Concierge Carpal Tunnel and Hand Surgery is the only In-Office Concierge Cash Pay Solution for Las Vegas Valley Residents!

Providing expert hand care for the most common hand conditions and injuries at the most affordable all-inclusive package pricing.

With multiple payment and financing options, our goal is to ensure paying for your procedure is as painless and stress-free as the procedure itself!

Whether you are uninsured, under-insured, have a high deductible plan, or simply choose to pay cash for the most advanced treatment solutions – we understand the unique needs of our patients who choose to pay cash for their procedures.  Our all-inclusive procedure packages enable patients to receive expert care for their hands without surprises.

We are your solution to getting your hands the VIP treatment you deserve at a price you can afford!



Dr. Grabow modeled his In-Office Hand Surgery Procedure Suite after the leading hand surgery programs at the top academic hospitals in the country! Learn More about our Concierge Carpal Tunnel Spa Experience


Using the same technique as these programs called WALANT, which stands for Wide Awake Local Anesthesia No Tourniquet, patients can enjoy the many proven benefits of having their hand surgery procedure performed in-office under local anesthesia ( like the dentist ) without the need to go to the operating room with sedation or general anesthesia.


Using the same sterile techniques used in the operating room, patients have their hand, wrist, or forearm numbed with lidocaine with epinephrine. This vasoconstrictor limits bleeding and extends the duration of the numbing medicine. The WALANT technique is so effective it is now taught in every hand surgery fellowship in the country!


Patients comfortably recline during their procedure while listening to their favorite music or watching a video. They can even watch their procedure if they like with the custom procedure video system utilized by Dr. Grabow for teaching visiting surgeons both locally and around the world!

Research Articles on In-Office Procedure Room Safety



Due to Dr. Grabow’s expertise in Sterile Technique,  WALANT local anesthesia, Ultrasound Guided procedures, as well as his invention The Grabow Hand Surgeon’s Assistant – he is able to safely and effectively treat the most common hand conditions and injuries in our In-Office Procedure Suite.

We offer affordable treatment packages for the following hand procedures:

  • Ultrasound Guided  Carpal Tunnel Release
  • Endoscopic Carpal Tunnel Release
  • Open Carpal Tunnel Release
  • Ultrasound Guided Percutaneous Trigger Finger Release
  • Minimally Invasive Open Trigger Finger Release
  • Cyst or Mass Excision from the Finger, Hand, or Wrist
  • Dequervain’s Tendon Release
  • Dupuyten’s Contracture Needle Release
  • Laceration Repair – finger, hand, wrist
  • Nail Bed Repair
  • Extensor Tendon Repair – Finger, Hand, Wrist
  • Flexor Tendon Repair – Finger, Hand

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Local Patient Consultation Request


There are many hand conditions that are effectively treated or controlled with a steroid injection (also called a cortisone injection).  Additionally, we also offer the latest in biologic injection treatments such as Stem Cell Injections, PRP Injections, and Collagenase Injections.

If after Dr. Grabow’s evaluation and exam you are diagnosed with a condition that may be treated with an injection, we provide the following injections if indicated:

Tendon Sheath / Carpal Tunnel Injections:

  • Trigger Finger Steroid (Cortisone) Injection
  • Dequervain’s / Mommy’s Thumb Steroid (Cortisone) Injection with Ultrasound Guidance
  • Intersection Syndrome Steroid (Cortisone) Injection with Ultrasound Guidance
  • Carpal Tunnel  Steroid (Cortisone) Injection with Ultrasound Guidance

Joint Steroid Injection (also called a Cortisone Injection):

  • Hand Joint Steroid (Cortisone) Injection with Ultrasound Guidance
  • Wrist Joint Steroid (Cortisone) Injection with Ultrasound Guidance
  • Elbow Joint Steroid (Cortisone) Injection with Ultrasound Guidance
  • Olecranon Busa Aspiration and Steroid (Cortisone) Injection
  • Shoulder Joint Steroid (Cortisone) Injection with Ultrasound Guidance

