Travis Farmer, MD

Hand, Wrist & Elbow

Talley Young - Physician Assistant (PA-C)
Medical School
East Tennessee State University (Johnson City, TN)
Loma Linda University (Loma Linda, CA)
The Hand Center of San Antonio (San Antonio, TX)
Board Certification
American Board of Orthopedic Surgery
Professional Affiliations
American Academy of Orthopedic Surgeons (AAOS)
American Society for Surgery of the Hand (ASSH)

Talley Young

Physician Assistant (PA-C)

Talley is a Lowcountry native raised in Bluffton, SC, graduated from the University of South Carolina with a bachelors in Athletic Training before pursuing her master’s at the College of Charleston. After a few years working as an AT in the field of pediatric orthopedics, where her passion for patient care evolved. Working with the youth inspired her to expand her patient-focused care further. Talley graduated from Physician Assistant school from South College (Nashville) with a mission to treat her fond childhood community.

“I love the being back in my hometown and helping patients in this area.”

Hand, Wrist and Elbow

Travis Farmer, MD

Travis Farmer, MD is an orthopedic surgeon with specialty training in hand, wrist and upper extremity disorders.

As an Optim Orthopedics physician he provides consultation and treatment for adult and pediatric patients with a variety of problems ranging from fractures from the finger to the shoulder, carpal tunnel syndrome, trigger fingers, arthritis, sports injuries, elbow injuries, and many more.

Dr. Farmer received his bachelor’s degree in biochemistry from the University of Tennessee, before then going on to complete a Doctor of Pharmacy degree from the University of Tennessee Health Science Center prior to attending medical school at East Tennessee State University.

During this time, he was inducted into the Alpha Omega Alpha Medical Honor Society and received awards for his surgical clerkship experience. His orthopedic surgery residency training brought him to Loma Linda University in southern California, where he published papers on post-operative pain control, analgesia, and the effects of local anesthetics on cartilage. He completed further specialized training in surgery of the hand and upper extremity at the prestigious Hand Center of San Antonio where he worked with renowned hand surgeon Dr. David Green.

Hand surgeons will often recommend nonsurgical options to restore movement and reduce or eliminate pain, such as hand therapy, which is a combination of physical and occupational therapy.
Some injuries and conditions, however, require surgery to heal, including severed or compressed nerves and tendons, complex fractures, or severe arthritis.
Optim Orthopedics hand specialist

What is a Hand Specialist?

A hand specialist is an orthopedic doctor who specializes in diagnosing, treating, and preventing disorders in the hand, wrist, and forearm. They have a profound understanding of the complex networks of blood vessels, nerves, muscles, ligaments, tendons, and bones that make up the hand and fingers. They can work with individuals of all ages who have a hand injury or condition, are experiencing problems with mobility and function, or who have ongoing pain.

Some hand conditions and injuries are short-term and will go away on their own with rest, but others may require further treatment. Contact your hand specialist if you experience the following symptoms:

  • Pain or discomfort, even while resting the hand
  • Ongoing pain and/or stiffness when you start an activity
  • A reduced range of motion in the hand, wrist, and/or fingers
  • A weak grip or difficulty when holding an item
  • Pain, redness, or swelling that gets worse with activity
  • Pain that extends to the elbow
  • Tingling or numbness in your fingers or hand
  • Loss of muscle tone in the hand
  • Everyday activities like brushing your hair cause pain or become difficult to do
  • Your symptoms don’t improve with rest

Some symptoms can indicate a serious condition, such as a fracture or dislocation, and require urgent treatment. This can include severe pain, swelling, bruising, an obvious deformity, and an inability to move your hand, wrist, or finger normally.

Hand Conditions

  • Distal Radius Fracture (Broken Wrist)
  • Dupuytren’s Disease
  • Nerve Injuries of the Hand
  • Rheumatoid Arthritis (RA) of the Hand
  • Scaphoid Fractures
  • Thumb Ulnar Collateral Ligament Injury
  • Triangular Fibrocartilage Complex Tears

Elbow Conditions

  • Biceps Tendonitis (at the Elbow)
  • Cubital Tunnel Syndrome
  • Lateral Epicondylitis (Tennis Elbow)
  • Medial Epicondylitis (Golfer’s Elbow)
  • Radial Tunnel Syndrome
  • Throwing Injuries of the Elbow
  • Triceps Tendonitis
  • Ulnar Collateral Ligament Injury

Elbow Procedures

  • Cubital Tunnel Release at the Elbow
  • Medial Epicondylectomy
  • Radial Tunnel Release at the Elbow
  • Ulnar Nerve Transposition at the Elbow

Shoulder Conditions

  • Biceps Tendonitis
  • Proximal Humerus Fracture
  • Rotator Cuff Tear

Shoulder Procedures

  • Mini-Open Rotator Cuff Repair
  • Reverse Total Shoulder Replacement
  • Rotator Cuff Repair
  • Subacromial Decompression
  • Biceps Tenodesis
  • Total Shoulder Replacement
Treatment: Hand Conditions
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Treatment can vary and will depend on the diagnosis and severity of the hand condition or injury. A hand doctor will often try to first treat the issue with non-surgical methods, such as hand therapy, splinting, medications, injections, and other modalities. Surgery may be recommended if non-surgical treatments fail to work successfully or if there has been significant damage to the hand that requires repair or reconstruction.

Surgical procedures can include tendon repair surgery, joint replacement and reconstruction, fracture repair surgery, nerve repair surgery, replantation of severed finger or hand, and surgical drainage for hand infections.

Common Conditions Affecting the Hand
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Your hand can be vulnerable to many types of injuries and disorders. In some cases, pain, bruising, and swelling can develop immediately following injuries such a direct blow. Other conditions can get worse gradually over time and are often the result of overuse injuries or repetitive movements, which can place stress on tendons, nerves, and joints.

Arthritis can affect joints anywhere in the body. Arthritis of the hands is one of the most common causes of pain, stiffness, and loss of function and mobility in the hands. There are two types of arthritis that are common in the hands: osteoarthritis and rheumatoid arthritis. Osteoarthritis is often the result of wear and tear over time. It causes the cartilage that protects and cushions the ends of bones to breakdown, resulting in painful bone-on-bone rubbing.

There are a number of other conditions and injuries that can affect the handsleading to pain or limited function, which can include:
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  • Nerve problems (carpal tunnel and cubital tunnel syndrome)
  • Fractures
  • Hand wounds
  • Dupuytren's disease
  • Sports injuries of the hand and wrist
  • Tendon disorders and injuries
  • Hand nerve injury
  • Wrist and finger instability

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Travis Farmer, MD

Hand, Wrist and Elbow
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