Meet Dr. Brian Divelbiss, Orthopedic Surgeon
Hand surgery, which is my chosen subspecialty in orthopedics, is very interesting to me. The anatomy of the hand obviously is very complicated. It’s a lot of fine work. It’s something that you can really make a difference in somebody’s life if you can improve the function of their hands.
The best approach or the approach that I like to take with the patient is, one, the foundation is education. Coming into the room, taking good history, doing a good physical exam, and then going down that process with the patient of educating the patient about here’s the condition, here’s what I think is going on, and then working down through the options.
I have a very conservative approach to the management of conditions that come in. Certainly, there are times that someone will come in with an injury or a condition where the answer is very clear – they need surgery. But if it’s not one of those situations, really my approach is to start with the most conservative thing first, and then move up the invasiveness or the intensity of that non-operative treatment and really only proceed to a surgical treatment if the non-operative options have been exhausted.
My greatest reward for being an orthopedic surgeon is really seeing someone whose function has been significantly limited – by disease like Dupuytren’s contracture, or a condition, or an injury like tennis elbow – and bringing that person back to their previous level of functioning. That’s the thing that satisfies me the most.