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 and are equipped with the state of the art ambulatory surgery center. Our surgery center, on-site radiology services and certified medical staff meet and exceed the highest standards of efficiency, cleanliness and individualized care.

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.

Common problems treated at our facility

Our fellowship trained and Board Certified hand surgeons specialize in hand, wrist, and forearm disorders and are equipped with the state of the art ambulatory surgery center. Rest assured that our surgery center, on-site radiology services and certified medical staff meet and exceed the highest standards of efficiency, cleanliness and individualized care.

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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Wrist Fractures

A wrist fracture is a medical term for a broken wrist. The wrist is made up of eight small bones which connect with the two long forearm bones called the radius and ulna. Although a broken wrist…

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Fingertip Injury

Fingertip injuries are one of the more common injuries in the hand. The fingertips are exposed in many of our activities. Fingertip injuries can be caused by many things. They can be crushed…

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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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Broken Hand

The bones of the hand serve as a framework. This framework supports the muscles that make the wrist and fingers move. When one of these hand bones is broken (fractured), it can prevent you from…

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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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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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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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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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Meet the physicians

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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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., F.A.C.S.

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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Evan Mangubat, M.S., PA-C

Evan “Evie” Mangubat earned her Bachelor of Science in Biochemistry with an emphasis in Medical Sciences from the University of California Riverside, Riverside, California and her Master of Science in Physician Assistant Studies at Southern California University of Health Sciences, Whittier, California.  She completed a one-year professional study in medicine at China Medical University, Shenyang,… Read more »

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Brandon Young, PA

Brandon Young, M.S., PA-C

Brandon Young relocated from Minnesota to California to join Regional Hand Center’s professional team. He earned his Master’s degree in Physician Assistant Studies at Augsburg University in Minneapolis, Minnesota, and his Bachelor of Arts in Biology and Psychology from Hamline University in Saint Paul, Minnesota. Brandon chose to pursue a career as a Physician Assistant to… Read more »

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What our patients are saying

Jackie M.

Dr. Galli did something in 2 weeks that my other doctor and 2 physical therapists couldn’t do in 4 months. I love that man!!!

Great, from start to finish – John P

Exceptional! The staff is great. The nurses are wonderful. Dr. Avena and Regional Hand Center are terrific. I highly recommend them.

Wonderful! – Yolanda R

Pleasant, professional and satisfied with outcome.

Life Changing! – Susan T.

I appreciate your skills as a surgeon! I’m free to write, crochet and do anything else I’d like to do! Thank you! Review

My traumatic experience was made much less traumatic because of the staff here.
Dr. Stehr and his staff have been caring, knowledgeable and professional during my time(s) here. I feel comfortable during my appointments and made to feel my questions and concerns are important as well.

Patricia – Facebook Review

This was the best surgery I ever had done. Absolutely NO PAIN WHAT SO EVER. Had right hand done and will be off to the left hand soon! Dr Stehr and his staff are absolutely the best staff in the world, especially Rachel in the finance department! She’s very smart and helped me tremendously. Can’t wait to get the left hand done! I can make a fist now and could not before!!

Mike R – Google Review

Last night had semi “emergency” surgery on my left hand post dog bite. From the get go, I was impressed with the employees professional empathetic bedside manner and assistance getting me worked in for the hand injury. The physician assistant Mr Wagoner, like me was a former paratrooper. “Airborne all the Way!”. He is a great brother medical warrior too. The staff from the front office to the nurses were caring and spot in their delivered assistance. Dr Galli the hand surgeon was great. He kept me informed through the whole process pre-op, during surgery and then post surgery. Thanks doc for your great care for as you may know, as a RN CS FNP, we make the worst patients. God bless sir, and as we say, ” Keep saving lives and stomping out disease”. BTW I will be there for a recheck as scheduled Thanks again to Fresno Hand Center. From a brother medical warrior. Major Mike RN CS FNP. PS thanks for tolerating my sense of humor too.

Richard S

From my initial contact through and including my release from care, Dr. Yalom and her staff treated me professionally, kindly and with full understanding of the issues surrounding my pain and limitations. I am pleased – – but not at all surprised — to say that my surgical outcome was superb and my followup wholly uneventful. I would not hesitate to refer anyone in need of hand surgery to a most competent, friendly and professional surgeon – – Anisa M. Yalom, M.D. – – who I will always admire and respect.

Patricia P.

“Your staff are pure professionals as well as comforting and caring towards the patients.  I feel much more comfortable having my surgery at Regional Hand Center than in a hospital setting.  You could teach many establishments a lot about how to run the business and provide superior care.”

Michelle O – Yelp

I am late in writing this review. I assisted my 93 year old mother-in-law with getting an appointment here a few months back. The office was very welcoming, and gave her an appointment very quickly.
She was seen by Dr. Yalom, who was on time for the appointment and had a delightful bedside manner! The doctor and staff were all very patient and caring, as well as educational.
They went above and beyond with their continued follow up. Now my mom is pain free, and able to resume her normal activities. We couldn’t be happier!