
Office-Based Procedures
When an option, patients prefer procedures done in the office.
OSS doctors can do some surgeries and procedures in the office (instead of in a surgery facility) because certain ones only require the OSS doctor to use local anesthesia, the SAME local anesthesia that a dentist uses for a dental procedure done in her office.
The benefit to you is the OSS doctor can do the procedure in an environment that is already familiar to you - the office. The OSS doctor can safely manage the local anesthesia medication and follow the same standard operating room protocols to keep you safe.
Commonly Performed Procedures
Treatments for the Hand & Wrist
Here are some surgeries that an OSS doctor can do in our office:
- Repair a cut (laceration)
- Repair a broken bone in the finger
- Repair a tendon in the hand or wrist
- Repair the nailbed of a finger
- Remove a foreign body object or piece of hardware
- Remove a mass on a finger (also referred to as excising a cyst on the finger)
- De Quervain’s tenosynovitis release (affecting the tendons associated with the thumb)
- Carpal Tunnel syndrome release (affecting the wrist)
Treatments for Pain Management
Here are the procedures that our Pain Management Specialist routinely does in the office:
- Epidural Steroid injections
- Joint injections
- Medial branch blocks
- Peripheral nerve blocks
Advantages
In-Office Procedures are more comfortable:
- No IV sedation or anesthesia means no nausea or vomiting
- No long waits to be admitted to the surgery facillity
- No long waits in the preoperative suite (before surgery room)
- No need to stay in the recovery room
In-Office Procedures are more convenient:
- No pre-surgery tests
- You may take your routine medicine
- You may eat and drink before procedure
- You may drive yourself home after the procedure
In-Office Procedures are more cost-effective:
- No fees for pre-surgery tests
- No fees for medical doctor clearance
- No fees for facility (hostpital or surgery center)
- No fees for a physician anesthesiologist

Read What Our Patients Say
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“My hip replacement surgery was done by Dr. Shahan Yacoubian on 6/18/24. In the 6 week-post surgery, the improvement in my quality of life has been nothing short of transformative…A week prior to surgery, I attended a Zoom meeting given by Providence St. Joseph Hospital in which they explained what to expect and how to prepare for the procedure. Physical ... ”- Sonia M.
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“Great Facility! Dr. Moses is perfection. ”- Tom M.
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“This is my second time here. First time was for me with Dr Mikael. Second time was for my daughter - she went to see Dr Mikael too. She has a broken Fibula and Tibia. The wait time was spectacular today. Fast! His nurse / RN was on it!. As soon as he came to get us he says oh no! And immediately adjusted her crutches. Took us back and proceeded to take ... ”- Veronica V.
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“I've seen Dr Stephan Yacoublan for several different injuries. He performed my surgery to fix a torn rotator cuff in the past and that was the quickest I've ever recovered from any surgery (and I've had many.). This time around I'm seeing him for my knee, where he's going to try a gel injection and physical therapy. I love that he doesn't jump straight ... ”- Krissie B.
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“I heartily recommend OSS Elite for anyone with carpal tunnel syndrome or any other hand problem (mine was arthritis in my wrist). The outstanding therapists there are so precise and knowledgeable, fully explain what each exercise does, give excellent training on changes to make in daily life movements, and make sure that each patient knows exactly how to ... ”- Peter L.
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“Everyone here was great Came in after surgery on my dominant wrist for a fracture and after 6 weeks I am almost back to normal functionality. Jamie was my therapist and she is great. Would recommend going here. ”- Cameron H.