Joint Stem Cell Injection:

  • Hand Joint Stem Cell Injection with Ultrasound Guidance
  • Wrist Joint Stem Cell Injection with Ultrasound Guidance
  • Elbow Joint Stem Cell Injection with Ultrasound Guidance
  • Shoulder Joint Stem Cell Injection with Ultrasound Guidance
  • Rotator Cuff Partial Tear Stem Cell Injection with Ultrasound Guidance

Request Information on Evaluation and Injection Package Pricing

Local Patient Consultation Request


For patients who suffer a trauma to their fingers, hands, or wrists from a fall, sports, or injury – X rays and a splint or cast is likely necessary.

We offer our patients the convenience of on-site xrays of their fingers, hands, wrists, forearms, or elbows.  If necessary, we provide splints, casts, or braces for a sprain, strain, or broken bone to provide you the care you need after your injury, at a price that won’t cause further trauma to your life.

Casting & Splinting:

  • Hand / wrist splint
  • Hand / wrist cast
  • Elbow splint
  • Elbow cast




  • Finger / Hand Xrays
  • Wrist Xrays
  • Elbow Xrays





Other Procedures:

  • Suture Removal from ER or Urgent Care Treatment
  • Cast Removal from out-of-town treatment
  • Pin Removal from out-of-town surgery




While we do perform an extensive amount of procedures in our In-Office Procedure Suite, there are severl procedures that require treatment in an operating room due to a need for specialized equipment.

For these procedures, Dr. Grabow has worked with Surgery Center Administration, Anesthesia Colleagues, and equipment vendors to ensure we can offer you the most affordable package pricing for these procedures as well:

  • Finger fracture fixation with minimally invasive pinning
  • Finger fracture fixation with a  minimally invasive intramedullary bone screw
  • Finger fracture fixation with a plate and screws
  • Wrist fracture fixation with a plate and screws (Fixing your broken wrist)
  • Forearm fracture fixation with plate and screws
  • Elbow fracture fixation with plate and screws
  • Shoulder fracture fixation with plate and screws
  • Shoulder fracture fixation with intramedullary rod

Request Information on Operating Room Package Pricing

Local Patient Consultation Request




The first step in your journey for relief of your carpal tunnel, trigger finger, or other hand condition starts with an initial consultation with Dr. Grabow.

In order to ensure all of our patients receive the highest quality care for their hands, your first in-office appointment will include: an evaluation and physical exam by our surgeon, indicated diagnostic procedures (carpal tunnel ultrasound, x-rays, etc), and a detailed discussion on your treatment options (injection, bracing, cast, in-office procedure, operating room procedure, therapy, etc.)

If a steroid injection or aspiration is recommended, this is typically performed at that visit.  If a more involved procedure or surgery is recommended, scheduling with be discussed with a friendly member of our team.  They will coordinate the scheduling of your procedure and your follow up post-procedure visits to ensure you have a stress free experience.

Local Patient Consultation Request


After your consultation with Dr. Grabow, if he recommends an in-office or operating room procedure, our scheduler will discuss procedure costs and other expenses as well as the logistics of your in-office procedure or operating room surgery. She will go over potential procedure dates and any other information or testing needed to prepare you for your procedure. We understand the unique needs of our cash pay patients and offer several payment and financing options because every hand deserves VIP care.

Payment and Financing Options


A leader in Hand Surgery Medical Tourism –  patients come from throughout our city, across the country, and around the world for the VIP Concierge Carpal Tunnel Experience that only we can provide!

As a resident of the hospitality capital of the world – you understand why Las Vegas is one of the world’s premiere hand surgery tourism destinations.  Like many locals however, you may not be aware of some of the most sought after experiences our city has to offer.

