expert type icon EXPERT

Dr. Richard Stephen Gilbert, MD

Hand Surgeon

Richard S. Gilbert, M.D. is a Board Certified Orthopedic Surgeon specializing in surgery of the hand and upper extremity. He is the Chief of the Hand Service at Syosset Hospital, the Director of the Hand Service at the Peconic Bay Medical Center, Director at Northwell Health and an Assistant Professor of Orthopedic Surgery at the Zucker School of Medicine at Hofstra/Northwell. He received a bachelor's degree from The Johns Hopkins University, and a medical degree from the Icahn School of Medicine at Mount Sinai. He completed his residency in Orthopedic Surgery at the Mount Sinai Medical Center and a Hand and Upper Extremity Surgery Fellowship at the Yale University School of Medicine. Dr. Gilbert’s specialty interest is in the treatment and reconstruction of fractures, soft tissue injuries, and neuropathies involving the hand and upper extremity. He employs both traditional and the most advanced surgical techniques, including minimally invasive techniques, such as endoscopic carpal tunnel release, minimally invasive fracture repair, and small joint arthroscopy. Dr. Gilbert is a member of the American Society for Surgery of the Hand, the American Academy of Orthopaedic Surgeons and The New York Society for Surgery of the Hand. He presently serves as the Secretary of The New York Society for Surgery of the Hand. He has published medical articles and presented at regional and national orthopedic conferences on conditions related to the hand and upper extremity. He has performed funded research related to the hand and upper extremity. Dr. Gilbert has received numerous awards and honors, including Castle Connolly Top Doctors, New York Magazine’s Best Doctor, New York Times Super Doctors, Newsday Top Doctors on Long Island, Best Doctors in America, Patients’ Choice Award and Most Compassionate Doctor.
31 years Experience
Dr. Richard Stephen Gilbert, MD
  • Great Neck, NY
  • Icahn School of Medicine at Mount Sinai
  • Accepting new patients

Can surgery fix hand ganglion?

Yes. Ganglion cysts of the hand can sometimes be successfully aspirated. If that does not work, then the cyst can usually be easily removed surgically.

Good luck!

Can I get local anesthesia for hand surgery?

Absolutely. This does depend upon what surgery you are undergoing and the preferences of your surgeon. But many hand surgery procedures are performed under straight local anesthesia. READ MORE
Absolutely. This does depend upon what surgery you are undergoing and the preferences of your surgeon. But many hand surgery procedures are performed under straight local anesthesia.

Do you need physiotherapy after hand surgery?

That really depends upon what specific kind of surgery you are having. For simple procedures, such as a carpal tunnel release or a trigger finger release, for example, then post-operative READ MORE
That really depends upon what specific kind of surgery you are having. For simple procedures, such as a carpal tunnel release or a trigger finger release, for example, then post-operative therapy is usually not necessary. With more complex procedures, such as a flexor tendon repair, for example, then therapy is quite important. Best you discuss this with your hand surgeon. Good luck.

Broken wrist problems?

If she has not seen a hand specialist, then she should. That being said, she would probably benefits from a referral to occupational therapy.

Which anesthesia is selected for hand surgery?

That is a question that you should discuss with your surgeon. Many simple hand surgery procedures can be done under local anesthesia, with or without sedation. Other hand READ MORE
That is a question that you should discuss with your surgeon. Many simple hand surgery procedures can be done under local anesthesia, with or without sedation. Other hand surgeries are performed under a nerve block near the shoulder. In some more complicated or prolonged surgeries, general anesthesia may be necessary. Good luck.

Does acupuncture work for tendonitis hand?

The answer is that some people notice improvement and some do not. There is no specific scientific evidence with regard to the benefit of acupuncture and tendonitis but there READ MORE
The answer is that some people notice improvement and some do not. There is no specific scientific evidence with regard to the benefit of acupuncture and tendonitis but there is very little downside. Good luck!

Fixing stubborn trigger finger?

Trigger fingers are usually easily treatable with either a cortisone injection(s) or surgery. If you need surgery, it is a simple procedure and fairly quick recovery. I suggest READ MORE
Trigger fingers are usually easily treatable with either a cortisone injection(s) or surgery. If you need surgery, it is a simple procedure and fairly quick recovery. I suggest you consult a hand surgeon. Good luck!

