What Is HHC-P?

HHC-P is short for Harvey Hand & Wrist Center of Excellence, PLLC, and other organization that may appear when abbreviating other names, for example in California or Kansas, has no compulsory connection to other businesses using the abbreviations HHC-P.

The Harvey Hand & Wrist Center of Excellence, PLLC is a medical facility in Kansas City that specializes in hand and wrist medical and surgical treatment.

It is an outpatient clinic with several locations across the state.

They are comprised of surgeons, physicians, and staff who are highly specialized, providing cutting-edge treatment for all hand and wrist medical issues.

Assuring a great experience and personalized care, HHC-P has a team that centers solely on hand, wrist, and elbow concerns. In most cases, hand-specific health practitioners handle delicate and intricate transactions.

Thus, with their comprehensive diagnostic and treatment tools and resources and their skilled team, HHC-P centers can help individuals achieve recovery and improve quality of life after suffering from hand or wrist problems.

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Services Offered by HHC-P

From evaluating and diagnosing patients' health issues, their doctors and staff members provide extended services from simple outpatient consultations to more complicated and invasive surgical procedures.

Outpatient Consultation

Outpatient consultation services create a comprehensive and professionally supervised compendium of evaluations of the health problems of eligible patients.

The occupational therapist (OT), physical therapist (PT), and/or consulting surgeon gather the required data by including the history and physical evaluation while making insightful assumptions.

X-ray Services

This refers to a diagnostic imaging method utilizing short-energy ionizing radiation aimed to produce the internal image of a patient's body within membranes, then printed or captured electronically for later use in clinical or consulting analysis.

X-ray images are functional tests that support providers in identifying and treating physical illnesses, including injuries from everyday activities.

When the severity level of an X-ray takes place, additional imaging tests, such as CT scans, MRI, and functional tests, might be indicated or utilized as extra alternatives.

The images give explicit information about bone conditions, including fractures, infections, tumors, and arthritis.


Neurological electroneurodiagnostic or NEDS examination is used by health practitioners to assess the function of human peripheral nerves. The technicians measure factors such as how effectively a nerve propagates signals or communicates vibrational impulses.

It experiences two primary methods: nerve conduction and electromyography (NCV/EMG). Throughout the examination, physicians collect information from nerves found on motor reflexes or the area just below the muscle and also from the nerves capturing sensory responses during touch, vibration, or merely confirming its capability to differentiate hot from cold or mild from harsh stimulation.

The expert examines and analyzes this electrical activity caused by watching it on a monitor below the skin surface. Abnormal responses were noted comparing results to normal recordings, and a definitive decision is then formed, and the related medical problems are eventually identified.

Sometimes, nonelectrical and the nervous system, including the brain, brain stem, and muscle activity, are monitored rather than electrical activity generated by signals involved in peripheral nerves. This type of neurodiagnostic examination is broader and is frequently referred to as neurophysiologic testing.

Nonsurgical Treatments

Other nonsurgical treatments provided in the clinic are included.

Bracing and Casting

Specially designed and customized splints that permit tasks and align hands efficiently manage abnormal or painful medical difficulties.

Carpal Tunnel Wrist Splint

The vast majority of mild to moderate symptoms of carpal tunnel syndrome can be controlled by wearing a flexible wrist splint with a firm stays.

The function of a splint and braces is often to protect a portion of the body and immobilize it, thereby assisting with the ease of conservative treatments: ecchymosis hematoma prevention and joint deformity decreasing possibility, while mending the damaged tissues.

Custom Dynamic & Static Ulnar Gutter

The Ulnar Gutter/Wrist and Hand Orthosis ( UWAP) is a simple and wearable solution to a wrist and hand issue, particularly ulnar drift. The splint immobilizes the wrist and base of the small fingers (fifth and fourth metacarpals).

It is made using thermoplastic material, and the orthosis is a custom-designed splint tailored for each patient's affected arm. It features an aluminum-based base and metallic structure made from its built-in hinge.

Boxer Splints

A Boxer Ulnar Deviation Splint (UlD's) or K212 extension corrects ulnar drift and reduces its flexion and medial deviation, supported with the anatomical base struts that run parallel to the lateral arm. It consists of stainless steel hardware, polyethylene thermoplastic polymer builds, and fasteners.

Thumb Spicas

Custom fit a structure made with moldable thermoplastic, utilized to safeguard and support thumb joints or connective tissues. It aids in restricting or permitting movement as required, as well as controlling edema (swelling).

Therapy and Rehabilitation

These methods ensure that patients regain functionality and mobility of their hands, wrists, and fingers. Exercises and pain management strategies are taught to reduce pain and help individuals return to their daily activities.

Occupational therapy may also be an option to recover hand and arm usage. Reach out to a local occupational therapist to learn more about the treatment they provide.

Physical therapy and occupational therapy have historically been mutually exclusive professions with different treatment approaches and evaluation criteria. The differences between the two professions have now been clarified.

