Hand Therapy Now Available at Southeast Location

Posted on


TSAOG is pleased to announce that we are now able to offer hand therapy in addition to physical therapy at our Southeast office, located at Mission Trail Medical Plaza, 3327 Research Plaza Dr, Ste 404, San Antonio, TX 78235.

Appointments for hand therapy at this location are currently available on Tuesdays, Thursdays, and Fridays from 7am-4pm.  To make an appointment, please give us a call at 210.396.5330.

Dr. Paul Pace on Carpal Tunnel Syndrome

Posted on

Close Up of Hands Typing on Keyboard

I sat down with Dr. Paul D. Pace, one of TSAOG’s board-certified hand and wrist surgeons, to discuss carpal tunnel syndrome and its causes and treatments.

So, what is Carpal tunnel syndrome (CTS)?
Carpal tunnel syndrome is a combination of symptoms in the hand and wrist that result from increased pressure on the median nerve of your wrist usually from inflamed tendons.

What causes CTS?
Repetitive activity, such as typing or other similar activities can cause tendonitis (or inflamed tendons).  This tendonitis creates pressure on the median nerve in the wrist and this causes symptoms of carpal tunnel syndrome to develop.

What are the symptoms of CTS?
Symptoms of carpal tunnel syndrome include numbness in the hand and pain in the hand and forearm, often present at night, that may wake you up from sleep.  If these symptoms wake you up at night more than once or twice, you should contact a physician.

Does CTS treatment always require surgery?
Absolutely not.  Though surgery may be called for in some cases, carpal tunnel syndrome can often be treated conservatively with excellent results.  The sooner you contact a physician once you begin to experience symptoms, the more likely you can avoid surgery and reverse the process before your symptoms become advanced.

What does conservative treatment for CTS involve?
It would usually involve stretching exercises, performed at home or with a hand therapist, as well as identification and modification of daily activities at home or work that are contributing factors to your symptoms of carpal tunnel syndrome. In addition, a steroid injection can help a great deal to alleviate symptoms.

When should you consider surgery?
You should consider surgery for carpal tunnel syndrome if nerve tests confirm your diagnosis and if your symptoms recur after conservative treatment.

What does surgery for CTS entail?
Carpal tunnel surgery involves making an incision in the wrist and severing the transverse carpal ligament, which is putting increased pressure on the median nerve.  Severing the ligament relieves the pressure on the nerve and, thus, the symptoms of carpal tunnel syndrome resolve.

Do you perform minimally invasive carpal tunnel surgery?
Yes. I perform minimally invasive, though not endoscopic, carpal tunnel release.  I prefer this technique to endoscopic because, in my experience, it offers a recurrence rate of less than 1%, a better result than I’ve found with endoscopic release.  However, if a patient prefers an endoscopic technique, several of my partners at The San Antonio Orthopaedic Group do perform that technique.

If you have to have surgery, what kind of recovery should you expect?
Usually, you would experience significant pain relief within 1-2 days of surgery, a return to light function within 1-2 weeks, and a return to full function within about a month.

How long have you been performing minimally invasive carpal tunnel surgery?
I’ve been performing minimally invasive carpal tunnel release for more than 25 years and, in that time, I’ve completed approximately 20,000 of these procedures.

Dr. Paul D. Pace is a board-certified surgeon, specializing in treatment of conditions of the hand and wrist, with The San Antonio Orthopaedic Group.  He treats patients of any age and his special interests include the prevention and repair of carpal tunnel syndrome as well as arthritis care. To schedule an appointment with Dr. Pace, please call 210.281.9595.

TSAOG Customer Survey Highlights – December 2012

Posted on

When our patients have something nice to say about us, we like to brag about it!

Please enjoy some of the highlights from our December Customer Survey:

