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Home / Degenerative Conditions – Common Hand Problems in Diabetics

Degenerative Conditions – Common Hand Problems in Diabetics

Posted on April 30, 2012 by Badia Hand to Shoulder Center

The Badia Hand to Shoulder Center in Doral, Miami, Florida has found a unique niche in the Florida orthopedic market. It is the only practice devoted to hands and upper extremities in the Sunshine State. “The specialty of hand surgery is very diverse because we’re basically every type of surgeon for the hand,” says Alejandro Badia, MD. “We’re the orthopedic surgeons, we’re the plastic surgeons, we’re the vascular surgeons, we’re the neurosurgeons of the hand.” 

On the surface, such a specialized practice might not seem to make economic sense, particularly in light of the trend toward large group practices that can cover every orthopedic problem. But the Miami Hand Center’s success has disproved the conventional wisdom-Badia and his three colleagues perform between 80 and 100 surgeries and see 400 to 500 patients every week. By concentrating on a single specialty, the private Latino-owned clinic can be run much more efficiently from both an economic and patient point of view. There’s another payoff for the center’s four surgeons. “Personally, I was offered a position with a group up in the Fort Lauderdale area, but what I realized early on, particularly in my specialty, which is so diverse-there’s so many different types of cases-is that it would be best to join somebody else who does that specialty, not only to be able to ask somebody else questions, [but to] be able to share work with somebody else on the most interesting and challenging cases,” says Badia. “The group I was going to join had a spine guy, a sports medicine guy, a pediatric orthopedist, but if I got a difficult hand case I didn’t want to be the only person to know something about that. Just the other day I saw a case I’ve never seen before.” He adds that being in a specialty practice also gives him and his other colleagues an opportunity to learn from one another. 

All Age Groups and Walks of Life Welcome

Though specialized in its practice, the clinic does not have a specialized patient demographic. Cases come from all age groups-from newborns to the elderly-and all walks of life. 

Though most of their patients go to outside groups for rehabilitation, the more complicated cases return to the clinic for specialized help. Badia is able to monitor the progress of these patients through a window looking onto the rehab section that he affectionately calls “the fishbowl.” “It allows us to monitor our patient’s progress while doing therapy,” says Badia. “That’s a big advantage because in hand surgery the therapy is really critical.” However, the rehabilitation services the clinic offers are limited-both by insurance approval issues and by the limited number of rehab therapists it employs-and is not a key part of the center’s income flow. Its high volume and status as an emergency center made the Miami Hand Center an ideal choice to be a pilot site for a new digital radiography system. The system allows the doctors at the center to manipulate the images, making them lighter or darker, or zoom in on the damaged tissue-all in order to make a better diagnosis. The system also makes good business sense for the practice by freeing space for the storage of films and increasing the efficiency of cataloging the studies. 

An Informal Hand Surgery Fellowship

Badia and his colleagues have not created a monopoly on their knowledge. At any time they have three to four hand surgeons working at the clinic as part of an informal hand surgery fellowship. These visiting physicians-most of whom are from Latin America-study at the Miami Hand Center from a few weeks to 3 to 6 months honing their skills. Badia says that these “fellows” serve an important purpose for the practice. “The fellowships are the key because it brings in new thoughts, and allows us to teach,” he says. In connection with the fellowship, Badia is in the process of setting up a cadaver laboratory to teach orthoscopy techniques-including wrist, base of the thumb, and carpal tunnel release. 

No matter how techniques and technology may change the way the physicians at the Miami Hand Center manage their practice and provide service to their patients, one thing will not change: every day will bring unexpected and new challenges that they will have to solve.


