Hand, Wrist and Elbow Surgery

Hands Wrist and Elbow

Your hands, wrists and elbows are essential in performing everyday activities. So if you’ve injured one of your upper extremities or you have arthritis in your hands, wrist or elbow and you can feel severe pain, you’ll need to seek a diagnosis, and treatment if required.

Many different muscles, ligaments and bones make up your hand and wrist that allow them to function properly. Two joints make up your elbow and control the movements in your lower arm.

Here at Ashtead Hospital we offer a wide range of hand, wrist and elbow surgical treatments including carpal tunnel, tennis elbow and thumb arthritis surgeries and dupuytren's fasciectomy. Often non-surgical options are available and will be tried first.

The range of hand, wrist and elbow surgeries we offer

Carpal tunnel

Carpal tunnel syndrome (CTS) is a common condition that causes tingling, numbness and sometimes pain in the hand and fingers. It’s caused by the compression of the median nerve that controls sensation and movement in your hands. It isn’t known why this nerve becomes compressed but it is linked to a family history of CTS, pregnancy, wrist injuries, strenuous and repetitive hand work, diabetes and rheumatoid arthritis.

Treatment for CTS depends on the severity of the condition and how long you’ve had it. Non-surgical treatments, such as wrist splints and corticosteroid injections, will initially be used. Surgery will be recommended if these aren’t successful in treating your symptoms. Carpal tunnel decompression or carpal tunnel release surgery is performed on an outpatient basis and involves cutting your carpal ligament to reduce pressure on the median nerve in your wrist.

Dupuytren's fasciectomy

Dupuytren’s contracture or Dupuytren's disease occurs when scar-like tissue forms just beneath the skin of the fingers and the palm of the hand and over time this fibrous tissue contracts and forces one or more fingers to permanently curl up into the palm of your hand.

There are several treatments available including: radiation, needle aponeurotomy or needle fasciotomy (outpatient procedure to sever the fibrous tissue in your hand), injections to break up the tissue and surgical correction, called fasciectomy (cutting the fibrous band in your hand or removing all of the affected skin and replacing it with skin grafts).

Tennis elbow

Tennis elbow, also known as lateral epicondylitis, causes pain and tenderness near your lateral epicondyle which is the bony part of your outer elbow and in the muscles of your forearm. It’s usually caused by overusing the muscles attached to your elbow and those used to straighten your wrist.

Tennis elbow usually gets better by stopping activities that strain the affected muscles and tendons, using painkillers and non-steroidal anti-inflammatory drugs (NSAIDs), undergoing physiotherapy, having corticosteroid injections and shock wave therapy. For persistent and severe pain caused by tennis elbow, surgery will be performed to remove the damaged part of the tendon and relieve the painful symptoms.

Thumb arthritis

A common condition, thumb arthritis happens when cartilage wears away from the bone ends in your thumb joint. Symptoms can include pain, swelling and reduced range and strength of movement making simple daily tasks difficult.

Treatments include non-surgical methods for early stage thumb arthritis such as splints, medication and injections and outpatient surgery for severe thumb arthritis. Options for surgery are: joint fusion (the permanent fusion of the bones in your thumb joint), osteotomy (repositioning of the bones in your thumb joint), trapeziectomy (removal of one of the bones in your thumb joint) and joint replacement (removal of all or part of your thumb joint and replacement with a graft from one of your tendons).

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