From a trigger finger that locks in the morning to a cut tendon that needs repair tonight — Dr. Graham treats the full spectrum of hand conditions. Many procedures are performed in the office under local anesthesia, without sedation, without an IV, and with same-day scheduling for urgent injuries.
JOI Now walk-in orthopaedic care is available on clinic days (Tue · Wed · Fri) for urgent hand injuries that don't require an emergency department.
Hand Surgery in Jacksonville Beach
Jacksonville Hand Surgery was built around a simple principle: hand problems deserve a hand specialist. The hand is the most mechanically complex region of the upper extremity — dozens of bones, tendons, nerves, and ligaments working in precise coordination within a very small space. A millimeter of error in a flexor tendon repair matters. Zone II of the finger is still where technical skill is most visibly expressed in all of hand surgery.
Dr. Graham is fellowship-trained in hand and microvascular surgery at the Jacksonville Orthopaedic Institute. He treats routine hand problems with the same attention as complex ones — because in his experience, what looks routine on the referral form often has nuance that matters for the outcome. Carpal tunnel that doesn't improve after release. Trigger finger that isn't really a trigger finger. A "sprain" that has been hurting for four months.
The WALANT program — wide-awake local anesthesia, no tourniquet — means most common hand procedures never need a hospital at all. Carpal tunnel, trigger finger, ganglion cysts, selected tendon and nerve procedures: all done in the office or minor procedure room, with the patient awake and often watching. Faster in, faster out, faster back to what you do.
Wide-awake local anesthesia no tourniquet (WALANT) allows Dr. Graham to perform many hand procedures with only a local anesthetic injection — no IV, no sedation, no anesthesiologist, no fasting requirement.
The patient is awake, comfortable, and can participate. For tendon repairs, this means Dr. Graham can ask the patient to actively flex or extend the finger during surgery and verify the repair in real time. No other method provides this.
Conditions Treated
Every condition Dr. Graham treats in the hand — from the most common to the most complex. All complexity levels accepted, including revision cases.
Why This Practice
Several things distinguish Dr. Graham's approach to hand surgery from the standard of care in Northeast Florida.
The WALANT program means carpal tunnel, trigger finger, Dupuytren's fasciotomy, ganglion excision, and many other hand procedures are performed in the office without IV, sedation, or hospital scheduling. You come in, have the procedure, and go home — often the same day you call.
Flexor tendon repairs are performed in the OR under local anesthesia with the patient awake. Dr. Graham can ask the patient to actively flex the finger during surgery — verifying the repair glides cleanly, the pulleys are appropriately managed, and the FDS decision is made based on what he sees, not a protocol. In his experience, this produces a superior repair.
Dr. Graham treats Dupuytren's contracture with percutaneous fasciotomy using a 15-blade — the same functional outcomes as Xiaflex collagenase injection, without the $6,500–7,000 drug cost. Patients choose between percutaneous fasciotomy and open fasciectomy based on their anatomy and goals. Xiaflex is not offered because cost matters and outcomes don't justify the difference.
Every De Quervain's release includes release of both the first dorsal compartment and the EPB subcompartment — the most common reason for failed release elsewhere. Dr. Graham always addresses both. Patients with persistent pain after a previous release are seen and re-evaluated.
Flexor tendon lacerations, fight bites, hand infections, and traumatic injuries are time-sensitive. Dr. Graham's office accommodates urgent referrals and coordinates with the emergency department when same-day surgery is needed. JOI Now walk-in is available on clinic days for injuries that don't require an ED.
Persistent symptoms after carpal tunnel release, trigger finger that has recurred, De Quervain's that didn't resolve — revision hand surgery requires both technical skill and an honest re-evaluation of what was done and what was missed. Dr. Graham accepts these cases and treats them as a different clinical problem than the primary procedure.
Verified Google Reviews
"Fred Alvarez called Dr. Graham his go-to guy — not just for the result, but for how straightforward everything was. No runaround, just answers and a plan."
Fred Alvarez · Hand Surgery Patient · Verified Google Review
"Jean Ward described her experience as receiving an injection of humor along with expert surgical care — and Dr. Graham called the day after surgery to check on her."
Jean Ward · Finger Surgery Patient · Verified Google Review
"Tammy Davis said Dr. Graham's positive outlook made all the difference — she came in nervous about Dupuytren's surgery and left with a plan she actually felt good about."
Tammy Davis · Dupuytren's Patient · Verified Google Review
"Heather Bass had trigger thumb surgery and said Dr. Graham called her that evening on his way home to check in. She wasn't expecting that."
Heather Bass · Trigger Thumb Patient · Verified Google Review
Common Questions