  • “The Doctor (Dr. Hennessy) was extremely professional and thorough. I had surgery yesterday and he was great! He promptly saw me this morning and was complete in his review with me.”
  • Dr Woodbury was amazing. He has fabulous bed side manner and was the only dr that gave me a diagnosis, a treatment plan and put me on the road to recovery. Love dr Woodbury!!! Best dr ever!!!!”
  • “Everyone is friendly and professional. As an RN I appreciate staff members who are aware of their ‘job’ of being personable.”
  • “Doctor and PA are easy to talk with” (Dr. Viroslav)
  • “I was extremely satisfied with the care I received from Dr Brenman. Everything was explained in a manner that I understood.”
  • “I especially appreciate Dr. Tolin’s undivided attention and caring bedside manner. My favorite doc.”
  • Doctor Marx treated me with courtesy, concern, professionalism, kindness and respect. He addressed all my questions as direct and human language which I understood.”
  • Dr. Rowland’s staff is awesome, as is he.”
  • “Very satisfied with all aspects of my visits and results of my surgery. Thanks DR Taber for helping me on my hip issue.”
  • “I have had three surgeries performed by the Orthopaedic Group since 2003, and everyone was very dedicated to my complete recovery—Thanks!”
  • “No matter how busy the office may be, i do not feel like a number on a billing statement. You do not get the feeling that you are being rushed through a cold process. The staff has always been friendly and caring and treats each patient as an individual.”
  • “I really like my doctor. He is great and did a great job.” (Dr. Galindo)
  • “Location is easily accessible and parking is good. There is some redecorating going on now, but it is not intrusive. Location close to my home and Dr. Pace is very professional and easy to talk to.”
  • “I really like Dr. Ursone. He is very caring and personal and has a high level of expertise. I trust him and feel very confident in his care.”
  • “The people at desk, staff and the doctor were very pleasant, and a great group to meet, I am glad to be a patient there.” (Dr. Ochoa)
  • Dr. Brown listened to my fears and concerns and addressed each of them. I felt listened to and like he actually cared about my experience. It was much more than just being talked to, it was actually being able to talk WITH the doctor. He was great.”
  • “I highly recommend The San Antonio Orthopaedic Group to all my friends and acquaintances.”
  • “I have such a wonderful time when i see the staff along with Dr D they are courteous and pleasant and on time when i have to be seen i have no complaints what so ever… Merry Christmas to all…..” (Dr. Drukker)
  • “I am very happy with being a patient of this group for more than two years now and I think Dr Kaiser is just the very best at what he does. I also really like his staff, Tony and Cory!”
  • “The doctors are the best!! The Physical Therapy people are great and I really like the Portal on-line system!!!”
  • “I was very happy and satisfied with Dr Hibberd’s care.”
  • “The San Antonio Orthopedic Group especially Dr Philip Jacobs, office staff and PT staff are great and have referred some people to the practice…Thank you for great care!!! Thank you Dr Jacobs you are an awesome Ortho Surgeon!!!”
  • Dr. Garcia always has a smile and answers all my questions and helps me understand what and why of the procedure”
  • “Your front desk staff rocks. Always friendly to me.”
  • “The offices are convenient, the staff is very helpful and patient with me. LOVE Dr. Gonzalez he is so very kind.”
  • “I appreciate Dr. Connor and all the excellent staff who helped me. Blessings and Happy New Year to one and all.”
  • Dr. Burkhart’s personal attention to my care was impressive. I appreciate the feedback personally from him by phone to questions I left in the patient portal”
  • Dr. Bell listened to what I requested and was efficient in his treatment. The staff was courteous and friendly.”
  • Dr. Balldin was very professional and informative. I would highly recommend him and your clinic.”

We encourage you to review and rate your experience with TSAOG.  The next time you visit us, please take the time to fill out our customer survey and you may see one of your comments online the next month!

Dr. Christian Woodbury Adds Clinic at Orthopaedic Institute

Posted on
The Orthopaedic Institute


Beginning January 4th, 2013, Dr. Christian A. Woodbury will be seeing patients at our Central / Orthopaedic Institute location on Friday afternoons.  This office is located at 400 Concord Plaza Dr, Ste 300, San Antonio, TX 78216. 

When asked why he decided to add a clinic at the Orthopaedic Institute, Dr. Woodbury said, “I’ve decided to add a clinic at the Orthopaedic Institute because it provides a centralized location where I can be more available to my patients who live and work in the heart of San Antonio.  It also offers onsite hand therapy, imaging, urgent care, and an outpatient surgery facility so that my patients do not have to jump from location to location for access to these services.

In addition to the Orthopaedic Institute, Dr. Woodbury will continue to see patients at TSAOG’s Westover Hills, Mission Trail, and Schertz offices.

Dr. Christian A. Woodbury is a board-certified surgeon with fellowship training in hand and microsurgery. He treats orthopaedic conditions of the hand, wrist and elbow for patients of all ages.  His special interests include minimally invasive carpal tunnel release and reconstructive surgery.  To schedule an appointment with Dr. Woodbury, call 210.281.9595.

TSAOG Customer Survey Highlights – November 2012

Posted on

When our patients have something nice to say about us, we like to brag about it!

Please enjoy some of the highlights from our November Customer Survey:

  • Dr. Bergfeld was amazing. I really loved her caring nature and how she empathized with my pain.”

  • “The facility was great, the staff was great and the Dr. was great. One of the best Dr. visits I’ve ever had.” (Dr. Balldin)

  • “The doctor was very thorough and kind” (Dr. Hennessy)

  • “I have already referred Dr. Brown and Dr. Connor to friends and family.”

  • Dr Burkhart and his staff are extremely professional and thoughtful about treatment plans. I trust his opinion and advice. His staff is always very polite and caring. They know who we are and are very personable.”

