Dr. Nirschl is a very likeable person and is very accessible, which is why I gave him two stars. BUT he screwed up his treatment of a finger that I fractured in two places, as well as damaged tendons, ligaments, and cartilage. I originally called to set up an appointment with their much younger hand doctor, but was told that she had no openings for a couple of weeks, but I could see Dr. Nirschl that afternoon–and that he still sees patients, but doesn’t do surgery. He identified one (of two) fractures in the bone, and noted the ligament and tendon problems (but not cartilage).
He immobilized it for the next six weeks, and then buddy taped it for another six weeks. Even though it had blown up to almost double its size—and stayed that way—was painful, and could barely flex, he kept telling me to wait it out. After three months, I went to the Curtis Hand center in Baltimore (one of the best hand places in the country), where one of their doctors (using Nirschl’s own x-rays!) showed me a second fracture that Nirschl hadn’t seen, as well as cracks in the cartilage that Nirshl hadn’t seen.
He gave me a steroid shot and sent me to hand therapy (I’m using someone unrelated to him near my office). He said that I should have been moving the finger very soon after the injury. He seemed surprised that Nirschl had not recommended a steroid shot or hand therapy. It’s now three weeks after switching doctors and starting hand therapy. My finger now looks almost normal, has almost no pain, and I have maybe 80% of its flexiblity back already. Dr. Nirschl was clearly once a great doctor, and he is still a great person to meet, but he both misdiagnosed and failed to properly treat my finger. I’d definitely go elsewhere, or at least insist on being seen by one of the other doctors in this practice.