What type of anesthesia is done for hand surgery?

Best to discuss this with your hand surgeon, as this depends upon the specific type of procedure that you are undergoing. That being said, some simple hand procedures can be performed READ MORE
Best to discuss this with your hand surgeon, as this depends upon the specific type of procedure that you are undergoing. That being said, some simple hand procedures can be performed under straight local anesthesia, with or without sedation. Other more involved procedures may require a nerve block of the entire arm or even general anesthesia. Good luck!

Can acupuncture help with hand nerve pain?

That really depends upon what is causing your "nerve pain." That being said, acupuncture can sometimes be effective with nerve pain. Best to ask your physician.

Can nerve damage be repaired with surgery?

The answer is yes, but this really depends upon what you mean by "nerve damage." If you are referring to a lacerated nerve, then it can be repaired or grafted, depending upon READ MORE
The answer is yes, but this really depends upon what you mean by "nerve damage." If you are referring to a lacerated nerve, then it can be repaired or grafted, depending upon the extent of the injury. If you are referring to a compressed nerve, such as carpal tunnel syndrome, then there are a number of treatment options, including surgical release. Best to consult a hand surgeon. Good luck.

Does physical therapy help a broken hand?

Physical therapy or occupational therapy may help with stiffness and strengthening after the fracture has healed. However, therapy does not help with the healing of the fracture READ MORE
Physical therapy or occupational therapy may help with stiffness and strengthening after the fracture has healed. However, therapy does not help with the healing of the fracture itself. Best to discuss this with your treating physician.

Can you get hand surgery with local anesthesia?

Yes. Many hand surgeries are done under local anesthesia. Sometimes sedation is used in conjunction with the local anesthetic, but not always necessary. Best to discuss this READ MORE
Yes. Many hand surgeries are done under local anesthesia. Sometimes sedation is used in conjunction with the local anesthetic, but not always necessary. Best to discuss this with your surgeon before your procedure. Good luck.

Finger numbness?

This should be nothing to worry about. You likely slept on the finger and the nerve "went to sleep." This should resolve on its own over the next day or two.

Concern of mole on hand?

It is difficult for me to discern exactly what it is based upon the picture, which is quite small. Does not look concerning but may want to have a dermatologist take a look at READ MORE
It is difficult for me to discern exactly what it is based upon the picture, which is quite small. Does not look concerning but may want to have a dermatologist take a look at it to be certain.

Do they do a nerve block for hand surgery?

Yes, most hand surgeries are done under some kind of nerve block, with or without sedation, depending upon the time and complexity of the surgery. Good luck.

Do you go under general anesthesia for hand surgery?

Most hand surgeries can be performed under either local anesthesia, with or without sedation or a regional anesthetic block around the shoulder with sedation. Although general READ MORE
Most hand surgeries can be performed under either local anesthesia, with or without sedation or a regional anesthetic block around the shoulder with sedation. Although general anesthesia is sometimes used, it is not necessary in most cases. Best to discuss with your surgeon. Good luck.

How long is local anesthesia for hand surgery?

Local anesthesia can last an hour or 2 or even up to 24-48 hours, depending upon the anesthetic injected. Best to ask your surgeon before your procedure.
Good luck.

What anesthesia will I get for hand surgery?

Anesthesia for hand surgery may be local, local with sedation, a nerve block in the region of the shoulder and in longer, more complicated procedures, general anesthesia. Most READ MORE
Anesthesia for hand surgery may be local, local with sedation, a nerve block in the region of the shoulder and in longer, more complicated procedures, general anesthesia. Most hand surgeries are done with local anesthesia or a nerve block with IV sedation. Best to speak to your surgeon before the procedure. Good luck.

Pain upon loading finger?

This could be tendinitis, a trigger finger or even a pulley rupture, which can occur in rock climbers. Best to consult a hand surgeon to get a proper diagnosis.

Do you get sedation for hand surgery?

Hand surgery can be performed under straight local or under a local anesthetic block. Both can be combined with sedation. Best to speak to your hand surgeon to see what he or READ MORE
Hand surgery can be performed under straight local or under a local anesthetic block. Both can be combined with sedation. Best to speak to your hand surgeon to see what he or she recommends.