Jonathan W. Shearin, M.D. Wide-Awake Hand Surgery Expert

Wide-Awake Hand Surgery

Hand Pain

For a faster, more comfortable approach to hand surgery, Tri-County Orthopedics is proud to offer innovative wide-awake hand surgery procedures. Also known as WALANT (wide-awake local anesthesia, no tourniquet) hand surgery, this advanced technique allows you to remain awake during your procedure, offering several advantages over traditional methods. Board-certified hand and orthopedic surgeon with specialized fellowship training in hand and upper extremity surgery Dr. Jonathan Shearin will determine if a patient is a qualified candidate for this surgery.

What Is Wide-Awake Hand Surgery?

Wide-awake hand surgery is a groundbreaking approach that eliminates the need for general anesthesia or sedation. Instead, a local anesthetic numbs the surgical area, keeping you comfortable and alert throughout the procedure. Additionally, a special numbing medication combined with a medication to control bleeding allows the surgeon to operate without using a tourniquet, which is an inflatable device that restricts blood flow to the arm.

The wide-awake hand surgery procedure also has certain advantages, such as:

  • No fasting required
  • No IV or general anesthesia necessary
  • Patient is allowed to drive to and from the clinic for the procedure

Who Is a Candidate for Wide-Awake Hand Surgery?

Not everyone is a candidate for wide-awake hand surgery, and your surgeon will ultimately determine if it is a suitable option for you. In general, wide-awake hand surgery can be used for many common hand and wrist surgeries, including:

  • Trigger finger release
  • Mass excision
  • Tendon release
  • Many other procedures

What to Expect With Wide-Awake Hand Surgery

In addition to providing minimal disruption to your daily routine, you can expect the following during your convenient, in-office hand procedure:

  • You will be awake and alert throughout the procedure.
  • A local anesthetic numbs the surgical site.
  • You will likely feel some pressure or tugging during the surgery.
  • A drape will block the view of the surgical field.
  • Communication with your surgeon is encouraged throughout the procedure.

After your wide-awake hand surgery, you'll go home with pain medication and a bandage or splint to protect your hand, and you can drive yourself. Physical therapy exercises might be recommended to regain strength and mobility. Follow-up appointments with your surgeon will ensure proper healing progress.

Joint Replacement Center

The Hand & Upper Extremity Center is designed to provide our hand, wrist, and elbow patients with comprehensive education and exceptional care through the combined knowledge, experience, and expertise of our fellowship-trained surgeons.

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Online Guide to Hand & Upper Extremity Care

View our online guide to learn about your care options, what to expect with your treatment, and how to best protect your continued hand & upper extremity health.

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Tri-County Orthopedics Walk-In Clinic

Dedicated to delivering the care you need when you need it, we proudly offer our Walk-In Clinic for urgent needs in Cedar Knolls. With convenient extended hours, our specialized orthopedic Walk-In Clinic provides prompt, expert treatment for bone, joint, and muscle injuries so you can get back to doing what you love quickly and safely.

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Your Hometown Choice for World-Class Hand Surgery

At Tri-County Orthopedics, we are committed to providing advanced surgical techniques and personalized care to get you back to using your hands confidently and quickly. Our hand surgeon specializing in WALANT and wide-awake hand surgery techniques, Dr. Shearin, is dedicated to providing patients with world-class hand care. Having undergone extensive training, he is an expert at performing this advanced procedure, and he is committed to providing you with the personalized care you need to help speed your recovery and get back to the life you love as safely and quickly as possible.

To learn more about wide-awake hand surgery or to schedule an appointment with our specialty-trained expert, please call (973) 538-2334 or request an appointment online.