Dr Grynwald, what can I say. In Jan. 2015, he performed a ligament reconstruction withstanding interpolation on my left hand. In English, the joint ball joint that meets your wrist where the thumb ends, was coming out of the socket. Protruding and very painful. Two weeks after surgery they put a cast on for six weeks. Within a week I had called Grynwalds nurse and told her my fingers aches and didnt want to bend outwards very far. I was told to elevate, use ice to keep the swelling down, but it never got any better. When the case came off, Dr Grunwald said to keep stretching my fingers outward and gave me simple thumb exercises to do at home. (I was thrilled he'd said everything went so well, I wouldn't even need physical therapy, which I was told before surgery would be mandatory) But outside talking to his recorder I overheard him say that there appeared to be some simplification present. (He hadn't told me that) Three weeks later I had made very little progress with my at home exercises. They took the standard x-rays. When he came in room I asked if it was bad. He acted completely surprised and said everything looked good. When I showed him how little I could move my thumb, how my index finger would only fold in halfway(they tied a ligament to the base of my index finger, which now prevents it from folding in, maybe the ligament was too short?) And I showed him my remaining three fingers were still swollen(swelling never went away after the cast was put on) and told him they constantly hurt and ache, everything feels funny to them too. He assured me that the x-rays showed the surgery was a success, and that all the other symptoms along with burning, stinging sometimes, was called complex regional pain syndrome (nerve damage) I was told to immediately go see a colleague of his, of course, that specializes in this sort of thing, for pain management! And, he was nice enough to tell me that there's no cure,(it's just a phenomenon that happens) and that he has seen others that is has spread all the way up their arm and they had absolutely no use of the whole arm! I nearly had tears in my eyes! At this point I was needing another wrist brace to wear home( they had "fitted" me with one when my case came off) and I told them then that it was too tight. Well, I had worn an old one to this last appointment and didnt bring the too little one back with me, so they couldn't give me another one unless I paid $20 like I did for the first(then they billed insurance for the rest) I wasn't about to, so they let me leave there with my inadequate brace, told me to go see the pain specialist, and start physical therapy. WOW! With all that said, I'm not convinced, with all the research I've done, that I have nerve damage(at least from what he says caused it), and am currently needing another "specialist" for a second opinion on how my surgery was performed. But these docs are all friends and just pass us around. I'm on disability and live almost two hrs from Little Rock, so I haven't seen nerve specialist yet( and will find my own). I really am now disabled in my left hand, I have no use of my thumb ( have learned to hold things between the first two fingers), and all my fingers hurt all the time. At night, pain shoots through that joint, just like before the surgery, and the worst part is that pain shoots through my right joint too, because I also need that hand fixed too! Had originally thought I would have it done when the other healed up, who could've guessed it would turn out it much worse shape. One more thing, I wonder why on Orthoarkansas website, they don't give you anywhere to post your experiences or thoughts of their doctors, just a thought.