Our Concierge Carpal Tunnel Travel Program allows our out-of-town cash pay patients to receive world-class treatment for their carpal tunnel syndrome, trigger finger, and other in-office hand surgery while enabling them to enjoy the crème de la crème of Las Vegas experiences prior to their procedure!

Our Concierge Carpal Tunnel Locals Program allows our in-town cash pay patients to choose one of our Travel Program Vegas Experience Packages if they desire.

Since your local, you have the option to schedule your experience any time after you have recovered from your procedure.  If you choose to enjoy one of these packages, you are able to take advantage of the incredible package prices Dr. Grabow has personally negotiated for his Medical Tourism and Cash Pay patients!

Learn More About our Vegas Experience Packages


We understand that even a simple procedure under local anesthesia can be a stressful experience. That’s why we have created our unique Carpal Tunnel Spa Experience for our patients.  It is our goal that you feel more like your going to a spa for a massage or treatment than having a hand procedure.
Learn More about our Carpal Tunnel Spa Experience

While Dr. Grabow is focused on curing your carpal tunnel, trigger finger, or other hand condition our team is focused on you!

Our Minimally Invasive Procedure Suite is a sanctuary of sights and sounds, specifically utilized to ensure your comfort and relaxation during your procedure.  Our patients are able to enjoy an immersive sound experience of their favorite music or they can lose themselves with an intriguing documentary, stand up comedy, or other engaging video on our large screen hi-def televisions from our multiple streaming services.  For our more curious patients, we can also provide a live view of their procedure from the surgeon’s point-of-view using Dr. Grabow’s  SWIS Surgical Video teaching system.

While each procedure is unique, most procedures typically last between 20 and 30 minutes.  A small hand wrap bandage is applied after your procedure.

If your procedure needs to be performed at our participating Surgery Center, rest assured that their attentive and patient-focused staff work to ensure you have a relaxing and stress-free experience as well.  In addition to their personalized care, if you desire, you will be provided one of our Entertainment Tablets to use prior to your procedure to help you relax with our extensive music collection or one of our multiple streaming platforms.  When you enter the operating room you will also be met with your favorite relaxing music to help decrease your stress as you fall asleep for your procedure.  If you will be awake for your procedure, you will continue to enjoy an immersive sound experience of your favorite music or you can continue to use our Entertainment Tablet to  relax with an intriguing documentary, stand up comedy, or other engaging video.


Aftercare is easy! Because all our procedures are minimally invasive, our patients typically have no sutures to remove and only have small incisions that can be covered with a small adhesive bandage strip once they remove their initial procedure wrap 4 days after their procedure.

Patients are provided an on-demand chemical ice pack and a personal care kit with gloves and bandage supplies to ensure their post-procedure recovery is comfortable and as stress free as possible.

Since all our procedures are minimally invasive, most patients only need Actaminophen (Tylenol® ) and/or Ibuprofen (Advil®, Motrin®, Midol ®) or Naproxen (Aleve®, Naprosyn® ) for their discomfort.  If more pain is anticipated or a more involved procedure is performed we will provide a prescription for a narcotic pain medication and anti-nausea medication as well.

Patients are typically allowed to use their hands the day after the procedure and their only limit is based on their level of comfort.  Most patients return to normal hand use in one to two weeks after their procedure.


While recovery from our in-office minimally invasive procedures is typically a breeze, we do schedule Post-Procedure follow up visits with our local patients to ensure their recovery is progressing as expected and to answer any questions they may have.

(833) HAND VIP

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Medical Tourism Info:

Concierge Travel Program

Carpal Tunnel Spa Experience

Vegas Experience Packages

Hotel Booking Options:

Meet Our Founder:

Double Board Certified

Hand Fellowship Trained

Learn Why This Matters

ABOS Board Certified Orthopaedic Hand Surgeons are more likely to deliver care that is:

  • Safe and quality-driven
  • Up-to-date on the latest science and technology
  • Focused on patients and their family unit
  • Dedicated to reducing infection rates
  • Efficient and cost-effective

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