Beverly Hills Hand Surgeon - Dr. Alex Neusner
Dr. Alexander Neusner is an experienced board-certified hand and plastic surgeon with extensive medical experience specializing in carpal tunnel syndrome, trigger finger, arthritis, ganglion cysts, as well as other common hand and wrist procedures. Dr. Neusner’s passion for medicine is demonstrated by his considerable contributions to his field and commitment to his patients.
Restoring Function, Renewing Lives – Expert Care for Your Hands.
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Specialized Procedures
Arthritis in the hand can cause pain, stiffness, and limited mobility, making everyday tasks challenging. Osteoarthritis leads to cartilage breakdown, while rheumatoid arthritis causes inflammation in the joint lining. When non-surgical treatments like medication and therapy no longer help, hand surgery may be necessary to relieve pain and restore function.
Hand arthritis surgery options include joint fusion, which fuses the bones together to eliminate pain but limits movement; joint replacement, where a damaged joint is replaced with an artificial one for pain relief and improved function; and tendon or ligament repairs to stabilize the joint and prevent deformities. Each option aims to address pain, improve function, and prevent further joint damage.
The main benefit of surgery is significant pain relief and improved hand function, allowing patients to return to daily activities with less difficulty. For those with severe deformities or instability, surgery can realign the joint, reduce further damage, and prevent complications, enhancing overall hand function and independence.
While surgery carries risks like infection or nerve damage, the long-term benefits—improved mobility and pain relief—often outweigh these concerns. With proper rehabilitation and physical therapy, most patients experience a significant improvement in hand function and quality of life after surgery.
- Carpal tunnel syndrome occurs when the median nerve, which runs from the forearm into the palm, becomes compressed as it passes through a narrow passageway in the wrist called the carpal tunnel. This compression can cause symptoms like numbness, tingling, weakness, and pain in the hand and fingers, especially at night or after repetitive activities. If left untreated, the condition can worsen, leading to permanent nerve damage and loss of hand function. When non-surgical treatments, such as splinting, physical therapy, or corticosteroid injections, fail to relieve symptoms, carpal tunnel surgery may be recommended.
Carpal tunnel release surgery is the most common procedure used to treat this condition. During the surgery, the surgeon makes a small incision in the wrist and cuts the ligament that is pressing on the median nerve. This procedure increases the size of the carpal tunnel, relieving the pressure on the nerve and allowing it to function normally again. It can be done through open surgery or minimally invasive endoscopic methods, depending on the surgeon’s preference and the patient’s condition.
Minimally invasive approaches for endoscopic carpal tunnel release (ECTR) are designed to relieve pressure on the median nerve by dividing the transverse carpal ligament through a small incision or portal. These techniques aim to reduce recovery time, scarring, and postoperative discomfort compared to open surgery.
The primary benefit of carpal tunnel surgery is the significant relief of symptoms, particularly pain, tingling, and numbness. Most patients experience a reduction in discomfort and improved hand function after surgery, allowing them to return to daily activities like typing, writing, or lifting without limitations. Surgery also helps prevent long-term nerve damage, which can lead to permanent weakness or atrophy of the hand muscles if left untreated.
While surgery carries some risks, such as infection or nerve injury, it is generally considered highly effective, with most patients experiencing substantial improvement in symptoms and quality of life. The recovery process typically takes a few weeks, with physical therapy often recommended to strengthen the hand and improve flexibility. For many people, carpal tunnel surgery provides a lasting solution, restoring hand function and preventing future complications.
A ganglion cyst is a fluid-filled lump that typically forms along the tendons or joints in the hand or wrist, most commonly on the back of the wrist. These cysts are usually benign but can cause discomfort, stiffness, or interfere with movement if they press against nerves or joints. The exact cause is unclear, though they are thought to result from irritation or trauma to the joint or tendon, leading to fluid buildup.
While ganglion cysts can often be managed with non-surgical treatments like rest, splinting, or aspiration, surgery may be recommended if the cyst is painful, recurrent, or affects hand function. The surgical procedure involves removing the cyst and its stalk (the tissue connecting it to the joint or tendon), usually under local anesthesia. In some cases, arthroscopic surgery may be used, where tiny incisions and a camera help remove the cyst with minimal disruption.
After surgery, most patients experience significant pain relief and restored function, with recovery typically taking a few weeks. While surgery carries some risks, such as infection or nerve damage, it is generally effective in permanently removing the cyst and preventing recurrence.
If you’re struggling with a ganglion cyst that causes pain or limits hand function, surgery can provide a lasting solution. A consultation with a hand surgeon can help determine if this is the right option for you.
Trigger finger, also known as stenosing tenosynovitis, is a condition in which one of the fingers or thumbs becomes stuck in a bent position and then suddenly “snaps” straight when extended. It occurs when the tendons that control finger movement become irritated or inflamed, causing a narrowing of the tendon sheath. This restricts the smooth movement of the tendon, leading to pain, stiffness, and a catching or popping sensation when trying to straighten the finger. Trigger finger can make everyday tasks like gripping, holding objects, or typing difficult.
In mild cases, non-surgical treatments such as rest, splinting, corticosteroid injections, or anti-inflammatory medications may help relieve symptoms. However, when these conservative methods fail or the condition worsens, surgery may be necessary. Surgery for trigger finger aims to release the tendon sheath, allowing the tendon to move freely again. This procedure, known as tenolysis or tenosynovectomy, involves making a small incision near the affected finger to cut the constricted part of the tendon sheath and restore normal movement.
