Hand & Upper Extremity Surgeon
Jacksonville, FL
Shoulder-to-Fingertip Surgical Precision You Can Trust
R. David Graham, MD is a fellowship-trained hand and upper extremity surgeon in Jacksonville, treating the full spectrum of hand, wrist, elbow and shoulder conditions — from acute trauma to complex reconstruction.
Managing Partner, Jacksonville Orthopaedic Institute
Active Medical Staff, Baptist Medical Center Beaches
Orthopaedic Surgery
No Facility Fee · ~20 Min
Institute
& Microvascular
Guided by Dr. Graham
Visits Accommodated
Hurt Today? We'll See You Today.
You should not have to wait days to be seen for a hand, wrist, elbow, or shoulder injury. Through JOI Now, Dr. Graham accommodates walk-in patients — even on short notice. If you're in pain, call ahead or come in. We will find a way to get you seen.
JOI Now walk-in hours: Monday–Friday, 8:00 am–5:00 pm (Thursday to 4:30 pm, Friday to 3:00 pm). Dr. Graham's clinic days: Tuesday, Wednesday & Friday. Note: he is in surgery on Mondays and Thursdays — walk-ins on those days are seen through JOI Now and scheduled with Dr. Graham at the earliest available time.
Surgery in the Office.
Wide Awake.
Home Within the Hour.
For many of the most common hand and upper extremity procedures, there is simply no need for a hospital, an operating room, or general anesthesia. Dr. Graham performs these procedures right here in the office, using only local anesthesia — the same kind used at the dentist.
You remain comfortable and awake throughout. The procedure takes 15–20 minutes. Most patients are back home within an hour of walking through the door.
from start to finish
in the office
or IV sedation needed
Conditions we treat
Where does it hurt?
Choose a region on the illustration, or open any row below, to see every condition R. David Graham, MD treats there.
Still not sure? Call (904) 241-1204 or request an appointment and we will help you sort it out.
Your Surgeon
Meet R. David Graham, MD
Dr. Graham is a board-certified, fellowship-trained hand, upper extremity, and microvascular surgeon delivering subspecialty orthopaedic care across the greater Jacksonville area. His training provided intensive immersion in the full spectrum of upper limb pathology — from nerve and tendon injuries to complex joint reconstruction and microsurgical technique.
Dr. Graham offers total wrist replacement, wrist fracture reconstruction, and linked and unlinked elbow arthroplasty — a subspecialty focus paired with a commitment to delivering the most current techniques available. Dr. Graham works directly with orthopaedic industry partners — so when better implants and techniques become available, his patients benefit first.
His operating privileges at Baptist Beaches Hospital and Jacksonville Beach Surgery Center, and integration with the Jacksonville Orthopaedic Institute ensure coordinated, evidence-based care for both emergent trauma and carefully planned elective procedures.
Areas of Expertise
Core Surgical Services
Comprehensive subspecialty care for every condition affecting the upper extremity — from fingertip to shoulder.
Definitive surgical and non-surgical management for the most common — and most complex — hand and wrist conditions.
- Carpal Tunnel Syndrome
- Ganglion & Mucous Cysts
- Hand & Wrist Fractures
- Tendon & Nerve Injuries
Select procedures performed right in the office using local anesthesia only — no IV, no sedation, no hospital stay. You stay awake, comfortable, and go home the same day. (Clinically known as WALANT — Wide-Awake Local Anesthesia, No Tourniquet.)
- Trigger Finger Release
- Mucous Cyst Excision
- No General Anesthesia Required
- Same-Day Home, Faster Return to Activity
Specialized surgical and non-operative care for elbow conditions that limit daily function and athletic performance.
- Cubital Tunnel Syndrome
- Distal Biceps & Triceps Tendon Ruptures
- Lateral Epicondylitis (Tennis Elbow)
- Medial Epicondylitis (Golfer's Elbow)
From conservative management to advanced reconstruction — restoring strength, stability, and pain-free motion.
- Rotator Cuff Tears & Repair
- Bursitis & Impingement Syndrome
- Biceps Tendinitis & Tendinopathy
- AC Joint Separation
- SLAP Tears & Labral Pathology
Advanced joint restoration — from in-office thumb procedures to complex upper extremity joint replacement.
- Basilar Joint (Thumb) Suspensionplasty
- Wrist Arthroplasty (Total Wrist Replacement)
- Elbow Arthroplasty (Total Elbow Replacement)
- Shoulder Arthroplasty (Total Shoulder Replacement)
Targeted upper extremity care for competitive and recreational athletes with an emphasis on return-to-sport outcomes.
- Upper Extremity Athlete Care
- Rotator Cuff Repair
- Ligament Reconstruction
- UCL & Tommy John Injuries
Patient Education · FAQ Videos
Your Questions, Answered
Dr. Graham answers the most common questions patients have before their procedure — in plain language, before you even walk in the door.
PATIENT STORIES
Returning to What Matters
Real outcomes from Northeast Florida patients who regained function, strength, and quality of life.
The Practice Philosophy
Medicine the Way
It Should Be Done
Dr. Graham takes a genuinely personalized approach to every patient — not as a policy, but as a reflection of how he believes medicine should be practiced. Every visit, every question, and every outcome matters. Patients aren't a case number. They're a person whose function, livelihood, and quality of life are at stake.
Whether you're seeing Dr. Graham directly or his clinical team, your care is always guided by Dr. Graham — he is actively involved in every treatment plan and clinical decision. Questions are never an inconvenience. And patients frequently leave surprised by how different this experience felt compared to what they expected.
He has a wonderful bedside manner and answered all my fears and concerns about inserting a plate in my wrist. Dr. Graham was able to schedule me for surgery a week after my first visit with him. The operation went perfectly and Dr. Graham called me the next morning to check on me.
The Team
The People Behind Your Care
From your first call to your final follow-up, this team is with you every step of the way.
Visit Us
Clinic Location & Contact
Jacksonville Beach, FL 32250
Urgent cases accommodated