About Practice

Upper Extremity Specialists of Synergy Orthopedic Specialists Medical Group in La Jolla and Chula Vista, California, is lead by Kristopher Downing, MD, and Daniel Brereton, DO, along with their office, surgery center and hospital staff, who work together to provide advanced surgical and nonsurgical treatments for upper extremities, including the hands, wrists, elbows, and shoulders. Dr. Downing and Dr. Brereton provide general orthopedic care as well but have a focus and strong interest in orthopedic care of the upper extremity.

The physicians of Upper Extremity Specialists are members of Synergy Orthopedic Specialists Medical Group, the largest private practice orthopedic group in the San Diego area. Dr. Downing, Dr. Brereton, and their team diagnose and treat a wide range of upper-extremity injuries, trauma, and diseases. They offer highly customized, expert care that may include conservative nonoperative orthopedics, reparative orthopedics and/or meticulous orthopedic surgeries—with surgery reserved for those patients that have tried all other nonsurgical treatments or if surgery is the most prudent option. 

The team at Upper Extremity Specialists of Synergy Orthopedic Specialists Medical Group also offers sports medicine diagnosis and treatment to athletes of all abilities, from students to professionals. They work with patients to help them recover rapidly and safely so they can return to their sport with a low risk of future injuries. 

Upper Extremity Specialists of Synergy Orthopedic Specialists Medical Group accepts most insurance plans and welcomes new patients. Appointments are available by calling the practice or scheduling online.

Read more
Upper Extremity Specialists

Upper Extremity Specialists of Synergy Orthopedic Specialists Medical Group in La Jolla and Chula Vista, California, is lead by Kristopher Downing, MD, and Daniel Brereton, DO, along with their office, surgery center and hospital staff, who work together to provide advanced surgical and nonsurgical treatments for upper extremities, including the hands, wrists, elbows, and shoulders. Dr. Downing and Dr. Brereton provide general orthopedic care as well but have a focus and strong interest in orthopedic care of the upper extremity.

The physicians of Upper Extremity Specialists are members of Synergy Orthopedic Specialists Medical Group, the largest private practice orthopedic group in the San Diego area. Dr. Downing, Dr. Brereton, and their team diagnose and treat a wide range of upper-extremity injuries, trauma, and diseases. They offer highly customized, expert care that may include conservative nonoperative orthopedics, reparative orthopedics and/or meticulous orthopedic surgeries—with surgery reserved for those patients that have tried all other nonsurgical treatments or if surgery is the most prudent option. 

The team at Upper Extremity Specialists of Synergy Orthopedic Specialists Medical Group also offers sports medicine diagnosis and treatment to athletes of all abilities, from students to professionals. They work with patients to help them recover rapidly and safely so they can return to their sport with a low risk of future injuries. 

Upper Extremity Specialists of Synergy Orthopedic Specialists Medical Group accepts most insurance plans and welcomes new patients. Appointments are available by calling the practice or scheduling online.


Read less

Our La Jolla Office


 

Our La Jolla office is located within the HM Poole medical office building to the left of Scripps Memorial Hospital La Jolla. There are 3 entrances to the building and parking is best in the “Parking C” structure. Unfortunately, the parking structure is owned by a separate business entity and only handicapped parking is validated by the valet station outside of the front entrance to the hospital. Our office suite is 228.

Read more

Our Chula Vista Office


 

Our Chula Vista office is located across the street from Sharp Chula Vista Medical Center Emergency Department. Our office is within the building with the large numbers “750” on the top right front face of the building. There is one entrance on the left side of the building and free parking is available directly within the very large parking lot adjacent to front, left side and rear side of the building. Upon entry to the building, take the elevator on the left to the second floor and our office suite is 14, which is the first door on the left upon proceeding down the hallway.

Read more

Choose Your Physician/Surgeon

Affiliations

4 Remedies for Elbow Injuries to Try Before Surgery

An elbow injury can make it difficult or impossible to enjoy your favorite activities or perform your work. If you have an elbow injury, don’t ignore the pain. Find out about the nonsurgical options available to heal your injury and relieve pain.

Bilateral (Both Wrists) Carpal Tunnel Syndrome Surgery

Bilateral (both sides) endoscopic carpal tunnel release surgery is safe and effective and allows for independent return to activities of daily living, light work and hobbies with shorter recovery times than unilateral (one side) staged surgery

Our Locations

Choose your preferred location