The Central Valley's Premier Team of Hand Specialists and Surgeons


Whether you are planning a procedure or you are interested in options for treatment, the professional and caring Regional Hand Center team makes it easy to find the answers you need. For an appointment or answers to your questions, call (559) 322-HAND.


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At Regional Hand Center of Central California, we provide the highest standard of care to our patients. Our fellowship trained and Board Certified hand surgeons specialize in hand, wrist, and forearm disorders.

Common problems treated at our facility include:

  • >Carpal Tunnel Syndrome
  • >De Quervain’s Syndrome
  • >Cubital Tunnel Syndrome
  • >Trigger finger
  • >Ganglion Cyst
  • >Injuries of the hand, wrist and forearm
  • >Tennis Elbow
Read more about common problems we treat

The Regional Hand Surgery Center

Our state of the art ambulatory surgery center, on-site radiology services and certified medical staff meet and exceed the highest standards of efficiency, cleanliness and individualized care. Conveniently located next to our clinic, the Regional Hand Surgery Center is a spacious, state-of-the-art, Medicare-certified outpatient facility that is equipped to perform the highest quality level of care for the hand.

Read more about the Surgery Center

Meet the team

Recognized for their unique expertise and advanced techniques, these surgeons lead the Regional Hand Center team to provide individualized attention, focused on the best possible outcome so that you can return quickly to your active life.

Randi A. Galli, M.D., F.A.C.S.

Dr. Randi Galli is certified by the American Board of Plastic Surgeons and a Fellow of the American College of Surgeons. A member of Alpha Omega Alpha, the medical honor society that comprises the top ten percent of medical students…

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Anisa M. Yalom, M.D.

Dr. Anisa Yalom joined the team at Regional Hand Center of Central California in 2015 after she completed the prestigious Hand and Microsurgery Fellowship at University of Pennsylvania. Dr. Yalom grew up in San Diego and attended medical…

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Ricardo Avena, M.D., F.A.C.S.

Dr. Ricardo Avena is board certified by the American Board of Surgery and is a Fellow of the American College of Surgeons. Born and raised in Mexico City, Dr. Avena attended medical school at the National…

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Ryan C. Stehr, M.D.

Dr. Ryan Stehr is the latest physician to join the team at the Regional Hand Center of Central California. He attended medical school at Dartmouth Medical School before completing a plastic surgery residency at Froedtert and…

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Ileana Cervantes, M.S., PA-C

Ileana Cervantes obtained her Masters degree as a physician assistant through Western University of Health Sciences and is a certified physician assistant through the National Commission on…

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Eric Wagoner, M.S., PA-C

Eric Wagoner obtained his Master’s degree in Physician Assistant Studies through Loma Linda University. He is a certified physician assistant through the National Commission on Certification of Physician Assistants and has also obtained certification…

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Ganglion Cyst

Ganglion cysts are very common lumps within the hand and wrist that occur adjacent to joints or tendons. The most common locations are the top of the wrist (see Figure 1), the palm side of the wrist.

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Trigger Finger

Stenosing tenosynovitis is a condition commonly known as “trigger finger.” It is sometimes also called “trigger thumb.” The tendons that bend the fingers glide easily with the help of pulleys.

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Lateral Epicondylitis

With lateral epicondylitis, there is degeneration of the tendon’s attachment, weakening the anchor site and placing greater stress on the area. This can then lead to pain associated with activities.

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De Quervain’s Syndrome

Patients with de Quervain syndrome have painful tendons on the thumb side of the wrist. Tendons are the ropes that the muscle uses to pull the bone. You can see them on the back of your hand.

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Cubital Tunnel

Cubital Tunnel Syndrome is a condition that involves pressure or stretching of the ulnar nerve (also known as the “funny bone” nerve), which can cause numbness or tingling in the ring and small.

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Carpal Tunnel Syndrome

Carpal tunnel syndrome is essentially a pinched nerve in the wrist. There is a space in the wrist called the carpal tunnel where the median nerve and nine tendons pass from the forearm into the hand.

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What our patients are saying

Dana W.

I cannot say enough good things about Dr. Galli. His care for his patients is obvious, his team is amazing, and his work is superb.

Diane S.

I love Regional hand center I have been going there for 3 years and had 3 surgeries they are the best!!

Linda H., Yelp Review

I have been a patient for about 5 years. I have had three minor surgeries and a pain management treatment. Dr. Avena is wonderful, kind, competent and easy to talk to. Anyone with an injury or other problem with their hands should see any of the professionals here.

Rhonda H.

The care that I received at this facility was amazing!! Can’t say enough about the amazing staff!! Thank you!!

Dawn G.

I think this is a wonderful group. The staff is very helpful and extremely professional. I would recommend them to anyone. Dr. Yalom is very thorough with an excellent bedside manner. I’m so happy she is treating me.

Fresno Office Phone

559.322.4263 (322.HAND)
Billing: 559.322.3350
New Patient Coordinator: Ext. 1117

Fresno Office Hours

Mon - Fri. 9AM - 6PM
Billing Dept: Mon - Fri 8AM - 4:30PM

Fresno Location

2139 E. Beechwood Ave.
Fresno, CA 93720

Visalia Office Phone

559.733.HAND (4263)

Visalia Office Hours

Mon - Fri. 9AM - 5PM

Visalia Location

720 W Main St Ste A
Visalia, CA 93291