Private Hand Surgery
Working with Mr Geoffrey Wilson of the Wilson Clinic, Epsom Skin Clinics are now able to offer a range of private hand surgery treatments to help a variety of problems including arthritis, carpal tunnel syndrome, DeQuervain’s & Dupuytren’s disease.
Our hands are made up of a network of bones, nerves, tendons and ligaments and any diagnosis & treatment requires great expertise in what is a very complex area. Mr Wilson can offer treatments for the following concerns:
Carpal tunnel release
Carpel tunnel syndrome occurs when pressure is applied to the median nerve as it passes through your wrist just under the carpal ligament. The result is painful pins and needles and numbness in your fingers. Pressure can be relieved by dividing the carpal tunnel ligament under local anaesthetic surgery.
Trigger finger release
If you suffer with trigger finger, the affected finger can bend normally but becomes stuck in a curled position and will be hard to return straight. This is caused by the tendon which allows your finger to bend becoming thickened and so it becomes stuck in the tunnel where the tendon enters your finger. You may occasionally need to use your other hand to help 'trigger' your finger back into the straight position which is from where the condition gets its name. Release of the cover of the tendon under a local anaesthetic will free it up and relieve the triggering.
A thick fluid called synovial fluid helps your joints and tendons move smoothly. Sometimes this fluid leaks out of the joint or tendon sheath and can form pockets of fluid (cysts) known as ganglions. These ganglions can feel firm or hard when pressed, and are most commonly found on the back of your wrist, but also occur in the palm and over the last joint of the fingers.
Ganglions sometimes disappear on their own, but if they become painful or reduce movement the fluid can sometimes be drained using a needle. This is usually carried out initially for ganglions at the wrist. You can have local anaesthetic surgery to remove ganglions in the palm and fingers.
Dupuytren’s contracture fasciectomy / fasciotomy
Dupuytren's contracture is a condition caused by tissue forming in the palm of your hand and your fingers. Often painless and may only cause small skin nodules, but it can also form bands that can make your fingers curl down into your palm. For early disease you can have local anaesthetic surgery to divide or remove the tissue and release your fingers.
Treatment of arthritis in the hand and wrist is a complex specialty. However, arthritis at the base of the thumb can often be relieved by a steroid injection (administered in the clinic)