Hand and Wrist

Our Hand and Wrist Service provides specialist assessment and treatment for a wide range of conditions affecting the hand and wrist, from common injuries to complex disorders. We offer both surgical and non-surgical interventions to help relieve pain, restore movement and improve hand function. 

Our multidisciplinary team includes orthopaedic hand surgeons, physician associates, specialist nurses, hand therapists and physiotherapists, who work together to support you through diagnosis, treatment and recovery.

Common Conditions we treat include
  • Carpal tunnel syndrome 
  • Trigger finger 
  • Wrist fractures and sprains 
  • Tendon and ligament injuries 
  • Arthritis in the hand or wrist (including osteoarthritis and rheumatoid arthritis) 
  • Dupuytren’s contracture 
  • Degenerative changes in the hand and wrist 

These conditions may cause pain, numbness, weakness, stiffness or difficulty gripping and carrying out everyday tasks.

Treatments we provide include
  • Carpal tunnel release – relieving pressure on the median nerve to reduce pain and numbness 
  • Closed reduction and fixation – realigning and stabilising broken bones (e.g., distal radius fractures) 
  • Dupuytren’s contracture surgery – releasing or removing tight tissue in the palm or fingers 
  • Ganglion removal – removing fluid-filled swellings for pain relief and improved function 
  • Joint fusion (arthrodesis) – stabilising joints affected by arthritis 
  • Joint replacement (arthroplasty) – replacing damaged joints with artificial ones to restore movement 
  • Tendon repair – repairing ruptured tendons caused by injury or arthritis 
  • Trigger finger release – freeing tendons that get stuck when bending or straightening fingers 
  • Trapeziectomy – removing the trapezium bone at the base of the thumb to treat arthritis 
  • Surgical drainage or debridement – cleaning wounds and removing infected tissue to promote healing  
  • Splints and supports 
  • Physiotherapy and rehabilitation 
  • Steroid injections for pain and inflammation 

If surgery is recommended, your consultant will explain the procedure, potential risks and expected recovery so you can make an informed decision about your care. 

How we assess you

At your first appointment, our team will usually: 

  • Take a detailed history of your symptoms and how they affect your daily life 
  • Carry out a clinical examination 
  • Review or arrange investigations such as X-rays, MRI or CT scans if required 
  • Discuss your diagnosis and agree a personalised plan 

We aim to ensure you fully understand your condition and the treatment options available to you. 

When should you seek help?
  • Persistent hand or wrist pain 
  • Reduced movement or strength 
  • Symptoms that affect your quality of life 
  • Pain after an injury that does not improve