About hand and wrist care
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
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.
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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...
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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...
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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.
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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. Carpel tunnel surgery to release the pressure on the nerve is recommended when other treatments have failed to...
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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...
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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).
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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,...
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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...
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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.
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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.
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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. Our hand therapists will assess your hand and wrist movements, and conduct...
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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...
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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...
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Surgery for hand arthritis
Need to know
With your fingers and thumbs are in constant use surgery can eases pain and restore 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 can...
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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)....
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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...
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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...
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Muscle strains and sprains
Need to know
Muscle strains and sprains can be a common consequence of playing sport or over exertion during activities. These may occur from physical contact or not warming your muscles up properly before playing. You will likely experience pain, swelling and tightness in the pain area. Your consultant can help...
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Ganglion removal
Need to know
A ganglion cyst 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...
Andy’s story: Keeping his music alive after his thumb surgery
Andy is a founder and CEO of a global automotive consultancy, which requires running a number of large events, traveling for roadshows, conferences and networking. Outside work, he has a deep passion for music and plays guitar and drums almost every single day.
Read more of his journey with Mr Mark Phillips, Consultant Orthopaedic Surgeon at London Bridge Hospital.
Hand and Wrist Technology
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.