Upper Limb

Upper Limb Surgery at The Cherwell Hospital



The hand and wrist are made up of many different bones, there are 27 bones alone in the hand and a further 13 in the wrist, including 8 carpal bones therefore the opportunity for you to feel pain where some of these joints are located is high.

Treatment for upper limb pain

At The Cherwell Hospital we have a highly experienced and professional team of Orthopaedic Surgeons that can diagnose, treat and manage all types of upper limb orthopaedic problems.

Here are some of the surgeries we perform at The Cherwell Hospital for hand and wrist conditions:

Tennis Elbow

Tennis elbow is a condition that typically causes pain around the outside of elbow. This condition often occurs after the strenuous overuse of the muscles and tendons of the forearm, near the elbow joint. You may notice pain on the outside of your upper forearm, just below the bend of the elbow, or when lifting or bending your arm, as you grip small objects such as a pen and when twisting your forearm, such as when you turn a door handle or open a jar, you could also find difficulty in extending your arm fully.

Tennis elbow is often treated without surgical intervention. Medication and/or physiotherapy may assist the body in recovery from the condition. Tennis elbow could also be treated using Shockwave Therapy treatment

Carpal Tunnel Release 

Carpal tunnel syndrome (CTS) is a relatively common condition and women are two to three times more likely to suffer from it than men. It causes a tingling sensation, numbness and sometimes dull or sharp pains in the hand and the fingers. 

A carpal tunnel release can usually be performed under local anaesthetic and usually takes about a quarter of an hour. Your surgeon will make a small cut in the palm of your hand. They will then cut the tight ligament (called the flexor retinaculum) that forms the roof of the carpal tunnel. Read more about carpal tunnel syndrome. 

Dupuytren's Contracture

Dupuytren’s disease is a condition where scar-like tissue forms just beneath the skin of the fingers and the palm of the hand. Over time, this fibrous tissue can contract and force one or more fingers to curl up into the palm.This is known as Dupuytren’s contracture.

There are several methods to treat Dupytren's Contracture dependent upon the severity of the disease. Your surgeon will discuss the options and treatment plans that are open to you. Read more about Dupuytren's Fasciectomy. 

Trigger Finger

Trigger finger is a condition that affects one or more of the hand's tendons, making it difficult to bend the affected finger or thumb. If the tendon becomes swollen and inflamed it can 'catch' in the tunnel it runs through (the tendon sheath). This can make it difficult to move the affected finger or thumb and can result in a clicking sensation.

If the condition gets worse, your finger may get stuck in a bent position and then suddenly pop straight. Eventually, it may not fully bend or straighten.

Golfer's Elbow

Golfers elbow, also know as medial eipicondylitis, causes pain and inflammation where the tendons are attached on the upper arm allowing articulation at the elbow joint. The problem tends to start actually inside the elbow joint and can radiate down from the elbow towards the wrist.

Golfer's elbow is often treated without surgical intervention. Medication and/or physiotherapy may assist the body in recovery from the condition. This condition could also be treated using Shockwave Therapy treatment.

Shoulder Replacement

Arthritis in the shoulder can eventually wear away the normal cartilage covering the surface of the joint and the bone underneath becomes damaged. This causes pain and stiffness in the joint.

Simple painkillers and anti-inflammatory tablets can help control the pain and regular moderate exercise can help to reduce stiffness in an arthritic arthritic shoulder. A steroid injection into the shoulder joint can sometimes reduce pain and stiffness. All of these measures become less effective as your arthritis gets worse.

A shoulder replacement may be recommended if your joint pain hasn’t responded to non-surgical treatments. The operation usually takes between an hour and an hour and a half. Your surgeon will make a cut on the front of your shoulder and remove the damaged ball (head of the humerus). They will replace the ball and sometimes also the socket. The new ball is made of metal and the socket is usually made of plastic. Read more about shoulder replacement surgery.  

How do I see a Consultant?

If you are suffering from joint pain that is affecting your quality of life, talk to your GP and ask for a referral to The Cherwell Hospital. We provide orthopaedic services for NHS patients and those self-paying or using medical insurance.

Finance packages are available via a medical loan with 0% finance.

Our Specialists

Mr Sambandam Anand

Orthopaedics Read More

Dr Alain Iserin

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Mr Ali Shafighian

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