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I see patients with problems of their hands and arms. So they see me because something doesnt work. Something doesnt bend. Something hurts when they use it. Something doesnt feel right. Theyve lost feeling or sensation, or theyve had an injury. Theres always various options for treating a particular problem, and many doctors have different treatment algorithms for different problems. Im very conservative, and I really think that unless you, for example, have a fracture and break a bone and need surgery to repair the bone, most elective things, I think, are treated conservatively first. And many of them get better, and I think that patients actually seem to appreciate the conservative approach.