the shoulder
  • Weakness in the hand

 

What is the Release and Relief Program?

Release and Relief is a program designed to care for Carpel Tunnel Syndrome – Evaluation and Treatment in ONE Day.

Carpel_tunel_Image.jpg

Micro-invasive, Micro-recovery

If you have carpal tunnel syndrome (CTS) and are considering a surgical procedure, Micro-invasive Carpal Tunnel Release (CTR) with the SX-One MicroKnife® may be right for you. Developed by doctors at the Mayo Clinic, the SX-One MicroKnife® is the breakthrough device that allows ultrasound-guided CTR to be performed through a tiny incision.

 

 

PatersonAmbuffalo

CarpalTunnelRelease

PatersonInteriew

Carpal Tunnel Pain?

Now you can be Pain Free in ONE Day.

Join our FREE Virtual Seminar and
View a LIVE Carpal Tunnel Procedure.
Registration Required

Thursday, July 23rd    6:00 pm - 7:00 pm

  • Meet Dr. Paul Paterson
  • Carpal Tunnel Presentation
  • Live Carpal Tunnel Demonstration
  • Q&A with the Doctor

 

What is Carpal Tunnel Syndrome?

Carpal tunnel syndrome (CTS) is a result of chronic compression of the median nerve.  Ninety percent of patients present with a classic story of numbness, pain, tingling in the median nerve distribution of the hand that is worse at night, while driving, or while reading a newspaper. Classic physical exam findings (Tinels and Phalens) combined with the above history make the CTS diagnosis greater than 80% probable.

While nonoperative treatment in the form of splints, nonsteroidal anti-inflammatories, and injections can be useful in the first couple of months after symptom onset, symptoms greater than 6 months rarely respond adequately to nonoperative treatment.  The chronic ischemia that results from nerve compression leads to irreversible intrinsic changes to the nerve. These intrinsic changes make it even more difficult to perfuse the nerve, and therefore symptoms can only be reliably relieved by nerve decompression. Several prospective randomized studies have demonstrated the superior efficacy of surgical versus nonsurgical treatment for CTS greater than 6 months duration.

 

carpal tunnel numbness and pain locationCommon Carpal Tunnel Syndrome (CTS) Symptoms

  •  Numbness, tingling, burning, and pain in the thumb, and index, ring and middle fingers
  • Occasional shock-like sensations that radiate to the thumb and index, middle, and ring fingers
  • Pain or tingling that may travel up the forearm toward the shoulder
  • Weakness in the hand

 

What is the Release and Relief Program?

This program is designed to evaluate, and definitively treat patients with chronic carpal tunnel symptoms in 1 day!
By using ultrasound for both diagnostic and therapeutic purposes we are now able to reliably and comfortably provide patients expedited symptom relief.

 

Carpel_tunel_Image.jpg

Micro-invasive, Micro-recovery

If you have carpal tunnel syndrome (CTS) and are considering a surgical procedure, Micro-invasive Carpal Tunnel Release (CTR) with the SX-One MicroKnife® may be right for you. Developed by doctors at the Mayo Clinic, the SX-One MicroKnife® is the breakthrough device that allows ultrasound-guided CTR to be performed through a tiny incision.

 

 

PatersonAmbuffalo

CarpalTunnelRelease

PatersonInteriew

Total Shoulder Surgery

Is total shoulder surgery right for you?

ShoulderJoint.png
ShoulderReplacement.png

Total shoulder replacement surgery is recommended when:

  • Normal range of motion of the rotator cuff, ball and socket is impeded and has become painful or difficult.
  • There has been significant degeneration or injury that has damaged the bone and cartilage.
  • Alternative remedies such as physical therapy and medications have not improved mobility.
  • Shoulder pain interferes with everyday life.

If you are experiencing any of the above issues, it may be time to schedule an evaluation.

When should you NOT consider shoulder surgery?

Total shoulder replacement surgery is not recommended when:

  • The patient has a long history of infection.
  • The remaining bone structure is not strong enough to support the replacement piece.
  • The patient has unstable muscle mass in the shoulder area and deemed unable to support the replacement. 

