San Francisco Shoulder 
Elbow & Hand Clinic
In This Issue
Health Tips
Patient Corner
Healthcare Tips
Healthy Living
Quick Links

Like us on Facebook

View our videos on YouTube

Join Our List

Join Our Mailing List

2013-2014 Fellows 
To learn  more about our fellows and the SFSEHC Fellowship, or to schedule an appointment check out our website:

San Francisco Shoulder, Elbow & Hand Clinic 
Holiday Schedule
The office will be closed on the following dates:

Jan. 1st., New Year's Day Jan. 20th, MLK Day
Feb. 17th, Presidents Day
 May 26th, Memorial Day 
4th of July! 
Sept. 1st, Labor Day
Nov. 27th - 28th, Thanksgiving
Dec. 25th, Christmas Day 
Coming Soon...

Our New Office!

San Francisco Shoulder, Elbow & Hand Clinic will soon be moving.  Our mailing address will not change and our clinic is just a short walk down the hall from our current office.  We are eager to share our brand new space with you in the coming months.  Stay tuned for updates as we transition into our new location.
Issue: #5
April 2014

Welcome to our Monthly Connection Newsletter.  We are delighted to have this forum to connect with you and our network of healthcare professionals. We hope you enjoy the articles in our newsletter. We'll include tips and ideas for healthy living, patient experiences, current healthcare news and a spotlight on our team and our healthcare network. As we grow into this exciting new way of communicating, we encourage you to send us your feedback on topics you'd like to read or hear more about. We also invite you to view our new Facebook and YouTube pages.
Be Safe, Be Healthy, Be Happy!


Beau Ascarrunz, Practice Manager - Administrator
San Francisco Shoulder, Elbow & Hand Clinic
Good Habits Can Go A Long Way



  Carpal tunnel surgery releases pressure on median nerve.

What is Carpal Tunnel?


Carpal Tunnel Syndrome (CTS) is a painful condition that exacerbates the medial nerve by compressing it. The medial nerve is especially important because it aids with the ability to feel and move various parts of the hand. Many hereditary or health factors can cause CTS such as Family history of CTS, hormonal changes due to  pregnancy, diabetes, age, and rheumatoid arthritis.


Some of the symptoms one would encounter include:

  • Numbness

  • Tingling

  • Burning

  • Weakness

  • Muscle impairment of the hand.


A number of specialized testing can be done to diagnose CTS.

  • X-rays 
  • EMG/NCS-This is a test designed to measure the speed of electrical impulse that travels to a nerve.  

  • Blood tests to diagnose conditions related to CTS
  • Visual Swelling 

Although there is not a sure fire way to prevent Carpal Tunnel Syndrome, there are ways to relieve some of the stress we put on our wrists and hands on a daily basis. Since CTS is not bias, anyone can be at risk for this condition.

Here are some key pointers to help ward off that evil wrist pain.


At work

For many people, our jobs consist of repetitive motions while pounding away on a keyboard. First, it's important to make sure your posture is adequate. It's so easy to get into the habit of slouching over in our chairs while sitting at a desk. Over time, this can take a toll on other parts of our bodies including neck, upper back, shoulder, and arms. Sitting with your spine in the back of the chair while keeping your wrists straight is imperative. Furthermore, there is no need to forcefully press your fingers against each key of the keyboard. Light tapping will do just fine.  

Even if you don't spend your time working at a desk, this doesn't mean the coast is clear. Occupations that include using power tools that give off strong vibrations can also cause wear and tear to your nerves.  This can pertain to city workers, carpenters, and truck drivers.

Whether working at a desk or drilling away outside, it is a good idea to take frequent breaks and perform necessary stretching for these particular jobs or anything that relates. This means taking a few minutes to stretch your arms and squeeze your shoulder blades together.  


At home

There are plenty of things at home that can cause damage to your hands and wrists as well. Opening tightly closed jars for example can cause damage to the wrist. Doing this repeatedly over time can lead to weakness in the hand. Try not to keep lids firmly closed.

Hobbies like knitting, crocheting, or beading can also cause CTS. Although these interests are enjoyable and help us relieve stress, the tedious work that goes into the craft can cause nerve damage as well.


It's important to be aware of what you are doing and how you are doing it. Try to form good habits so you get used to performing things the correct way.



Patient Corner
"My thanks for the wonderful job Dr. Norris did on my shoulder replacement."


-Barbara N.

Retired Orthopedic Patient  

Patient Corner

Dr. Kelly

"I had a full shoulder replacement surgery performed by you. I would like to express my appreciation for the excellent care and respect that I received from you and your colleagues during and after the surgery. Dr. Lin Parks was very attentive in ensuring my drug dosages were tolerated both in the hospital and at home. She was excellent in explaining each drug and ensuring that I understood.

I would like to express my thanks to you for performing an outstanding surgery on replacing my shoulder. I feel that I had one of the best surgeons available....I have little or no pain in my right shoulder, and it is recovering without any complications."

-William J.C

Contract Analyst
 Healthcare Tips

How To Get By With Your Arm in a Cast


 I had my final appointment with my orthopedic surgeon last week, 4 months after breaking my wrist while skiing. Things are good, really good, but not yet perfect. I've been given clearance to do whatever I want, as the bone has healed completely, if not stronger than it was before. Any residual pain is just weakness in the tendons and muscles that have yet to come up to speed. I notice improvement every week, and am not worried that I'll be back to 100% in no time. I'm even able to do modified push-ups and tricep dips at BodyPump, which is way better than my first attempt back after getting my cast off.



Read Full Article 

Healthy Living 
April 6, 2014

14 Spring Veggies: Health Benefits & Tasty Recipes

by Becky Striepe

14 Spring Veggies: Health Benefits & Tasty Recipes

Spring has sprung! This is my favorite season, and the beautiful weather is only one part of it. The other glorious thing about spring is the abundance of delicious spring veggies hitting the farmer's market.

Part of seasonal eating is changing your meal strategies with the seasons. The warmer weather means a different assortment of fresh vegetables to work with. It's a lot of fun, but if you're not used to cooking with some of the spring veggies at the market, it can also be challenging. That's why each vegetable on the list below includes a recipe suggestion to get you started.


Read Full Article