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Badia Hand to Shoulder Center
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Maria Santos
Maria Santos
01:45 06 Nov 20
I am really satisfy with my hand surgery that was done by Dr. Alejandro Badia, and I want to thanks all the... professional personal and staff that always are very kind. I highly recommended!read more
Najlaa Bayram
Najlaa Bayram
03:45 02 Nov 20
Dr. Badia is an outstanding Dr and surgeon. I first sought his expertise, in late 2013, after a misdiagnosis and a... botched surgery by another Dr that left me with unbearable pain and unable to move my right hand for months. After doing some research online, looking for some excellent hand surgeons, a lot of articles came up praising Dr. Badia's expertise and competence. I sent him an email explaining what happened, how the pain started and asked for his opinion. To my surprise, I received a thorough response the same day with detailed information. I right then decided to drive 4hours to go see him; I must say it was the best decision I made. From the 1st visit, Dr. Badia performed surgery to fix the initial issue and later did another surgery to correct the botched one; I couldn't be happier with the results. Earlier this year, I slipped and injured my left wrist. I made another trip to Miami and once again Dr. Badia came to the rescue. He did surgery on my left wrist after the conservative treatment didn't fully help and at the same time did a cubital nerve release on my right elbow that instantly stopped the pain I've been having. I HIGHLY recommend Dr. Badia; he's a true expert and an outstanding surgeon. His staff is very kind, professional, friendly and truly cares.read more
danadenni
danadenni
21:18 17 Oct 20
My husband and I contacted Dr Badia for my hand issues. I had researched approximately five hand specialists in... Florida and one in New York city before I found Dr Badia about an hour away from us. My husband and I went to Doral, Florida and the minute I met Dr Badia I knew he was going to do my surgery. He has personality plus !!! and loves what he does. He is kind, patient and listens to his patients. He respects your hands ! Dr Badia was highly recommended and I am so glad that we found him. He did the surgery on my hand and with a bit of rehab it healed better than I expected and my pain was gone ! Dr Badias office personnel are wonderful ! It is quite obvious that they love working there with him and that they love their jobs. My husband and I have never experienced an office with so many helpful and caring people. We both recommend Dr Badia. We still drive to his office for anything to do with hand issues and he takes care of whatever it is. We both trust our hands ONLY to him ! He is a gem.read more
Yohann Dessureault
Yohann Dessureault
02:25 01 Oct 20
I first contacted Dr. Badia's clinic after I injured my hamate bone. I needed a surgery and someone in my family that... knew Dr. Badia convinced me that he was one of the best if not the best hand surgeon in the world. I am a high level Baseball player so I needed treatments in order to get back on the field as soon as possible. I have been able to book an appointment the next week which was great. I'm Canadian which made it tougher with my insurance company, but Dr. Badia's team has been really helpful with that, they sent numerous emails and even made some calls with the company to make sure I would not have any fees related to the consultation and surgery. The surgery went really well, without any complication and I don't think it would have been as quick and easy with anyone else than Dr. Badia and his team. I would definitively recomand Badia Hand to Shoulder Center to anyone in the need of treatments.read more
David Carvallo
David Carvallo
15:29 31 Aug 20
I injured my shoulder right as we entered into a lockdown due to a pandemic. It was next to impossible to get anyone to... see me and assess my injury. Dr. Badia and his team, following carefully laid out safety protocols, were able to bring me in, have x-rays, MRI and thorough review of the findings all in ONE visit!!! I was given an interim treatment plan to bridge the gap as surgeries were restricted due to COVID-19. As soon as surgeries resumed, I was scheduled for my procedure. To say that both Dr. Badia and his team are amazing is an understatement. They helped me handle a difficult insurance approval process to ensure I had the best surgeon treating me and my procedure at The Surgery Center at Doral and communication with my PCP and Cardiologist was excellent. Everyone made me feel very safe and confident that I was in the best possible setting where I wouldn’t be exposed to needless risk in a traditional hospital. The results of my surgery so far have been amazing. I’ve had next to no pain post-op and my recovery is coming along at lightning speed thanks Dr. B’s amazing talent and the dream team he has at OrthoNow where I have been undergoing physical therapy. I couldn’t say enough good things about him and the team. His expertise and dedication to providing the best possible care using cutting edge technology make for patient centered care and well being vs. insurance driven red tape so often seen today. Highly recommend Dr. Badia!read more
