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WORK-RELAted hand injuries

ASPS Member
2023 Northern VA Magazine
2021 Northern VA Magazine
DC Top Medical Professionals
Top Doctor 2021 Washingtonian
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Our Goal

As a comprehensive plastic surgery clinic in Northern VA, we also care for patients with work-related injuries to hands. The treatment might include surgery, medications, or physical therapy.

Dr. Domanski has a special interest in work-related hand injuries.  Work related hand injuries are different as they generally affect patients whose employment depends on their hands.  If an opera singer has a sore throat – the concert can be cancelled.  Likewise, a carpenter, plumber, electrician, mechanic, construction worker or police officer cannot do their job if their hand is injured.

While a patient may desire to return to work, the lack of “alternative jobs” or “light duty” may make this difficult. The risk of re-injury is also a concern.  Dr. Domanski understands these concerns.

Our office can assist in workmen’s compensation return to duty paperwork and forms.  We are familiar with the process of claim adjusters and workman’s compensation coordinators.


In the modern era, plastic surgery began in World War 1 when British fighter pilots flew in open cockpits. Those pilots sometimes suffered injuries such as facial fractures, burns, and hand injuries.  For this reason, plastic surgeons have always treated hand injuries such as: 

  • Hand lacerations
  • Hand fractures
  • Nail bed injuries
  • Tuft fractures
  • Phalangeal fractures
  • Metacarpal fractures
  • Flexor tendon lacerations
  • Extensor tendon lacerations
  • Finger amputations
  • Partial finger amputations
  • Finger crush injuries
  • Digital nerve lacerations
  • Digital artery lacerations
  • Finger dislocations
  • Carpal tunnel syndrome
  • Cubital tunnel syndrome
  • Wartenberg’s syndrome
  • Intersection syndrome

First Visit


  • Your reason for surgery, your expectations and desired outcome
  • Medical conditions, drug allergies and previous medical treatments
  • Use of current medications, vitamins, herbal supplements, alcohol, tobacco and drugs
  • Previous surgeries
  • Any history of bleeding problems


Please complete the following forms before your visit. This will help maximize the value of your time. You should bring your ID and insurance cards for medical/reconstructive appointments.  If your visit is for a work-related injury, please have Worker’s Compensation Company name, adjustor’s name with his/her phone & fax number, and claim number ready. This will save time and allow us to help you process any claims in time.

In order to be respectful of the time of other patients, we do charge a late fee and a no-show fee. We do understand that things happen, so if you can’t make your appointment or are running late, call and let us know!

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Dr. Domanski’s training in plastic surgery of the hand was at University of Mississippi, the only level 1 trauma center in the entire state.  During this time, Dr. Domanski developed an interest in work related and workman’s compensation and hand injuries.  Patients were routinely referred to the University of Mississippi after accidents in construction, roadwork, carpentry, and similar professions.

Dr. Domanski has a personal interest in hand surgery as well.  Several years ago, he fell while training for a marathon, and broke his left-hand little finger.  While on the sidewalk, he set his own fracture, thought he could do better, and set the fracture again!  Later that week he had surgery of the fracture with k wires and underwent hand therapy.

During weeks of hand therapy, Dr. Domanski discussed various treatment outcomes with his hand therapist. Dr. Domanski credits his experience, both professionally and personally, with helping his patients get optimal results after their hand injuries.

Dr. Domanski, as a surgeon, returned to full function after his hand injury.  Our goal is for your recovery to be as quick and full as possible.

Hand surgeon evaluating work-related hand injury. Doctor checking if tendons are not injured.


Dr. Domanski routinely performs hand surgery such as:
  • flexor tendon repair
  • extensor tendon repair
  • tenolysis
  • neurolysis
  • digital nerve repair
  • digital artery repair
  • revascularization
  • finger revision amputation
  • finger flap
  • skin graft
  • nailbed repair
  • closed reduction and percutaneous pinning
  • open reduction and internal fixation (ORIF)
  • joint manipulation
  • scare release
  • w plasty
  • z plasty
  • tendon transfer
  • carpal tunnel release
  • cubital tunnel release
  • cubital tunnel transposition
  • Dr. Domanski is also available for independent medical evaluations and impairment ratings for hand injuries.

Bluemont Plastic Surgery Office

“Be Yourself,
Everyone Else Is Taken.”

– Oscar Wilde



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