The benefit of surgery is that it offers a long-term solution for those who experience chronic pain, stiffness, or functional impairment from trigger finger. Without intervention, the condition can worsen over time, leading to permanent deformity in the affected finger. Surgery can significantly improve hand function, reduce pain, and prevent the finger from locking or catching, which is particularly helpful for individuals whose daily activities require dexterity and a firm grip.
While surgery for trigger finger is generally safe and effective, it carries some risks, including infection, nerve injury, or scarring. However, for many people, the benefits outweigh these risks, especially when the condition is causing significant disruption to quality of life. Most patients experience a full recovery within a few weeks, with minimal downtime, and can return to their normal activities with restored hand function.
Get to Know Dr. Neusner
After obtaining his Bachelor of Science degree from Brown University, Dr. Neusner attended medical school at Jefferson Medical College in Philadelphia, then completed a general surgery residency at Temple University Hospital. From there, he continued his training through a residency at Lahey Hospital and Medical Center, working alongside top doctors in his field. His background in general surgery not only prepared him to deal with patients of all demographics but highlighted how life-changing a surgical procedure can be, a sentiment he carries with him into hand and cosmetic surgery.
Most recently, Dr. Neusner’s fellowship in Hand and Microsurgery at the Christine M. Kleinert Institute contributed to his full-body approach to plastic surgery. As a surgeon, he has a distinct ability to hone in on the human experience, getting to know his patients intimately to ensure a holistic transformation that allows them to be their best selves.
Originally from Connecticut, Dr. Neusner has established roots as a Los Angeles-based plastic surgeon as he joins the team at Barrett Plastic Surgery. He is an active member of the American Society for Surgery of the Hand, The Aesthetic Society, and the American Medical Association. He has contributed to numerous publications, offering expertise in the field of reconstructive surgery.
Outside of the O.R., Dr. Neusner enjoys immersing himself in the restaurant culture Los Angeles is known for as one of the ultimate food cities. With his dachshund Rigatoni, Dr. Neusner spends his free time in nature, often paddle boarding at the beach or taking advantage of California’s many scenic hiking trails.
Fellowship (2023)
Kleinert Institute for Hand & Microsurgery/ University of Louisville
Hand and Microsurgery Fellowship, Louisville, KY
Residency (2019)
Beth Israel Lahey Health, Lahey Hospital & Medical Center (2019-2022)
Plastic and Reconstructive Surgery Independent Residency
Temple University Hospital (2013-2019)
Chief Resident General Surgery (2018-2019)
General Surgery Residency, Philadelphia, PA
Medical School (2013)
Jefferson Medical College, Philadelphia, PA
Undergraduate (2008)
Brown University, Bachelor of Science– Human Biology, Providence, Rhode Island
Neusner A, Guo L. Free Your Mind…Not Your Flap. Mountain West Society of Plastic Surgeons Annual Meeting, Snowbird, UT. February 25, 2022
Neusner A, Guo L. Free Your Mind…Not Your Flap. New England Society of Plastic and Reconstructive Surgeons Annual Meeting (presented virtually). June 5, 2021
Neusner A, Dagineau A, Lo A, Weiner M, Trehan G, Livelsberger J, Gassman A. Improved Patient Satisfaction after Reduction Mammaplasty with Bupivacaine and Dexamethasone Perineural Block. Plastic Surgery Research Council Annual Meeting, Baltimore MD. May 2, 2019
Neusner A, Lo A, Weiner M, Trehan G, Livelsberger J, Gassman A. Enhanced Pain Control after Reduction Mammaplasty with Bupivacaine and Dexamethasone Regional Block. Robert H. Ivy Pennsylvania Plastic Surgery Society Annual Meeting, Pittsburgh, PA. April 13, 2019
Neusner A, Lo A, Weiner M, Trehan G, Livelsberger J, Gassman A. Enhanced Pain Control after Reduction Mammaplasty with Bupivacaine and Dexamethasone Regional Block. Temple University Harwick Research Symposium. Philadelphia PA, April 3, 2019- Awarded “Best Presentation”
Neusner A, Bruff A, McKinnon S, Zhao H, Maher Z, Wagner IJ. The White Board Technique for Surgical Resident Education. Association for Surgical Education Annual Meeting. Austin, TX. May 1, 2018
Davis-Moon L, O’Malley G, Karp L, Neusner A, Weiss K, Sirak C, Minckler M, Smith T, Mufson J, and Renzi N. Patient Self-perception of Racial Identity and the Census. SAEM Regional Meeting, Washington, DC. April 2, 2011
Taylor GA, Panichella J, Neusner A, Lo A, Vazquez D, Zhao H, Trehan G, Livelsberger J, Gassman AA. Enhanced Pain Control After Reduction Mammaplasty with Combination Bupivacaine and Dexamethasone Regional Block: A Double-Blind Randomized Controlled Trial. Plast Reconstr Surg. Aug 1, 2023. 152(2): 217e-226e
Neusner A, Radcliff KE. Complications of Pedicle Screw Placement in Radcliff K, Vaccaro A, Kim D, eds. Complications of Spinal Instrumentation, Thieme, New York, NY, 2018
Neusner A, Pribaz J, Guo L. Free Your Mind, Not Your Flap. Plast Reconstr Surg Glob Open. 15 Jun 2022. 10 (6): e4384
If you have any questions or would like to book a consultation, contact us at info@beverlyhillshandsurgery.com or call us at (310) 598-2648.