  • “I never saw a frown on anyone’s face and the physician was calling patients into rooms when his staff was busy. I love this practice and being a nurse myself I’ve seen it all. Thank you for the care you provide.” (Dr. Drukker)

  • Dr. Galindo gave me his complete attention, answered questions, and I did not feel rushed in any way. Also, my wait time in the waiting room was very brief as well as in the patient room. I am very satisfied with my visit.”

  • “Very down to earth pleasant and professional all questions answered I have been very impressed by Dr. Garcia

  • “[I liked] the convenience of having the physician’s offices, therapy services and MRI facility all in one building just minutes from my job.”

  • “Pleasant and efficient doctor and staff” (Dr. Hibberd)

  • Doctor Jacobs is a pleasure to meet with and speak to. I enjoy his manner and approach.”

  • Dr. Kaiser is awesome! Not only is he a great surgeon, he is attentive and helpful during each office visit!”

  • “Thank y’all for what you do! I’ve been to multiple doctors in multiple states as my husband and I have moved in the military 14 times in 26 yrs. It has always been so hard to get established in a short time before having to leave again. As a Professional Patient I can honestly say that your group is the BEST I’ve seen ANYWHERE! You are a big part of the reason that we decided to retire here in San Antonio! Thank you!”

  • “As always staff very friendly, wait is usually very, very minimal, the best I’ve EVER experienced.” (Dr. Pace)

  • “Waiting area is clean and spacious I liked the professionalism and thoroughness of my doctor – Dr. Alexander Rowland. When I returned for a second visit he was very familiar with my medical concerns – I didn’t have to explain them again to him; I really appreciated that.”

  • “I have the best Dr. in Dr. Brad Tolin. His staff is A1 and Linda and Irene are both the very best at what they do. I would never go anywhere else. I have sent other people to see them as well and they are very happy with the Orthopedic Group. Thank you all for the finest care every patient wishes for. You are the best!”

  • Dr. Viroslav was very understanding of my condition and offered solutions to help manage my problem knees.”

  • “[I liked] the concern that is shown by PA and doctor to find out what is going on and what the best treatment would be for me.” (Dr. Taber)

  • Dr. Ochoa wasn’t even scheduled to see me today, I was in there for an injection with a PA, but Dr. Ochoa came in the room to check on me and the progress with my knee. Very professional!”

  • Dr. Ursone is very personable and gives his full attention to his patients. He is a very confident and competent doctor. I am extremely happy with the care I have received from him.”

  • Dr Bell was very informative and attentive to my concerns and left me with a sense of reassurance. I went to him as a second opinion and the quality of my appointment was like night and day. It was that good!”

  • “I have a strong sense of confidence in Dr. Brenman. I appreciate his direct and concise delivery of information. Very reassuring.”

  • “I really enjoy my visits to this office. The Dr and staff are very efficient and are concerned about the patient.” (Dr. Marx)

  • “Thank you Dr Woodbury for being the one Dr out of 3 that took the time to explain what is going on with my arm and gave me a possible solution to fix it. I just wish I would have met you a month ago.”

  • “[I liked] the kindness, consideration and professionalism shown by everyone.” (Dr. Gonzalez)

We encourage you to review and rate your experience at TSAOG. The next time you visit us, please take the time to fill out our customer survey and you may see one of your comments online the next month!



Wrist Injuries Double During Ice Storms

Posted on

When the weather gets icy, business gets better for Dr. Christian Woodbury.

He’s a hand and wrist specialist at the San Antonio Orthopaedic Group, the region’s leading orthopaedic practice, and he saw his patient load double last Friday, when the ice storm blew through the region.

“Any time there’s an ice of snow event, this happens,” Dr. Woodbury said.

He says it is a reflex action to put out your arm to break a fall, and in fact, that prevents damage to more sensitive parts of the head and torso in a fall. But he says the radium bone, the long bone, takes the brunt of a fall.

“If there is a fall, if there is pain, swelling, or any decreased range of motion, it’s a good idea to look into getting checked out,” he said.

Dr. Woodbury says just because there is not a lot of pain, that doesn’t mean there hasn’t been serious damage to the wrist.

“Surprisingly, we see people who have very little pain in their wrist, and there are also people who know immediately if their wrist doesn’t work right.”

He says ice is so hard, hitting it in a fall is like dropping from four feet in the air. He says usually, wrist injuries come from participation in extreme sports like inline skating and snowboarding, or traditional sports like soccer, football, and volleyball.’

People On the Move – Christian A. Woodbury, M.D.

Posted on

Printed through the SABJ

Hand and wrist specialist, Christian A. Woodbury, M.D., has joined The San Antonio Orthopaedic Group, where he will treat orthopaedic conditions of the hand, wrist, and elbow and will see patients of all ages. Woodbury will see patients at the group’s Medical Center, Westover Hills and Southeast locations.


Subscribe to TSAOG Updates