Hand, Wrist and Elbow Surgery

At Berkshire Independent Hospital we provide a consultant led hand, wrist and elbow surgery service to diagnose and treat conditions which affect the hands, wrists and elbow.

Many different muscles, ligaments and bones make up your hand and wrist and allow them to function properly. Two joints make up your elbow and control the movements in your lower arm. Injury to your hands, wrist and elbow can be very painful and prevent you from doing many everyday activities so early access to diagnosis and treatment is essential.

We offer the highest levels of care for common hand, wrist and elbow conditions such as carpal tunnel syndrome and dupuytren's disease, problems caused by arthritis such as thumb arthritis and injuries from falls.

The range of hand, wrist and elbow surgeries we offer

Carpal tunnel

Carpal tunnel syndrome (CTS) is a condition where the median nerve that passes over the carpal bone in a tight tunnel becomes compressed. It’s linked to a family history of CTS, wrist injuries, pregnancy, repetitive or strenuous work involving the hand and health conditions such as diabetes and rheumatoid arthritis.

CTS is common and causes tingling, numbness and pain in your hand and fingers. Your surgeon will take into account the severity and term of your CTS when determining the best course of treatment. Non-surgical and surgical treatments are available including: wrist splints, corticosteroid injections and carpal tunnel release surgery also known as carpal tunnel decompression surgery. Carpal tunnel release surgery is an outpatient procedure that involves cutting the carpal ligament, which forms the roof of the carpal tunnel, to reduce pressure on the median nerve in the wrist.

Dupuytren's fasciectomy

Dupuytren’s contracture or Dupuytren's disease is a condition that over time forces one or more fingers to permanently curl up into the palm of your hand due an abnormal thickening of the tissue just beneath the skin of your fingers and the palm of your hand.

Dupuytren’s fasciectomy involves cutting this fibrous tissue in your hand or removing all of the shortened connective tissue and replacing it with skin grafts. Other treatment options include: radiation, needle aponeurotomy also called percutaneous needle fasciotomy (an outpatient procedure to sever the fibrous tissue in your hand using a needle) and, injections to break up the tissue.

Tennis elbow

Tennis elbow (lateral epicondylitis) causes pain and tenderness to the bony area of your outer elbow and the muscles of your forearm. It’s usually caused by activities that place repeated stress on your elbow joint including tennis, decorating or playing the violin.

Non-surgical treatments including: stopping activities that strain the affected area, painkillers and non-steroidal anti-inflammatory drugs (NSAIDs), physiotherapy, corticosteroid injections and shock wave therapy, will normally aid tennis elbow. If your pain is severe and persistent surgery may be recommended to remove the damaged part of the tendon and offer relief of the painful symptoms.

Thumb arthritis

Thumb arthritis is a common condition that occurs when cartilage wears away from the ends of the bones in your thumb joint. It can cause severe pain, swelling and decreased strength and range of motion, making it difficult to perform simple tasks such as turning doorknobs and opening jars.

Splints, medication and injections are non-surgical treatments that may help if your thumb arthritis is in the early stages. If you have severe thumb arthritis surgery may be recommended. Surgical options include: joint fusion (bones in the thumb joint are permanently fused), osteotomy (bones in the thumb joint are repositioned to help correct deformities), trapeziectomy (removal of one of the bones in your thumb joint) and joint replacement (all or part of the thumb joint is removed and replaced with a graft from one of your tendons).

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