Certified Hand Therapy

The Certified Hand Therapist (CerHT) credential formally surfaced in 1991 when the “administration” agreement became obligatory. However, hand therapy is a long-established practice including the treatment of the entire upper limb, including the hand, wrist, forearm, elbow, shoulder, and their inherent nerves and tendons.

However, HHC-P has way more to offer when it comes to therapy and rehabilitation. With their vast resources, consult with an occupational therapist or a certified hand therapist and understand the broad range of their services available.

Physical Therapy For The Hand, Wrist, & Elbow

A patient has some kind of upper extremity impairment due to mishaps such as a broken bone, surgical inconvenience, amputation, strain, arthritis, neurological condition such as stroke, or specific arm disorders.

At HHC-P, patients with physical impairments such as all of the following are thoroughly evaluated: professionally tailored thoughts, exemplified by ergonomic ally and biomechanically flexible fittings during positioning; augmented medication expertise related to joint care in the area of the small hand joints and the wrist and elbow; impartment-free movement prevention or early corrective steps to improve systems associated with painful experiences, range of motion, sensitivity, strength, and coordinating arm and hand movements.

Retrospectively, these complications can get in the way of the proper functioning of the hands, wrists, and arms and the adjustment necessary to maintain a healthy hand. Hand therapy is a fusion of both physical and occupational therapy combined with specialized understanding of the hand and arm.

Through the application of both physical and occupational therapy ideas, supplementary expertise, knowledge, and abilities are connected with the treatment and regulations involved in arm and hand disorders.

Ultimately, the outcome of this expert method would result in the restoration of lost abilities and competencies in negotiating daily life routines and resurgence of broader mental, emotional, and social health.

Complex Upper Extremity Evaluations

A structured and rigorous policy of interrogation, in sequence the consequences which usually guides beyond or performed because of an initial preliminary interview might reveal a hypothetical medical health condition.

It is essentially what is known as a “cascade-like” process, by means of clients fulfilling large part of following qualifications: Steriod Injection, Educator of Self-Assessment Tools, Cortisone Injections X 063, Cortisone Inj Plantar Fascia, Osteoarthritis – Hip – Evaluate & Treat, Osteoarthritis Knee Evaluate & Treat, Education of Comfort Measures, Steroid Injection X 052, Activity Modification, European By Weo by:1 Study, Consult OR Comfort Measures only, INITIAL CONSULT10MIN PAIN ON EXTREMITY2, 30Min DirectContactw/RBO-LVL49)

Nerve Treatment

The primary purpose is to bring the patient significant and permanent pain relief once the underlying nerve issue can be identified and properly treated through accidental pressure on a nerve root, spasms leading to a “pinched nerve” neuromas as the existence of tumor-like impactions of nerve tissue by various causes.

Endoscopic Procedures

This is a non-invasive surgical method that enables doctors to view, analyze, and treat internal organs through tiny incisions where a thin tube or endoscope is used.

The surgeon utilizes a small camera connected to an endoscope model to make a video feed for close observation of the area being examined. The pictures projected are observable in real-time on a screen monitor.

Surgical choices with this minimally invasive procedure involve surgery of bones, joints, or soft tissues inside the joint or hand (gives doctors a clear look of what is happening within the patient's body that requires attention), plus taking any corrective actions, if needed, and after-procedures, such as removing of surgical instruments after completing the operation.

Careful inserts are used to avoid defects to the underlying body parts, and particular tissue remains on the incision are utilized to lower surgical scarring.

Arthroscopes & Endoscopes

Arthroscopy is used to undertake surgical procedures via small incisions. Through an arthroscope, a form of endoscope, the operating physician uses a specific device that enables various parts of a joint to be observed internally, which is useful in looking for trauma inner damage, making accurate diagnoses, and arranging loose or repair crevices.

Because minimal trauma or damage to the joints occurs during arthroscopy, other advantages involve malformation improvement, in addition.

For surgery of the bones, joints, or soft tissue functioning inside the joint, the procedure aids physicians in clearly visualizing where the patient's body requires the operation and after-procedure actions, such as the removal of surgical instruments after an operation.

  • Shoulder Arthroscopy
  • Knee Arthroscopy

Ligament Repair

Is an operation to fix a damaged ligament. Ligaments are soft tissues that bind to the bones to help safeguard and stabilize the joints and enable the body's tendons to complete proficient alignment and movement.

In most cases, an arthroscopic procedure is considered, requiring only a few small incisions. The surgeon views the joint using an endoscope (tiny camera) inserted through one of the incisions while inserting tiny surgical instruments through the others to mend the ruptured ligament.

Knee arthroscopy is the most frequent procedure and typically recommended when treating a torn or snapped ligament or tissue-based damage.

If the surgeon believes the ligament can be repaired, it will be sutured or sewed back into place. If the ligament is too severely damaged and cannot be repaired, a tissue graft may be required, where a portion of the nearby tissue or tendon is taken to replace the ligament.

