Question 1

Do you treat sports-related wrist injuries?

Accepted Answer

Yes, we specialize in treating sports-related wrist injuries, including fractures, ligament tears, and tendon injuries, using advanced techniques to ensure optimal recovery.

Question 2

What are the symptoms of carpal tunnel syndrome?

Accepted Answer

Carpal tunnel syndrome is one of the most common conditions I see, and it is often very treatable. The most typical symptoms include:
•       Numbness, tingling, or a 'pins and needles' sensation in the thumb, index, middle, and part of the ring finger
•       Pain or aching in the hand, wrist, or forearm
•       Symptoms that are worse at night, or that wake you from sleep
•       Weakness when gripping or pinching — you may notice you are dropping things
•       A tendency to shake the hand to try to relieve the discomfort
If these symptoms sound familiar, it is worth getting an assessment. Carpal tunnel syndrome responds well to treatment, and the sooner it is addressed, the better the outcome tends to be.

Question 3

What is Dupuytren's contracture and can it be cured?

Accepted Answer

Dupuytren's contracture is a condition where the tissue just beneath the skin of the palm gradually thickens and tightens, eventually pulling one or more fingers into a bent position that cannot be straightened. It most commonly affects the ring and little fingers.
It tends to run in families and is more common in people of Northern European descent. It is not painful in most cases, but over time the restricted movement can significantly interfere with daily tasks.
While there is no permanent cure that prevents Dupuytren's from ever progressing, the contracture itself can be very effectively treated. The main options include:
•       Needle fasciotomy (a minimally invasive procedure done under local anaesthetic in clinic)
•       Surgical fasciectomy — removing the affected tissue, which gives more durable results

The best approach depends on the severity and pattern of your contracture, and I will talk you through the options in detail at your consultation.

Question 4

What is trigger finger and how is it treated?

Accepted Answer

Trigger finger (also called stenosing tenosynovitis) happens when inflammation narrows the space around a tendon in the finger, causing the finger to catch, click, or lock when you bend and straighten it. In more severe cases, the finger can become stuck in a bent position.
It is surprisingly common and can affect any finger, including the thumb (known as trigger thumb).
Treatment options range from conservative to surgical, and many cases resolve with simple measures:
•       A corticosteroid injection is often the first-line treatment and is effective for the majority of patients
•       Splinting can help in mild cases, particularly trigger thumb in children
•       If injections have not resolved it, a simple day-case procedure to release the tendon sheath is highly effective and recovery is quick

Most people are back to normal activities within a few weeks of surgery, and the results are excellent.

Question 5

How do I know if I have torn a tendon in my hand or wrist?

Accepted Answer

Tendon injuries are not always as dramatic as people expect — sometimes there is surprisingly little pain at the time. That said, there are some clear signs to look out for:
•       You cannot straighten or bend a finger after a cut or injury
•       A finger is resting in an unusual position compared to your other fingers
•       You have weakness or pain when trying to use the affected finger or wrist
•       Following a laceration, there is reduced movement — even if the wound looks small
If you suspect a tendon injury, it is important to seek an assessment promptly. Tendon repairs tend to have better outcomes when treated early, and delay can make repair more complex. Please do not wait and see if a significant hand or wrist injury is not improving — get it checked.

London Hand & Wrist Surgeon

FAQs

Frequently asked questions

Do you treat sports-related wrist injuries?

What are the symptoms of carpal tunnel syndrome?

What is Dupuytren's contracture and can it be cured?

What is trigger finger and how is it treated?

How do I know if I have torn a tendon in my hand or wrist?