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About hand and wrist care

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.

Together, they’ve pioneered many advanced surgical techniques for a wide range of conditions affecting the hand and wrist, including peripheral nerve compressions (carpal and cubital tunnel syndrome), Dupuytren's disease, Trigger fingers and thumbs, and arthritis affecting the joints of the hand and wrist.

They also specialise in the management of sports injuries and trauma including tendon injuries and fractures of the hand and wrist. Our consultants work within a specialist multidisciplinary team of expert hand therapists, who provide custom-made splints (orthoses) and play a vital role in the care pathway to ensure all patients achieve the best possible treatment outcomes.

Hand and wrist consultants

Our highly-skilled orthopaedic hand and wrist surgeons are recognised as experts in managing all aspects of hand and wrist conditions. As leaders in their field they are accustomed to providing expert diagnosis and treatment for many elite athletes and talented musicians.  

View our hand consultants


View our wrist consultants

Types of 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.

  • Wrist pain

    Need to know

    Any pain, discomfort or restricted movement in your wrist can have a major impact on day-to-day life. This may be the result of an injury, such as a fall, or wear and tear that worsens over time. Our hand and wrist specialists are here to help diagnose a wide range of injuries and conditions, and offer...

  • 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...

  • 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...

  • 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).

  • Fracture

    Need to know

    A fracture (or broken bone) refers to a loss in the continuity of a bone. They are normally caused by a high-force impact, stress (over a period of time) or as a result of another bone-weakening condition, such as osteogenesis imperfecta, osteoporosis or bone cancer. If you've suffered a bone fracture,...

  • 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...

  • 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 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.

  • 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.

  • 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...

  • Ulnar nerve transposition

    Need to know

    Your 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 nerve becomes compressed, it can cause tingling and numbness in your hand and fingers. Compression...

  • 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...

  • Surgery for hand arthritis

    Need to know

    With your fingers and thumbs are in constant use this procedure eases pain and restores mobility in an arthritic hand joint. 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...

  • 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)....

  • Osteoarthritis

    Need to know

    Over the years, wear and tear affects cartilage in the joints, causing pain, weakness and stiffness. This is known as osteoarthritis (OA). It can affect any joint but is most common in the knees, hip, and spine. It is a degenerative condition and often starts in people over 50-years-old but can affect...

  • Tendon repair surgery

    Need to know

    Tendon injuries are relatively common and rarely serious, they can be torn, or ruptured. Your consultant may suggest surgery if other types of treatment, such as physiotherapy, haven't worked or if you've torn your tendon badly. Surgery can be carried out on any tendon but it's usually done on shoulders...

  • 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...

  • 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...

HCA UK Hand and Wrist mobile

Hand and Wrist Technology

Our multi-disciplinary team of orthopaedic surgeons, plastic surgeons and hand-therapists offer the highest levels of care. Our dedicated hand therapists have access to state-of-the art technology to offer custom-made splints (orthoses) to optimise the management of your hand or wrist condition.
 

Hand and wrist clinic locations

We offer swift diagnosis at convenient locations across London.

Request a hand and wrist appointment

We're happy to help you make an appointment with one of our experienced hand and wrist consultants. We can also make imaging and outpatient hand therapist appointments for you.

020 7079 4344
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