Hand, wrist & elbow care • Lake Oswego, Oregon
Hand, Wrist & Elbow Specialist in Lake Oswego
Evaluation and individualized care for hand, wrist, elbow and upper-extremity conditions, from common nerve and tendon problems to fractures and complex injuries.
Care starts with a precise evaluation
Small structures. Essential function.
Pain, weakness, numbness, stiffness or an injury can affect everything from work and sport to the simplest daily tasks. A careful evaluation helps identify which structures are involved before treatment is selected.
At OSM, Dr. Dominic Patillo provides specialized hand and upper-extremity care, including modern microsurgical techniques for nerve and vessel reconstruction and care for orthopedic trauma.
Identify the problem
Review your symptoms, health history, function, examination and imaging when appropriate.
Discuss the options
Consider appropriate nonsurgical and surgical pathways in the context of your diagnosis and priorities.
Restore function
Build a treatment and recovery plan around the activities your hands and upper extremities help you perform.
Conditions we evaluate and treat
Specialized care across the upper extremity
These examples reflect common areas of care. Your appointment will focus on your symptoms, diagnosis and individual circumstances.
Hand & fingers
Movement, grip and dexterity
- Hand and finger fractures
- Trigger finger
- Thumb and knuckle arthritis
- Fingertip injuries
- Flexor and extensor tendon injuries
Wrist
Stability, motion and nerve function
- Carpal tunnel syndrome
- Wrist and distal radius fractures
- Scaphoid fractures and nonunion
- Ganglion cysts
- Wrist sprains, tendonitis and arthritis
Elbow & forearm
Strength, comfort and motion
- Cubital tunnel syndrome
- Tennis and golfer’s elbow
- Distal biceps tendon injuries
- Elbow and forearm fractures
- Elbow stiffness and olecranon bursitis
Nerve, tendon & trauma
Complex upper-extremity care
- Nerve compression and laceration
- Tendon laceration and rupture
- Upper-extremity fractures and trauma
- Hand infections
- Conditions requiring microsurgical reconstruction
Treatment pathways
Care matched to the condition and the patient
Treatment begins with the diagnosis. Surgery is one option, not the starting assumption, and is considered when it is appropriate for the condition and the individual.
Nonsurgical care
Depending on the diagnosis, recommendations may include:
- Activity modification
- Splinting or bracing
- Medication guidance
- Selected injections
- Hand therapy and rehabilitation
- Follow-up based on symptoms and function
Surgical care
When surgery is appropriate, options may include:
- Carpal or cubital tunnel release
- Trigger finger release
- Hand, wrist, elbow or forearm fracture repair
- Tendon repair or reconstruction
- Nerve repair or reconstruction
- Wrist arthroscopy and microsurgical procedures
The treatments listed above are not appropriate for every condition or patient. Dr. Patillo will explain the relevant options, alternatives and recovery considerations for your individual situation.
Meet your hand & upper-extremity specialist
Specialized training. Thoughtful care.
Get to know the fellowship-trained orthopedic surgeon behind OSM’s hand and upper-extremity care.
Board-Certified Orthopedic Surgeon
Dominic P. Patillo, MD
Clinical Focus: Hand & Upper Extremity • Orthopedic Trauma
Dr. Patillo completed an orthopedic surgery residency at the University of Missouri followed by a hand and upper-extremity fellowship at the University of Oklahoma. He has practiced in Portland since 2010.
His practice includes simple and complex hand and upper-extremity conditions, general orthopedic trauma, and modern microsurgical techniques including nerve and vessel reconstruction. He also values appropriate nonsurgical treatment and active patient participation in care decisions.
View Dr. Patillo’s profileLake Oswego office
Specialized upper-extremity care close to home.
Visit OSM in Lake Oswego, with ground-level entry, free parking and convenient highway access.
17355 Lower Boones Ferry Road, Suite 100ALake Oswego, OR 97035 Locations, hours & directions
Confirm the office location when your appointment is arranged.
Common questions
About hand, wrist and elbow care at OSM
When should I see a hand and upper-extremity specialist?
An evaluation may be appropriate when pain, numbness, weakness, stiffness, swelling or instability persists, follows an injury or interferes with work, sleep, sport or daily activity.
Does this specialty include more than the hand?
Yes. Dr. Patillo’s documented clinical focus includes the hand and upper extremity as well as orthopedic trauma. This may include appropriate conditions of the fingers, hand, wrist, forearm and elbow.
Does seeing a hand surgeon mean I will need surgery?
No. The first step is an evaluation. Treatment may include activity changes, splinting, medication guidance, injections or hand therapy. Surgery may be discussed when it is appropriate for the diagnosis and individual circumstances.
What is hand therapy?
Hand therapy is specialized rehabilitation for conditions affecting the hand and upper extremity. Depending on the diagnosis and treatment plan, therapy may address motion, strength, swelling, comfort, protection and return to everyday activities.
Does OSM evaluate upper-extremity fractures and trauma?
Dr. Patillo’s practice includes general orthopedic trauma and simple and complex upper-extremity conditions. Contact OSM with information about the injury so the team can help determine an appropriate next step.
How do I request an appointment with Dr. Patillo?
Use the appointment request link or call 503-224-8399. Tell the team you are seeking hand or upper-extremity care with Dr. Patillo, and confirm the provider and office location when your appointment is arranged.
Move better. Live better.
Take the next step toward hand and upper-extremity care.
Request an appointment or call OSM to discuss an evaluation with Dr. Patillo.
If you are experiencing a medical emergency, call 911 or seek immediate emergency care. Information on this page is educational and does not replace an evaluation by a qualified healthcare professional.