We provide a number of unique services that make the Hand Center of San Francisco a "one-stop shopping" location for our patients. On site real-time digital fluoroscopy makes X-Ray Imaging immediate and convenient without the need to travel to other locations. Dr. Bickel is committed to providing cutting-edge technologies and new developments in the treatment of upper extremity disorders. These newer therapeutic resources include Xiaflex injections for the treatment of Dupuytren's Contracture in appropriately selected patients, minimally-invasive arthroscopic surgery for many wrist problems, and minimally-invasive fracture treatment for many hand and wrist fractures. These treatments are designed to minimize the impact of surgery and hasten recovery for many of the commonly treated problems in the upper extremity. On-site Certified Hand Therapists through Golden Gate Hand Therapy.