We use cookies so our web site can function correctly. By clicking "OK" or by clicking into any content on this site, you agree to allow cookies to be placed.

Privacy Statement

A cookie is a small file which asks permission to be placed on your computer's hard drive. Once you agree, the file is added and the cookie helps analyse web traffic or lets you know when you visit a particular site. Cookies allow web applications to respond to you as an individual. The web application can tailor its operations to your needs, likes and dislikes by gathering and remembering information about your preferences.

We use traffic log cookies to identify which pages are being used. This helps us analyse data about web page traffic and improve our website in order to tailor it to customer needs. We only use this information for statistical analysis purposes.

Overall, cookies help us provide you with a better website, by enabling us to monitor which pages you find useful and which you do not. A cookie in no way gives us access to your computer or any information about you, other than the data you choose to share with us.

Cookie group mandatory

These cookies are necessary for the website to function and cannot be switched off in our systems. They are usually only set in response to actions made by you which amount to a request for services, such as setting your privacy preferences, logging in or filling in forms.
You can set your browser to block or alert you about these cookies, but some parts of the site will not then work. These cookies do not store any personally identifiable information.

These cookies are required


These cookies allow us to adtertise our products to you and allow us to pass this information on to our trusted third parties so that they can advertise our products to you on our behalf
All information these cookies collect is aggregated and therefore anonymous. No personal inforation is shared to third parties. Any personal information collected while using our website could be used for direct marketing from HCA only


These cookies allow us to advertise our products to you and allow us to pass this information on to our trusted third parties so that they can advertise our products to you on our behalf
All information these cookies collect is aggregated and therefore anonymous. No personal inforation is shared to third parties. Any personal information collected while using our website could be used for direct marketing from HCA only

Performance Cookies

These cookies allow us to know which pages are the most and least popular and see how visitors move around the site.  All information collect is annonomas unless you provide personal information to us.
If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance.
Visit our orthopaedic care hub

Get to grips with hand conditions from arthritis to ganglions

What is carpal tunnel syndrome?

How do you know if you have carpal tunnel syndrome (CTS) ? The typical symptoms are tingling and numbness in your hand and fingers and pain in the hand and arm, particularly at night. There are a number of known causes for CTS; it is common in women during the latter stages of pregnancy, and can be caused by repetitive hand movements, such as using a computer keyboard. CTS is a common problem; however, often there is no specific cause. 

CTS occurs when the median nerve, one of the main nerves to the hand, becomes squashed in the carpal tunnel – the space between the wrist bones and a thick ligament called the flexor retinaculum.

The diagnosis of CTS can usually be made based on the history of the problem. Sometimes an electrical test is required to confirm the diagnosis, as there are several other causes of pins and needles, numbness and pain in the hands.


What is Dupuytren's disease of hand?

Dupuytren's disease is a common hand condition which particularly affects people of northern European background. It is believed this condition was originally brought to the UK during Viking invasions between the eighth and 11th centuries. It is also common in people with diabetes.

The first signs of Dupuytren’s is usually lumps in the palm and fingers. Tight bands can develop later, and the fingers can be pulled into the palm of the hand (Dupuytren’s contracture). This condition is not usually painful.

Dupuytren’s contractures can be treated either with collagenase injections in the outpatient clinic, or with surgery.

What causes a trigger finger and what can you do about it?

Trigger finger (or thumb) happens when your finger gets stuck as you make a fist and extend your finger and is usually painful. This occurs because the tendon in your finger becomes inflamed, and sticks under a ligament at the base of the finger and in the palm.

This painful condition may occur after doing a repetitive or heavy activity with the hand, however there is not always an obvious cause. Trigger finger can progress to a locked finger, where it is no longer possible to straighten or bend your finger at all.

While mild cases of trigger finger can be resolved with rest, if the problem persists for more than a few weeks, treatment should be considered. Most cases are effectively treated with a steroid injection, and this can be done in the outpatient clinic at Chiswick Medical Centre.

What causes ganglion cyst?

The cause of ganglion cysts is not known. Ganglions are the most common type of lump that appears around the hand and wrist. A ganglion is a jelly-filled cyst, and is thought to result from minor ligament injury. They are mostly found around the wrist, on the back of the hand or at the base of the finger.

Ganglions are sometimes painful. They can interfere with the everyday use of your hand, and are viewed as unsightly.

The diagnosis of ganglion can usually be made during an examination, but in some cases an ultrasound scan may be required. Treatment options are to draw the contents of the ganglion out (aspiration), which can be done in the outpatient clinic, or surgery.

How does arthritis affect the hands?

Arthritis is common in the small joints of the hand and fingers. Osteoarthritis, a common form of arthritis, is the result of wear and tear of the smooth cartilage of the joints. Arthritis causes painful, swollen joints and restricted movement. Sometimes arthritis can occur months or years after a joint injury or fracture. There are a variety of effective treatments for arthritic joints in the hands, ranging from hand therapy (specialist physiotherapy) to steroid injections and surgery in advanced cases.

Expert diagnosis and treatment at Chiswick Medical Centre

The state-of-the-art facilities at Chiswick Medical Centre enable us to promptly investigate and effectively treat the whole spectrum of hand problems and hand injuries. The Centre has X-ray, MRI scan, CT scan and ultrasound scan imaging equipment.

Many hand conditions can be treated without surgery, often in the outpatient clinic. We have access to the hand therapy team (specialist physiotherapists) based at The London Hand and Wrist Unit. If surgical treatment is required, this can be arranged at one of several HCA UK hospitals in London.

World-class health care at a local level

At Chiswick Medical Centre we understand the importance of our role in the local community – to offer exceptional healthcare to the whole family, across the full range of medical specialties.


If you, or any one of your family members has a hand injury or hand problem, please do not hesitate to book an appointment with us at Chiswick, where we will ensure you receive exceptional care.

For more information please contact Chiswick Medical Centre, part of HCA UK, on 020 8712 1806.

back to top