Hand, Wrist and Elbow Surgery

Whether you have injured your hand, wrist or elbow or have arthritis, it is very important that you seek treatment. Leaving an injury or painful joint untreated is unlikely to get better on its own.

The hand and wrist are made up of many different muscles, ligaments and bones that allow a variety of movements. Your elbow is made up of two joints, also allowing a range of movements in your lower arm.

Injury or arthritis in any of these areas can be very painful and limiting on what you are able to do – even writing can cause great discomfort.

Your problem may respond well to non-surgical treatments (e.g. physiotherapy and painkillers), however in some cases, surgery may be required.

At North Downs hospital in Surrey, we treat offer a wide range of surgical treatments for the hand, wrist and elbow.

The range of hand, wrist and elbow surgeries we offer

Tennis Elbow

Tennis elbow (lateral epicondylitis) is a condition that causes pain to the bony area of your outer elbow. It can often occur after strenuous overuse of the muscles and tendons near your elbow. This condition can be very painful and limiting on what day-to-day activities you are able to do like gripping small objects for example.

Tennis elbow can often be treated without surgery, for example you may find taking painkillers and have physiotherapy works at stopping the pain. However more severe conditions or prolonged pain may require surgery meaning your surgeon will either repair or remove the damaged part of the tendon.

Carpal Tunnel Syndrome

If you experience weakness or a tingling sensation in your forearm/hand then you may have carpal tunnel syndrome. It is a condition where the nerves passing over the carpal bone in a tight tunnel become compressed.

The procedure usually takes around 15 minutes and involves cutting the tight ligament that forms the roof of the carpal tunnel. This is usually performed under local anaesthetic.

Read more about carpal tunnel syndrome

Dupuytren's Fasciectomy

You may find that your fingers have started to curl up into the palm causing discomfort – this is likely to be Dupuytren’s contracture. This is a condition where scar-like tissue forms beneath skin of the fingers and palm of the hand causing deformity in the fingers.

There are many methods to treat Dupuytren’s contracture – depending on the severity, your surgeon may simply cut the fibrous band in the palm of your hand or take a skin graft and replace all the affected skin. 

Read more about Dupuytren's Fasciectomy    

Thumb Arthritis

Osteoarthritis is the most common type of arthritis and commonly affects the ‘basal’ joint in the thumb creating discomfort and pain when completing simple day-to-day tasks. This occurs due to general ‘wear and tear’ in your hands.

Non-surgical treatments can primarily be tried to treat the arthritis, however more severe symptoms may require surgery to decrease the pain.

Your surgeon can cut and reposition the bones or even replace most of the joint with graft from other tendons.

Your hand, wrist and elbows are vital areas of the body that allow you to carry out day-to-day activities like lifting objects, gripping things, etc. therefore it is important to keep them healthy and as pain free as possible. At North Downs we have a team of experienced surgeons who can give you the specialist advice and guidance you need to lead a more comfortable and pain free lifestyle.

Our Consultants

We are very proud to be working alongside some excellent orthopaedic consultants who are highly respected in their speciality and come highly recommended by previous patients.  All of our consultants go through regular validation to ensure that they work to the highest possible standards and remain up to date with current practice. 

Mr O Harley

Mr A Mohan

Mr T Selvan

Mr A Shafighian 

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