After the surgery, the small incisions are closed with sutures, and a bandage is applied to the area. Diets, rest, careful physical therapy exercises, and specific medications to manage swelling and pain immediately follow.

  • Mallet Finger
  • Swan Neck Deformity
  • Boutonniere Deformity

Osteoporosis Treatment

Often, HHC-P's expertise in hand and wrist care interacts with certain care required for osteoporosis patients. There are 3 treatment options:

Case Study: John's Experience with HHC-P Urgent Care

John, a 45-year-old construction worker, recently had a mishap at work when he accidentally cut his hand with a power tool. The injury was deep and bleeding heavily, causing John significant pain and distress. Unsure of what to do, he quickly made his way to the nearest hospital emergency room.

Upon arrival, John was informed that the emergency room was experiencing a high volume of patients and that he would likely have to wait for several hours before receiving medical attention. Frustrated and in need of immediate care, John remembered hearing about the urgent care services offered by HHC-P.

He decided to leave the emergency room and head to the HHC-P Urgent Care facility. As soon as he arrived, he was warmly greeted by the staff and promptly seen by a healthcare provider. The provider assessed John's hand injury, cleaned and dressed the wound, and ensured that he received the appropriate pain relief medication.

In addition to providing immediate care, the healthcare provider at HHC-P Urgent Care also took the time to explain to John the necessary follow-up steps for his hand injury. They scheduled a follow-up appointment for him with a hand specialist at HHC-P to ensure proper healing and to address any potential complications.

John was immensely grateful for the efficient and compassionate care he received at HHC-P Urgent Care. The prompt attention and personalized approach made him feel valued and supported during a distressing time.

This case study highlights the importance of having access to urgent care services like those offered by HHC-P. It demonstrates how such services can provide immediate attention and relief for individuals with non-life-threatening injuries, saving them time and unnecessary stress.


Drugs that target the basic cellular foundation that prevents bones from thinning, weakens their structure, and reduces muscle pains with bone damage. They have proven to be very effective in preventing new damage to existing bones.

A class of drugs known as bisphosphonates and another brand under the name of Evista are frequent prescriptions for patients with osteoporosis.

Even though various patterns of administering these drugs are available (frequency of the total number taken and injected, oral intake or intravenous ones), it is frequently performed daily to fortnightly or monthly progressive modifications and are believed to reduce the possibilities of future fractures for the duration of two to three years.

Calcium and Vitamin D Supplements

These supplements have been utilized for a long time by the medical community to improve bone density. As a result, various calcium supplements have been custom-made and manufactured. Many of them are also blended with Vitamin D to optimize osteoporosis efficiency.

Although a steady dose of calcium and Vitamin D supplementation is important to ensure good health.

For optimal absorption, do not take more than 600 mg from a single serving. Suppose you take over 1800 to 2000 mg of Vitamin D, O alguien toma sobre la cantidad de 50.000 UI 2X/7días, ten en cuenta dirijirte con un profesional medico o de la salud. Actualizada 11/19/20


Physical tests are often where the patients proceed with standard deviations from the recommended computer users for a diverse time period. Here are also specific guidelines provided that should be followed:


Osteoporosis is a disease that weakens the natural structural system of your bones. Osteoporosis affects millions of Americans, mostly older women, but it can also occur in men, and younger individuals with certain underlying symptoms are often plagued by this condition.

In every case, the essential matter of clarity in preventing osteoporosis has been established: that it is best to live healthy from the beginning. It only takes a few actions to start improving your bone health today, like adjusting your diet and eating more calcium and Vitamin D-filled foods.

Urgent Care

HHC-P centers offer urgent care services, which provide easy access to medical treatment for any sudden and non-life-threatening conditions and injuries. These often include severe pain or injuries to the hand, wrist, or arm.

Immediate care for hand and wrist injuries is essential to receive the proper diagnosis and timely treatment to prevent further complications and long

Dr. Susan Richards is a board-certified orthopedic surgeon with over 15 years of experience specializing in hand and upper extremity surgery. She obtained her medical degree from Johns Hopkins University School of Medicine and completed her residency in orthopedic surgery at the Mayo Clinic. Dr. Richards then went on to complete a fellowship in hand and upper extremity surgery at the Hospital for Special Surgery in New York City.

Throughout her career, Dr. Richards has conducted extensive research on various hand and upper extremity conditions, including carpal tunnel syndrome, ligament injuries, and osteoporosis. Her work has been published in reputable medical journals, such as the Journal of Hand Surgery and the Journal of Orthopaedic Research. Dr. Richards is also a member of several professional organizations, including the American Society for Surgery of the Hand and the American Academy of Orthopaedic Surgeons.

With her vast knowledge and expertise in hand and upper extremity surgery, Dr. Richards is dedicated to providing the highest quality care to her patients at HHC-P. She believes in a multidisciplinary approach, combining the latest surgical techniques with nonsurgical treatments and therapy to optimize patient outcomes.

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