What is a total shoulder arthroplasty?

Total shoulder arthroplasty is a surgical procedure to replace the ball and socket of the shoulder joint.

A conventional shoulder replacement recreates the normal anatomy of the shoulder by attaching a polyethylene “cup” to the shoulder socket and a metal “ball” to the top of the upper arm bone or humerus.

A reverse total shoulder replacement, alternatively, reverses the placement of the socket and metal ball. The metal ball is attached instead to the socket and the polyethylene cup is placed on the upper end of the humerus.

What does recovery look like?

After the procedure, the patient can expect 2 to 5 days in the hospital with pain and swelling in the shoulder. The patient will be given an arm brace to prevent the arm from moving and be given both pain medicine and antibiotics to lower the risk of infection. Within a couple of days, physical therapy will be introduced.  Following going home, the patient will continue with physical therapy until fully recovered. This is expected within 6-8 weeks.

What are the risks involved?

Infection
As with any surgical procedure, infection is a risk.  The patient will typically receive antibiotics that lower the risk of infection.  Although its uncommon, an infection can delay the speed of recovery.

Dislocations
Dislocation is rare, but can occur post-surgery. Since the replacement shoulder is a ball in socket model, it’s possible for the shoulder to become dislocated if the patient is extremely active or exhibits too much motion before full recovery.

Transplant becoming loose
Over time there is a risk of the replacement becoming loose in the bone,  this risk can increase if the patient is extremely active and putting a lot of stress on the replacement.  This is rare and most often doesn’t require a second surgery.

Leading the field in Total Shoulder Arthroplasty in WNY and worldwide

Dr. Paul Paterson has performed over 2,000 total shoulders. He was the first to perform a reverse total shoulder arthroplasty in Western New York and remains the most experienced. He is a sought after invited speaker and performed a “live” surgery for 500 people as part of an instructional course lecture.

As a leader in the field, Dr. Paterson strives to develop and utilize more advanced techniques. He pioneered a new procedure to reconstruct a portion of the shoulder using the patient’s own bone thus providing a more reliable and durable outcome. He has several patents pending on this procedure. Currently, Dr. Paterson is developing a total shoulder arthroplasty procedure to be performed without disconnecting critical rotator cuff muscles and will be submitting patents in early 2019.

Both the conventional and the reverse total shoulder arthroplasty are performed on an inpatient basis at Erie County Medical Center (ECMC). Patients are released the next day and follow up with outpatient physical therapy at the time of the first post-operative appointment.

About Carpal Tunnel

Announcing an innovative Carpal Tunnel syndrome treatment program Release and Relief
This program is designed to evaluate, and definitively treat patients with chronic carpal tunnel symptoms in 1 day! By using ultrasound for both diagnostic and therapeutic purposes we are now able to reliably and comfortably provide patients expedited symptom relief.

Take the Carpal Tunnel Assessment Quiz - Click Here

Live Release & Relief Carpal Tunnel Procedure

What is Carpal Tunnel Syndrome?

Carpal tunnel syndrome (CTS) is a result of a chronic compression of the median nerve.  Ninety percent of patients present with a classic story of numbness, pain, tingling in the median nerve distribution of the hand that is worse at night, while driving, or while reading a newspaper. Classic physical exam findings (Tinels and Phalens) combined with the above history make the CTS diagnosis greater than 80% probable.

While nonoperative treatment in the form of splints, nonsteroidal anti-inflammatories, and injections can be useful in the first couple of months after symptom onset, symptoms greater than 6 months rarely respond adequately to nonoperative treatment.  The chronic ischemia that results from nerve compression leads to irreversible intrinsic changes to the nerve. These intrinsic changes make it even more difficult to perfuse the nerve, and therefore symptoms can only be reliably relieved by nerve decompression. Several prospective randomized studies have demonstrated the superior efficacy of surgical versus nonsurgical treatment for CTS greater than 6 months duration.

