Experience Excellence at the Region’s Most Preferred Orthopedic Practice

At Advanced Center for Orthopedics & Sports Medicine, our specialty-trained hand doctors are dedicated leaders who are committed to providing excellence in orthopedic care that is focused on you.

As some of the most highly respected hand surgeons and doctors in the region, our specialists, Dr. Charles Milem, Dr. Keith Moore, Dr. David Boles, Dr. Joseph L. Polio, Dr. Geoffrey Hulse, and Dr. Bryce Meredith, are committed to providing outstanding, patient-centered care to each of our patients. With years of experience and orthopedic training, our hand doctors excel in thoroughly and accurately assessing, diagnosing, and treating hand injuries as well as other conditions that can develop in the hand and wrist, such as arthritis and carpal tunnel syndrome. They also offer a wide array of traditional treatment methods as well as state-of-the-art surgeries, including nerve repair, carpal tunnel surgery, and arthroscopic surgery. Our board-certified expert Dr. Boles offers minimally invasive endoscopic carpal tunnel releases for patients who suffer from carpal tunnel syndrome.

No matter what injury or condition is keeping you from enjoying an active life, you can count on our hand doctors to provide the compassionate, individualized care you need to get back to the activities you love.

When to See a Hand Specialist

If you have been experiencing any of the following signs or symptoms for more than a few days, we recommend that you schedule an appointment with one of our hand doctors.

  • Difficulty rotating your wrist joint
  • Finger cramps
  • Fingers bend in toward your palm and wrist
  • Hand pain that radiates up to your elbow
  • Hand weakness
  • Knots or bumps developing under your fingers and palms
  • Pins-and-needles sensations
  • Swollen fingers that are difficult to move
  • Tingling and numbness in your hand and wrist
  • Upper extremity pain that radiates down into your wrist and hand
  • Weakened grip or inability to pick up items
  • Wrist and forearm pain that extends into your hand and fingers

Our specialty-trained hand doctors will work with you to diagnose your injury or condition and then design a treatment plan specifically for you. Orthopedic hand and wrist problems our doctors see include:

  • Boutonnière deformity
  • Carpal tunnel syndrome
  • De Quervain’s disease
  • Dupuytren’s contracture
  • Extensor tendon injuries
  • Fractures, such as Bennett’s fracture and boxer’s fracture
  • Ganglion cysts
  • Mallet finger
  • Nerve injuries
  • Sports-related injuries
  • Sprains
  • Tendonitis
  • Trigger finger
  • Types of arthritis, such as osteoarthritis and rheumatoid arthritis



Excellence in Hand Care: What to Expect

At Advanced Center for Orthopedics & Sports Medicine, our hand specialists strive to provide the best hand care available in northwest Kentucky.

Our experts have extensive knowledge about the hand and wrist as well as the different types of injuries and conditions patients may experience. Our specialists also understand that each patient is unique. That’s why they are committed to taking a patient-centered approach to care to provide each patient with the best treatment solution.

When developing an individualized treatment plan, our hand doctors will first recommend any applicable conservative treatment options. These nonsurgical methods may include receiving physical therapy from a physical therapist, wearing a brace, taking over-the-counter medication, or seeing a certified hand therapist for occupational hand therapy. Many times, these nonsurgical approaches can bring about gradual improvements that can greatly reduce or eliminate the wrist or hand pain you are experiencing.

However, if nonoperative care is not effective or becomes less effective over time, our hand surgeons will discuss your surgical options and help you determine which surgery is right for you. Rest assured that our surgeons not only have the expertise and exceptional skills needed to perform the required surgery, but they also have access to state-of-the-art surgical equipment, which helps to ensure the best outcomes possible.

If our surgeons believe that a special type of surgery, such as arthroscopy, nerve repair, or carpal tunnel surgery, is the best treatment option for you, they will educate you on the full process and the steps involved in your recovery as well as answer any questions you may have.

Online Guide to Hand & Upper Extremity Care

With a commitment to providing excellence in orthopedic care that is focused on our patients, we have developed our Online Guide to Hand and Upper Extremity Care to provide patients with further information about their injuries and conditions and the treatments available to them. To access our guide, use the button below. 


Request an Appointment

If your hand is causing you pain or keeping you from enjoying your life, contact us today at (270) 926-4100 or request an appointment online.