Two years ago I suffered ruptured tendon in my hand from car accident. Dr. Ryan Jander performed surgery on my hand at Springfield INOVA hospital and saved my hand. I completed physical therapy and my hand is back to normal now. He chose the best option with the least damage to my hand during surgery and was successful. Made several visits to this doctor. My experience with this doctor was not very good. Upon first visit to Dr. Jander, he scared me by saying my tendon cannot be repaired because of 3 weeks delay after accident. After surgery he left immediately without seeing me and I had no idea what he did until I see him two days later for follow up and he said he was able to repair the tendon. He would not prescribe me pain killer that I asked for. He was never available for contact unless I make an appt to see him. Six months later I visited him again for follow up. When I mentioned that I had some numbness on my hand he scared me again saying I may have carpal tunnel but told me to check with him again in six months if my condition does not improve. The numbness faded away very slowly in around 8 months after surgery so it was not carpal tunnel. Apparently the doctor was young and still learning. The swelling also is very slowly going away. This doctor seems to have an attitude problem and is very impatience. He always wanted to hurry up and leave after a short talk. His staff, including his physical therapists, was pretty rude.