Hand & Wrist Conditions

Berkshire Hand Surgery specialise in treating the following conditions:-

Carpal -tunnelCarpal Tunnel Syndrome

Carpal tunnel syndrome is due to compression of the median nerve within a tunnel comprising a "U" shaped collection of bones with a tight ligament at the top. The Median nerve can gradually atrophy if the condition is not treated. This causes permanent loss of sensation and wasting of thumb muscles, which cannot be completely relieved of surgery.

Tennis -elbowTennis Elbow

Tennis elbow, also known as Lateral Epicondylitis is one of the commonest disorders of the elbow.  It is most frequently encountered between 40 and 50 years of age and in the dominant arm.  It involves one of a number of extensor muscles (ECRB etc) that originate together from the humerus bone.

Dupytrens -contractureDupuytren's Contracture

Dupuytren's contracture is a thickening of deep tissue (fascia), which passes from the palm into the fingers.  Shortening of this tissue causes "bands" which pull the fingers into the palm. The cause of this is unknown but it can run in families and may indicate that you have Viking ancestry!

Athritic -handsAthritic Hands

Arthritis of the hands can be particularly disabling. Treatment is effective and is ofetn a combination of painkellers, Physiotherapy and surgical intervention, at the right time. Joint replacements may untimately be required, or a stabilisation of a joint so that it is no longer painful on movement. We can discuss the options that best suit your circumstances.

Ganglion -cystGanglions

Ganglions represent 50 - 70% of all soft tissue lumps in the hand. These cysts contain thick, clear fluid and are usually attached to the lining of an underlying joint (capsule) or tendon (sheath).  They are most common over the wrist, ends of the fingers or back of the hand and may restrict movement as they are tense and can be painful.

Hand -injuryHand Injuries

From minor injuries to one finger to more extensive trauma affecting the whole hand and wrist, we at Berkshire Hand Surgery have the expertise to repair and rehabilitate you hand injury back to function. You can contact us out of hours on 07989-949729 to inform us of emergency referalls that require immediate attention.

Trigger -finger

Trigger Finger

Trigger finger is a very common condition. It results from the tendons to the finger snagging in a small tunnel at the base of the finger. Treatment can be a steroid injection, or for problematic cases, a small operation under local anaesthetic which gives permanent relief of symptoms.

Medico -legalMedico-legal Advice

Berkshire Hand Surgery is able to offer medico-legal advice and solicitors reports for patients pursuing neglegence or personal injury claims. We have in-house facilities to provide full X-ray, CT Scan and MRI reports. Additionally, our Physiotherapy team can provide objective hand assesment reports, including grip strength and functional outcome indicators.

Wrist -FracturesWrist Fractures

Fracture involving the Wrist, usually the Scaphoid bone, can be notoriously difficult to diagnose, so we use clinical examination and the latest imaging modalities to ensure the correct diagnosis is achieved. Treatment may consist os splintage with Physiotherapy, or surgical repair with a cannulated screw (see picture to right).

Hand -tumourSkin & Bone tumours of the Hand

Skin cancers can arise on the hands, as in other parts of the body, but are common as the hands are exposed to ultraviolet radiation throughout our lives. Basal Cell Carcinomas (BCC's), Squamous Cell carcinomas (SCC's), and Melanomas are some of the conditions we have treated. in addition, tumours arising from the cartilage or bone of the phalanges and metacarpal bones are seen. Imaging with X-rays and CT scans are used to delieate the extent of bony tumours, prior to their removel.

Tendon -InjuriesTendon Injuries

Cuts to the hands with knives, saws and power too;s acan result in tendon laceration or avusion. These serious injuries of the hands need to be treated expertly and immediately to avoid longterm stiffness and loss of function of individual fingers or the hand. Some tendons may "snap" as a result of arthritic changes within the hands and lead to compounded arthritic disability.

Hand -InfectionsHand Infections

Even minor skin infections from a thorn from gardening, swimming pools, sea water or sports injuries on a rugby or football pitch can lead to severe infections which if not treated urgently could lead to sever necrotising fasciitis which can potentially be fatal. Mr Armstrong has published a series of patients successfully treated following such potentially fatal infections referrred to him.



Get in touch with the Berkshire Hand Surgery