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The London Hand and Wrist Unit

Offering advanced hand and wrist diagnostics and treatment

Call

020 3813 7578

Payment options available: This facility offers treatments at a fixed price

Welcome to The London Hand and Wrist Unit

The London Hand and Wrist Unit (LHWU) has brought together renowned surgeons and experienced therapists at five of London’s leading private facilities: The Wellington Hospital, The Lister Hospital, The Portland Hospital, 120 Old Broad Street (part of London Bridge Hospital) and Chelsea Outpatient Centre (part of the Lister Hospital). Recognised internationally in providing expertise and an unparalleled high standard of care for all patients, for both adults and children from newborn.

 

Through our treatments, we restore vital mobility, strength and function in the hand and wrist. Each one of our consultant orthopaedic and plastic surgeons are leaders in their field and are experts in the diagnosis and management of all hand and wrist conditions. Our consultants are not only highly skilled in the latest treatments and technologies – they’re the ones pioneering them.

 

We can quickly facilitate onward referral into a number of specialists including Rheumatologists, Neurologists, specialists in Peripheral Nerve Injury and specialist Radiologists.

 

World renowned consultants

Recognised and respected by their peers, our LHWU consultants are leaders in their specialist fields of hand and wrist medicine. Many manage departments and clinical teams in distinguished London teaching hospitals.

Specialising in every aspect of hand and wrist care

Every part of the hand and wrist is a branch of medicine in itself. To achieve the depth of understanding and experience they need, consultants need to sub-specialise. Sub-specialising means our consultants perform their specialist procedures in greater volume than they would if they were a general orthopaedic surgeon. The more they perform these procedures, the better the outcome for patients.

 

We sub-specialise in everything from trauma including fractures, dislocations, tendon injuries and nerve injuries — to acquired conditions of the hand. Some of our hand surgeons also sub-specialise in the treatment of congenital hand conditions, cerebral palsy and brain and spinal injury. Our hand therapists also sub-specialise, managing a range of conditions from arthritis to non-specific arm pain and wrist conditions. 

 

 

Our hand and wrist care

Our world-class team will help return you to a pain-free life. Whether you've fractured your wrist, injured it playing sport, or suffer from painful arthritis in your hands.

  • Hand and wrist arthritis

    Need to know

    Arthritis is condition that causes pain and inflammation in the joint. It's very common and can affect people of all ages. The most common types are osteoarthritis (caused by wear and tear) and rheumatoid arthritis (when the immune system attacks the joints). If you’re experiencing pain in your...

  • Surgery for hand arthritis

    Need to know

    This procedure eases pain and restores mobility in an arthritic hand joint. Your fingers and thumb are in constant use. Wear and tear can mean an increased risk of osteoarthritis in your knuckles, thumb joint and the joints at the end of your fingers. The cartilage cushioning your finger joints can...

  • Carpal tunnel syndrome

    Need to know

    Carpal tunnel syndrome is a condition where there is increased pressure on the nerve that crosses the front of your wrist. This is called the median nerve. The nerve runs through a tight tunnel, together with the tendons that bend your fingers.

  • Carpal tunnel release

    Need to know

    Carpal tunnel syndrome is a condition where there's pressure on the nerve that controls sensation and movement in your wrist and hand. This nerve runs through the carpal tunnel in your hand. Surgery is recommended when other treatments have failed to give relief.

  • Dupuytrens disease

    Need to know

    Dupuytren’s disease is a common, painless and benign condition affecting the hands and fingers. The disease causes a progressive deformity resulting in one or more fingers bending into the palm of the hand. It occurs when there is a build-up of thick fibrous tissue in the palm that radiates into...

  • Treatments for Dupuytrens contracture

    Need to know

    Dupuytren's contracture is a condition affecting the hand. It can be treated with injected medicine and sometimes surgery. The first symptoms are small, fluid-filled lumps under the skin in the palm of the hand. These contain collagen, a type of protein. As the protein builds, a rope-like cord develops...

  • Dupuytrens fasciectomy

    Need to know

    Dupuytren's contracture, also known as Dupuytren's disease or palmar fibromatosis, is a condition where fibrous tissue forms beneath the skin of your fingers and in the palm of your hand. Over time this tissue can contract, causing your fingers to curl. A fasciectomy releases or removes this tissue.

  • Trigger finger and thumb

    Need to know

    If one or more of the tendons in your hands become swollen or inflamed, you may find it difficult to bend your fingers or thumb, or they may lock. This condition is called trigger finger (or thumb).

  • Trigger finger release

    Need to know

    Trigger finger, which is also known as stenosing tenosynovitis, is a painful condition where your finger or thumb jams or locks. If steroid injections fail to treat the condition, a small operation can be done to stop your tendons from catching in the tunnels in your hand.

  • De Quervains syndrome

    Need to know

    Two tendons (flexible chords) run between your wrist and thumb. If the sheath that encases these tendons becomes inflamed, you may find it difficult or painful to move your thumb. This is called De Quervain's syndrome. It's more common in women, particularly after pregnancy. Repetitive movements, when...

