Adult hand & wrist.
Specialist care for the adult hand and wrist, understood first, treated with as little intervention as the problem allows.
When I first meet you, I want to get to know you as an individual, and to understand what you want from treatment.
Knowing your aims, returning to a sport, an instrument, or simply comfortable daily life, is essential, and helps me tailor your care. I work closely with a team of hand therapists who offer pre- and post-surgical rehabilitation. I view surgery as a last resort for many conditions, and will work hard to control your symptoms with targeted hand exercises, splinting and steroids before surgery is ever discussed.
Common adult conditions.
Carpal tunnel syndrome
Pressure on the median nerve at the wrist, often causing tingling, numbness or pain in the hand, frequently worse at night. Many cases settle with splinting or a steroid injection; surgery is considered when symptoms persist.
Read moreCubital tunnel syndrome
Pressure on the ulnar nerve at the elbow, which can cause tingling or numbness in the little and ring fingers and, over time, weakness of grip. Treatment ranges from activity changes to surgery, depending on severity.
Read moreTrigger finger
A finger or thumb that catches, clicks or locks as it bends. Often eased with a steroid injection or splinting; a small release procedure helps where symptoms continue. Ultrasound-guided release with Spirecut™ may also be an option.
Read moreDupuytren’s disease
A gradual thickening of the tissue in the palm that can draw one or more fingers towards the palm. Treatment is guided by how much the fingers are affected and how much function is limited.
Read moreArthritis of the wrist, thumb and small joints
Wear or inflammation in the joints of the hand and wrist, causing pain, stiffness or weakness. Symptoms can often be managed with hand therapy, splints and injections before surgery is considered.
Read moreDe Quervain’s tenosynovitis
Irritation of the tendons on the thumb side of the wrist, causing pain when gripping or turning the wrist. Splinting, hand therapy and injections often help; surgery is reserved for persistent cases.
Read moreInjuries to the hand and wrist
From fractures and tendon injuries to ligament and soft-tissue damage, assessed carefully and treated to restore comfortable, reliable function.
Read moreTalk it through with Holly.
Most private patients need no GP referral. Adults are seen at Nuffield Health, Derby, with a smaller practice at Thornbury Hospital, Sheffield.