 To better understand Dr. Paterson's Carpel Tunnel procedure,
click on the image below to read the cover story in The Buffalo News. 

Carpel Cover

carpal tunnel numbness and pain location

Common Carpal Tunnel Syndrome (CTS) Symptoms

  •  Numbness, tingling, burning, and pain in the thumb, and index, ring and middle fingers
  • Occasional shock-like sensations that radiate to the thumb and index, middle, and ring fingers
  • Pain or tingling that may travel up the forearm toward the shoulder
  • Weakness in the hand

 

What is the Release and Relief Program?

Release and Relief is a program designed to care for Carpel Tunnel Syndrome – Evaluation and Treatment in ONE Day.

Carpel_tunel_Image.jpg

Micro-invasive, Micro-recovery

If you have carpal tunnel syndrome (CTS) and are considering a surgical procedure, Micro-invasive Carpal Tunnel Release (CTR) with the SX-One MicroKnife® may be right for you. Developed by doctors at the Mayo Clinic, the SX-One MicroKnife® is the breakthrough device that allows ultrasound-guided CTR to be performed through a tiny incision.

Click here to download the full brochure about the Release and Relief Program.

 

 

Carpal Tunnel Pod Cast with Dr. Paterson

What is Carpal Tunnel and what treatment options are available.  Find out how to End Carpal Tunnel Pain with a minimally invasive new procedure called “Release and Relief”.

PatersonAmbuffalo

PatersonAmbuffalo

PatersonInteriew

PatersonAmbuffalo

CarpalTunnelRelease

 

Hand and Upper Extremity

NOW Offering ONLINE Scheduling!
To schedule an evaluation or an appointment online:

At the ECMC Office Location, please click here
At the Hamburg Office Location,  please click here 
At the Williamsville Office Location, Please click here
or call 716.500.HAND (4263).

 

If you think you have Carpal Tunnel... take the Carpal Tunnel Assessment Quiz - Click Here

About Us

Treating injuries and conditions from the fingertips to the shoulder including new techniques in shoulder replacement, carpal tunnel surgery, and fracture care, to improve the quality of life for patients. We are extremely proud of the wide array of services we are able to offer, including:

  • Total shoulder arthroplasty – new rotator cuff sparing technique accelerates and improves recovery. 
    More experience with reverse replacement than anyone in the area.
  • Ultra-minimally invasive Carpal Tunnel Release, and Trigger finger release
  • All upper extremity trauma, including fractures, tendon lacerations, nerve lacerations
  • Ultrasound-guided shoulder injections and elbow tenotomy 

Video Visits:

We are excited to offer our current patients Video Visits. Rather than coming to our office, you can remain in the comfort of your home and still receive a consultation/appointment with one of our providers.

To participate you will need to have a valid email address and a computer or device with a camera (mobile phone, iPad, tablet, etc). Simply call our office and we can get you scheduled. 

Many insurance companies are covering video visits like they would regular in-office appointments.

Please Note: Video Visits may not be appropriate in every situation. To see if it is a good option for you, please call our office and speak to a patient services representative.

 

 

Education & Resources


If you think you have Carpal Tunnel... 
take the Carpal Tunnel Assessment Quiz - Click Here

Patient Resources

A Better Way to Repair Wrist and Shoulder Fractures
Am I Too Young For Shoulder Replacement
Carpal Tunnel Release - What to Expect
Everything You Need To Know About Shoulder Fractures
Everything You Need To Know About Wrist Fractures
Is My Shoulder Broken
Is My Wrist Broken
Reverse Shoulder Replacement Surgery
Recovering From Shoulder Replacement Surgery
Release and Relief Brochure

Success Stories

Melanie's Shoulder Fracture Success

Rose's Wrist Fracture Success Story

Resources

Technique for Insertion of the Conventus Cage for Distal Radial Fracture Fixation
Sonex Interview with Dr. Paul Paterson

 Buffalo News feature on Dr. Paterson's "Release and Relief" Carpal Tunnel procedure

find a provider doctorIcon-white.png