  • Ganglion

    Need to know

    The clinical presentation of a ganglion is a visible bump. The exact cause of a ganglion is unknown but ultimately, a ganglion is a fluid-filled sac that arises from a tendon or joint that may be irritated.

  • Ganglion removal

    Need to know

    A ganglion is a bump that usually appears on the fingers or wrist. Its exact causes are unknown, although it is thought to be a leakage of synovial fluid from the joint or tendon. While benign, a ganglion can be unsightly, may cause pain and can even restrict movement. We can offer two main options for...

  • Hand therapy

    Need to know

    Hand therapy draws on physiotherapy and occupational therapy to support rehabilitation after an injury or surgery, or manage long-term or work-related conditions such as arthritis and work-related  upper limb disorders. All our hand therapists are accredited physiotherapists or occupational therapists...

  • Ulnar nerve transposition

    Need to know

    This procedure helps to relieve pressure on the ulnar nerve (nervus ulnaris) by relocating it. You ulnar nerve runs along a groove in the inside of the elbow, just behind a bony structure called the medial epicondyle. It's covered by tissue which forms a structure called the cubital tunnel. If the ulnar...

  • Small joint replacement surgery

    Need to know

    Small joint replacement surgery is usually carried out on the hand. It can provide pain relief when arthritis affects your knuckles or the base of your thumbs, and restore movement and function. Artificial joints tend to be made from rubber, metal or plastic and pyrocarbon (an extra-strong material)....

  • Muscle strains and sprains

    Need to know

    Muscle strains and sprains can be a common consequence of playing sport. These may occur from physical contact or not warming up properly before playing. You will likely experience pain, swelling and tightness in the pain area. Your consultant can help to diagnose and discuss a range of treatment options...

Specialist multidisciplinary service - our expert therapy team

A hand therapist is an occupational therapist or physiotherapist who specialises in the treatment of patients with conditions affecting the hands and upper limb. A hand therapist’s high level of specialisation requires advanced post-graduate education and clinical experience.

Consultants in our unit work within a specialist multidisciplinary team of expert hand therapists, who provide a seamless pathway for our patients. For example, a patient can be seen in one of our units, have a consultation, undergo on-site diagnostic tests, therapy and be given any required custom-made splints or casts – often all in one visit. In most cases, the hand therapist will make the orthotics on-site following your consultation.

Some of our most common therapies

Thermoplastic splinting

Many people with injury or disease will benefit from rest or protection. This can be conveniently provided by wearing a splint that is custom-made

Neoprene splints

The soft support provides pressure, which is often useful in providing support for joints following injury, or conditions such as osteoarthritis

Oedema management

We assess the most appropriate treatment that may include elevation, compression and massage techniques

Exercise therapy and mobilisation techniques

Stiffness of the hand is one of the most common complications following injury or surgery. Our therapists are trained in techniques and strategies to prevent and treat this problem

Activities of daily living

We provide the advice and tools needed to enhance performance of everyday tasks

Work and leisure rehabilitation

Work related upper limb disorders and sporting/leisure injuries are treated by our hand therapists, with a focus on the resolution and management of symptoms and return to optimal performance

Wound and Scar management

Our therapists aim is to facilitate the healthy healing of wounds and also to improve the appearance and flexibility of any scars

Meet our therapists

Ms Christy Fowler

Ms Elise Graham

Ms Sinead Nolan

Ms Juliette Bray

Ms Grainne O'Brien

Ms Kristin Francis

Ms Jane Askham

Patient having an MRI scan

Outstanding facilities, teams and equipment

The complex medicine our consultants and therapists perform is only possible with the best facilities, teams and equipment. From the latest imaging equipment to advanced therapy techniques, we have everything we need to care for our patients. At the Wellington Hospital, we use the latest diagnostic equipment that includes MRI and X-ray to help us deliver the most accurate diagnosis. We offer same-day appointments and same-day reporting, six days a week.

Convenient access at a location close to you

If surgery is necessary, this may be performed as either a day case or overnight stay. All children (under 16) will have their operations at The Portland Hospital and the Harley Street Clinic. Convenient post-operative appointments with a hand therapist to manage your wound and commence rehabilitation can be arranged at the same site, or at the site of your choice, ensuring seamless care.

Our locations

The Platinum Medical Centre

15 - 17 Lodge Road London NW8 7JA

The Lister Hospital

Chelsea Bridge Road London SW1W 8RH

The Portland Hospital

2nd Floor Children’s Services, 215 Great Portland Street, London W1N 5HG

The Harley Street Clinic

35 Weymouth Street London W1G 8BJ

120 Old Broad Street

London EC2N 1AR 020 7234 2895

Chelsea Outpatients Centre

280 Kings Road London SW3 5AW

How to find us

Any questions? Get in touch and we'll be happy to help.

020 3813 7578
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