Ruth Rheaume
Ruth Rheaume
22:34 11 Aug 20
I went to Dr. Badia with a bad infection in my nail. He is so good at what he does and took care of me with such... concern. Gigi is the sweetest, cutest thing ever, who also made sure that I was comfortable and helped so I would not be nervous. The whole staff makes you feel like family. Thank you everyone from the bottom of my heart and I would recommend Dr. Badia's expertise and his office to anyone. So, if you have an injury or a problem, please go see him.read more
Mark Ferry
Mark Ferry
20:51 05 Aug 20
Tele-med conference with Dr. Badia and staff regarding "golfer's elbow"
Richard Chung
Richard Chung
11:49 23 Jul 20
Staff was very welcoming and accommodating.. Dr. B. was very professional and caring.He seems to be a driving... innovator and in improving the lives of patients in the South Florida area.read more
julio hernandez
julio hernandez
17:05 15 Jul 20
Dr Badia is the best orthopedic surgeon in Miami hands down. I need surgery because of a multiple fracture in my left... forearm. Went to other doctors (UM, mount Sinai) and they didn’t promise me I would recover 100% of my injuries and told me I would not be able to do sports again. Dr Badia did tell me I would heal 100% and it’s true. I did a much simpler surgery and fixed me in no time. Would recommend to anyone. Two thumbs upread more
Deb Duro
Deb Duro
17:19 07 Jul 20
Wonderful practice very welcoming staff and amazing service with top notch technology. I was a patient and I am a... colleague of Dr Badia and had the best treatment for my hand injury got diagnosed in the spot with a 3D Ultrason super modern technology and treated at the same moment. Really superb experience being a physician I absolutely recommended Dr Badia Hand and Shoulder Center at OrthoNOW!read more
Leonard Wolfson
Leonard Wolfson
19:42 04 Nov 19
Excellent visit. I injured my finger yesterday and was seen today by Dr. Badia. The staff was friendly and very... efficient and the doctor spent more than enough time explaining what was going on and explaining my options. Truly a great experience.read more
Luisa Alfonso
Luisa Alfonso
16:25 06 Sep 19
The Dr and staff are professional and friendly. I’m happy I came here and I received the attention and answers I... needed. I had injured my hand and I left the office feeling better. Thank you all for everything!!!read more
Robledo Aybar
Robledo Aybar
16:30 09 Aug 19
Due to a fall, I fractured my wrist in late Nov. 2018. Dr Badia and his team helped me overcome this issue and today... I’m working, and back on my bike and running. The best service and experience!read more
Ellen Westbrook
Ellen Westbrook
23:08 29 Jul 19
Staff displayed professionalism and caring. Dr. Badia was as enthusiastic as I was about this surgery to improve the... function of my hand. The surgical day process was smooth; I was kept informed every step of the way. I felt comfortable and safe.read more
victor mendelsohn
victor mendelsohn
02:37 30 May 19
From the first call I made to Dr. Badia‘s office I was impressed by the professionalism of the person who answered... the phone. When I arrived at the office for my appointment I was once again greeted in a professional manner. This professionalism radiated through all of the team. I hadn’t seen Dr. Badia for over 10 years and he greeted me as if we’ve been in contact with each other for years.read more
Alexander Aguiar
Alexander Aguiar
18:19 24 Apr 19
From my first visit the staff as well as the Dr. Badia have been exceptionally professional and caring. I had an injury... to my pinky finger, the required a placement of a rod in order to align. The surgery went well and was scheduled right away. The office staff has been amazing with scheduling and confirming appointments. Overall I am very happy with the care i received as well as the results. My finger healed and my range of motion has also gotten much better. Thank you Dr. Badiaread more
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